Double peak attenuation method for estimating organ location

Feasibility of 177Lu activity quantification using a small portable CZT-based gamma-camera

BACKGROUND

In image processing for activity quantification, the end goal is to produce a metric that is independent of the measurement geometry. Photon attenuation needs to be accounted for and can be accomplished utilizing spectral information, avoiding the need of additional image acquisitions. The aim of this work is to investigate the feasibility of 177Lu activity quantification with a small CZT-based hand-held gamma-camera, using such an attenuation correction method.

METHODS

A previously presented dual photopeak method, based on the differential attenuation for two photon energies, is adapted for the three photopeaks at 55 keV, 113 keV, and 208 keV for 177Lu. The measurement model describes the count rates in each energy window as a function of source depth and activity, accounting for distance-dependent system sensitivity, attenuation, and build-up. Parameter values are estimated from characterizing measurements, and the source depth and activity are obtained by minimizing the difference between measured and modelled count rates. The method is applied and evaluated in phantom measurements, in a clinical setting for superficial lesions in two patients, and in a pre-clinical setting for one human tumour xenograft. Evaluation is made for a LEHR and an MEGP collimator.

RESULTS

For phantom measurements at clinically relevant depths, the average (and standard deviation) in activity errors are 17% ± 9.6% (LEHR) and 2.9% ± 3.6% (MEGP). For patient measurements, deviations from activity estimates from planar images from a full-sized gamma-camera are 0% ± 21% (LEHR) and 16% ± 18% (MEGP). For mouse measurements, average deviations of - 16% (LEHR) and - 6% (MEGP) are obtained when compared to a small-animal SPECT/CT system. The MEGP collimator appears to be better suited for activity quantification, yielding a smaller variability in activity estimates, whereas the LEHR results are more severely affected by septal penetration.

CONCLUSIONS

Activity quantification for 177Lu using the hand-held camera is found to be feasible. The readily available nature of the hand-held camera may enable more frequent activity quantification in e.g., superficial structures in patients or in the pre-clinical setting.

Evaluation of Compton attenuation and photoelectric absorption coefficients by convolution of scattering and primary functions and counts ratio on energy spectra

Purpose:

Estimation of Compton attenuation and the photoelectric absorption coefficients were explored at various depths.

Methods:

A new method was proposed for estimating the depth based on the convolution of two exponential functions, namely convolution of scattering and primary functions (CSPF), which the convolved result will conform to the photopeak region of energy spectrum with the variable energy-window widths (EWWs) and a theory on the scattering cross-section. The triple energy-windows (TEW) and extended triple energy-windows scatter correction (ETEW) methods were used to estimate the scattered and primary photons according to the energy spectra at various depths due to a better performance than the other methods in nuclear medicine. For this purpose, the energy spectra were employed, and a distinct phantom along with a technetium-99 m source was simulated by Monte Carlo method.

Results:

The simulated results indicate that the EWW, used to calculate the scattered and primary counts in terms of the integral operators on the functions, was proportional to the depth as an exponential function. The depth will be calculated by the combination of either TEW or ETEW and proposed method resulting in the distinct energy-window. The EWWs for primary photons were in good agreement with those of scattered photons at the same as depths. The average errors between these windows for both methods TEW, and ETEW were 7.25% and 6.03% at different depths, respectively. The EWW value for functions of scattered and primary photons was reduced by increasing the depth in the CSPF method.

Conclusions:

This coefficient may be an index for the scattering cross-section.