Table 5.
Significance p-values for measuring a 20% reduction in [11C]DASB BPND in simulated studies with a cohort of 25 controls and 25 patients. The p-values were obtained comparing simulated controls and patients of 25, 15, and 10 subjects per group, respectively. The mean values are the p-values averaged across the different BPND values. For this simulation study, it was assumed that five regions-of-interest were being evaluated, where the control binding levels for the five regions were BPND = 0.25, 0.5, 1.0, 2.0, 4.0. Patient populations were then simulated with a 20% reduction in binding in one of the regions. Thus to evaluate the ability to measure a 20% change in the smallest binding region, one patient group had BPND = 0.20, 0.5, 1.0, 2.0, 4.0. Similarly, there were patient groups with the following BP levels: (0.25, 0.4, 1.0, 2.0, 4.0); (0.25, 0.5, 0.8, 2.0, 4.0); (0.25, 0.5, 1.0, 1.6, 4.0); (0.25, 0.5, 1.0, 2.0, 3.2). For each group, 25 patients were simulated by generating 25 different BPND values that had a coefficient of variation of about 35%, which is comparable to the between subject variability observed in our [11C]DASB studies of HIV dementia. The mean of the simulated BPND values was set to the desired value. For each patient simulation, the set of five time-activity curves were simulated at three different noise levels. The control and patient studies were then evaluated using five different methods for estimating BPND as described in the text. An unpaired 2-tailed students t-test was applied to test for significant differences in BPND.
| BPND | SRTM
|
SRTM2
|
SRTMC
|
Zhou
|
Zhou2
|
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| n = 25 | n = 15 | n = 10 | n = 25 | n = 15 | n = 10 | n = 25 | n = 15 | n = 10 | n = 25 | n = 15 | n = 10 | n = 25 | n = 15 | n = 10 | |
| Low noise (α = 0.02)
| |||||||||||||||
| 0.25 | 0.075 | 0.131 | 0.180 | 0.033 | 0.121 | 0.211 | 0.033 | 0.073 | 0.217 | 0.024 | 0.094 | 0.177 | 0.031 | 0.095 | 0.116 |
| 0.5 | 0.030 | 0.142 | 0.262 | 0.025 | 0.141 | 0.273 | 0.026 | 0.125 | 0.271 | 0.029 | 0.151 | 0.282 | 0.025 | 0.064 | 0.335 |
| 1 | 0.025 | 0.155 | 0.278 | 0.013 | 0.158 | 0.275 | 0.031 | 0.159 | 0.292 | 0.021 | 0.184 | 0.308 | 0.020 | 0.361 | 0.396 |
| 2 | 0.022 | 0.107 | 0.206 | 0.016 | 0.092 | 0.183 | 0.024 | 0.104 | 0.241 | 0.027 | 0.126 | 0.249 | 0.031 | 0.130 | 0.160 |
| 4 | 0.057 | 0.175 | 0.299 | 0.049 | 0.144 | 0.248 | 0.071 | 0.198 | 0.339 | 0.048 | 0.249 | 0.404 | 0.086 | 0.274 | 0.312 |
| Mean | 0.042 | 0.142 | 0.245 | 0.027 | 0.131 | 0.238 | 0.037 | 0.132 | 0.272 | 0.030 | 0.161 | 0.284 | 0.039 | 0.185 | 0.264 |
| Medium noise (α = 0.03) | |||||||||||||||
| 0.25 | 0.025 | 0.109 | 0.203 | 0.034 | 0.132 | 0.231 | 0.033 | 0.075 | 0.224 | 0.038 | 0.122 | 0.208 | 0.045 | 0.115 | 0.141 |
| 0.5 | 0.030 | 0.169 | 0.276 | 0.029 | 0.144 | 0.283 | 0.033 | 0.146 | 0.299 | 0.030 | 0.156 | 0.275 | 0.031 | 0.086 | 0.256 |
| 1 | 0.068 | 0.218 | 0.337 | 0.037 | 0.157 | 0.262 | 0.031 | 0.158 | 0.274 | 0.053 | 0.221 | 0.342 | 0.034 | 0.408 | 0.428 |
| 2 | 0.007 | 0.047 | 0.110 | 0.011 | 0.065 | 0.148 | 0.017 | 0.076 | 0.211 | 0.015 | 0.081 | 0.178 | 0.038 | 0.148 | 0.169 |
| 4 | 0.050 | 0.099 | 0.125 | 0.013 | 0.064 | 0.117 | 0.006 | 0.045 | 0.129 | 0.467 | 0.559 | 0.572 | 0.030 | 0.122 | 0.198 |
| Mean | 0.036 | 0.128 | 0.210 | 0.025 | 0.112 | 0.208 | 0.024 | 0.100 | 0.227 | 0.121 | 0.228 | 0.315 | 0.035 | 0.176 | 0.238 |
| High noise (α = 0.04) | |||||||||||||||
| 0.25 | 0.323 | 0.248 | 0.260 | 0.060 | 0.166 | 0.260 | 0.078 | 0.132 | 0.287 | 0.069 | 0.175 | 0.271 | 0.075 | 0.182 | 0.280 |
| 0.5 | 0.323 | 0.244 | 0.271 | 0.018 | 0.095 | 0.204 | 0.032 | 0.145 | 0.280 | 0.019 | 0.102 | 0.200 | 0.023 | 0.121 | 0.235 |
| 1 | 0.107 | 0.264 | 0.386 | 0.029 | 0.158 | 0.270 | 0.039 | 0.165 | 0.295 | 0.050 | 0.232 | 0.355 | 0.019 | 0.154 | 0.269 |
| 2 | 0.077 | 0.192 | 0.291 | 0.047 | 0.146 | 0.256 | 0.097 | 0.238 | 0.355 | 0.062 | 0.240 | 0.302 | 0.072 | 0.228 | 0.348 |
| 4 | 0.062 | 0.184 | 0.276 | 0.104 | 0.246 | 0.330 | 0.045 | 0.182 | 0.292 | 0.208 | 0.354 | 0.446 | 0.034 | 0.144 | 0.255 |
| Mean | 0.178 | 0.226 | 0.297 | 0.052 | 0.162 | 0.264 | 0.058 | 0.172 | 0.302 | 0.082 | 0.221 | 0.315 | 0.045 | 0.166 | 0.277 |