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Research ArticleIMAGING

Influence of Positron Emitters on Standard γ-Camera Imaging

Lars Jødal, Pia Afzelius and Svend Borup Jensen
Journal of Nuclear Medicine Technology March 2014, 42 (1) 42-50; DOI: https://doi.org/10.2967/jnmt.113.131003
Lars Jødal
1Department of Nuclear Medicine, Aalborg University Hospital, Aalborg, Denmark; and
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Pia Afzelius
1Department of Nuclear Medicine, Aalborg University Hospital, Aalborg, Denmark; and
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Svend Borup Jensen
1Department of Nuclear Medicine, Aalborg University Hospital, Aalborg, Denmark; and
2Department of Chemistry and Biochemistry, Aalborg University, Aalborg, Denmark
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  • FIGURE 1.
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    FIGURE 1.

    Illustration of collimator with hexagonal holes. (A) Top view of collimator: in this example, hole diameter (D) is equal to twice septal thickness (s), as is the case for HE collimator (Table 1). (B) Side view showing γ ray penetrating collimator with minimum path length (p) in septa. Hole length (L) is not drawn to scale.

  • FIGURE 2.
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    FIGURE 2.

    Positions of SPECT source (99mTc or 111In) and PET source (68Ga) in images. (A) Relative to center position of close (lower) detector, SPECT source was positioned at coordinates (−10 cm, +6.5 cm), and SPECT source was positioned at symmetric coordinates (+10 cm, −6.5 cm). This gives distance of 24 cm between the 2 sources. (B) Seen from distant (upper) detector, positions are mirrored around vertical axis.

  • FIGURE 3.
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    FIGURE 3.

    Energy spectrum from PET radionuclide measured with LEHR collimator (A), MELP collimator (B), and HE collimator (C). Recording time was 10 times longer for MELP and HE collimators than for LEHR collimator. Note differences in vertical scale. Energy window for 99mTc is shown on LEHR spectrum (A), and energy windows for 111In are shown on MELP spectrum (B).

  • FIGURE 4.
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    FIGURE 4.

    Comparison of measured energy spectra from PET activity without scatter medium (top curve) and with scatter medium (bottom curve).

  • FIGURE 5.
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    FIGURE 5.

    (A–C) Counting rate per megabecquerel (sensitivity) for 99mTc SPECT source (●) and for PET source (○) for LEHR (A), MELP (B), and HE (C) collimators. To show effect of decay, calculation of cps/MBq used activities fixed to time of first measurements (Table 2). The first points are single sources (PET or SPECT), and the following points are measured with both sources. Full curves are fitted to late data, that is, at a time when dead time is low. (D) PET/SPECT sensitivity ratio (Eq. 5) from these data for LEHR (dashed line), MELP (solid line), and HE (dotted line).

  • FIGURE 6.
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    FIGURE 6.

    Images for LEHR collimator with 99mTc as SPECT source and 68Ga as PET source, with ROIs drawn around positions of sources. On close detector (A), SPECT source is seen as spot, whereas on distant detector (B), image of SPECT source is blurred because of distance. With the shown normalizing of the gray scale, PET source cannot be seen in images (Fig. 7 presents image A with a differently normalized gray scale).

  • FIGURE 7.
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    FIGURE 7.

    (A) Same image as in Fig. 6A (LEHR collimator, close detector) but normalized to maximal counting rate from PET source. (B) Corresponding image with MELP collimator. (C) Corresponding image with HE collimator. Images with 111In as SPECT radionuclide were similar to those with 99mTc and are not shown.

Tables

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    TABLE 1

    Selected Data from Collimator Specifications (23)

    Holes
    Collimator typeShapeDiameter (mm)*Length (mm)Septal thickness (mm)Geometric resolution at 10 cm (mm)p in mm (Eq. 1)†Septal penetration at 511 keV (Eq. 2)†
    LEHRHexagonal1.1124.050.166.41.676%
    MELPHexagonal2.9440.641.1410.86.633%
    HEHexagonal459.7213.211.913%
    UHEHexagonal2.550.53.410.620.43.2%
    • ↵* Diameter of hexagonal hole indicates distance between 2 parallel sides.

    • ↵† Data are calculated values for minimum path length p (Eq. 1) and septal penetration at 511 keV (Eq. 2).

    • View popup
    TABLE 2

    Collimators, Radionuclides, and Activities Used, Along with Dead Time

    Dead time
    Measurement seriesCollimatorRadionuclideActivity (MBq)Close detector (10-cm distance)Distant detector (∼60-cm distance)
    ALEHR68Ga3.521%4%
    LEHR99mTc9.4NegligibleNegligible
    BMELP68Ga10.95%1.5%
    MELP99mTc9.1NegligibleNegligible
    CHE68Ga6.6<1%Negligible
    HE99mTc8.2NegligibleNegligible
    DMELP68Ga7.43%<1%
    MELP111In9.2NegligibleNegligible
    EHE68Ga7.5<1%Negligible
    HE111In9.2NegligibleNegligible
    • Activities are given at time halfway into frame 4 for PET radionuclide (68Ga) and halfway into frame 5 for SPECT radionuclides (99mTc or 111In).

    • View popup
    TABLE 3

    Detailed Sensitivity Data for Measurement with LEHR Collimator

    cps/MBq
    LEHR collimator, 68Ga and 99mTcClose (10 cm)Distant (∼60 cm)
    With PET source (frame 4)
     Full detector2551497
     Within PET ROI362.6
     Within SPECT ROI5.22.0
    With SPECT source (frame 5)
     Full detector8273
     Within SPECT ROI7436
     Within PET ROI0.0010.006
    • cps = counts per second.

    • Data were calculated using Equation 4. Figure 6 shows ROI positions. If dead-time correction had been applied, numbers with PET source would have been somewhat higher for close detector and slightly higher for distant detector (Table 2).

    • View popup
    TABLE 4

    PET/SPECT Sensitivity Ratios

    PET/SPECT sensitivity ratio (Eq. 5)
    Area and measurement seriesSPECT radionuclideCollimatorClose detector (10-cm distance)Distant detector (∼60-cm distance)SPECT radionuclide sensitivity on close detector (cps/MBq)*
    Full detector
     A99mTcLEHR31782
     B99mTcMELP2.30.8115
     C99mTcHE0.80.387
     D111InMELP3.91.4208
     E111InHE1.70.8108
    Within SPECT ROI
     A99mTcLEHR0.0700.05474
     B99mTcMELP0.0020.008114
     C99mTcHE0.0010.00282
     D111InMELP0.0050.017166
     E111InHE0.0020.006102
    Same location†
     A99mTcLEHR0.480.07(see SPECT ROI)
     B99mTcMELP0.080.05(see SPECT ROI)
     C99mTcHE0.060.04(see SPECT ROI)
     D111InMELP0.160.08(see SPECT ROI)
     E111InHE0.140.10(see SPECT ROI)
    • ↵* Data are sensitivity for SPECT source alone.

    • ↵† Two sources in same location (calculated from each source in its own ROI).

    • Data were calculated using Equation 5.

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Journal of Nuclear Medicine Technology: 42 (1)
Journal of Nuclear Medicine Technology
Vol. 42, Issue 1
March 1, 2014
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Influence of Positron Emitters on Standard γ-Camera Imaging
Lars Jødal, Pia Afzelius, Svend Borup Jensen
Journal of Nuclear Medicine Technology Mar 2014, 42 (1) 42-50; DOI: 10.2967/jnmt.113.131003

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Influence of Positron Emitters on Standard γ-Camera Imaging
Lars Jødal, Pia Afzelius, Svend Borup Jensen
Journal of Nuclear Medicine Technology Mar 2014, 42 (1) 42-50; DOI: 10.2967/jnmt.113.131003
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Keywords

  • 511 keV
  • downscatter
  • dead-time
  • PET
  • SPECT
  • dual-isotope
  • dual tracer
  • dual modality
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