A. Soluri

Scintillation properties of YAP:Ce

Abstract Yttrium aluminium perovskite activated by cerium (formula YAlO 3 :Ce, abbreviated YAP:Ce) is systematically investigated in view of its use as efficient scintillator for various applications. The basic physical and chemical properties of YAP:Ce monocrystals are summarized in this paper. The luminescence, scintillation and absorption characteristics, the γ-ray detection capability, energy resolution in the range of 30–600 keV, light yield and radiation hardness are presented and compared with existing literature.

High-resolution scintimammography improves the accuracy of technetium-99m methoxyisobutylisonitrile scintimammography: use of a new dedicated gamma camera

Abstract. The main disadvantage of technetium-99m methoxyisobutylisonitrile (MIBI) prone scintimammography is its limited sensitivity for T1a and T1b cancers with a size of less than 1 cm. We have developed a high-resolution scintimammographic technique using a gamma camera based on a new concept, namely a position-sensitive photo-multiplier tube. The field of view of this camera, previously known as the SPEM (single photon emission mammography) camera, was 10 cm diameter. Scintimammographic images were acquired in the axial view; each breast was compressed to a thickness of 3–6 cm, modal class 4 cm. When the compressed breast was larger than the field of view, more than one study was performed in order to image the entire gland. Fifty-three patients were studied with high-resolution-scintimammography (HRSM) and Anger camera prone scintimammography (ACPSM). HRSM was performed 70 min after i.v. administration of 740 Mbq of 99mTc-MIBI; ACPSM images were acquired 10 and 60 min following the injection. Early 10-min ACPSM images were only evaluated for routine diagnostic purposes, while comparison was carried out between the 60-min ACPSM and 70-min HRSM images. At fine-needle aspiration (FNA) and/or open biopsy, 31 patients showed cancer: 15 T1c, 11 T1b and 5 T1a. In T1a-T1b cancers, the sensitivity of scintimammography was 50% with ACPSM and 81.2% with HRSM (P<0.01). Specificity was 86% with both techniques. HRSM is a promising new technique that improves the sensitivity of 99mTc-MIBI scintimammography in tumours sized less than 1 cm without apparently reducing its specificity. We are now working on a larger field-of-view camera.

Multi-PSPMT scintillating camera

Gamma ray imaging is usually accomplished by the use of a relatively large scintillating crystal coupled to either a number of photomultipliers (PMTs) (Anger Camera) or to a single large Position Sensitive PMT (PSPMT). Recently the development of new diagnostic techniques, such as scintimammography and radio-guided surgery, have highlighted a number of significant limitations of the Anger camera in such imaging procedures. In this paper a dedicated gamma camera is proposed for clinical applications with the aim of improving image quality by utilizing detectors with an appropriate size and shape for the part of the body under examination. This novel scintillation camera is based upon an array of PSPMTs (Hamamatsu R5900-C8). The basic concept of this camera is identical to the Anger Camera with the exception of the substitution of PSPMTs for the PMTs. In this configuration it is possible to use the high resolution of the PSPMTs and still correctly position events lying between PSPMTs. In this work the test configuration is a 2 by 2 array of PSPMTs. Some advantages of this camera are: spatial resolution less than 2 mm FWHM, good linearity, thickness less than 3 cm, light weight, lower cost than equivalent area PSPMT, large detection area when coupled to scintillating arrays, small dead boundary zone (<3 mm) and flexibility in the shape of the camera.

SCINTILLATING ARRAY GAMMA CAMERA FOR CLINICAL USE

Abstract Dedicated gamma cameras for specific clinical application are representing a new trend in Nuclear Medicine. They are based on Position Sensitive Photo Multiplier Tubes (PSPMT). The main intrinsic limitation of large area PSPMT (5″ diameter) is the photocathode glass window. Coupling to a planar scintillation crystal strongly affects the useful active area and the intrinsic spatial resolution. To overcome this limitation at University of Rome “La Sapienza” was developed the first 5″ diameter gamma camera consisting of a Hamamatsu R3292 PSPMT coupled to 50 × 50 YAP: Ce scintillating array. The array pixel size is 2 × 2 mm2 and the overall dimension of multi-crystal is 10 × 10 × 1 cm3. Resistive chains were used to calculate the centroid. The scintillating array produces a focused light spot minimising the spread introduced by PSPMT glass window. The intrinsic spatial resolution varied between 2 and 2.7 mm. The position linearity and useful active area resulted in good agreement with intrinsic one obtained by light spot irradiation. The real limitation was the poor energy resolution of an individual crystal (40%) and the poor uniformity response of PSPMT (within ±15%). A correction matrix was then carried out by which a 57% of total energy resolution was obtained for the whole matrix. The camera is currently operating as Single Photon Emission Mammography (SPEM) and it is producing breast functional images for malignant tumour detection using the same geometry as standard X-ray mammography.

Multi-crystal YAP: Ce detector system for position sensitive measurements

Abstract Yttrium aluminum perovskite (YAP:Ce) scintillation crystal has a light efficiency of about 40% relative to NaI. Because of the yttrium atomic number ( Z = 39) and the relatively high density (5.37 g/cm 3 ) it has a good gamma-ray absorption. Furthermore it is not hygroscopic and is inert. Its peculiarity consists of material processing that provides us with crystal pillars down to 0.3 × 0.3 mm 2 aperture size and up to some centimeters in length. An array consisting of 11 × 22 YAP:Ce elements was made where each crystal has an aperture of 0.6 × 0.6 mm 2 and a length of 7 mm. Each scintillation crystal is optically separated by a reflective material resulting in a separation layer between elements of about 5 μm. The multicrystal detector was optically coupled to a Hamamatsu Position Sensitive Photomultiplier Tube (R2486). The intrinsic spatial resolution of the PSPMT is better than 0.3 mm but it is strongly dependent on the Point Spread Function (PSF) generated on the photocathode. The multicrystal detector very well matched the PSPMT characteristics resulting in a spatial resolution of about 0.7 mm at 140 keV ( 99m Tc) gamma irradiation.

High-Resolution, Hand-Held Camera for Sentinel-Node Detection

BACKGROUND The imaging probe (IP) is a high-resolution (HR), 1-in(2) field-of-view hand-held gamma camera. We used it to detect breast cancer sentinel node (SN). PATIENTS AND METHODS We divided 120 T1 breast cancer patients, who underwent Anger camera lymphoscintigraphy (ACL), in two subgroups of 60 patients who were age, body mass index, and cancer size matched: subgroup A (SA) and B (SB). SN was detected with a common gamma probe (GP) in SA, with IP plus GP in SB. RESULTS Surgeons removed radioactive nodes without exceeding four nodes. Eighty-two (82) SNs were taken off in SA and 105 in SB (p<0.01). Of SA, 22 of 60 patients and 36 of 60 patients of SB showed more than 1 node, and 3 of them showed 3 nodes and 1 showed 4 nodes. Thirteen (13) patients resulted N(+) (21.6%) in SA. Ten (10) patients of SA showed an invasion on the hottest nodes and 3 on the second nodes. In the SB, 18 patients (25%) showed invasion. Sixteen (16) invasions were on hot, 4 on second, and 1 on the third node. Withdrawal time of SN was 11.25+/-4.7 minutes for SA and 7.4+/-2.8 minutes for SB (p<0.025). CONCLUSIONS SN biopsy with IP is fast and discovers more SNs and more invasions than ACL.

Toward a nuclear medicine with sub-millimiter spatial resolution

Abstract The HIRESPET Collaboration is developing a new concept of a gamma camera with sub-millimiter spatial resolution. The first prototype consists of a small field size gamma camera based on a Position Sensitive Photo-Multiplier Tube (PSPMT) coupled to a novel scintillation crystal. The intrinsic spatial resolution of the PSPMT is better than 0.3 mm. The scintillation crystal consists of yttrium aluminium perovskit (YAP:Ce). It has a light efficiency of about 40% relative to NaI, a good gamma radiation absorption ( Z = 39) and a high density (5.37 g/cm 3 ). It is inert and not hygroscopic. To match the PSPMT characteristics, a special crystal assembly has been made consisting of a bundle of YAP pillars, where a single crystal has the transversal dimension of 0.6 × 0.6 mm 2 and a thickness ranging between 1 mm and 28 mm. Each scintillation pillar is optically separated from the other by a reflective layer of 5 μm thick. The preliminary results obtained from the gamma camera prototype (YAP camera) show spatial resolution values ranging between 0.6 mm and 1 mm and an intrinsic detection efficiency comparable with a standard Anger camera.

YAP multi-crystal gamma camera prototype

The Anger camera principle has shown a practical limit of a few millimeters spatial resolution. To overcome this limit, a new gamma camera prototype has been developed, based on a position-sensitive photomultiplier tube (PSPMT) coupled with a new scintillation crystal. The Hamamatsu R2486 PSPMT is a 76-mm diameter photomultiplier tube in which the electrons produced in the conventional bi-alkali photocathode are multiplied by proximity mesh dynodes and form a charge cloud around the original coordinates of the light photon striking the photocathode. A crossed wire anode array collects the charge and detects the original position. The intrinsic spatial resolution of PSPMT is better than 0.3 mm. The scintillation crystal consists of yttrium aluminum perovskit (YAP:Ce or YAlO/sub 3/:Ce). This crystal has a light efficiency of about 38% relative to NaI, no hygroscopicity and a good gamma radiation absorption. To match the characteristics of the PSPMT, a special crystal assembly was produced by the Preciosa Company, consisting of a bundle of YAP:Ce pillars where single crystals have 0.6/spl times/0.6 mm/sup 2/ cross section and 3 mm to 18 mm length. Preliminary results from such gamma camera prototypes show spatial resolution values ranging between 0.7 mm and 1 mm with an intrinsic detection efficiency of 37/spl divide/65% for 140 keV gamma energy. >

NEW GENERATION POSITION-SENSITIVE PMT FOR NUCLEAR MEDICINE IMAGING

Recently, Hamamatsu has developed a new dynode structure in a position-sensitive photomultiplier tube (PSPMT) based on metal channel technology, producing a very focused charge distribution. Hamamatsu R5900-C8 is the first metal channel dynode PSPMT with a crossed wire anode. The outline dimension is 28 × 28 × 20 mm3 with an active area of 21 × 22 mm2 and four wire anodes (4X + 4Y). A weighted summing device was realised to calculate the charge distribution centroid where each anode was directly connected to a preamplifier and amplifier. Tests of position linearity, energy response and spatial resolution were carried out coupling the PSPMT to an NaI(Tl) planar crystal and to a YAP:Ce scintillation array. To test the influence of charge spread on position linearity, the photocathode was irradiated by a light spot with 1 mm of aperture size. Position non-linearity resulted when a scintillating array with 1 × 1 mm2 pixel size was coupled to PSPMT. On the contrary, increasing the spread of charge distribution by a planar scintillation crystal, a good linearity response was obtained. Impressive spatial resolution values were obtained from the YAP:Ce scintillating array. They ranged between 0.5 and 0.2 mm irradiating the crystals by 57Co and 137Cs source, respectively.

Thyroid cancer imaging in vivo by targeting the anti-apoptotic molecule galectin-3.

Background The prevalence of thyroid nodules increases with age, average 4–7% for the U.S.A. adult population, but it is much higher (19–67%) when sub-clinical nodules are considered. About 90% of these lesions are benign and a reliable approach to their preoperative characterization is necessary. Unfortunately conventional thyroid scintigraphy does not allow the distinction among benign and malignant thyroid proliferations but it provides only functional information (cold or hot nodules). The expression of the anti-apoptotic molecule galectin-3 is restricted to cancer cells and this feature has potential diagnostic and therapeutic implications. We show here the possibility to obtain thyroid cancer imaging in vivo by targeting galectin-3. Methods The galectin-3 based thyroid immuno-scintigraphy uses as radiotracer a specific 99mTc-radiolabeled mAb. A position-sensitive high-resolution mini-gamma camera was used as imaging capture device. Human galectin-3 positive thyroid cancer xenografts (ARO) and galectin-3 knockout tumors were used as targets in different experiments in vivo. 38 mice with tumor mass of about 1 gm were injected in the tail vein with 100 µCi of 99mTc-labeled mAb to galectin-3 (30 µg protein/in 100 µl saline solution). Tumor images were acquired at 1 hr, 3 hrs, 6 hrs, 9 hrs and 24 hrs post injection by using the mini-gamma camera. Findings Results from different consecutive experiments show an optimal visualization of thyroid cancer xenografts between 6 and 9 hours from injection of the radiotracer. Galectin-3 negative tumors were not detected at all. At 6 hrs post-injection galectin-3 expressing tumors were correctly visualized, while the whole-body activity had essentially cleared. Conclusions These results demonstrate the possibility to distinguish preoperatively benign from malignant thyroid nodules by using a specific galectin-3 radio-immunotargeting. In vivo imaging of thyroid cancer may allow a better selection of patients referred to surgery. The possibility to apply this method for imaging and treatment of other galectin-3 expressing tumors is also discussed.