BP is a pivotal measure in the use of
positron emission tomography (PET) to measure the density of "available" receptors, e.g. to assess the occupancy by drugs or to characterize neuropsychiatric diseases (yet, one should keep in mind that binding potential is a combined measure that depends on receptor density as well as on affinity). An overview of the related methodology is e.g. given in Laruelle et al. (2002). Estimating BP with PET usually requires that a reference tissue is available. A reference tissue has negligible receptor density and its distribution volume should be the same as the distribution volume in the target region if all receptors were blocked. Although the BP can be measured in a relatively unbiased way by measuring the whole time course of labelled ligand association and blood radioactivity, this is practically not always necessary. Two other common measures have been derived, which involve assumptions, but result in measures that should correlate with BP: BP_1 and BP_2. • BP_2: The "specific to nonspecific equilibrium
partition coefficient", in the literature also denoted as V_3''. This is the ratio of specifically bound to nondisplaceable tracer in brain tissue at true equilibrium. It can be calculated without arterial blood sampling. In the
two-tissue compartment model: BP_2=k_3/k_4 and BP_2=f_2BP where f_2 is the
free fraction of the tracer in the first tissue compartment, i.e. a measure that depends on the nonspecific binding of the ligand in brain tissue • BP_1: The ratio of specifically bound tracer to tracer in plasma at true equilibrium, in the literature also denoted BP'. Measuring BP_1 includes measurements of radioactivity in plasma, including metabolite correction. From the
two-tissue compartment model and by assuming there is only
passive diffusion across the blood brain barrier, one obtains: BP_1=f_1BP where f_1 is the free fraction of the tracer in arterial plasma, i.e. a measure that depends on plasma binding. Measuring and dividing by f_1 finally allows to obtain BP. == Definitions and Symbols ==