Purpose
[18F]FPEB is a promising PET radioligand for the metabotropic glutamate receptor 5 (mGluR5), a potential target for the treatment of neuropsychiatric diseases. The purpose of this study was to evaluate the test-retest reproducibility of [18F]FPEB in the human brain.
Methods
Seven healthy male subjects were scanned twice, 3–11 weeks apart. Dynamic data were acquired using bolus plus infusion of 162±32 MBq [18F]FPEB. Four methods were used to estimate volume of distribution (VT): equilibrium analysis (EQ) using arterial (EQA) or venous input data (EQV), MA1, and two-tissue compartment model (2T). Binding potential (BPND) was also estimated using cerebellar white matter (CWM) or grey matter (CGM) as a reference region using EQ, 2T and MA1. Absolute test-retest variability (aTRV) of VT and BPND were calculated for each method. Venous blood measurements (CV) were compared with arterial input (CA) to examine their usability for EQ analysis.
Results
Regional VT estimated by the four methods displayed a high degree of agreement (r2 ranging from 0.83 to 0.99 between methods), although EQA and EQV overestimated VT by a mean of 9% and 7%, respectively, compared to 2T. Mean aTRV of VT were 11% by EQA, 12% by EQV, 14% by MA1 and 14% by 2T. Regional BPND also agreed well between methods and mean aTRV of BPND was 8–12% (CWM) and 7–9% (CGM). Venous and arterial blood concentrations of [18F]FPEB were well matched during equilibrium (CV=1.01·CA, r2=0.95).
Conclusion
[18F]FPEB binding shows good test-retest variability with minor differences between analysis methods. Venous blood can be used as an alternative for input function measurement instead of arterial blood in EQ analysis. Thus, [18F]FPEB is an excellent PET imaging tracer for mGluR5 in humans.