Bouchet L G, Bolch W E
Department of Nuclear and Radiological Engineering, University of Florida, Gainesville 32611-8300, USA.
J Nucl Med. 1999 Aug;40(8):1327-36.
Mathematical models of the head and brain currently used in pediatric neuroimaging dosimetry lack the anatomic detail needed to provide the necessary physical data for suborgan brain dosimetry. To overcome this limitation, the Medical Internal Radiation Dose (MIRD) Committee of the Society of Nuclear Medicine recently adopted a detailed dosimetric model of the head and brain for the adult.
New head and brain models have been developed for a newborn, 1, 5, 10 and 15 y old for use in internal dosimetry. These models are based on the MIRD adult head and brain model and on published head and brain dimensions. They contain the same eight brain subregions and the same head regions as the adult model. These new models were coupled with the Monte Carlo transport code EGS4, and absorbed fractions of energy were calculated for 14 sources of monoenergetic photons and electrons in the energy range of 10 keV-4 MeV. These absorbed fractions were then used along with radionuclide decay data to generate S values for all ages for 99mTc, considering 12 source and 15 target regions.
Explicit transport of positrons was also considered with separation of the annihilation photons component to the absorbed fraction of energy in the calculation of S values for positron-emitting radionuclides. No statistically significant differences were found when S values were calculated for positron-emitting radionuclides under explicit consideration of the annihilation event compared with the traditional assumption of a uniform distribution of 0.511-MeV photons.
The need for electron transport within the suborgan brain regions of these pediatric phantoms was reflected by the relatively fast decrease of the self-absorbed fraction within many of the brain subregions, with increasing particle energy. This series of five dosimetric head and brain models will allow more precise dosimetry of radiopharmaceuticals in pediatric nuclear medicine brain procedures.
目前儿科神经影像剂量学中使用的头部和大脑数学模型缺乏为脑内亚器官剂量学提供必要物理数据所需的解剖细节。为克服这一局限性,核医学协会的医学内部辐射剂量(MIRD)委员会最近采用了一种针对成人的详细头部和大脑剂量学模型。
已开发出适用于新生儿、1岁、5岁、10岁和15岁儿童的新头部和大脑模型,用于内部剂量学。这些模型基于MIRD成人头部和大脑模型以及已发表的头部和大脑尺寸。它们包含与成人模型相同的八个脑亚区域和相同的头部区域。这些新模型与蒙特卡罗传输代码EGS4相结合,计算了能量范围为10 keV - 4 MeV的14种单能光子和电子源的能量吸收分数。然后,这些吸收分数与放射性核素衰变数据一起用于生成99mTc在所有年龄段的S值,考虑了12个源区域和15个靶区域。
在计算发射正电子放射性核素的S值时,还考虑了正电子的显式传输,并将湮灭光子成分分离到能量吸收分数中。与传统的0.511 - MeV光子均匀分布假设相比,在明确考虑湮灭事件的情况下计算发射正电子放射性核素的S值时,未发现统计学上的显著差异。
随着粒子能量增加,许多脑亚区域内的自吸收分数相对快速下降,这反映了这些儿科体模脑内亚器官区域对电子传输的需求。这一系列五个头部和大脑剂量学模型将使儿科核医学脑部程序中放射性药物的剂量测定更加精确。