Summary: The analysis of positron tomographic studies of 3,4-dihydroxyphenylethylamine (dopamine) metabo lism in which e8F]6-fluoro-L-3,4-dihydroxyphenylalanine (F-dopa) is used as a tracer is confounded by the presence of [18Fj6-fluoro-3-0-methyl-L-3,4-dihydroxyphenylala nine (OMFD). This labeled molecule, formed by the ac tion of peripheral cathechol-O-methyltransferase on F-dopa, crosses the blood-brain barrier and contributes to the radioactivity measured by the tomograph. Correc tions for this radioactivity in the brain have been pro posed. They rely upon the assumption that regional vari ations in the handling of this molecule by the brain are negligible. Although this assumption is pivotal for the proper quantification of dopamine metabolism using F-dopa, the distribution and kinetics of OMFD have never been studied in humans. We present results in hu mans that show that there is little selective regional 18F accumulation in the brain, that the distribution volume of Positron tomography used with a labeled precur sor of 3,4-dihydroxyphenylethylamine (dopamine) offers the best approach to the investigation of pre synaptic dopamine metabolism in living humans. The most commonly used tracer is an analogue of L-3,4-dihydroxyphenylalanine (L-dopa) labeled with fluorine-I 8: [ l sF16-fluoro-L-dopa (F -dopa). How ever, the analysis of the data has been confounded by the presence of other labeled species formed in the body, which cross the blood-brain barrier. Like L-dopa, F-dopa acts as a substrate for catechol-OReceived June 9, 1993; final revision received December 9, 1993; accepted January 12, 1994.
664OMFD is close to unity, and that a single, reversible com partment is adequate to model the measured time course of radioactivity after an OMFD injection. Analysis of plasma samples for labeled metabolites showed that more than 95% of the radioactivity was associated with OMFD at all times. Our results for OMFD kinetics are in accord with published results obtained in nonhuman primates and for the bidirectional transport of large neutral amino acids across the blood-brain barrier measured using a synthetic amino acid. However, our results also indicate that there are small but significant differences in OMFD kinetics in different parts of the brain that may prevent inferences about the handling of OMFD in one part of the brain from being extended to other parts of the brain. Key Words: Compartmental analysis-Dopamine metabo lism-6-Fluoro-3-0-methyl-L-dopa-6-Fluoro-L-dopa Graphical analysis-Positron tomography-Striatum. methyltransferase (COMT), forming eSF16-fluoro-3-0-methyl-L-dopa (OMFD). OMFD, formed in the peripheral organs and the red blood cells, is able to cross the blood-brain barrier and contributes to the radioactivity measured by the tomograph. Correc tions for this radioactivity in dopaminergic regions of the brain have been proposed (Martin et aI. , 1989; Huang et aI. , 1991; Gjedde et aI. , 1991; Chan et aI., 1992). These corrections usually rely upon one or more of the following assumptions: t...