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Background  [ 18  F]fluorodopa (FDOPA) positron emission tomography (PET) allows assessment of levodopa (LDOPA) metabolism and is widely used to study Parkinson's disease. We examined how [ 18  F]FDOPA PET-derived kinetic parameters relate the dopamine (DA) and DA metabolite content of extracellular fluid measured by microdialysis to aid in the interpretation of data from both techniques.    Methods  [ 18  F]FDOPA PET imaging and microdialysis measurements were performed in unilaterally 6-hydroxydopamine-lesioned rats ( n  = 8) and normal control rats ( n  = 3). Microdialysis testing included baseline measurements and measurements following acute administration of LDOPA. PET imaging was also performed using [ 11 C]dihydrotetrabenazine (DTBZ), which is a ligand for the vesicular monoamine transporter marker and allowed assessment of denervation severity.    Results  The different methods provided highly correlated data. Lesioned rats had reduced DA metabolite concentrations ipsilateral to the lesion ( p  < 0.05 compared to controls), with the concentration being correlated with FDOPA's effective distribution volume ratio (EDVR;  r  = 0.86,  p  < 0.01) and DTBZ's binding potential (BP ND ;  r  = 0.89,  p  < 0.01). The DA metabolite concentration in the contralateral striatum of severely (>80%) lesioned rats was lower ( p  < 0.05) than that of less severely lesioned rats (<80%) and was correlated with the ipsilateral PET measures ( r  = 0.89,  p  < 0.01 for BP ND ) but not with the contralateral PET measures. EDVR and BP ND  in the contralateral striatum were not different from controls and were not correlated with the denervation severity.    Conclusions  The demonstrated strong correlations between the PET and microdialysis measures can aid in the interpretation of [ 18  F]FDOPA-derived kinetic parameters and help compare results from different studies. The contralateral striatum was affected by the lesioning and so cannot always serve as an unaffected control.

Measuring dopaminergic function in the 6-OHDA-lesioned rat: a comparison of PET and microdialysis