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Quantitative bremsstrahlung imaging of yttrium-90 using a Wiener filter

Journal Article · · Medical Physics; (United States)
DOI:https://doi.org/10.1118/1.597198· OSTI ID:7199390
; ;  [1]
  1. Radiodiagnosis and Therapy, University of California Davis Medical Center, Sacramento, California 95816 (United States)
Yttrium-90 ([sup 90]Y), a pure beta emitter, is an attractive radionuclide for radioimmunotherapy of cancer. Therapeutic management requires quantitative imaging to measure the pharmacokinetics of the radionuclide in the patient for radiation dosimetric calculations. The bremsstrahlung emissions can be utilized to acquire an image of beta sources using a gamma camera. Quantitation of [sup 90]Y by bremsstrahlung imaging is difficult because of poor image quality that results from septal penetration and scatter secondary to the broad bremsstrahlung energies. In this work, quantitative methods for bremsstrahlung imaging of [sup 90]Y sources that involved the use of (a) a Wiener filter to deconvolve the septal penetration and scatter while suppressing image noise, and (b) the geometric mean of the conjugate view (GM) and effective point source (EPS) methods to quantify activities were investigated. An abdominal phantom was prepared with [sup 90]Y activities in the liver, spleen, tumors, and background volumes that were similar to those observed in patient studies. A twofold improvement in resolution recovery for full width at tenth maximum of the line spread function at 11 cm depth in water was achieved using Wiener restoration. Definition of the organ and tumor edges was greatly enhanced and cross talk between adjacent sources was suppressed after Wiener restoration. These improvements in image quality led to more accurate estimation of organ and tumor activities. Using the optimum attenuation correction method for GM and EPS quantitation of filtered bremsstrahlung images, estimates of individual activities ([le]17% error) and cumulated activities ([le]8% error) in all of the sources were accurate except for a tumor of 2 cm diameter. The results of this study provide the basis for a method to quantify beta source distribution and demonstrate the potential use of bremsstrahlung imaging in clinical settings.
DOE Contract Number:
FG03-84ER60233
OSTI ID:
7199390
Journal Information:
Medical Physics; (United States), Journal Name: Medical Physics; (United States) Vol. 21:9; ISSN 0094-2405; ISSN MPHYA6
Country of Publication:
United States
Language:
English