Table 1.
Comparison of methods for quantitating PET tracer uptake
Method | Required input | Measures (units) | Advantages | Disadvantages |
---|---|---|---|---|
Nonlinear regression (compartmental analysis) | Blood clearance curve & tissue uptake curve (injection to ~60 min) | Tracer flux, Ki, (mL/min/cm3) Transport, K1, (mL/min/cm3) |
Uptake independent of background; Estimates tracer delivery to lesion |
Dynamic 60 min PET scan; Sophisticated analysis software |
Linear regression (graphical analysis) | Blood clearance curve (injection to ~60 min) & tissue uptake curve (~20 to 60 min) | Tracer flux, Ki, (mL/min/cm3) | Uptake independent of background; Graphical approach calculates uptake |
Dynamic 60 min PET scan; Assumes tracer binds irreversibly |
Target-to-background | Target & background max or mean activity (5–10 min period) | Target-to-background ratio (unitless) | Less background dependent; Algebraic estimate |
Can be difficult to identify normal background area |
Standard uptake value | Max or mean activity concentration (5–10 min period), injected dose activity, body habitus measure | SUV with weight, lean body mass, or body surface area (g/mL or cm2/mL) | Algebraic estimate | More background dependent (issue when uptake is low relative to background) |
Activity concentration | Max or mean activity concentration (5–10 min period) | Activity concentration (kBq/mL) | One measure | Most background dependent & hard to compare values |