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CELLDOSE: A Monte Carlo Code to Assess Electron Dose Distribution—S Values for ¹³¹I in Spheres of Various Sizes

¹ Laboratoire de Physique Moléculaire et des Collisions, Université Paul Verlaine-Metz, Institut de Physique, Metz, France; ² DSV/I²BM/SHFJ/LIME, Commissariat à l'Energie Atomique, Orsay, France; and ³ Médecine Nucléaire, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris, Paris, France; and ⁴ Imagerie moléculaire diagnostique et ciblage thérapeutique; Ecole Doctorale B2T, IUH; Université Paris 7, Paris, France

Correspondence: For correspondence or reprints contact either of the following: Christophe Champion, PhD, Laboratoire de Physique Moléculaire et des Collisions, Université Paul Verlaine-Metz, Institut de Physique, 1, Blvd. Arago, 57078 Metz Cedex 3, France. E-mail: champion{at}univ-metz.fr

Monte Carlo simulation can be particularly suitable for modeling the microscopic distribution of energy received by normal tissues or cancer cells and for evaluating the relative merits of different radiopharmaceuticals. We used a new code, CELLDOSE, to assess electron dose for isolated spheres with radii varying from 2,500 µm down to 0.05 µm, in which ¹³¹I is homogeneously distributed. Methods: All electron emissions of ¹³¹I were considered, including the whole β^{– 131}I spectrum, 108 internal conversion electrons, and 21 Auger electrons. The Monte Carlo track-structure code used follows all electrons down to an energy threshold E_cutoff = 7.4 eV. Results: Calculated S values were in good agreement with published analytic methods, lying in between reported results for all experimental points. Our S values were also close to other published data using a Monte Carlo code. Contrary to the latter published results, our results show that dose distribution inside spheres is not homogeneous, with the dose at the outmost layer being approximately half that at the center. The fraction of electron energy retained within the spheres decreased with decreasing radius (r): 87.1% for r = 2,500 µm, 8.73% for r = 50 µm, and 1.18% for r = 5 µm. Thus, a radioiodine concentration that delivers a dose of 100 Gy to a micrometastasis of 2,500 µm radius would deliver 10 Gy in a cluster of 50 µm and only 1.4 Gy in an isolated cell. The specific contribution from Auger electrons varied from 0.25% for the largest sphere up to 76.8% for the smallest sphere. Conclusion: The dose to a tumor cell will depend on its position in a metastasis. For the treatment of very small metastases, ¹³¹I may not be the isotope of choice. When trying to kill isolated cells or a small cluster of cells with ¹³¹I, it is important to get the iodine as close as possible to the nucleus to get the enhancement factor from Auger electrons. The Monte Carlo code CELLDOSE can be used to assess the electron map deposit for any isotope.

Key Words: Monte Carlo simulation • cell dosimetry • ¹³¹I

Elif Hindié, MD, PhD, Service de Médecine Nucléaire, Hôpital Saint-Louis, 75475 Paris Cedex 10, France. E-mail: elif.hindie{at}sls.aphp.fr

COPYRIGHT © 2008 by the Society of Nuclear Medicine, Inc.

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