• 대한의용생체공학회:의공학회지
• /
• 제39권6호
• /
• pp.237-242
• /
• 2018

$^{18}F$-fludeoxyglucose PET (FDG-PET) can help finding an abnormal metabolic activity in brain. In this study, we evaluated an efficiency of volume- and cortical surface-based analysis which were used to determine whether standardized uptake value ratio (SUVR) of FDG-PET was different among Alzheimer's disease (AD), mild cognitive impairment (MCI), and healthy control (HC). Each PET image was rigidly co-registered to the corresponding magnetic resonance imaging (MRI) using mutual information. All voxels of the co-registered PET images were divided by the mean FDG uptake of the cerebellum cortex which was thresholded by partial volume effect (>0.9). Also, the SUVR value of each vertex was linearly interpolated from volumetric SUVR image which was thresholded by gray matter partial volume effect (>0.1). Lobar mean values were calculated from both volume- and cortical surface-based SUVRs. Statistical analysis was conducted to compare two measures for AD, MCI and HC groups. Even though the results of volume (SUVR_vol) and cortical surface-based SUVR (SUVR_surf) analysis were not significantly different from each other, the latter would be better for detecting group differences in SUVR of PET.

• Radiation Oncology Journal
• /
• 제31권3호
• /
• pp.111-117
• /
• 2013

Purpose: To determine whether the maximum standardized uptake value (SUV) of [$^{18}F$] fluorodeoxyglucose uptake by positron emission tomography (FDG PET) ratio of lymph node to primary tumor (mSUVR) could be a prognostic factor for node positive non-small cell lung cancer (NSCLC) patients treated with definitive radiotherapy (RT). Materials and Methods: A total of 68 NSCLC T1-4, N1-3, M0 patients underwent FDG PET before RT. Optimal cutoff values of mSUVR were chosen based on overall survival (OS). Independent prognosticators were identified by Cox regression analysis. Results: The most significant cutoff value for mSUVR was 0.9 with respect to OS. Two-year OS was 17% for patients with mSUVR > 0.9 and 49% for those with mSUVR ${\leq}0.9$ (p = 0.01). In a multivariate analysis, including age, performance status, stage, use of chemotherapy, and mSUVR, only performance status (p = 0.05) and mSUVR > 0.9 (p = 0.05) were significant predictors of OS. Two-year OS for patients with both good performance (Eastern Cooperative Oncology Group [ECOG] ${\leq}1$) and mSUVR ${\leq}0.9$ was significantly better than that for patients with either poor performance (ECOG > 1) or mSUVR > 0.9, 23% (71% vs. 23%, p = 0.04). Conclusion: Our results suggested that the mSUVR was a strong prognostic factor among patients with lymph node positive NSCLC following RT. Addition of mSUVR to performance status identifies a subgroup at highest risk for death after RT.

• 핵의학기술
• /
• 제26권1호
• /
• pp.33-37
• /
• 2022

¹⁸F-FBB 판독은 회백질과 백질의 신호강도를 육안으로 비교하여 이루어진다. 정량화된 영상분석을 판독과 비교하여 영상분석의 유용성을 평가하고자 한다. 환자는 판독결과를 기준으로 음성과 양성을 100명씩 나누었고 FBB 300 MBq 주입하고 90분 뒤 20분간 촬영했다. 장비는 Discovery 600 (GE Healthcare, MI, USA)을 사용하였다. 제조사에서 제공하는 아밀로이드 판독 기준을 근거하여 4개의 관심영역을 설정하였다. 영상분석은 각 SUVmean을 소뇌로 나누어 SUVr를 산출하고 전체 영역에서의 평균 SUVr로 진행하였다. 통계분석은 ROC Curve를 통한 Cutoff 도출과 독립표본 t-test의 그룹간 차이, 그리고 Kappa test를 통한 판독결과와 일치도를 분석하였다. 전체 영역에서의 평균 SUVr의 Cutoff는 1.23으로 나왔다. Cutoff를 사용한 판독결과와 일치도는 음성에서 95/100 (95 %), 양성에서 92/100 (92 %)로 나왔다. t-test 결과 그룹 간에 통계적으로 유의한 차이가 있었고(P < 0.05) Kappa 통계 결과 0.867로 높은 일치도를 나타냈다(P < 0.05). 영상분석의 결과가 통계적으로 유의하며 판독결과에도 높은 일치도를 보여 주었다. 추가적으로 FBB 영상분석은 아밀로이드가 축적된 부위를 3D 매핑하여 볼 수 있고 위치추정이 가능하며 정량분석 결과를 세분화하여 볼 수 있다. 정량화된 FBB 영상분석을 보조지표로 활용한다면 판독에 도움이 될 것으로 사료된다.

• 한국독성학회:학술대회논문집
• /
• 한국독성학회 2003년도 추계학술대회
• /
• pp.106-106
• /
• 2003

Many polycyclic aromatic hydrocarbons (PAH) are acutely toxic to fish and other aquatic organisms in the presence of environmentally realistic intensities of solar ultraviolet radiation (SUVR). The phototoxicity of polycyclic aromatic hydrocarbons (PAHs) occurs through photodynamic activation of PAH compounds. Oxygen molecules react as quenchers with excited triplet states of PAHs producing reactive oxygen species (ROS).(omitted)

• Journal of Ginseng Research
• /
• 제48권4호
• /
• pp.425-427
• /
• 2024

This study presents a preliminary exploration into the effect of Korean Red Ginseng (KRG) on the cerebellum in individuals with cerebellar atrophy. Over a three month-long period, nine subjects received a 4.5g of KRG daily, with assessments including the ARS, ADAS-Cog, and FDG-PET/CT scans. Results revealed a notable improvement in ataxia and cognitive function without a significant correlation between them. PET/CT scans and SUVR analyses supported these findings, showing an increase in cerebellar glucose uptake after KRG intake. These outcomes suggest a potential pleiotropic effect of KRG on cerebellar function.

• Korean Journal of Radiology
• /
• 제24권7호
• /
• pp.690-697
• /
• 2023

Objective: ¹⁸F-FP-CIT positron emission tomography (PET) is known for its high sensitivity and specificity for evaluating striatal dopamine transporter (DAT) binding. Recently, for the early diagnose of Parkinson's disease, many researchers focused on the diagnosis of synucleinopathy in organs involved in non-motor symptoms of Parkinson's disease. We investigated the feasibility of salivary gland uptake on ¹⁸F-FP-CIT PET as a new biomarker in patients with parkinsonism. Materials and Methods: A total of 219 participants with confirmed or presumed parkinsonism, including 54 clinically diagnosed idiopathic Parkinson's disease (IPD), 59 suspected and yet undiagnosed, and 106 with secondary parkinsonism, were enrolled. The standardized uptake value ratio (SUVR) of the salivary glands was measured on both early and delayed ¹⁸F-FP-CIT PET scans using the cerebellum as the reference region. Additionally, the delayed-to-early ratio (DE_ratio) of salivary gland was obtained. The results were compared between patients with different PET patterns. Results: The SUVR in early ¹⁸F-FP-CIT PET scan was significantly higher in patients with IPD pattern compared that in the non-dopaminergic degradation group (0.5 ± 0.19 vs. 0.6 ± 0.21, P < 0.001). Compared with the non-dopaminergic degradation group, the DE_ratio was significantly lower in patients with IPD (5.05 ± 1.7 vs. 4.0 ± 1.31, P < 0.001) or atypical parkinsonism patterns (5.05 ± 1.7 vs. 3.76 ± 0.96, P < 0.05). The DE_ratio was moderately and positively correlated with striatal DAT availability in both the whole striatum (r = 0.37, P < 0.001) and posterior putamen (r = 0.36, P < 0.001). Conclusion: Parkinsonism patients with an IPD pattern exhibited a significant increase in uptake on early ¹⁸F-FP-CIT PET and a decrease in the DE_ratio in the salivary gland. Our findings suggest that salivary gland uptake of dual-phase ¹⁸F-FP-CIT PET can provide diagnostic information on DAT availability in patients with Parkinson's disease.

• 대한치매학회지
• /
• 제23권1호
• /
• pp.22-29
• /
• 2024

Background and Purpose: Alzheimer's disease (AD) is a neurodegenerative disease characterized by a progressive decline in cognition and performance of daily activities. Recent studies have attempted to establish the relationship between AD and sleep. It is believed that patients with AD pathology show altered sleep characteristics years before clinical symptoms appear. This study evaluated the differences in sleep characteristics between cognitively asymptomatic patients with and without some amyloid burden. Methods: Sleep characteristics of 76 subjects aged 60 years or older who were diagnosed with subjective cognitive decline (SCD) but not mild cognitive impairment (MCI) or AD were measured using Fitbit^® Alta HR, a wristwatch-shaped wearable device. Amyloid deposition was evaluated using brain amyloid plaque load (BAPL) and global standardized uptake value ratio (SUVR) from fluorine-18 florbetaben positron emission tomography. Each component of measured sleep characteristics was analyzed for statistically significant differences between the amyloid-positive group and the amyloid-negative group. Results: Of the 76 subjects included in this study, 49 (64.5%) were female. The average age of the subjects was 70.72±6.09 years when the study started. 15 subjects were classified as amyloid-positive based on BAPL. The average global SUVR was 1.598±0.263 in the amyloid-positive group and 1.187±0.100 in the amyloid-negative group. Time spent in slow-wave sleep (SWS) was significantly lower in the amyloid-positive group (39.4±13.1 minutes) than in the amyloid-negative group (49.5±13.1 minutes) (p=0.009). Conclusions: This study showed that SWS is different between the elderly SCD population with and without amyloid positivity. How SWS affects AD pathology requires further research.

• 대한방사성의약품학회지
• /
• 제9권1호
• /
• pp.3-8
• /
• 2023

Parkinson's disease is a neurodegenerative disease caused by damage to brain neurons related to dopamine. Non-clinical animal models mainly used in Parkinson's disease research include drug-induced models of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine and 6-hydroxydopamine, and genetically modified transgenic animal models. Parkinson's diagnosis can be made using brain imaging of the substantia nigra-striatal dopamine system and using a radiotracer that specifically binds to the dopamine transporter. In this study, ¹⁸F-N-(3-fluoropropyl)-2β-carboxymethoxy-3β-(4-iodophenyl) nortropane was used to confirm the image evaluation cutoff between normal and parkinson's disease models, and to confirm model persistence over time. In addition, the efficacy of single or combined administration of clinically used therapeutic drugs in parkinson's animal models was evaluated. Image analysis was performed using the PMOD software. Converted to standardized uptake value, and analyzed by standardized uptake value ratio by dividing the average value of left striatum by the average value of right striatum obtained by applying positron emission tomography images to the atlas magnetic resonance template. The image cutoff of the normal and the parkinson's disease model was calculated as SUVR=0.829, and it was confirmed that it was maintained during the test period. In the three-drug combination administration group, the right and left striatum showed a high symmetry of more than 0.942 on average and recovered significantly. Images using ¹⁸F-N-(3-fluoropropyl)-2β-carboxymethoxy-3β-(4-iodophenyl) nortropane are thought to be able to diagnose and evaluate treatment efficacy of non-clinical Parkinson's disease.

• 한국방사선학회논문지
• /
• 제14권1호
• /
• pp.23-29
• /
• 2020

표준섭취계수(SUV) PET과 영상 재구성 방법에 따라 크게 달라진다. 삼성 서울병원 핵의학과에 설치된 GE사의 Discovery MIDR와 Discovery Ste의 영상 재구성 알고리즘을 이용하여 의인화몸통팬텀 내의 심장, 간과 배경영역에서 표준섭취계수를 측정하여 실제 SUV와 비교하였다. 영상 재구성 알고리즘은 MIDR에서는 VPFX-S (TOF+PSF), QCFX-S-350 (Q.Clear+TOF+PSF), QCFX-S-50와 VPHD-S (OSEM+PSF), Ste에서는 VUE Point (OSEM)와 FORE-FBP를 사용하였다. 방사선사의 방사선 피폭을 감소시키기 위하여 소량의 ¹⁸F-FDG 선원을 물과 혼합하였다: 52.5 ml 심장에는 2.28 MBq, 1,290 ml 간에는 20.3 MBq와 9,590 ml 배경영역에는 45.7 MBq을 주입하였다. 심장에서의 표준섭취계수는 MIDR의 VPFX-S, QCFX-S-350, QCFX-S-50, VPHD-S와 Ste의 VUE Point (OSEM)와 FOR-FBP 알고리즘에서 각각 27.1, 28.0, 27.1, 26.5, 8.0와 7.4 이었으며, 기대치는 5.9이었다. 배경역역에서는 4.2, 4.1, 4.2, 4.1, 1.1와 1.2 이었으며, 기대치는 0.8이었다. 각 영역에서 표준섭취계수는 PET과 알고리즘에 따라 크게 차이가 있었지만, 심장과 배경영역의 SUV 비율은 비교적 일정하여 6개 영상 재구성 알고리즘에 대하여 6.5, 6.8, 6.5, 6.5, 7.3와 6.2 이었으며 기대치는 7.8이었다. 심장에서의 평균 신호 대 잡음비(SNR)는 각각 6개 알고리즘에 대하여 8.3, 12.8, 8.3, 8.4, 17.2와 16.6이었다. 결론적으로 PET 성능 평가는 각 영역에서의 절댓값 보다는 두 영역 사이의 SUV 비율이 적절하며, 비교적 소량의 방사능으로도 확인할 수 있는 가능성이 있다.