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The aims of this study include: (1) to determine the localization and the load of the beta-amyloid protein in the brains of MCI patients in vivo using 11C-PIB PET dynamic imaging; (2) to evaluate the clinical value of 11C-PIB PET imaging in MCI. 21 subjects, which were divided into three groups: 8 patients with MCI, 6 with AD, and 7 as Health Control (HC). All patients underwent sequential emission PET scans of brain after 11C-PIB administration. All 11C-PIB PET images were visually interpreted and analyzed by the Region of Interest (ROI) method. The attenuation-corrected PET images were semi-quantitatively analyzed using Standardized Uptake Value (SUV). Dynamic SUV data and curves were obtained as a function of time from 0 to 55 minutes of post-injection time. The ratio of radioactivity clearance and ratio of SUV of targeted brain regions vs cerebellum at 45min were calculated for statistical analysis. The dynamic images show that 11C-PIB passes cross the blood-brain barrier very rapidly, and clears rapidly in healthy brain. The results of applying the visual and ROI method indicate that AD patients typically show marked retention of 11C-PIB in related cortex where a large amount of amyloid is deposited. In MCI patients, the PET image of some patients are HC-like, and others are AD-like. Therefore, the MCI patients can be divided into 2 groups (HC-like group and AD-like group) for analysis, and the visual interpretations are consistent with the statistical analysis results. There are no significant difference observed in the data between HC-like group and HC group, and between AD-like group and AD group, respectively. It is concluded that 11C-PIB PET imaging can provide reliable quantitative information about beta-amyloid protein in living AD and MCI patients, and 11C-PIB PET imaging is a promising method to evaluate the prognosis of MCI., authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=2UVado8MA9h0KipEzCNg/w==, pdfFileSize=2450104, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1242120320283377943, articleId=1242120318370775302, tenantId=1146029695717560320, journalId=1146031591421210625, language=CN, title=轻度认知功能障碍11C-PIB PET连续动态显像结果分析, columnId=1146540929516700224, journalTitle=科技导报, columnName=研究论文, runingTitle=null, highlight=null, articleAbstract=为探讨轻度认知功能障碍(MCI)患者碳-11标记的匹兹堡化合物B(11C-PIB)正电子放射断层摄影术(PET)显像的特点,评价MCI患者11C-PIB PET脑显像的临床价值,严格筛选3组受试者:MCI患者8例,阿尔茨海默病(AD)对照组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。通过视觉分析各组受试者的图像,总结成像特点。采用感兴趣区域(ROI)方法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标准吸收值(SUV),根据SUV绘出时间-放射性曲线。并选取45min时间点的SUV,计算出45min时各脑区与小脑的SUV比值并进行统计分析。结果发现,MCI组中一部分受试者PET图像特点与HC组相似;脑内放射性清除较快,而另外一部分受试者的脑内放射性清除则较慢。将MCI按照显像结果分为AD类似组及HC类似组进行分析后发现,AD类似组与AD组之间的清除率及脑区/小脑比值相比差异无统计学意义,而AD类似组与HC组之间的结果比较类似于AD组与HC组的比较结果。HC类似组与HC组之间的清除率及脑区/小脑比值相比差异无统计学意义,而HC类似组与AD组之间的结果比较则类似于HC组与AD组的比较结果。11C-PIB PET脑显像在不同MCI患者脑内的显像特点不同,因而有可能成为判断MCI预后的一种方法。, authors=郭 喆1,姚树林2,张锦明2,尹大一2,田嘉禾2,冯惠茹1,贾建军3,孙彬彬3, authorsList=郭 喆;姚树林;张锦明;尹大一;田嘉禾;冯惠茹;贾建军;孙彬彬, authorCompany=1. 北京军区总医院核医学科,北京 1007002. 解放军总医院核医学科,北京 1008533. 解放军总医院神经内科,北京 100853, correspAuthors=null, authorNote=null, correspAuthorsNote=郭喆, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, 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轻度认知功能障碍11C-PIB PET连续动态显像结果分析
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科技导报 | 研究论文 2010, 28(15): 21-25
轻度认知功能障碍11C-PIB PET连续动态显像结果分析
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郭 喆1,姚树林2,张锦明2,尹大一2,田嘉禾2,冯惠茹1,贾建军3,孙彬彬3
作者信息
    1. 北京军区总医院核医学科,北京 1007002. 解放军总医院核医学科,北京 1008533. 解放军总医院神经内科,北京 100853

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郭喆
Dynamic Imaging of Mild Cognitive Impairment with 11C-PIB
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出版时间: 2010-07-13
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为探讨轻度认知功能障碍(MCI)患者碳-11标记的匹兹堡化合物B(11C-PIB)正电子放射断层摄影术(PET)显像的特点,评价MCI患者11C-PIB PET脑显像的临床价值,严格筛选3组受试者:MCI患者8例,阿尔茨海默病(AD)对照组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。通过视觉分析各组受试者的图像,总结成像特点。采用感兴趣区域(ROI)方法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标准吸收值(SUV),根据SUV绘出时间-放射性曲线。并选取45min时间点的SUV,计算出45min时各脑区与小脑的SUV比值并进行统计分析。结果发现,MCI组中一部分受试者PET图像特点与HC组相似;脑内放射性清除较快,而另外一部分受试者的脑内放射性清除则较慢。将MCI按照显像结果分为AD类似组及HC类似组进行分析后发现,AD类似组与AD组之间的清除率及脑区/小脑比值相比差异无统计学意义,而AD类似组与HC组之间的结果比较类似于AD组与HC组的比较结果。HC类似组与HC组之间的清除率及脑区/小脑比值相比差异无统计学意义,而HC类似组与AD组之间的结果比较则类似于HC组与AD组的比较结果。11C-PIB PET脑显像在不同MCI患者脑内的显像特点不同,因而有可能成为判断MCI预后的一种方法。
阿尔茨海默病  /  轻度认知功能障碍  /  正电子放射断层显像  /  11C-PIB
The early diagnosis and treatment is very important for patients with Alzheimer's Disease (AD), which can be progressed from Mild Cognitive Impairment (MCI). The aims of this study include: (1) to determine the localization and the load of the beta-amyloid protein in the brains of MCI patients in vivo using 11C-PIB PET dynamic imaging; (2) to evaluate the clinical value of 11C-PIB PET imaging in MCI. 21 subjects, which were divided into three groups: 8 patients with MCI, 6 with AD, and 7 as Health Control (HC). All patients underwent sequential emission PET scans of brain after 11C-PIB administration. All 11C-PIB PET images were visually interpreted and analyzed by the Region of Interest (ROI) method. The attenuation-corrected PET images were semi-quantitatively analyzed using Standardized Uptake Value (SUV). Dynamic SUV data and curves were obtained as a function of time from 0 to 55 minutes of post-injection time. The ratio of radioactivity clearance and ratio of SUV of targeted brain regions vs cerebellum at 45min were calculated for statistical analysis. The dynamic images show that 11C-PIB passes cross the blood-brain barrier very rapidly, and clears rapidly in healthy brain. The results of applying the visual and ROI method indicate that AD patients typically show marked retention of 11C-PIB in related cortex where a large amount of amyloid is deposited. In MCI patients, the PET image of some patients are HC-like, and others are AD-like. Therefore, the MCI patients can be divided into 2 groups (HC-like group and AD-like group) for analysis, and the visual interpretations are consistent with the statistical analysis results. There are no significant difference observed in the data between HC-like group and HC group, and between AD-like group and AD group, respectively. It is concluded that 11C-PIB PET imaging can provide reliable quantitative information about beta-amyloid protein in living AD and MCI patients, and 11C-PIB PET imaging is a promising method to evaluate the prognosis of MCI.
Alzheimer's disease  /  mild cognitive impairment  /  positron emission tomography  /  11C-PIB
郭 喆;姚树林;张锦明;尹大一;田嘉禾;冯惠茹;贾建军;孙彬彬. 轻度认知功能障碍11C-PIB PET连续动态显像结果分析. 科技导报, 2010 , 28 (15) : 21 -25 .
. Dynamic Imaging of Mild Cognitive Impairment with 11C-PIB[J]. Science & Technology Review, 2010 , 28 (15) : 21 -25 .
2010年第28卷第15期
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  • 接收时间:2010-04-21
  • 首发时间:2010-07-13
  • 出版时间:2010-07-13
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  • 收稿日期:2010-04-21
  • 修回日期:2010-07-19
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Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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