Evidence map›Paper›PMID 27678494›Full record

ArticleEJNMMI research2016

Test-retest analysis of a non-invasive method of quantifying [(11)C]-PBR28 binding in Alzheimer's disease.

Akshay Nair, Mattia Veronese, Xiaohui Xu, Charles Curtis, Federico Turkheimer, Robert Howard, Suzanne Reeves

Erratum issuedAbstract read
In one paragraph

Article in EJNMMI research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  11. Automatic Extraction of a Reference Region for the Noninvasive Quantification of Translocator Protein in Brain UsingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Article
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  13. Parametric mapping using spectral analysis forEuropean journal of nuclear medicine and molecular imaging · 2018
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  15. In vivo PET imaging of neuroinflammation in Alzheimer's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2018
    Review
  16. Article
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  19. Effect of Cigarette Smoking on a Marker for Neuroinflammation: A [Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Akshay NairUCL Huntington's Disease Research Group, 2nd floor, Russell Square House, 10-12 Russell Square, London, WC1B 5EH, UK. akshay.nair@ucl.ac.uk.
Mattia VeroneseCentre for Neuroimaging Sciences, IoPPN, King's College London, Box PO89, De Crespigny Park, London, SE5 8AF, UK.
Xiaohui XuMRC Social, Genetic and Developmental Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, Denmark Hill, London, SE5 8EF, UK.
Charles CurtisMRC Social, Genetic and Developmental Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, Denmark Hill, London, SE5 8EF, UK.
Federico TurkheimerCentre for Neuroimaging Sciences, IoPPN, King's College London, Box PO89, De Crespigny Park, London, SE5 8AF, UK.
Robert HowardDivision of Psychiatry, University College London, 6th Floor, Wings A and B, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.
Suzanne ReevesDivision of Psychiatry, University College London, 6th Floor, Wings A and B, Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.

Funding

Department of Health NIHR/CS/010/019Medical Research Council G0900891Medical Research Council G1100809Medical Research Council MC_U120085814
6 · The paper itself

Abstract

purposeIn order to maximise the utility of [(11)C]-PBR28 for use in longitudinal studies and clinical trials in Alzheimer's disease (AD), there is a need to develop non-invasive metrics of tracer binding that do not require arterial cannulation. Recent work has suggested that standardised uptake value (SUV)-based methods may be sensitive to changes in translocator protein (TSPO) levels associated with neurodegeneration. However, the test-retest reliability of these approaches in AD over a time period relevant for clinical trials is unknown. In this study, the test-retest reliability of three SUV-based metrics was assessed in AD patients over 12 weeks.

methodsFive patients with mild AD and the high-affinity binding TSPO genotype underwent two [(11)C]-PBR28 PET scans approximately 12 weeks apart. The test-retest reliability (TRR) of the unadjusted SUV, SUV relative to cerebellar grey matter (SUVRC) and SUV normalised to whole brain activity (SUVRWB) in nine cortical and limbic regions of interest was assessed using the absolute variability and the intraclass correlation coefficient.

resultsOf the three measures, SUVRWB performed best overall, showing low absolute variability (mean -0.13 %, SD 2.47 %) and high reliability (mean ICC = 0.83). Unadjusted SUV also performed well, with high reliability (ICC = 0.94) but also high variability (mean -1.24 %, SD 7.28 %). By comparison, the SUVRC showed higher variability (mean -3.98 %, SD 7.07 %) and low reliability (ICC = 0.65).

conclusionsIn this AD sample, we found that SUV-derived metrics of [(11)C]-PBR28 binding showed high stability over 12 weeks. These results compare favourably with studies reporting TRR of absolute quantification of [(11)C]-PBR28. Pending further validation of SUV-based measures of [(11)C]-PBR28, semi-quantitative methods of [(11)C]-PBR28 analysis may prove useful in longitudinal studies of AD.

Indexed as

Alzheimer’sDementiaInflammationMicrogliaPositron emission tomography

Identifiers

PMID27678494
PMCPMC5039146

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.