Improved dose determination for Molecular Radiotherapy Andrew - - PowerPoint PPT Presentation

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Improved dose determination for Molecular Radiotherapy Andrew - - PowerPoint PPT Presentation

Improved dose determination for Molecular Radiotherapy Andrew Robinson Dave Cullen Nuclear Physics Group, The University of Manchester Jill Tipping David Hamilton The Christie NHS Foundation Trust Christie Research Huddle 07/04/14


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SLIDE 1

Improved dose determination for Molecular Radiotherapy

Andrew Robinson Dave Cullen Nuclear Physics Group, The University of Manchester Jill Tipping David Hamilton The Christie NHS Foundation Trust

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SLIDE 2

Christie Research Huddle – 07/04/14

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SLIDE 3

Christie Research Huddle – 07/04/14

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SLIDE 4

Christie Research Huddle – 07/04/14

Scatter Correction Triple Energy Window Sensitivity Factor

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SLIDE 5

TRT with 177Lu-DOTATATE

EM SC RAW TEW

177Lu: t1/2

= 6.647 days bbeta (177Lu) = 100% bgamma (177Hf) = 18%

5000 MBq 300 MBq Day 0 Day 6

Christie Research Huddle – 07/04/14

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SLIDE 6

Christie Research Huddle – 07/04/14

  • Collimator and touch plate
  • Crystal
  • PMT array
  • Back compartment
  • Shielding
  • Bed and mattress

Simulation - Camera

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SLIDE 7

Simulation - Phantom

Christie Research Huddle – 07/04/14

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SLIDE 8

Simulation - Sources

99mTc

T1/2 = 6.0 hrs Bgamma = 0.999963 (140 keV) Bbeta = 0.000037 (112 keV mean energy)

177Lu

T1/2 = 6.647 days Bgamma = 0.236 (113, 208 keV daughter nucleus) Bbeta = 1.000 (134.2 keV mean energy)

90Y

T1/2 = 64.053 hrs Bgamma = 0.000115 (1.76 MeV daughter nucleus) Bbeta = 1.000 (933 keV mean energy) Bpositron = 0.000032 (daughter nucleus)

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SLIDE 9

Simulation - Sources

99mTc

T1/2 = 6.0 hrs Bgamma = 0.999963 (140 keV) Bbeta = 0.000037 (112 keV mean energy)

177Lu

T1/2 = 6.647 days Bgamma = 0.236 (113, 208 keV daughter nucleus) Bbeta = 1.000 (134.2 keV mean energy)

90Y

T1/2 = 64.053 hrs Bgamma = 0.000115 (1.76 MeV daughter nucleus) Bbeta = 1.000 (933 keV mean energy) Bpositron = 0.000032 (daughter nucleus)

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SLIDE 10

Christie Research Huddle – 07/04/14

 Gate 6.1  Gate 6.2  Gate 7.0(beta)  Geant 4.9.4  Geant 4.9.5  Geant 4.9.6  Geant 4.10 (MT)

Cluster

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SLIDE 11

Cluster

nucpc76.ph.man.ac.uk FASTPC2 nucpc90.ph.man.ac.uk FASTPC3 nucpc91.ph.man.ac.uk FASTPC4 nucpc96.ph.man.ac.uk FASTPC5 nucpc97.ph.man.ac.uk FASTPC6 nucpc108.ph.man.ac.uk FASTPC8 nucpc115.ph.man.ac.uk FASTPC9 x2 Xeon E5520 @ 2.27GHz 8 Cores (16 with Hyper Threading) x2 Xeon E5620 @ 2.4GHz 8 Cores (16 with Hyper Threading) x2 Xeon E5620 @ 2.4GHz 8 Cores (16 with Hyper Threading) x2 Xeon E5620 @ 2.4GHz 8 Cores (16 with Hyper Threading) x4 AMD Opteron 6176 @ 2.3GHz 48 Cores x4 AMD Opteron 6274 @ 2.2GHz 64 Cores x4 AMD Opteron 6274 @ 2.2GHz 64 Cores nucpc116.ph.man.ac.uk FASTPC10 x4 AMD Opteron 6274 @ 2.2GHz 64 Cores

264 cores 76 TB storage

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SLIDE 12

Improved Scatter Correction

“Is it possible to have a scatter correction method which provides accurate quantification and improved image quality which is applicable in ALL conditions? Quantification Image Quality

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Triple Energy Window Correction

ICMP 2013 – Brighton (4th September)

Infinia Hawkeye Simulation (all events) Unscattered events

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Triple Energy Window Correction

  • K. Ogawa et al, IEEE Trans. Med.

Imaging, 10, 408-412 (1991)

Scat

EM1 EM2 Infinia Hawkeye Simulation (all events) Unscattered events

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SLIDE 15

Pre reconstruction TEW Whole Image

Christie Research Huddle – 07/04/14

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Pre reconstruction TEW Whole Image

Christie Research Huddle – 07/04/14

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3D Printing

Use 3D printing to produce phantom inserts based on CT images.

  • Sensitivity Factor
  • Partial Volume effects
  • Patient specific measurements

Christie Research Huddle – 07/04/14

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3D Printing

Christie Research Huddle – 07/04/14

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3D Printing

Christie Research Huddle – 07/04/14

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3D Printing

Christie Research Huddle – 07/04/14