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Estimation of kinetic constants in double injection FDG-PET studies: application in neurology and oncology

机译:双注射FDG-PET研究中的动力学常数估计:在神经病学和肿瘤学中的应用

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In order to characterize physiological cerebral activation or tissue response to a treatment, at least two FDG-PET studies are mandatory. In this work, a study of one hour duration with two injections at 30 min apart is reported. The separation of the two input curves (IC) consisted of fitting the blood curve corresponding to the first injection using spectral analysis, then estimating the second blood curve by removing the remnant of the first. Tissue time activity curves (tTAC) were fitted for the first 30 min using the first IC and were extrapolated till 60 min. This extrapolated part was removed from the tissue response to the second injection before being fitted using the second IC. Other data were obtained for simple injection from which regional cerebral metabolic rates for glucose (rCMRGlu) estimated from 0-30 min were compared to those obtained from 0-60 min. Maximal rCMRGlu differences in double injection with activation were found to be on the average four times higher than those from 0-30 and 0-60 min baseline simple injection. The method is expected to be more accurate to observe drug uptake or tumor response to a treatment.
机译:为了表征生理性脑激活或组织对治疗的反应,必须进行至少两项FDG-PET研究。在这项工作中,报告了一个历时1小时的研究,相隔30分钟进行了两次注射。两条输入曲线(IC)的分离包括使用光谱分析对与第一次注射相对应的血液曲线进行拟合,然后通过去除第一次注射的残留物来估算第二次血液曲线。使用第一个IC对头30分钟的组织时间活性曲线(tTAC)进行拟合,并外推至60分钟。在使用第二个IC进行装配之前,将该外推部分从组织对第二次注射的反应中移除。还获得了简单注射的其他数据,从中比较了从0-30分钟估算的局部葡萄糖区域脑代谢率(rCMRGlu)与从0-60分钟获得的局部脑代谢率。发现两次激活双重注射的最大rCMRGlu差异平均比基线简单注射0-30分钟和0-60分钟的平均高4倍。该方法有望更准确地观察药物吸收或肿瘤对治疗的反应。

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