Summary:We used the ligand 3-N-[2,-18F]fluoroethyl spiperone (FESP), which binds to Dz-dopamine receptors in the striatum, and positron emission tomography (PET) to quantify striatal Dz-dopamine densities (Bmax) and binding kinetics in baboon brain in vivo. Sequential PET scans were obtained for 4 h post injection. Various similar models based on a nonlinear kinetic four-compartment model that takes into account the effect of ligand specific activity were used. We investigated the effect of exact model configuration on the reliability of Bmax and other kinetic transfer coefficients. We found that with the ligand FESP and dynamic PET studies, the estimated val ues of Bmax and other model parameters are sensitive to the choice of model configuration, ligand specific activPositron emission tomography (PET) with appro priate positron-emitting ligands allows the in vivo imaging and quantitation of neuroreceptors (Huang et aI. , 1986; Sedval et aI. , 1986;Gjedde and Wong, 1987;Swart and Korf, 1987). As a receptor class, D2-dopaminergic receptors have received much in terest since they have been implicated in a number of neurologic and psychiatric disorders. Recent PET investigations have reported modifications of Drreceptor densities in schizophrenia (Wong et aI., 1986), progressive supranuclear palsy (Baron et aI. , 1986), and normal aging (Wong et aI. , 1984; Baron et aI. , 1986).Received July 19, 1989; revised February 15, 1990; accepted March 13, 1990.Address correspondence and reprint requests to Dr. K. Wien hard at Max-Planck-Institut fii r Neurologische Forschung, PET Labor, Haus 30, Joseph-Stelzmann-Str. 9, 5000 Koln 41 (Lin denthal), F.R.G. In this study, we used the ligand 3-N-[2,_18F] fluoroethylspiperone (FESP) to quantitate neurore ceptor densities (Bmax) and affinities in baboon stri atum by PET. The ligand FESP binds to D2-dopamine receptors in the striatum (Satyamurthy et aI. , 1986; Coenen et aI. , 1987). We investigated the effect of model configuration and ligand specific ac tivity on the reliability of D2-dopamine receptor density and affinity estimates. This was done by analysis of a series of studies in the same baboon with different ligand specific activities and with var ious model configurations based on a comprehen sive four compartment model similar to that pro posed by Huang et al. (1986). Using this kinetic model, we also obtained an estimate of transfer co efficients.Simulation studies were carried out to study the effect of using ligands with different binding char acteristics and with various specific activities on estimated receptor densities in human studies. The use of multiple-injection studies is not warranted in