Brain SPECT perfusion and PET metabolism as discordant biomarkers in major depressive disorder

EJNMMI Research

Laurent Boyer¹  Theo Korchia²  Maud Tastevin²  Christophe Lançon³  Guillaume Fond⁴  Raphaëlle Richieri⁵  Eric Guedj⁶ 

[1] CEReSS-Health Service Research and Quality of Life Centre, Aix Marseille University, Marseille, France;Department of Medical Information and Public Health, APHM, Marseille, France;Department of Epidemiology and Health Economics, Assistance Publique-Hôpitaux de Marseille, Marseille, France;Department of Psychiatry, Sainte Marguerite University Hospital, Assistance Publique- Hôpitaux de Marseille, Marseille, France;Department of Psychiatry, Sainte Marguerite University Hospital, Assistance Publique- Hôpitaux de Marseille, Marseille, France;CEReSS-Health Service Research and Quality of Life Centre, Aix Marseille University, Marseille, France;Department of Psychiatry, Sainte Marguerite University Hospital, Assistance Publique- Hôpitaux de Marseille, Marseille, France;CEReSS-Health Service Research and Quality of Life Centre, Aix Marseille University, Marseille, France;Department of Medical Information and Public Health, APHM, Marseille, France;Department of Psychiatry, Sainte Marguerite University Hospital, Assistance Publique- Hôpitaux de Marseille, Marseille, France;CNRS, Centrale Marseille, Institut Fresnel, Aix Marseille University, Marseille, France;Nuclear Medicine Department, APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, CERIMED, Aix Marseille University, Marseille, France;

关键词: Treatment-resistant depression;    Major depressive disorder;    PET;    SPECT;    Biomarker;   

DOI  :  10.1186/s13550-020-00713-2

来源: Springer

【 摘 要 】

BackgroundBrain SPECT perfusion and PET metabolism have been, most often interchangeably, proposed to study the underlying pathological process in major depressive disorder (MDD). The objective of this study was to specify similarities and inconsistencies between these two biomarkers according to global characteristics of the disease. We conducted a retrospective study in 16 patients suffering from treatment-resistant MDD who underwent, during the same current episode, a cerebral perfusion SPECT with 99mTc-HMPAO and a metabolic PET with 18F-FDG. Whole-brain voxel-based SPM(T) maps were generated in correlation with the number of depressive episodes and in correlation with the depression duration, separately for the two exams (p-voxel < 0.001 uncorrected, k > 20).ResultsNo significant correlations were found between brain metabolism and either the number of depressive episodes or the duration of the disease, even at an uncorrected p-voxel < 0.005. On the other hand, the increased number of depressive episodes was correlated with decreased perfusion of the right middle frontal cortex, the right anterior cingulum cortex, the right insula, the right medial temporal cortex and the left precuneus. The increased depression duration was correlated with decreased perfusion of the right anterior cingulum cortex.ConclusionsThis preliminary study demonstrates more significant results with brain perfusion compared with glucose metabolism in treatment-resistant MDD, highlighting the value of brain SPECT despite less favourable instrumentation detection compared to PET.

【 授权许可】

CC BY