阿尔茨海默病11C-PIB PET连续动态显像结果分析

11C-PIB PET dynamic imaging for patients with Alzheimer disease

  • 摘要: 目的 探讨11C-PIB PET脑内老年斑显像的显像条件;研究健康老年人(HC)与阿尔茨海默病(AD)的11C-PIB PET脑显像特点。方法 严格筛选2组受试者,阿尔茨海默病(AD)患者组6例,健康对照(HC)组7例。每位受试者均采用连续动态采集程序采集脑PET图像。两名核医学医师视觉分析各组受试者的图像,总结成像特点。感兴趣方法(ROI)划取大脑皮层各叶和皮层下核团,得出各个脑区不同时间点的SUV值。并选取45min时间点的SUV值,计算出45min时各脑区与小脑的SUV比值。将计算得到的2组脑区/小脑比值进行统计学分析。结果 11C-PIB能快速通过血脑屏障,且之后能很快从健康脑组织内洗脱。时间-放射性曲线显示AD患者脑内放射性清除较HC减慢。脑区/小脑比值AD与HC比较,除脑桥/小脑及白质/小脑外其余脑区与小脑的比值两组之间差异均具有统计学意义(t=4.06-7.28, P<0.05)。结论 11C-PIBPET脑显像是有效诊断AD的神经影像学工具。

     

    Abstract: Objective To study the conditions of 11C-PIB PET dynamic imaging for intra-cranial senile plaques and the features of 11C-PIB PET imaging for healthy aged control subjects(HC) and Alzheimer disease(AD) patients. Methods 6 AD patients and 7 health control(HC) subjects were enrolled in this study.Sequential 11C-PIB PET imaging was performed for each subject.Features of the images obtained were analyzed by 2 physicians of nuclear medicine.The region of interest(ROI) was used to plot the cerebral cortex and infra-cortical nuclear diagram to calculate and analyze the SUN values for each brain region at different time points. Results 11C-PIB could rapidly pass through the blood-brain barrier and was then quickly cleared from healthy brain tissues.The time-radioactivity curve showed that the radioactivity was cleared at a lower speed in AD patients than in HC.The difference in ratio of brain region/cerebellum(except for pons /cerebellum and protein /other brain regions and cerebellum out of the cerebellum) between AD patients and HC was statistically significant(t=4.06-7.28,P<0.05). Conclusion 11C-PIB PET imaging is an effective tool for the diagnosis of AD.

     

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