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Research ArticlePhysics and Instrumentation

Multi-Isotope Capabilities of a Small-Animal Multi-Pinhole SPECT System

Mathias Lukas, Anne Kluge, Nicola Beindorff and Winfried Brenner
Journal of Nuclear Medicine January 2020, 61 (1) 152-161; DOI: https://doi.org/10.2967/jnumed.119.226027
Mathias Lukas
1Department of Nuclear Medicine, Charité–Universitätsmedizin Berlin, Berlin, Germany
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Anne Kluge
2Department of Radiation Oncology and Radiotherapy, Charité–Universitätsmedizin Berlin, Berlin, Germany
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Nicola Beindorff
3Berlin Experimental Radionuclide Imaging Center, Charité–Universitätsmedizin Berlin, Berlin, Germany; and
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Winfried Brenner
1Department of Nuclear Medicine, Charité–Universitätsmedizin Berlin, Berlin, Germany
4German Cancer Consortium, Charité Campus Berlin, Berlin, Germany
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  • FIGURE 1.
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    FIGURE 1.

    Spectra and photo peak energy resolutions of radioisotopes acquired on NanoSPECT/CTPLUS. Different radioisotopes provide different decay properties that need to be considered for multi-isotope protocol optimization: 99mTc (6.0 h, 100% IT); 111In (2.8 d, 100% ε); 123I (13.2 h, 100% ε); 177Lu (6.7 d; 78.6% β-, 21.4% IT); 201Tl (3.0 d, 100% ε). IT = isomeric transition; ε = electron capture.

  • FIGURE 2.
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    FIGURE 2.

    Relative (black) and absolute (red) energy resolution of NanoSPECT/CTPLUS detector expressed as exponential (solid lines) and inverse square root law (dotted lines). Energy resolution is suitable for single-, dual- and triple-isotope studies above 75 keV. For energies below, resolution is restricted by nonproportional light yield of scintillator NaI(Tl) and hampers separation of multiple isotopes.

  • FIGURE 3.
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    FIGURE 3.

    Count rate performance (A) and pileup spectra (B) of NanoSPECT/CTPLUS detector. Count rate loss is low for single-, dual- and triple-isotope experiments, as sensitivity of pinhole collimation barely allow 400 kcps to be exceeded (gray area). For triple-isotope studies with high total activities, pileup may affect quantitative accuracy and image quality of high-energy radioisotopes.

  • FIGURE 4.
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    FIGURE 4.

    Photon penetration fractions for different collimators (A) and multi-pinhole projections of RU collimator (B). Given penetration fractions partly involve collimator scatter and, in case of 201Tl, tungsten x-ray fluorescence. Photon penetration increases background counts in planar projections and therefore degrades image quality and signal-to-noise ratio of both single- and multi-isotope reconstructions.

  • FIGURE 5.
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    FIGURE 5.

    Spectra (A) and spectral component fractions (B) for 99mTc phantoms of different sizes. Three energy windows were used to estimate fractions of tungsten x-ray fluorescence FT (I), Compton scatter FC (II), and full-energy peak FP (III). Scatter fraction increases only slightly for rodent-sized objects and therefore is caused mainly by hardware components. Disproportionately rising Compton maxima at 100 and 135 keV indicate change in detected scatter angles. Backward scatter from hardware is gradually overcome by forward scatter from measured object. Corresponding energy shift forces increase of tungsten x-ray fluorescence.

  • FIGURE 6.
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    FIGURE 6.

    Small-animal Jaszczak phantom (A), uniformity phantom (B), and line profiles of single- and triple-isotope mixtures (C). Compared with single-isotope acquisitions, multiple superimposed isotopes degrade image quality slightly in terms of geometric distortion, background level, and overall noise. Multiple superimposed isotopes tend to degrade uniformity because of enhanced activity distributions at phantom edges.

  • FIGURE 7.
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    FIGURE 7.

    Modified small-animal Jaszczak phantom (A) and line profiles of spatially separated single- and multi-isotope mixtures (B). Multiple adjacent isotopes do not significantly affect image quality but slightly increase background noise.

Tables

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    • View popup
    TABLE 1

    Count Rate Sensitivity per Detector Head Using 20% Energy Window

    Collimator sensitivity
    IsotopeMHMURHRU
    99mTc205 ± 1177 ± 8191 ± 681 ± 4
    111In317 ± 25154 ± 23289 ± 17158 ± 12
    123I207 ± 1389 ± 3187 ± 796 ± 6
    177Lu59 ± 525 ± 353 ± 326 ± 2
    201Tl213 ± 1283 ± 8206 ± 495 ± 3
    • Data are mean ± SD in cps/MBq.

    • View popup
    TABLE 2

    Count Rate Sensitivity per Detector Head Using MH Collimators

    Energy window sensitivity
    IsotopeEnergyTotal20%15%10%5%
    99mTc140.529420519215894
    111In171.348218917514585
    245.448212812010160
    123I159.056220719015590
    177Lu56.184151295
    112.98423211710
    208.4842119169
    201Tl72.351618816412772
    167.451625231811
    • Energy is in keV; sensitivity is in cps/MBq.

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    TABLE 3

    Quantification Errors for Multi-isotope Studies Using 1:1 Activity Ratios and MH Apertures

    Isotope A (spill-out)
    20% energy window10% energy window
    Isotope B (spill-in)Peak99mTc111In123I177Lu201Tl99mTc111In123I177Lu201Tl
    99mTc140.5—20.033.11.86.2—12.812.31.14.7
    111In171.32.5—87.91.913.11.7—47.61.312.1
    245.42.5—7.52.41.81.8—4.80.80.7
    123I159.033.072.5—1.711.25.440.1—1.15.1
    177Lu56.132.767.155.2—105.829.359.147.8—82.5
    112.969.7141.791.7—26.044.798.061.6—17.8
    208.415.093.957.4—32.110.046.836.6—21.6
    201Tl72.32.94.94.62.2—2.03.63.61.4—
    167.443.0749.4755.514.0—8.8735.2593.29.8—
    • Peak is in keV; error is in %.

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    TABLE 4

    Spatial Resolution With and Without Scatter Using MH Collimators

    No scatterScatter
    IsotopeSingleMultiSingleMulti
    99mTc0.70/1.270.71/1.810.72/1.460.80/1.93
    111In0.72/1.350.80/1.551.07/2.081.07/2.06
    123I0.73/1.380.69/1.300.75/1.820.78/1.97
    177Lu0.69/1.370.70/2.180.81/1.780.81/2.33
    201Tl0.71/1.350.71/1.350.79/1.620.82/1.82
    • Single = single and multiple adjacent.

    • Multi = multiple superimposed.

    • Data for FWHM/FWTM in mm.

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    TABLE 5

    Reconstructed Image Uniformity and Noise Using MH Collimators

    UniformityNoise
    IsotopeSingleMultiSingleMulti
    99mTc21 ± 325 ± 57 ± 27 ± 1
    111In20 ± 529 ± 77 ± 19 ± 3
    123I18 ± 528 ± 77 ± 16 ± 1
    177Lu46 ± 442 ± 412 ± 212 ± 2
    201Tl20 ± 423 ± 36 ± 26 ± 1
    • Single = single and multiple adjacent.

    • Multi = multiple superimposed.

    • Data are mean ± SD.

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Journal of Nuclear Medicine: 61 (1)
Journal of Nuclear Medicine
Vol. 61, Issue 1
January 1, 2020
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Multi-Isotope Capabilities of a Small-Animal Multi-Pinhole SPECT System
Mathias Lukas, Anne Kluge, Nicola Beindorff, Winfried Brenner
Journal of Nuclear Medicine Jan 2020, 61 (1) 152-161; DOI: 10.2967/jnumed.119.226027

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Multi-Isotope Capabilities of a Small-Animal Multi-Pinhole SPECT System
Mathias Lukas, Anne Kluge, Nicola Beindorff, Winfried Brenner
Journal of Nuclear Medicine Jan 2020, 61 (1) 152-161; DOI: 10.2967/jnumed.119.226027
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Keywords

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