(a, b) Change in BPND due to a doubling
in blood flow (100% increase) simulated with the 3×CO2
pattern shown in Figure 4, for a range of K1,
k2 and
k3, k4
combinations. (a) The plot depicts that radiotracers with large
K1 and small
k2 values, i.e. large
VD (volume of distribution) values,
are most sensitive to changes in blood flow. Yet, even the largest
changes deviate by <10% from the true
BPND value, which is within
test-retest values for most radiotracers. (b) The rate constants
k3 and
k4 show very small changes no matter
what their values are, i.e. binding potential values do not seem to
be a factor for flow sensitivity. (c) Changes in
BPND for a large range of CBF values
and different extraction fractions. For CBF increases up to 100%,
BPND values are affected by less
than 5%, which is well below test-retest values of most
radiotracers.