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Journal of Pharmacy Practice
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Neuroimaging in Drug Discovery and Development: Paradigms for Accelerating New Drug Availability

John T. Metz

MIICRO, Inc., Suite 107, 1021 W. Adams, Chicago, IL 60607, jmetz{at}miicro.com

Malcolm D. Cooper

Department of Radiology, University of Chicago Hospitals, 5841 S. Maryland, Chicago, IL 60637, MIICRO, Inc., Suite 107, 1021 W. Adams, Chicago, IL 60607

Terry F. Brown

MIICRO, Inc., Suite 107, 1021 W. Adams, Chicago, IL 60607

Leann H. Kinnunen

Department of Psychology, University of Chicago, 5848 S. University Avenue, Chicago, IL 60637 and MIICRO, Inc., Suite 107, 1021 W. Adams, Chicago, IL 60607

Declan J. Cooper

MIICRO, Inc., Suite 107, 1021 W. Adams, Chicago, IL 60607

The process of discovering and developing new drugs is complicated. Neuroimaging methods can facilitate this process. An analysis of the conceptual bases and practical limitations of different neuroimaging modalities reveals that each technique can best address different kinds of questions. Radioligand studies are well suited to preclinical and Phase II questions when a compound is known or suspected to affect well-understood mechanisms; they are also useful in Phase IV to characterize effective agents. Cerebral blood flow studies can be extremely useful in evaluating the effects of a drug on psychological tasks (mostly in Phase IV). Glucose metabolism studies can answer the simplest questions about whether a compound affects the brain, where, and how much. Such studies are most useful in confirming central effects (preclinical and early clinical phases), in determining effective dose ranges (Phase II), and in comparing different drugs (Phase IV).

Key Words: positron emission tomography (PET) • functional magnetic resonance imaging (fMRI) • drug development • cerebral blood flow • cerebral glucose metabolism

Journal of Pharmacy Practice, Vol. 14, No. 5, 407-415 (2001)
DOI: 10.1106/BX9P-GCM4-GTEF-JGHN


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