Department of Scienze di Base e Applicate per l'Ingegneria, Sapienza Università di Roma, Rome, Italy; Istituto Nazionale di Fisica Nucleare, Sezione di Roma, Rome, Italy.
Istituto Nazionale di Fisica Nucleare, Sezione di Roma, Rome, Italy.
Phys Med. 2023 Apr;108:102545. doi: 10.1016/j.ejmp.2023.102545. Epub 2023 Mar 8.
Radio-Guided Surgery (RGS) is a nuclear medicine technique to support the surgeon during surgery towards a complete tumor resection. It is based on intraoperative detection of radiation emitted by a radio-pharmaceutical that bounds selectively to tumoral cells. In the past years, an approach that exploits β emitting radiotracers has been pursued to overtake some limitations of the traditional RGS based on γ emission. A particle detector dedicated to this application, demonstrating very high efficiency to β particles and remarkable transparency to photons, has been thus developed. As a by-product, its characteristics suggested the possibility to utilize it with β emitting sources, more commonly in use in nuclear medicine. In this paper, performances of such detector on F liquid sources are estimated by means of Monte Carlo simulations (MC) and laboratory measurements. The experimental setup with a F saline solution comprised a "positron signal" spot (a 7 × 10 mm cylinder representing the tumor residual), and a surrounding "far background" volume, that represented for the detector an almost isotropic source of annihilation photons. Experimental results show good agreement with MC predictions, thus confirming the expected performances of the detector with F, and the validity of the developed MC simulation as a tool to predict the gamma background determined by a diffuse source of annihilation photons.
放射性导向手术(RGS)是一种核医学技术,可在手术过程中为外科医生提供支持,以实现完全肿瘤切除。它基于术中检测与肿瘤细胞选择性结合的放射性药物发出的辐射。在过去的几年中,已经采用了一种利用β发射放射性示踪剂的方法来克服传统基于γ发射的 RGS 的一些局限性。为此专门开发了一种对β粒子具有非常高效率且对光子具有显著透明性的粒子探测器。作为副产品,其特性表明有可能利用β发射源(在核医学中更常用)来利用它。在本文中,通过蒙特卡罗模拟(MC)和实验室测量来估算此类探测器对 F 液体源的性能。具有 F 生理盐水溶液的实验装置包括“正电子信号”点(代表肿瘤残留的 7×10 毫米圆柱体)和周围的“远背景”体积,该体积代表探测器是湮灭光子的几乎各向同性源。实验结果与 MC 预测吻合良好,从而确认了探测器对 F 的预期性能,以及开发的 MC 模拟作为预测由扩散湮灭光子源确定的γ背景的工具的有效性。