Phantom study for 90Y post-treatment dosimetry with a long axial field-of-view PET/CT

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Main Authors: Mercolli, Lorenzo, Zeimpekis, Konstantinos, Prenosil, George A., Rathke, Hendrik G., Rominger, Axel, Shi, Kuangyu
Format: Preprint
Published: 2023
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author Mercolli, Lorenzo
Zeimpekis, Konstantinos
Prenosil, George A.
Rathke, Hendrik G.
Rominger, Axel
Shi, Kuangyu
author_facet Mercolli, Lorenzo
Zeimpekis, Konstantinos
Prenosil, George A.
Rathke, Hendrik G.
Rominger, Axel
Shi, Kuangyu
contents Purpose: The physical properties of yttrium-90 (90Y) allow for imaging with positron emission tomography/computed tomography (PET/CT). The increased sensitivity of long axial field-of-view (LAFOV) PET/CT scanners possibly allows to overcome the small branching ratio for positron production from 90Y decays and to improve for the post-treatment dosimetry of 90Y of selective internal radiation therapy. Methods: For the challenging case of an image quality body phantom, we compare a full Monte Carlo (MC) dose calculation with the results from the two commercial software packages Simplicit90Y and Hermes. The voxel dosimetry module of Hermes relies on the 90Y images taken with a LAFOV PET/CT, while the MC and Simplicit90Y dose calculations are image independent. Results: The resulting doses from the MC calculation and Simplicit90Y agree well within the error margins. The image-based dose calculation with Hermes, however, consistently underestimates the dose. This is due to the mismatch of the activity distribution in the PET images and the size of the volume of interest. Furthermore, there are likely limitations of Hermes' dose calculation algorithm for 90Y. We found that only for the smallest phantom sphere there is a statistically significant dependence of the Hermes dose on the image reconstruction parameters and scan time. Conclusion: Our study shows that Simplicit90Y's local deposition model can provide a reliable dose estimate. On the other hand, the image based dose calculation requires further benchmarks and verification in order to take full advantage of LAFOV PET/CT systems.
format Preprint
id arxiv_https___arxiv_org_abs_2304_14797
institution arXiv
publishDate 2023
record_format arxiv
spellingShingle Phantom study for 90Y post-treatment dosimetry with a long axial field-of-view PET/CT
Mercolli, Lorenzo
Zeimpekis, Konstantinos
Prenosil, George A.
Rathke, Hendrik G.
Rominger, Axel
Shi, Kuangyu
Medical Physics
Purpose: The physical properties of yttrium-90 (90Y) allow for imaging with positron emission tomography/computed tomography (PET/CT). The increased sensitivity of long axial field-of-view (LAFOV) PET/CT scanners possibly allows to overcome the small branching ratio for positron production from 90Y decays and to improve for the post-treatment dosimetry of 90Y of selective internal radiation therapy. Methods: For the challenging case of an image quality body phantom, we compare a full Monte Carlo (MC) dose calculation with the results from the two commercial software packages Simplicit90Y and Hermes. The voxel dosimetry module of Hermes relies on the 90Y images taken with a LAFOV PET/CT, while the MC and Simplicit90Y dose calculations are image independent. Results: The resulting doses from the MC calculation and Simplicit90Y agree well within the error margins. The image-based dose calculation with Hermes, however, consistently underestimates the dose. This is due to the mismatch of the activity distribution in the PET images and the size of the volume of interest. Furthermore, there are likely limitations of Hermes' dose calculation algorithm for 90Y. We found that only for the smallest phantom sphere there is a statistically significant dependence of the Hermes dose on the image reconstruction parameters and scan time. Conclusion: Our study shows that Simplicit90Y's local deposition model can provide a reliable dose estimate. On the other hand, the image based dose calculation requires further benchmarks and verification in order to take full advantage of LAFOV PET/CT systems.
title Phantom study for 90Y post-treatment dosimetry with a long axial field-of-view PET/CT
topic Medical Physics
url https://arxiv.org/abs/2304.14797