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MRGlu (FDG Patlak): Graphical Plot of Dynamic Data

The MRGlu (FDG Patlak) model is intended for the quantitative assessment of the regional metabolic rate of glucose (MRGlu) with FDG. The required measurements are a dynamic PET scan after the injection of a FDG bolus and external blood sampling. The analysis is done using the Patlak graphical plot method which has been developed for systems with irreversible trapping, ie. k4=0 in a 2-tissue compartment model.

The Patlak plot belongs to a group of graphical analysis techniques, whereby the measured TAC undergoes a transformation and is plotted against some sort of "normalized time". It is given by the expression

Equation Patlak

For systems with irreversible compartments such as FDG this plot will result in a straight line after a sufficient equilibration time t*. The Patlak plot is applied to the pixel-wise time-activity curves and a regression line is fitted through the linear segment. The metabolic rate of glucose MRGlu is then obtained from the regression slope by the equation MRGlu = slope * PG / LC, where LC denotes the Lumped Constant, and PG the Plasma Glucose level of the patient.