“…Specifically, radiotracer binding to the dopamine (D2) receptor has been shown repeatedly to be altered by administration of agents that increased or decreased endogenous dopamine concentrations by direct or indirect pharmacologic mechanisms, using positron emission tomography (PET) or single photon emission computed tomography methods [single photon emission computed tomography (SPECT)] (e.g., Dewey et al, 1991, 1993a,b; Innis et al, 1992; Smith et al, 1997; Volkow et al, 1994). Acute administration of agents that directly (d-amphetamine, methylphenidate or cocaine) or indirectly increase dopamine concentrations through interactions with other neurotransmitter systems (e.g., fenfluramine, scopolamine, ketamine for the serotonergic, cholinergic, and glutamatergic systems, respectively) resulted in a decrease in radio-tracer binding, presumably due to increased competition between dopamine and the radiotracer for binding to the D2 receptor (Breier et al, 1998; Dewey et al, 1990, 1995; Smith et al, 1997, 1998). Conversely, agents that decreased dopamine concentrations directly (reserpine, α-methyl p -tyrosine) or indirectly (lorazepam, γ-vinyl GABA) resulted in an increase in receptor binding due to reduced competition between dopamine and the radiotracer for binding to the D2 receptor (e.g., Dewey et al, 1992; Laruelle et al, 1997).…”