阿尔茨海默病斑块显像:新型放射性示踪剂18F-W372在体试验初探

Images of Alzheimer’s disease plaques:An in vivo experiment of a new radioactive tracer 18F-W372

  • 摘要: 目的 分析18F-W372在阿尔茨海默病 (AD) 以及健康老年对照 (HCs) 人群的动态影像, 评价18F-W372在人脑分布特点及临床应用价值。 方法 8名AD患者和9名HCs入组试验, 注射18F-W372后完成40min连续动态PET数据采集。采用感兴趣区 (ROI) 方法, 计算每个被试标准化摄取值 (SUV) 及脑区/小脑标准化摄取率 (SUVR) , 获得ROI时间-放射性曲线 (TAC) 。 结果 所有被试接受18F-W372检查后未见药物相关不良反应, TAC显示18F-W372能够快速通过血脑屏障并迅速清除, 与HCs相比AD患者脑内皮层区域存在18F-W372放射性滞留。18F-W372在人脑白质区域出现放射性显著浓聚。药物注射40min, AD患者广泛皮层/小脑SUVR高于HCs (t=3.74, P=0.003) 。 结论 18F-W372具有良好耐受性, 作为新型PET斑块显像剂在AD诊断及鉴别诊断中具有良好的应用前景。

     

    Abstract: Objective To evaluate the distribution characteristics of 18F-W372,a new radioactive tracer,in human brain and their clinical value by analyzing its images in Alzheimer’s disease(AD) patients and healthy aged controls. Methods Eight AD patients and 9 healthy aged controls were enrolled in this study.After 18F-W372 was injected,data were collected for 40 minutes under dynamic PET scanning.Standardized uptake value(SUV) and cortical-to-cerebellum standardized uptake value ratio(SUVR) were calculated using region of interest(ROI) to obtain the time-activity curve(TAC). Results No 18F-W372-related adverse events occurred in all AD patients and healthy aged controls.The TAC showed that 18F-W372 could rapidly pass through the blood-cerebral barrier and was swiftly cleared.The retention time of 18F-W372 was longer in cerebral endothelial region of AD patients than in that of healthy aged controls.The 18F-W372 was significantly concentrated in the white matter(WM) of human brain.Forty minutes after injection of 18F-W372,the cortical /cerebellar SUVR was higher in AD patients than in healthy aged controls(t=3.74,P=0.003). Conclusion 18F-W372,as a new radioactive tracer of AD plaques,has a rather good tolerance and can thus be used in diagnosis and differential diagnosis of AD with a good prospect of clinical application.

     

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