Comparison of Image Quality and Spatial Resolution Between 18F, 68Ga and 64Cu Phantom Measurements Using a Digital Biograph Vision PET/CT

Background: The PET nuclide and reconstruction method can have a considerable influence on spatial resolution and image quality of PET/CT scans, which can, for example, influence the diagnosis in oncology. The individual impact of the positron energy of 18F, 68Ga and 64Cu on spatial resolution and image quality of PET/CT scans acquired using a clinical, digital scanner was compared. Furthermore, the impact of different reconstruction parameters on image quality and spatial resolution was evaluated for 18F-FDG PET/CT scans acquired with a scanner of the newest generation. Methods: PET/CT scans of a Jaszczak phantom and a NEMA PET body phantom, filled with 18F-FDG, 68Ga-HCl and 64Cu-HCl, respectively, were performed on a Siemens Biograph Vision. Images were assessed using spatial resolution and image quality (Recovery Coefficients (RC), coefficient of variation within the background, Contrast Recovery Coefficient (CRC), Contrast-Noise-Ratio (CNR), and relative count error in lung insert). In a subsequent analysis, the scan of the NEMA PET body phantom filled with 18F-FDG was reconstructed applying different parameters (with/without the application of Point Spread Function (PSF), Time of Flight (ToF) or post-filtering; matrix size). Spatial resolution and quantitative image quality were compared between reconstructions. Results: We found that image quality was comparable between 18F-FDG and 64Cu-HCl PET/CT measurements featuring similar maximal endpoint energy. In comparison, RC, CRC and CNR were worse in 68Ga-HCl data, despite similar count rates. Spatial resolution was up to 18 % worse in 68Ga-HCl compared to 18F-FDG images. Post-filtering of 18F-FDG acquisitions changed image quality the most and reduced spatial resolution by 52 % if a Gaussian filter with 5 mm FWHM was applied. ToF measurements especially improved the recovery of the smallest lesion (RCmean = 1.07 compared to 0.65 without ToF) and improved spatial resolution by 29 %.Conclusions: The positron energy of PET nuclides influences spatial resolution and image quality of digital PET/CT scans. Image quality of 68Ga-HCl PET/CT images was worse compared to 18F-FDG and 64Cu-HCl, respectively, despite similar count rates. Reconstruction parameters have a high impact on image quality and spatial resolution and should be considered when comparing images of different scanners or centers.

Charge asymmetry in electron/positron energy loss in nuclear Bremsstrahlung

We calculate the leading Coulomb correction to the Bremsstrahlung energy loss in the electron-nucleus collisions for arbitrary energy of the incoming particle. This correction determines the charge asymmetry, i.e., the difference of electron and positron energy loss. The result is presented in terms of the classical polylogarithms Li2 and Li3. We use modern multiloop methods based on the IBP reduction and on the differential equations for master integrals. We provide both the threshold and the high-energy asymptotics of the found asymmetry and compare them with the available results.

Are radiopharmaceuticals self-sterilizing? Radiation effect of gallium-68 and lutetium-177 on bacillus pumilus and staphylococcus succinus

Background For radiopharmaceuticals, aseptic preparation in combination with filtration is the most commonly used sterilizing method. In general, the production of radiopharmaceuticals needs to fulfil the requirements of good manufacturing practice. In the scope of this work, we focused on the positron emitter gallium-68 and on the therapeutically used beta- and gamma-emitter lutetium-177, as they are routinely used for in-house synthesis of radiopharmaceuticals in nuclear medicine departments. Our hypothesis is, that radiopharmaceuticals might be self-sterilizing due to a high radioactivity concentration and high-energy radionuclides in the preparation for intravenous injections. Results Incubation with gallium-68 and lutetium-177 for both 30 minutes and 5 hours post-dispensing did not cause any significant effect on bacteria growth. As the theoretical dose is only 0.1–0.6 % of the Ph. Eur. recommended dose of 25 kGy, we conclude that the beta and positron energy of lutetium-177 and gallium-68 as used for standard radiopharmaceutical in-house production is not sufficient to decrease the number of colony forming units compared to the control values. Conclusions Based on these findings, gallium-68 and lutetium-177 labeled radiopharmaceuticals are not self-sterilizing under the tested conditions with respect to bacillus pumilus and staphylococcus succinus. Consequently, strict aseptic preparation conditions in addition to end-sterilization of the radiopharmaceutical e.g. through membrane filtration are strongly advised for in-house productions.

Deep-Learning Based Positron Range Correction of PET Images

Positron emission tomography (PET) is a molecular imaging technique that provides a 3D image of functional processes in the body in vivo. Some of the radionuclides proposed for PET imaging emit high-energy positrons, which travel some distance before they annihilate (positron range), creating significant blurring in the reconstructed images. Their large positron range compromises the achievable spatial resolution of the system, which is more significant when using high-resolution scanners designed for the imaging of small animals. In this work, we trained a deep neural network named Deep-PRC to correct PET images for positron range effects. Deep-PRC was trained with modeled cases using a realistic Monte Carlo simulation tool that considers the positron energy distribution and the materials and tissues it propagates into. Quantification of the reconstructed PET images corrected with Deep-PRC showed that it was able to restore the images by up to 95% without any significant noise increase. The proposed method, which is accessible via Github, can provide an accurate positron range correction in a few seconds for a typical PET acquisition.

Enhancing Positron Production using Front Surface Target Structures

We report the first experimental results and simulations that demonstrate a substantial effect of large-scale front-surface target structures on high-intensity laser-produced positrons. Specifically, as compared to a flat target under nominally the same laser conditions, an optimized Si microwire array target yielded a near 100% increase in the laser-to-positron conversion efficiency and produced a 10 MeV increase in positron energy. Full-scale particle-in-cell simulations that modeled the entire positron production and transport process starting from laser-plasma interactions provided additional insight into the beneficial role of target structuring. The agreement between experimental and simulated spectra suggests future target structure optimization for desired positron sources.

Are radiopharmaceuticals self-sterilizing? Radiation effect of gallium-68 and lutetium-177 on bacillus pumilus and staphylococcus succinus

Background For radiopharmaceuticals, aseptic preparation in combination with filtration is the most chosen sterilizing method. In general, the production of radiopharmaceuticals needs to fulfil the requirements of good manufacturing practice. In the scope of this work, we focused on the positron emitter gallium-68 and on the therapeutically used beta- and gamma-emitter lutetium-177, as they are routinely used for in-house synthesis of radiopharmaceuticals in nuclear medicine departments. Our hypothesis is, that radiopharmaceuticals might be self-sterilizing due to a high radioactivity concentration and high-energy radionuclides in the preparation for intravenous injections. Results Incubation with gallium-68 and lutetium-177 for both 30 minutes and 5 hours post-dispensing did not cause any significant effect on bacteria growth. As the theoretical dose is only 0.1–0.6% of the Ph. Eur. recommended dose of 25 kGy, we conclude that the beta and positron energy of lutetium-177 and gallium-68 as used for standard radiopharmaceutical in-house production is not sufficient to decrease the number of colony forming units compared to the control values. Conclusions Based on these findings, gallium-68 and lutetium-177 labeled radiopharmaceuticals are not self-sterilizing under the tested conditions with respect to bacillus pumilus and staphylococcus succinus. Consequently, strict aseptic preparation conditions in addition to end-sterilization of the radiopharmaceutical e.g. through membrane filtration are strongly advised for in-house productions.

NSC KIPT POSITRON SOURCE. PRE-PROJECT RESEARCH

We present the results of theoretical and numerical studies on the source of slow positrons for NSC KIPT. The positrons are intended to generate with the electrons of 9, 40 or 90 MeV available at the KIPT electron linacs. The yield of positrons from the conversion target is estimated as well as their spatial-angular characteristics. Optimal parameters of the conversion target for each energy of electrons are estimated. Preliminary design of the positron beam formation system is also presented. Qualitative analytical dependencies of the positron beam parameters at the system exit upon the amplitude and the decrease factor of the magnetic field in the Adiabatic Matching Device (AMD) solenoid have been established. These dependencies have been used for system optimization. Numerical simulations allow to optimize the parameters of AMD for solenoid available in the laboratory. Possible application of the subharmonic RF cavity for reduction of the energy of positrons has also been estimated and validated by the simulations. As it has been shown, this cavity can substantially decrease the positron energy and thus facilitate operation of the moderator.

A laser-plasma accelerator driven by two-color relativistic femtosecond laser pulses

A typical laser-plasma accelerator (LPA) is driven by a single, ultrarelativistic laser pulse from terawatt- or petawatt-class lasers. Recently, there has been some theoretical work on the use of copropagating two-color laser pulses (CTLP) for LPA research. Here, we demonstrate the first LPA driven by CTLP where we observed substantial electron energy enhancements. Those results have been further confirmed in a practical application, where the electrons are used in a bremsstrahlung-based positron generation configuration, which led to a considerable boost in the positron energy as well. Numerical simulations suggest that the trailing second harmonic relativistic laser pulse is capable of sustaining the acceleration structure for much longer distances after the preceding fundamental pulse is depleted in the plasma. Therefore, our work confirms the merits of driving LPAs by two-color pulses and paves the way toward a downsizing of LPAs, making their potential applications in science and technology extremely attractive and affordable.

Performance evaluation of Cerenkov luminescence imaging: a comparison of 68Ga with 18F

Background Cerenkov Luminescence Imaging (CLI) is an emerging technology for intraoperative margin assessment. Previous research only evaluated radionuclide 18-Fluorine (18F); however, for future applications in prostate cancer, 68-Gallium (68Ga) seems more suitable, given its higher positron energy. Theoretical calculations predict that 68Ga should offer a higher signal-to-noise ratio than 18F; this is the first experimental confirmation. The aim of this study is to investigate the technical performance of CLI by comparing 68Ga to 18F. Results The linearity of the system, detection limit, spatial resolution, and uniformity were determined with the LightPath imaging system. All experiments were conducted with clinically relevant activity levels in vitro, using dedicated phantoms. For both radionuclides, a linear relationship between the activity concentration and detected light yield was observed (R2 = 0.99). 68Ga showed approximately 22 times more detectable Cerenkov signal compared to 18F. The detectable activity concentration after a 120 s exposure time and 2 × 2 binning of 18F was 23.7 kBq/mL and 1.2 kBq/mL for 68Ga. The spatial resolution was 1.31 mm for 18F and 1.40 mm for 68Ga. The coefficient of variance of the uniformity phantom was 0.07 for the central field of view. Conclusion 68Ga was superior over 18F in terms of light yield and minimal detection limit. However, as could be expected, the resolution was 0.1 mm less for 68Ga. Given the clinical constraints of an acquisition time less than 120 s and a spatial resolution < 2 mm, CLI for intraoperative margin assessment using 68Ga could be feasible.