Caribé Paulo R R V, Vandenberghe Stefaan, Diogo André, Pérez-Benito David, Efthimiou Nikos, Thyssen Charlotte, D'Asseler Yves, Koole Michel
Medical Imaging and Signal Processing - MEDISIP, Ghent University, Ghent, Belgium.
Faculty of Sciences of the University of Lisbon (FCUL), Lisbon, Portugal.
Front Physiol. 2020 Sep 15;11:525575. doi: 10.3389/fphys.2020.525575. eCollection 2020.
NEMA characterization of PET systems is generally based on F because it is the most relevant radioisotope for the clinical use of PET. F has a half-life of 109.7 min and decays into stable O via β+ emission with a probability of over 96% and a maximum positron energy of 0.633 MeV. Other commercially available PET radioisotopes, such as Rb and Ga have more complex decay schemes with a variety of prompt gammas, which can directly fall into the energy window and induce false coincidence detections by the PET scanner.
Aim of this work was three-fold: (A) Develop a GATE model of the GE Signa PET/MR to perform realistic and relevant Monte Carlo simulations (B) Validate this model with published sensitivity and Noise Equivalent Count Rate (NECR) data for F and Ga (C) Use the validated GATE-model to predict the system performance for other PET isotopes including C, O, N, Rb, and Ga and to evaluate the effect of a 3T magnetic field on the positron range.
Simulated sensitivity and NECR tests performed with the GATE-model for different radioisotopes were in line with literature values. Simulated sensitivities for F and Ga were 21.2 and 19.0/kBq, respectively, for the center position and 21.1 and 19.0 cps/kBq, respectively, for the 10 cm off-center position compared to the corresponding measured values of 21.8 and 20.0 cps/kBq for the center position and 21.1 and 19.6 cps/kBq for the 10 cm off-center position. In terms of NECR, the simulated peak NECR was 216.8 kcps at 17.40 kBq/ml for F and 207.1 kcps at 20.10 kBq/ml for Ga compared to the measured peak NECR of 216.8 kcps at 18.60 kBq/ml and 205.6 kcps at 20.40 kBq/ml forF and Ga, respectively. For C, N, and O, results confirmed a peak NECR similar to F with the effective activity concentration scaled by the inverse of the positron fraction. For Rb, and Ga, the peak NECR was lower than for F while the corresponding activity concentrations were higher. For the higher energy positron emitters, the positron range was confirmed to be tissue-dependent with a reduction of the positron range by a factor of 3 to 4 in the plane perpendicular to the magnetic field and an increased positron range along the direction of the magnetic field.
Monte-Carlo simulations were used to predict sensitivity and NECR performance of GE Signa PET/MR for F, O, N, C, Rb, and Ga radioisotopes and were in line with literature data. Simulations confirmed that sensitivity and NECR were influenced by the particular decay scheme of each isotope. As expected, the positron range decreased in the direction perpendicular to the 3T magnetic field. However, this will be only partially improving the resolution properties of a clinical PET/MR system due to the limiting spatial resolution of the PET detector.
正电子发射断层扫描(PET)系统的美国国家电气制造商协会(NEMA)特性通常基于氟(F),因为它是PET临床应用中最相关的放射性同位素。F的半衰期为109.7分钟,通过β+发射衰变为稳定的氧(O),概率超过96%,最大正电子能量为0.633兆电子伏特。其他市售的PET放射性同位素,如铷(Rb)和镓(Ga),具有更复杂的衰变方案,伴有多种瞬发伽马射线,这些射线可直接落入能量窗并导致PET扫描仪产生假符合检测。
本研究的目的有三个方面:(A)开发通用电气(GE)Signa PET/MR的通用模拟工具(GATE)模型,以进行真实且相关的蒙特卡罗模拟;(B)使用已发表的F和Ga的灵敏度及噪声等效计数率(NECR)数据验证该模型;(C)使用经过验证的GATE模型预测其他PET同位素(包括碳(C)、氧(O)、氮(N)、铷(Rb)和镓(Ga))的系统性能,并评估3特斯拉(T)磁场对正电子射程的影响。
使用GATE模型对不同放射性同位素进行的模拟灵敏度和NECR测试与文献值相符。F和Ga在中心位置的模拟灵敏度分别为21.2和19.0/千贝克勒尔(cps/kBq),在偏离中心10厘米位置的模拟灵敏度分别为21.1和19.0 cps/kBq,而中心位置的相应测量值分别为21.8和20.0 cps/kBq,偏离中心10厘米位置的测量值分别为21.1和19.6 cps/kBq。在NECR方面,F在17.40千贝克勒尔/毫升时模拟的峰值NECR为216.8千计数每秒(kcps),Ga在20.10千贝克勒尔/毫升时模拟的峰值NECR为207.1 kcps,而F和Ga的测量峰值NECR分别为18.60千贝克勒尔/毫升时的216.8 kcps和20.40千贝克勒尔/毫升时的205.6 kcps。对于C、N和O,结果证实峰值NECR与F相似,有效活度浓度按正电子分数的倒数进行缩放。对于Rb和Ga,峰值NECR低于F,而相应的活度浓度更高。对于能量较高的正电子发射体,正电子射程被证实与组织相关,在垂直于磁场的平面中正电子射程减小3至4倍,而沿磁场方向正电子射程增加。
蒙特卡罗模拟用于预测GE Signa PET/MR对F、O、N、C、Rb和Ga放射性同位素各自的灵敏度和NECR性能,且与文献数据相符。模拟证实灵敏度和NECR受每种同位素特定衰变方案的影响。正如预期的那样,正电子射程在垂直于3T磁场的方向上减小。然而,由于PET探测器有限的空间分辨率,这只会部分改善临床PET/MR系统的分辨率特性。