海馬ドーパミンD2受容体と記憶・前頭葉機能との関わり
Abstract
認知機能や記憶機能は線条体外の前頭前野や海馬といった皮質領域と深く関わっている。サルやヒトを対象とした研究で前頭前野のドーパミンD1受容体が認知機能に重要な役割を果たしていることが知られているが、ドーパミンD2受容体はD1受容体に比べると線条体外では分布密度が小さく、認知機能との関連は不明な点が多い。D2受容体に高い親和性を有するリガンドである[11C]FLB 457を用いることによって線条体外のD2受容体と認知機能との関連をPositron Emission Tomography (PET)にて検討した。対象は20才代、30才代の健常男性25人でPET施行後、各種神経心理学的検査を行った。海馬におけるD2受容体結合能と記憶機能との間に正の相関を認めた。さらに海馬D2受容体結合能と遂行機能、語流暢性といった前頭葉機能との間にも正の相関を認め、海馬D2受容体が記憶機能のみならず認知機能に重要な役割を担っていることが示唆された。第46回日本核医学会学術総Similar works
A Nordic survey of CT doses in hybrid PET/CT and SPECT/CT examinations
Background Computed tomography (CT) scans are routinely performed in positron emission tomography (PET) and single photon emission computed tomography (SPECT) examinations globally, yet few surveys have been conducted to gather national diagnostic reference level (NDRL) data for CT radiation doses in positron emission tomography/computed tomography (PET/CT) and single photon emission computed tomography/computed tomography (SPECT/CT). In this first Nordic-wide study of CT doses in hybrid imaging, Nordic NDRL CT doses are suggested for PET/CT and SPECT/CT examinations specific to the clinical purpose of CT, and the scope for optimisation is evaluated. Data on hybrid imaging CT exposures and clinical purpose of CT were gathered for 5 PET/CT and 8 SPECT/CT examinations via designed booklet. For each included dataset for a given facility and scanner type, the computed tomography dose index by volume (CTDIvol) and dose length product (DLP) was interpolated for a 75-kg person (referred to as CTDIvol,75kg and DLP75kg). Suggested NDRL (75th percentile) and achievable doses (50th percentile) were determined for CTDIvol,75kg and DLP75kg according to clinical purpose of CT. Differences in maximum and minimum doses (derived for a 75-kg patient) between facilities were also calculated for each examination and clinical purpose. Results Data were processed from 83 scanners from 43 facilities. Data were sufficient to suggest Nordic NDRL CT doses for the following: PET/CT oncology (localisation/characterisation, 15 systems); infection/inflammation (localisation/characterisation, 13 systems); brain (attenuation correction (AC) only, 11 systems); cardiac PET/CT and SPECT/CT (AC only, 30 systems); SPECT/CT lung (localisation/characterisation, 12 systems); bone (localisation/characterisation, 30 systems); and parathyroid (localisation/characterisation, 13 systems). Great variations in dose were seen for all aforementioned examinations. Greatest differences in DLP75kg for each examination, specific to clinical purpose, were as follows: SPECT/CT lung AC only (27.4); PET/CT and SPECT/CT cardiac AC only (19.6); infection/inflammation AC only (18.1); PET/CT brain localisation/characterisation (16.8); SPECT/CT bone localisation/characterisation (10.0); PET/CT oncology AC only (9.0); and SPECT/CT parathyroid localisation/characterisation (7.8). Conclusions Suggested Nordic NDRL CT doses are presented according to clinical purpose of CT for PET/CT oncology, infection/inflammation, brain, PET/CT and SPECT/CT cardiac, and SPECT/CT lung, bone, and parathyroid. The large variation in doses suggests great scope for optimisation in all 8 examinations.Peer reviewe
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