Michael V. Yester

AAPM Task Group 108: PET and PET/CT Shielding Requirements

The shielding of positron emission tomography (PET) and PET/CT (computed tomography) facilities presents special challenges. The 0.511 MeV annihilation photons associated with positron decay are much higher energy than other diagnostic radiations. As a result, barrier shielding may be required in floors and ceilings as well as adjacent walls. Since the patient becomes the radioactive source after the radiopharmaceutical has been administered, one has to consider the entire time that the subject remains in the clinic. In this report we present methods for estimating the shielding requirements for PET and PET/CT facilities. Information about the physical properties of the most commonly used clinical PET radionuclides is summarized, although the report primarily refers to fluorine-18. Typical PET imaging protocols are reviewed and exposure rates from patients are estimated including self-attenuation by body tissues and physical decay of the radionuclide. Examples of barrier calculations are presented for controlled and noncontrolled areas. Shielding for adjacent rooms with scintillation cameras is also discussed. Tables and graphs of estimated transmission factors for lead, steel, and concrete at 0.511 MeV are also included. Meeting the regulatory limits for uncontrolled areas can be an expensive proposition. Careful planning with the equipment vendor, facility architect, and a qualified medical physicist is necessary to produce a cost effective design while maintaining radiation safety standards.

Measurement of glomerular filtration rate using 99mTc-DTPA and the gamma camera: a comparison of methods

A variety of methods have been proposed to estimate the glomerular filtration rate (GFR) from the renal uptake of technetium Tc 99m-DTPA using a gamma camera. To compare alternative methods, we calculated the GFR in several different ways from measurements in 33 patients and compared the results with an independent GFR measurement based on eight-point plasma clearance of ytterbium Yb 169-DTPA. The best agreement was obtained using an algorithm that has not been described previously, in which correction was made for overlap of the kidneys by the liver and spleen. The correlation coefficient was 0.958, and the residual standard deviation was 12.1 ml/min. This method required a single 20-min blood sample as well as the camera data. The best method not requiring a blood sample was significantly less accurate, with a correlation coefficient of 0.837 and a residual standard deviation of 23.1 ml/min. The accuracy of these methods was comparable to that reported for creatinine clearance, the most commonly used estimate of the GFR in current clinical practice.

Quantitation of SPECT performance: Report of Task Group 4, Nuclear Medicine Committee

A comprehensive performance testing program is an essential ingredient of high-quality single-photon emission computed tomography (SPECT). Many of the procedures previously published are complicated, time consuming, or require a special testing environment. This Task Group developed a protocol for evaluating SPECT imaging systems that was simple, practical, required minimal test equipment, and could be performed in a few hours using processing software available on all nuclear medicine computers. It was designed to test rotational stability of uniformity and sensitivity, tomographic spatial resolution, uniformity and contrast, and the accuracy of attenuation correction. It can be performed in less than three hours and requires only a Co-57 flood source, a line source, and a tomographic cylindrical phantom. The protocol was used 51 times on 42 different cameras (seven vendors) by four different individuals. The results were used to establish acceptable ranges for the measured parameters. The variation between vendors was relatively small and appeared to reflect slight differences in basic camera performance, collimation, and reconstruction software. Individuals can use the tabulated values to evaluate the performance of individual systems.

Experimental measurements of the scatter reduction obtained in mammography with a scanning multiple slit assembly

A nonconventional and sensitive method of measuring scatter is described. The method was employed to quantitate the scatter imaged in mammography with a conventional unit, a unit equipped with a grid, and a unit equipped with a scanning multiple slit assembly (SMSA). The results indicate that the grid technique significantly reduces the scatter imaged, while the SMSA virtually eliminates it. The resultant increase in large area contrast is readily apparent on radiographs with greater improvement obtained with the SMSA than with the grid. The effect of the increase in contrast on small detail visibility was assessed with a phantom having simulated fibrils and calcifications. Significantly more fibril and calcification detail was visible with the grid and SMSA technique than with the conventional technique. The detail visible with the grid and SMSA technique was comparable, and the lack of better performance by the SMSA unit is attributed to its poorer MTF.

Radionuclide angiography in the evaluation of ductal shunts in preterm infants

Radionuclide angiograms were compared with radiographic and physical findings and with echocardiographic left atrial to aortic ratios in 30 neonates clinically suspected of having a persistent ductus arteriosus. In three infants without clinical signs and with normal LA/Ao ratios (10%), radionuclide angiograms provided evidence of a large left-to-right shunt, which was confirmed by the finding of a large ducts arteriosus at surgery. Whereas routine physical, radiographic, and echocardiographic criteria fail to identify some neonates with large PDAs, the present study suggests that radionuclide angiography can be performed in a neonatal intensive care unit setting and may be a valuable addition to currently employed diagnostic techniques.

Advances in Medical Physics 2012.

This article reviews Advances in Medical Physics 2012. by Anthony B. Wolbarst Patrizio Capasso, Devon Godfrey, Ronald Price, Bruce Whiting, and William R. Hendee. , Madison, WI, 2012. 330 pp. Price:

Physics of Radiology 2nd ed.

115.00. ISBN: 9781930524569 (hardcover).

Measurement of Glomerular Filtration Rate: Single Injection Plasma Clearance Method Without Urine Collection

This article reviews Physics of Radiology 2nd ed. by Anthony B. Wolbarst , Madison, WI, 2005. Hardcover, 660 pp. Price:

Pharmacokinetics, Immune Response, and Biodistribution of Iodine-131-Labeled Chimeric Mouse/Human IgG1,k 17-1A Monoclonal Antibody

110.90. ISBN: 9781930524224.