Statistical evaluation of test-retest studies in PET brain imaging

Abstract Background Positron emission tomography (PET) is a molecular imaging technology that enables in vivo quantification of metabolic activity or receptor density, among other applications. Examples of applications of PET imaging in neuroscience include studies of neuroreceptor/neurotransmitter...

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Main Authors: Richard Baumgartner, Aniket Joshi, Dai Feng, Francesca Zanderigo, R. Todd Ogden
Format: Article
Language:English
Published: SpringerOpen 2018-02-01
Series:EJNMMI Research
Online Access:http://link.springer.com/article/10.1186/s13550-018-0366-8
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author Richard Baumgartner
Aniket Joshi
Dai Feng
Francesca Zanderigo
R. Todd Ogden
author_facet Richard Baumgartner
Aniket Joshi
Dai Feng
Francesca Zanderigo
R. Todd Ogden
author_sort Richard Baumgartner
collection DOAJ
description Abstract Background Positron emission tomography (PET) is a molecular imaging technology that enables in vivo quantification of metabolic activity or receptor density, among other applications. Examples of applications of PET imaging in neuroscience include studies of neuroreceptor/neurotransmitter levels in neuropsychiatric diseases (e.g., measuring receptor expression in schizophrenia) and of misfolded protein levels in neurodegenerative diseases (e.g., beta amyloid and tau deposits in Alzheimer’s disease). Assessment of a PET tracer’s test-retest properties is an important component of tracer validation, and it is usually carried out using data from a small number of subjects. Results Here, we investigate advantages and limitations of test-retest metrics that are commonly used for PET brain imaging, including percent test-retest difference and intraclass correlation coefficient (ICC). In addition, we show how random effects analysis of variance, which forms the basis for ICC, can be used to derive additional test-retest metrics, which are generally not reported in the PET brain imaging test-retest literature, such as within-subject coefficient of variation and repeatability coefficient. We reevaluate data from five published clinical PET imaging test-retest studies to illustrate the relative merits and utility of the various test-retest metrics. We provide recommendations on evaluation of test-retest in brain PET imaging and show how the random effects ANOVA based metrics can be used to supplement the commonly used metrics such as percent test-retest. Conclusions Random effects ANOVA is a useful model for PET brain imaging test-retest studies. The metrics that ensue from this model are recommended to be reported along with the percent test-retest metric as they capture various sources of variability in the PET test-retest experiments in a succinct way.
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spelling doaj.art-2a4623b1337f4c2b8a3655c977f280372022-12-21T20:37:39ZengSpringerOpenEJNMMI Research2191-219X2018-02-01811910.1186/s13550-018-0366-8Statistical evaluation of test-retest studies in PET brain imagingRichard Baumgartner0Aniket Joshi1Dai Feng2Francesca Zanderigo3R. Todd Ogden4Merck and Co., Inc.Novartis Institutes for Biomedical ResearchMerck and Co., Inc.Department of Psychiatry, Columbia University Medical CenterMolecular Imaging and Neuropathology Division, New York State Psychiatric InstituteAbstract Background Positron emission tomography (PET) is a molecular imaging technology that enables in vivo quantification of metabolic activity or receptor density, among other applications. Examples of applications of PET imaging in neuroscience include studies of neuroreceptor/neurotransmitter levels in neuropsychiatric diseases (e.g., measuring receptor expression in schizophrenia) and of misfolded protein levels in neurodegenerative diseases (e.g., beta amyloid and tau deposits in Alzheimer’s disease). Assessment of a PET tracer’s test-retest properties is an important component of tracer validation, and it is usually carried out using data from a small number of subjects. Results Here, we investigate advantages and limitations of test-retest metrics that are commonly used for PET brain imaging, including percent test-retest difference and intraclass correlation coefficient (ICC). In addition, we show how random effects analysis of variance, which forms the basis for ICC, can be used to derive additional test-retest metrics, which are generally not reported in the PET brain imaging test-retest literature, such as within-subject coefficient of variation and repeatability coefficient. We reevaluate data from five published clinical PET imaging test-retest studies to illustrate the relative merits and utility of the various test-retest metrics. We provide recommendations on evaluation of test-retest in brain PET imaging and show how the random effects ANOVA based metrics can be used to supplement the commonly used metrics such as percent test-retest. Conclusions Random effects ANOVA is a useful model for PET brain imaging test-retest studies. The metrics that ensue from this model are recommended to be reported along with the percent test-retest metric as they capture various sources of variability in the PET test-retest experiments in a succinct way.http://link.springer.com/article/10.1186/s13550-018-0366-8
spellingShingle Richard Baumgartner
Aniket Joshi
Dai Feng
Francesca Zanderigo
R. Todd Ogden
Statistical evaluation of test-retest studies in PET brain imaging
EJNMMI Research
title Statistical evaluation of test-retest studies in PET brain imaging
title_full Statistical evaluation of test-retest studies in PET brain imaging
title_fullStr Statistical evaluation of test-retest studies in PET brain imaging
title_full_unstemmed Statistical evaluation of test-retest studies in PET brain imaging
title_short Statistical evaluation of test-retest studies in PET brain imaging
title_sort statistical evaluation of test retest studies in pet brain imaging
url http://link.springer.com/article/10.1186/s13550-018-0366-8
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AT daifeng statisticalevaluationoftestreteststudiesinpetbrainimaging
AT francescazanderigo statisticalevaluationoftestreteststudiesinpetbrainimaging
AT rtoddogden statisticalevaluationoftestreteststudiesinpetbrainimaging