Purpose
To assess the spatial correlation between MRI and FDG-PET maps of human BAT and measure differences in fat fraction between glucose avid and non-avid regions of the supraclavicular fat depot using a hybrid FDG-PET/MR scanner.
Methods
In sixteen healthy volunteers, mean age of 30 and BMI of 26, fat fraction, R2*, and FDG uptake maps were acquired simultaneously using a hybrid PET/MR system while employing an individualized cooling protocol to maximally stimulate BAT.
Results
Fourteen of the sixteen volunteers reported BAT-positive FDG-PET scans. MR FF maps of BAT correlate well with combined FDG-PET/MR maps of BAT only in subjects with intense glucose uptake. The results indicate that the extent of the spatial correlation positively correlates with maximum FDG uptake in the supraclavicular fat depot. No consistent, significant differences were found in fat fraction or R2* between FDG avid and non-avid supraclavicular fat regions. In a few FDG-positive subjects, a small but significant linear decrease in BAT fat fraction was observed during BAT stimulation.
Conclusions
MR fat fraction, when used in conjunction with FDG uptake maps, can be seen as a valuable, radiation-free alternative to CT and can be used to measure tissue hydration and lipid consumption in some subjects.