Table 2 PET studies of D2/D3 receptor availability in healthy humans after ketamine infusion compared to control condition

From: The effects of ketamine on dopaminergic function: meta-analysis and review of the implications for neuropsychiatric disorders

Study

Ketamine

Ketamine dose and route of administration

Duration of administration

Ligand

Radiotracer administration

Study design

Region of interest

Na

(Plasma mean±s.e.m.; ng ml−1)

Result: change in D2/D3 receptor availability after ketamine infusion compared to control condition b

Aalto et al.45

Racemic

Infusion=0.80 mg kg−1c

Infusion 15 mins prior to scan till the end of scan

[11C]raclopride

Infusion

Control group: baseline and repeat scan

Ketamine group: baseline and ketamine administration

Caudate, putamen, Str

8/8

293±29

Aalto et al.44

Racemic

Infusion 325.5±57.5 ng ml−1

Infusion 15 mins prior to scan- till the end of scan

[11C]FLB 457

Infusion

Control group: baseline and repeat scan

Ketamine group: baseline and ketamine administration

Ct regions, Thal

8/8

325.5±57.5

Posterior cingulate ct

↔ (other regions)

Breier et al.41

Racemic

0.12 mg kg−1 (bolus) and 0.65 mg kg−1 (infusion)/hour=0.88

Bolus 50 mins after tracer and 1 hour infusion

[11C]raclopride

Bolus & infusion

Control group: baseline and saline

Ketamine group: baseline and ketamine administration

Str

6/9

NA

(11%)

Kegeles et al.47

Racemic

0.12 mg kg−1 bolus and 0.65 mg kg−1h−1=0.88

Bolus 50 mins after start of scan and 70 mins infusion

[11C]raclopride

Bolus & infusion

Control group: baseline and saline

Ketamine group: baseline and ketamine administration

Str subregions

5/5

140±53

Kegeles et al.46

Racemic

0.2 mg kg−1 bolus and 0.4 mg kg−1h−1=1.00

Bolus 120 mins after tracer and 4 h infusion

[123I]IBZM

Bolus & constant infusion

Baseline scan and ketamine administration – within subject

Str

8

191±38

Vernaleken et al.94

S-ketamine

0.097 mg kg−1 bolus and 0.25 mg/ml infusion

35 mins before start of scan infusion was started. Infusion was continued for 30 mins

[18F]-fallypride

Bolus & constant infusion

Placebo/ketamine – within subject

Caudate nucleus, putamen, Thal, ITG, dlPFC

10

NA

(Caudate nucleus)

↔ (other region)

Smith et al.42

Racemic

0+1.5 mg kg−1h−1=0.50

Infusion over 20 mins

[11C]raclopride

Infusion

Baseline scan and ketamine administration – within subject

Str

7

NA

(14%)

Vollenweider et al.43

S-ketamine

0.21+0.84/hour=1.47

Bolus over 5 min

[11C]raclopride

Bolus

Placebo/ketamine – within subject

Caudate nucleus, putamen and VS

8

NA

(14%)

  1. Abbreviations: Ct, cortex; dlPFC, dorsolateral prefrontal cortex; ITG, inferior temporal gyrus; i.v, intravenous; Ket, ketamine; NA, not available; Thal, thalamus; VS, ventral striatum.
  2. aN the sample size represents the number of subjects per group.
  3. bGreater reduction in D2/D3 receptor binding potential after ketamine administration indicates greater dopamine release; significant increase, significant decrease,↔no significant change.
  4. cAverage dose given in the study.