Dopamine is known to regulate food intake by modulating food reward via the mesolimbic circuitry of the brain. The objective of this study was to compare the effects of high energy input (i.v. glucose) on striatal and thalamic dopamine release in overweight and lean individuals. We hypothesized that glucose would induce dopamine release and positive ratings (e.g., satiety) in Behavioral Analog Scales, particularly in food-deprived lean subjects. [(11)C]raclopride PET was performed for 12 lean (mean BMI = 22 kg/m(2)) and 12 overweight (mean BMI = 33 kg/m(2)) healthy subjects. Each subject was imaged twice in a blinded counter-balanced setting, after 300 mg/kg i.v. glucose and after i.v. placebo. Dopamine D2 receptor binding potentials (BPs) were estimated. The voxel-based analysis of the baseline scans indicated lower striatal BPs in the overweight group and a negative correlation between BMIs and BPs. Intravenous glucose did not have a significant effect on BPs in overweight or lean subjects (male and female groups combined). However, BP changes were opposite in the two gender groups. In male subjects, significant BP reductions after glucose were seen in the right and left caudate nucleus, left putamen, and right thalamus. In female subjects, increases in BP secondary to glucose were seen in the right caudate nucleus and right and left putamen. The sexually dimorphic effect of glucose was seen in both overweight and lean subjects. Although gender differences were not among the a priori hypotheses of the present study and, therefore, they must be considered to be preliminary findings, we postulate that this observation is a reflection of an interaction between glucose, sex steroids (estrogen), leptin, and dopamine.
Considering the model fit and repeatability, the kurtosis model seems to be the preferred model for characterization of normal prostate and PCa DWI using b-values up to 2000 s/mm(2) .
Purpose: To evaluate four mathematical models for diffusion weighted imaging (DWI) of prostate cancer (PCa) in terms of PCa detection and characterization. Methods: Fifty patients with histologically confirmed PCa underwent two repeated 3 Tesla DWI examinations using 12 equally distributed b values, the highest b value of 2000 s/ mm 2 . Normalized mean signal intensities of regions-of-interest were fitted using monoexponential, kurtosis, stretched exponential, and biexponential models. Tumors were classified into low, intermediate, and high Gleason score groups. Areas under receiver operating characteristic curve (AUCs) were estimated to evaluate performance in PCa detection and Gleason score classifications. The fitted parameters were correlated with Gleason score groups by using the Spearman correlation coefficient (r). Coefficient of repeatability and intraclass correlation coefficient [specifically ICC(3,1)], were calculated to evaluate repeatability of the fitted parameters. Results: The AUC and r values were similar between parameters of monoexponential, kurtosis, and stretched exponential (with the exception of the a parameter) models. The absolute r values for ADC m , ADC k , K, and ADC s were in the range from 0.31 to 0.53 (P < 0.01). Parameters of the biexponential model demonstrated low repeatability. Conclusion: In region-of-interest based analysis, the monoexponential model for DWI of PCa using b values up to 2000 s/mm 2 was sufficient for PCa detection and characterization. Magn
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