PET Flashcards

1
Q

What is an Atomic mass unit?

A

a unit of mass equal to one-twelfth of the mass of an atom of carbon-12. 1 u = 931.5 MeV/c2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is proton rest mass?

A

mp= 1.0073 u = 938.27 MeV/c2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is electron rest mass?

A

me= 0.00055 u = 0.511 MeV/c2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Equation of radioactive decay?

A

If we start with N0 atoms of an element with some decay constant lambda, we’ll have N atoms of the original element at time t.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is activity?

A

While N is the number of atoms, A is the activity- the rate of decays occurring. We can combine this with the previous formula to model how activity changes in time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is half life?

A

We often characterize an element by its half-life, the time it takes to decay to ½ its original amount. This is just the first formula, setting N=½N0 and solving for t.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Determine the radius of a nucleus given atomic number A.

A

Where r0 = 1.4 fm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the nuclear volume given A?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is nuclear charge density?

A

Knowing volume, and the number of nucleons present, A, we can calculate the proton density of a nucleus. Note that since volume has a linear dependence on A, nuclear charge density is actually pretty much constant for all mass numbers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is skin density?

A

Charge density falls off as r extends outside the nucleus. We call skin thickness the width it takes to drop from 90 to 10 percent. Oddly, it’s roughly constant at ~2.3fm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is nuclear binding energy?

A

The energy input it takes to free a nucleon.

Nuclear binding energy varies over A, peaking at Iron. Generally, lower A has lower BE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can nuclei transition to another type of nucleus?

A

Through fusion. fission or nuclear decay.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe gamma decay.

A

Gamma decay results in no alteration to nuclear composition- Z, A, and N all are unchanged by gamma decay. Instead, a nucleus drops from an excited state (typically denoted as E*) to a lower energy state through the emission of a characteristic photon. These excited states are often very short-lived (~10ns), and those that aren’t are called Metastable (Em).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

For what are photons from gamma decay often used?

A

Often used in SPECT and gamma cameras.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe alpha decay.

A

Alpha decay sees a nucleus emit an alpha particle, which is effectively a Helium nucleus (two protons and two neutrons). This happens as a results of probabilistic quantum tunneling through the nuclear strong(?) force potential barrier, followed by coulomb repulsion.

The emitted alpha particles bear a specific kinetic energy (~4-8 MeV), varying on parent nucleus. Generally, faster decay makes for more energy. This type of decay only naturally happens for high Z materials (Z>83).

An alpha particle (4He) is emitted due to it’s oddly high binding energy relative to other similar nuclei (like Hydrogen or other Helium isotopes), making it more stable than the alternatives.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the kinetic energies of daughter nucleus and alpha particle in alpha decay?

Which one has the majority of the kinetic energy?

A

We can expect the emitted alpha to have a majority of the kinetic energy. A predictable amount, depending on the parent nucleus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Is kinetic energy for beta decay characteristic?

A

No. We get a spectrum of emitted KEs for the beta particle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Why is a neutrino emitted during beta decay?

A

Since an electron (with lepton number 1) is created, an antineutrino is also emitted to conserve lepton number.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Q for beta plus decay?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What’s the difference in energy spectrums for beta minus and beta plus decay?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe Electron capture and QEC equation.

A

In electron capture, a nucleus may catch an electron, and use it to convert one of its protons into a neutron. This actually results in the same daughter as Beta Plus decay does, but the changes in energy are different. Emits a neutrino too.

EB refers to the binding energy of the captured electron. Often, this will be one of the atom’s k-shell (closest) orbital electrons. When this happens, the atom will then emit photons as the shell vacancy is filled by higher-energy orbital electrons dropping down to fill in.

The emitted neutrino gets all the Q energy, making it monoenergetic for these ‘decays’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is internal conversion?

A

Internal conversion, a competing process to gamma decay, in which the excited nucleus uses its energy to eject an orbital electron WITHOUT emitting a photon. These electrons are known as conversion electrons.

The vacancy left behind is filled by a higher electron dropping down leading to a potential auger electron cascade finishing with gamma emission.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How does kinetic energy spectrum look for internal conversion?

In a mixed process decay (beta minus + internal conversion) how does the spectrum look?

A

Conversion electrons can take on discrete kinetic energy values based on which shell the electrons were emitted from (lower shell = higher energy).

In the event of Beta Minus decay and IC happening as a mixed process, we’ll see a Beta Minus Spectrum with certain peaks corresponding to the IC energy values.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is decay correction?

A

Decay correction is applied to measured decay curves because concertation of radioactivity changes due to biological effects in the body.

we can ‘correct’ the decay to isolate only the biological component of the decay. With N = N0e-∧t , the exponential term is the radioactive decay. We can then simply multiply the measured curve by e∧t to correct it to biological decay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is specific activity?

A

Specific activity is the amount of activity present in some amount of material. Amount may be mass, or molarity. Often could be units of Bq/g, or mCi/nmol, or whatever. It’s inherent to each individual radionuclide. Hence, ‘specific’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are decay chains?

A

As one parent nucleus decays into another, it is often that the daughter, too, will decay into some third, granddaughter nucleus (and on until stable). We can use Bateman Equations to model the amount of atoms of parent, daughter, and so on, provided we known initial conditions, and the decay constants of each. We can have forms of equilibrium between parents and daughters over time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is secular equilibrium?

A

If the parent has a much longer half-life than the daughter (~100-1000x), the daughter will essentially catch up to, and then match the parent. This makes them appear to have the same half lives.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is transient equilibrium?

A

If the parent has a not-much longer half-life than the daughter (~10x), the daughter will slightly exceed the parent, but then both will decay. This also makes them appear to have the same half lives.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are the means of radionuclide production?

A
  1. manufacturing in nuclear reactors (bombarding the nucleus with other particles to induce a change to a new nucleus)
  2. accelerators (cyclotron) to induce fission by bombarding particles into parent nucleus that creates two daughter nucleus (often one bigger one smaller)
  3. Mo-Tc generators- Mo decaying into Tc99m. Tc eluted out to use it periodically
30
Q

What kind of distribution is the decay process?

A

Binomial distribution. The odds of surviving nucleus (not decaying) p = e-∧t ; odds of decay q = 1 - p = 1 - e-∧t

31
Q

Equation f binomial distribution, mean and variance?

A
32
Q

Poisson distribution equations?

A
33
Q

Error propagation for addition?

A
34
Q

Error propagation for multiplying by a constant?

A
35
Q

Error propagation for multiplication or division?

A
36
Q

Error propagation for averaging?

A
37
Q

How can we reduce the uncertainty in count rates?

A

We can reduce the uncertainty in our count rates by increasing the time over which we collect our background and/or gross counts

38
Q

At what angle and energy does the Compton edge occur?

A

At max energy transfer (𝛳=180 degrees), we get the Compton Edge, which terminates the Compton shelf.

39
Q

What is energy resolution?

A
40
Q

What contributes to FWHM?

A

Drift, electrical noise, coupling loss in the PMT, variation in dynode multiplication, etc.

41
Q

What is desirable to reduce FWHM?

A

Obviously, a wider spread of acquired energy values leads to poorer resolution.

Generating more secondary quanta per primary is desirable (larger N reduces variance- slide 24), so detectors with low ‘ionization’ (e-h pairs are not ionization, technically) requirements are good. In this way, semiconductors (3-4eV/pair) surpass ion chambers (33.97eV/pair).

Similarly, detectors with greater efficiencies improve resolution.

42
Q

What are the two types of detector efficiency?

A

Detector efficiency has two components: absolute and intrinsic.

Absolute efficiency is defined as ‘how many quanta are detected by the detector, divided by how many total quanta are emitted by the source’. In this way, it is very much reliant on geometry

Since many radiation sources are isotropic, it’s typical to consider this geometry in terms of solid angles.

43
Q

What is a solid angle of a sphere?

A

4pi

44
Q

Equation for detector absolute efficiency?

A
45
Q

What is detector dead time?

What two kinds of detectors are there (in respect to dead time)?

A

The dead time of a detector is defined as the minimum time interval that two consecutive counts must be separated in order to be recorded as two different events.

Two types: paralyzable and non-paralyzable

46
Q

What is a paralyzable detector?

A

Paralyzable detector is a detector that tracks the end of a second pulse that occurs while the first pulse is displayed, effectively lengthening the original pulse.

If we know what model it is, and what the dead time (tau) is, we can solve for the number of true counts (n) given some amount of measured counts (m).

Must be solved iteratively (not that easy)

47
Q

What is a non-paralyzable detector?

A

Non-Paralyzable: If a new pulse comes in while an old one is still being displayed, it just ignores the second pulse.

If we know what model it is, and what the dead time (tau) is, we can solve for the number of true counts (n) given some amount of measured counts (m).

Easy to solve

48
Q

Describe a gamma camera.

A

Gamma cameras are a relatively simple photon imaging device, Gamma Cameras receive photons from inside a patient and use it to generate planar images of nuclide concentration.

It uses collimators, then an NaI(Tl) scintillator, then an array of PMTs and amplifiers to spatially-encode the photons detected.

49
Q

How does spatial encoding work in gamma cameras?

A

Spatial encoding occurs via Anger Logic- the array of PMTs (and amplifiers) correlate charge collected across dimensional bins, with some resistors for weighting.

Z is the total charge collected. Can be used for pulse height investigations.

50
Q

What is gamma camera collimation used for?

A

Collimating grids are used in Gamma Cameras to improve spatial resolution by collimating out scattered photons (since they will be at oblique angles to the grid).

Obviously, collimation results in some loss of signal, too. Modeled as collimator efficiency, g, we see a loss in efficiency proportional to the square of the improvement in resolution. As resolution gets smaller (good), so too does efficiency (bad).

SEE PICTURE- In this way, we can see that narrower holes (d) lead to more fine resolution, as do some other factors.

51
Q

Describe image contrast in PET.

A

Image contrast arises from differences in the amount of signal received between two different spatial locations.

In imaging via photon detection, this typically correlates to differences either in source emission rate (emission imaging), or material attenuation (x-ray imaging). In practice, both can be quantified the same way- number of photons detected (as either a rate or raw count).

The presence of any background signal will reduce contrast, (it increases Rl and Rb such that it cancels in the numerator, but not the denominator).

52
Q

Where does the noise come from ?

What is CNR?

A

have many sources of noise, such as from unavoidable stochastic variations in photon emission. We can characterize some noise through and equation, and the define Contrast-to-Noise-Ratio (CNR) via another (picture)

Generally, via the Rose Crietrion, we need a CNR > 3-5 or so in order to really make out some sort of contrast-based image feature.

53
Q

What is ID0?

A

ID0 is the ‘information density’ in counts/cm2

54
Q

What is a sinogram?

A

Sinogram is h is simply the 2-D array of data containing the projections.

Of note are the sinographic representations of a point (becomes a sine wave), a line (becomes a point), and an angular array (becomes line).

55
Q

What is ischemia?

A

Ischemia = Reduced perfusion of blood in myocardium, makes for not enough incoming substrates, too many metabolites not being removed.

Often, this is checked for Gamma Camera or PET imaging.

56
Q

What kind of substrates does the myocardium take?

A

Uses glucose, Fatty Acids, Ketones, Lactate, and Amino Acids

57
Q

How does positron emission tomography (PET) work?

A

Positron-emitting radiotracers (F-18 is a common choice) are injected. The positrons quickly annihilate with electrons to emit two 511 keV photons in roughly opposite directions (conservation of momentum often makes them not quite co-linear, but close).

A ring of detectors around the patient detects these opposite directed photons at the same time. It only counts two 511 keV photons at opposite detectors at the same time (coincidence detection). There is some wiggle-room given on the timing, though.

58
Q

What is coincidence detection?

A

Coincidence detection is the detection of only two 511keV counts in opposite detectors in gamma cameras.

59
Q

What are the most common detectors made of ?

A

LaBr3(Ce), NaI (Ti) and HPGe

60
Q

What’s the difference between 2D and 3D mode in PET?

A

Septa.

We can use septa on the PET Detector ring to collimate out undesirable incidence orientations. Historically, this was done such that all collected signal was in a series of axial planes (2D mode).

Removing the septa allows for far more lines of response, and makes the system no longer strictly axial (3D Mode). While this does allow in more noise, it also increases the true signal by a sufficient amount to be worth the change.

61
Q

What is positron range?

A

Positron Range: After generation via Beta Plus Decay, the positrons will travel some range before annihilating. This introduces some spatial uncertainty about the origin of our signal (we measure from where the photons are created, but want from where the positrons were created). This factor is altered by our choice of radioisotope- ones that emits lower energy positrons (lower Q value) will have better resolution on this front.

62
Q

What is non-collinearity?

A

Non-Colinearity: Due to conservation of momentum, the emitted photons are not always emitted at exactly 180 degrees from each other. This introduces some uncertainty in photon collection and generation of lines-of-response. This effect can be lessened by using a smaller PET detector. That is, the ring of detector elements around the patient should be made with a smaller radius, making any angular offsets less prominent before collection.

63
Q

What is detector resolution?

A

Detector Resolution: The actual physical size of each detector element for spatial localization limits spatial resolution. Smaller detectors, finer resolution.

64
Q

What is depth of interaction?

A

Depth of Interaction: The depth at which the detector interaction occurs can lead to mislocalization of the event due to its radial thickness. This can be addressed by using thinner scintillators, though that will likely require using some superior material to compensate for the loss in thickness.

65
Q

How can we improve PET spatial resolution?

A
  1. choice of radioisotope- ones that emits lower energy positrons (lower Q value)
  2. making the ring of detector elements around the patient smaller radius
  3. choosing smaller detectors
  4. using thinner scintillators
66
Q

What affects PET spatial resolution?

A

positron range, non-colinearity, detector resolution and depth of interaction

67
Q

What’s a typical PET canner sensitivity?

What about SPECT?

A

Most multi-ring PET scanners have sensitivities of 2-10%. SPECT systems with collimation tend to be around 0.01-0.03%.

Generally, SPECT and PET are very low sensitivity modalities.

68
Q

What is time-of-flight PET (TOF PET)?

A

TOF is a method used to improve spatial resolution of PET.

Ordinarily, we use coincidence detection to establish a line-of-response, somewhere along which out signal (the photons) originated. With sufficiently fast detector and circuitry timing, we can actually make estimations of where along the line the signal originated, based on delay times between receiving the signal in one of the paired detectors versus the other.

69
Q

What are radiotracers?

A

Tracers are radiation-emitting nuclei that are injected into a patient.

They are then moved through the body by biological processes.

These can be direct- radiolabels attached to a biological molecule (F18 on glucose). Or an analogue- something that the body mistakes for, say, glucose, and carries to the same location.

70
Q

What is radiotracer compartment model?

A

We model the flow between compartments using a first order differential equation like: