Parametric in vivo imaging of benzodiazepine receptor distribution in human brain

Ann Neurol. 1991 Nov;30(5):663-72. doi: 10.1002/ana.410300506.

Abstract

Emission computed tomographic methods for the in vivo quantification of radioligand-binding sites in human brain have previously been limited either by a lack of correction for possible effects of altered ligand transport or by highly complicated physiological models that preclude display of binding data in a detailed anatomical format. We investigated the application of a simplified compartmental model to the kinetic analysis of in vivo ligand binding to central benzodiazepine receptors. The human brain distribution of [11C]flumazenil, as determined by dynamic positron emission tomography, combined with metabolite-corrected arterial blood samples, permitted estimations of local cerebral ligand transport and of receptor binding. This approach allows calculation of transport and binding "maps" on a pixel-by-pixel basis, resulting in the display of binding data in a familiar tomographic format while maintaining much of the physiological accuracy inherent in more complex methods. The results obtained in a study of 6 normal volunteers revealed good interindividual precision, with coefficients of variation between 10 and 15% of mean regional values, suggesting the utility of this approach in future clinical studies of benzodiazepine receptor binding.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Body Fluid Compartments
  • Brain / anatomy & histology*
  • Brain Chemistry*
  • Brain Mapping
  • Flumazenil / metabolism
  • Flumazenil / pharmacokinetics
  • Humans
  • Models, Biological
  • Receptors, GABA-A / analysis*
  • Tomography, Emission-Computed*

Substances

  • Receptors, GABA-A
  • Flumazenil