Obesity

Normal dopamine uptake ratio on [18F]FDOPA pet-imaging in obesity

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

This study did not demonstrate significant differences in striatal [18F]FDOPA uptake ratios between individuals with normal weight and individuals with obesity in the fasting state.

Study context

Population
Individuals undergoing routine [18F]FDOPA PET/CT for detection and follow-up of neuroendocrine tumors, after six hours of fasting
Participants
67 vs 67
Exposure
Obesity vs normal weight
  • Obesityn = 67
  • Normal weightn = 67reference
Outcome
Striatal-to-occipital [18F]FDOPA uptake ratio (index of presynaptic dopaminergic tracer uptake)
Methodological detailsreview of routine [18F]FDOPA PET/CT scans, multivariable regression adjusted for age and sex
  • Review of routine [18F]FDOPA PET/CT scans
  • Multivariable regression adjusted for age and sex

Main finding

As reported in the abstract

Striatal SUV ratio

Obesity

2.2

median · IQR 0.4

Normal weight

2.3

median · IQR 0.4

P = 0.07

Observational data: associations, not effects.

Further findings

OutcomeP value
Putamen uptake ratioNo significant differenceP = 0.17
Caudate nucleus uptake ratioNo significant differenceP = 0.14

Subgroup BMI ≥ 35 kg/m²

No significant differences between groups, including among individuals with BMI ≥ 35 kg/m²

Continuous BMI and multivariable analyses

Continuous and multivariable analyses yielded consistent results

Original publication

Normal dopamine uptake ratio on [18F]FDOPA pet-imaging in obesity. Int J Obes (Lond). Published 17 August 2026. doi:10.1038/s41366-026-02198-w

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