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  4. Thermal imaging is a non-invasive alternative to PET-CT for measurement of brown adipose tissue activity in humans
 
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Thermal imaging is a non-invasive alternative to PET-CT for measurement of brown adipose tissue activity in humans
File(s)
Thermal imaging is a non-invasive alternative to PET-CT for measurement of BAT activity in humans - accepted version.docx (828.56 KB)
Accepted version
Author(s)
Law, J
Morris, DE
Izzi-Engbeaya, CN
Salem, V
Coello, C
more
Type
Journal Article
Abstract
Obesity and its metabolic consequences are a major cause of morbidity and mortality. Brown adipose tissue (BAT) utilizes glucose and free fatty acids to produce heat, thereby increasing energy expenditure. Effective evaluation of human BAT stimulators is constrained by the current standard method of assessing BAT—PET/CT—as it requires exposure to high doses of ionizing radiation. Infrared thermography (IRT) is a potential noninvasive, safe alternative, although direct corroboration with PET/CT has not been established. Methods: IRT and 18F-FDG PET/CT data from 8 healthy men subjected to water-jacket cooling were directly compared. Thermal images were geometrically transformed to overlay PET/CT-derived maximum intensity projection (MIP) images from each subject, and the areas with the most intense temperature and glucose uptake within the supraclavicular regions were compared. Relationships between supraclavicular temperatures (TSCR) from IRT and the metabolic rate of glucose uptake (MR(gluc)) from PET/CT were determined. Results: Glucose uptake on MR(gluc)MIP was found to correlate positively with a change in TSCR relative to a reference region (r2 = 0.721; P = 0.008). Spatial overlap between areas of maximal MR(gluc)MIP and maximal TSCR was 29.5% ± 5.1%. Prolonged cooling, for 60 min, was associated with a further TSCR rise, compared with cooling for 10 min. Conclusion: The supraclavicular hotspot identified on IRT closely corresponded to the area of maximal uptake on PET/CT-derived MR(gluc)MIP images. Greater increases in relative TSCR were associated with raised glucose uptake. IRT should now be considered a suitable method for measuring BAT activation, especially in populations for whom PET/CT is not feasible, practical, or repeatable.
Date Issued
2018-03-01
Date Acceptance
2017-07-12
Citation
Journal of Nuclear Medicine, 2018, 59 (3), pp.516-522
URI
http://hdl.handle.net/10044/1/50121
DOI
https://www.dx.doi.org/10.2967/jnumed.117.190546
ISSN
1535-5667
Publisher
Society of Nuclear Medicine
Start Page
516
End Page
522
Journal / Book Title
Journal of Nuclear Medicine
Volume
59
Issue
3
Copyright Statement
© 2018 by the Society of Nuclear Medicine and Molecular Imaging.
Sponsor
National Institute for Health Research
Diabetes UK
Grant Number
RP-2014-05-001
15/0005317
Subjects
PET/CT
brown adipose tissue
infrared thermography
thermal imaging
1103 Clinical Sciences
Nuclear Medicine & Medical Imaging
Publication Status
Published
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