Santos João A M, Dias Anabela G, Bastos Artur L
Serviço de Física Médica and Centro de Investigação, Instituto Português de Oncologia do Porto Francisco Gentil, E.P.E, Porto, Portugal.
J Nucl Med Technol. 2011 Jun;39(2):125-30. doi: 10.2967/jnmt.110.077404. Epub 2011 May 12.
The performance and measurement of (90)Y with a dose calibrator has always been a key point of several international recommendations, specifically in the case of the radiopharmaceutical (90)Y-ibritumomab tiuxetan, among other applications, used in the treatment of non-Hodgkin lymphoma. The objective of the present work was to examine in detail some important sources of geometric errors that, if neglected, can lead to an increase in uncertainty about the measured activity of this β(-) emitter radionuclide.
A CRC-15R dose calibrator was used to measure and quantify some of these sources, although the same methodology can easily be applied to any other similar equipment. The depth response along the main axis of the dose calibrator was carefully characterized, as well as syringe volume effects and source angular dependence.
It was found that, if not taken properly into account, these issues can contribute to an increase in the activity uncertainty (e.g., 5.1% in the present example). This finding implies the possibility of easily reaching higher values than the internationally suggested 5% uncertainty in activity measurement for therapeutic purposes.
These errors can be greatly reduced by previous characterization of the dose calibrator and careful implementation of the methodology for measurement.
使用剂量校准器对钇-90((^{90}Y))进行性能测试和测量一直是多项国际建议的重点,特别是在放射性药物钇-90-替伊莫单抗((^{90}Y)-ibritumomab tiuxetan)的情况下,在治疗非霍奇金淋巴瘤等其他应用中也是如此。本研究的目的是详细研究一些重要的几何误差来源,如果忽略这些误差,可能会导致对这种β(-)发射体放射性核素测量活度的不确定性增加。
使用CRC-15R剂量校准器来测量和量化其中一些误差来源,尽管相同的方法可以很容易地应用于任何其他类似设备。仔细表征了沿剂量校准器主轴的深度响应,以及注射器体积效应和源角依赖性。
发现如果没有适当考虑这些问题,可能会导致活度不确定性增加(例如,在本示例中为5.1%)。这一发现意味着在治疗目的的活度测量中,很容易达到高于国际建议的5%不确定性的值。
通过预先对剂量校准器进行表征并仔细实施测量方法,可以大大减少这些误差。