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An activity standard for 212 Pb in equilibrium with its progeny was realized, based on triple-to-double coincidence ratio (TDCR) liquid scintillation (LS) counting. A Monte Carlo-based approach to estimating uncertainties due to nuclear decay data (branching ratios, beta endpoint energies, γ-ray energies, and conversion coefficients for 212 Pb and 208 Tl) led to combined standard uncertainties ≤ 0.20 %. Confirmatory primary measurements were made by LS efficiency tracing with tritium and 4παβ(LS)-γ(NaI(Tl)) anticoincidence counting. The standard is discussed in relation to current approaches to 212 Pb activity calibration. In particular, potential biases encountered when using inappropriate radionuclide calibrator settings are discussed., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: All authors report financial support and equipment, drugs, or supplies were provided by Orano Med LLC. Denis E. Bergeron is Editor-in-Chief of Applied Radiation and Isotopes. Brian E. Zimmerman is former Editor-in-Chief and a Consulting Editor for Applied Radiation and Isotopes., (Published by Elsevier Ltd.)

Internal Bremsstrahlung (IB) is a continuous electromagnetic radiation accompanying beta decay; however, this process is not considered in radiation protection studies, particularly when estimating exposure from beta-decaying radionuclides. The aims of the present work are: i) to show that neglecting the IB process in Monte Carlo (MC) simulation leads to an underestimation of the energy deposited in a ionization chamber, in the case of a high-energy pure beta emitter such as Yttrium-90 ( 90 Y), and ii) to determine the most reliable choice of source term for 90 Y IB to be used in MC simulations. For this radionuclide, commonly employed in nuclear medicine and radiochemistry applications, experimental data acquired with a well ionization chamber have been compared with Monte Carlo (MC) calculations carried out in the GAMOS framework. Simulations that do not include the effect of the IB process, are found to give results underestimating the experimental values by 12-14%. Consequently, two models for the IB energy spectra, previously described by Italiano et al. [1], have been implemented using MC simulation and a good agreement has been achieved with one of them. We therefore conclude that inclusion of IB process in Monte Carlo simulation packages is advisable for a more accurate and complete treatment of electromagnetic interactions., (Copyright © 2021 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.)

Aim: Radionuclide imaging and therapies produce radioactive liquid waste that may lead to significant radiation exposure to the general public. The study aims to assess the radiation exposure rate to public sewerage from a modified delay tank facility. We shall also evaluate the exposure rates and overall radioactivity at several points., Materials and Methods: After having appropriate permission from the AERB, we measured the radiation exposure from the radionuclide therapy ward. Ward has three isolation beds and a single delay and decay tank of a capacity of 7500 liters. Effluents from the delay tank are processed at the filtration plant of the institute and subsequently released in the public sewerage. We obtained samples from several sites to determine discharged radioactivity., Results: A total of 38 patients received 129.4 ± 42 mCi (Range 40- 200) radioiodine therapy during the study. Discharge of the tanks was done two times during the study. The radioactivity discharges into aeration plant were 89.2 and 71.2 mCi that correspond to 440.05 and 351 MBq/m3, respectively. This was diluted by the aeration tank (6 million liters). Finally, at the discharge time, the radioactivity in the discharge was 1.6 and 1.5 MBq/m3, respectively. The highest exposure rates were 14 μSv/h near the delay tank, which rapidly decreased on moving to the surrounding., Conclusion: Our study indicates that the addition of the dilution method and close monitoring may significantly reduce the radiation exposure and overall radioactivity release from the facility. Old facilities that do not have space to add up the tank capacity may get a benefit from it. A small change in the practice, such as admitting patients alternate months or providing extra decay time for radioactive waste, may lead to a cost-effective alternative., Competing Interests: There are no conflicts of interest., (Copyright: © 2020 Indian Journal of Nuclear Medicine.)

Background: In order to obtain a reliable 177 Lu-DOTATATE therapy dosimetry, it is crucial to acquire accurate and precise activity measurements with the radionuclide calibrator, the SPECT/CT camera, and the NaI(Tl) well counter. The aim of this study was to determine, in a clinical context, the accuracy and the precision of their activity quantification over a range of activities and time. Ninety-three 177 Lu sources from the manufacturer were measured in the radionuclide calibrator over 2.5 years to evaluate its calibration accuracy and precision compared to the manufacturer's value. A NEMA 2012/IEC 2008 phantom was filled with a 177 Lu activity concentration sphere-to-background ratio of five. It was acquired with the SPECT/CT camera to determine the reconstruction parameters offering the best compromise between partial volume effect and signal-to-noise ratio. The calibration factor was computed accordingly. The calibration quality was monitored over 2.5 years with 33 phantom acquisitions with activities ranging from 7040 to 0.6 MBq. Home-made sources were used to calibrate the well counter. Its reliability was evaluated with activities ranging from 150 to 0.2 kBq measured 34 times over 2.5 years., Results: For the radionuclide calibrator, median [interquartile range] for the error on activity measurement was -0.99 [1.31] %. The optimal SPECT reconstruction parameters were obtained with 16 iterations, 16 subsets and a 12-mm Gaussian post-filter. The calibration factor was 9.87 cps/MBq with an error of -1.05 [2.12] %. The well counter was calibrated with 31.5 cps/kBq, and the error was evaluated to -12.89 [16.55] %., Conclusions: The accuracy and the precision of activity quantification using dedicated quality control were found to be sufficient for use in dosimetry implemented in clinical routine. The proposed methodology could be implemented in other centres to obtain reproducible 177 Lu-based treatment dosimetry.

Purpose: The purpose of this study is to specify a simple procedure for a robust data conversion of radioactivity value between plastic scintillator (PL) and NaI scintillator (NaI) devices., Materials and Methods: The radioactivity estimate of 100 blood samples was measured by the two devices. The two radioactivities were plotted on the same graph. The least-squares method was applied to obtain the conversion function. The differences between the actual radioradioy (N) from the NaI device and the estimated radioactivity for NaI (N') from the PL device activity (P) were statistically analyzed., Results: N' was determined from P as N' = 4.45 P + 6.28 with high correlation (r = 0.997). The Bland-Altman analysis between N' and N showed no fixed bias and no proportional bias., Conclusions: A hundred blood samples using a fixed type of sample tubes and a fixed radionuclide may be required to set up the robust conversion function.

Background: Although NaI(Tl) gamma counters play an important role in many quantitative positron emission tomography (PET) protocols, their calibration for positron-emitting samples has not been standardized across imaging sites. In this study, we characterized the operational range of a gamma counter specifically for positron-emitting radionuclides, and we assessed the role of traceable (68)Ge/(68)Ga sources for standardizing system calibration., Methods: A NaI(Tl) gamma counter was characterized with respect to count rate performance, adequacy of detector shielding, system stability, and sample volume effects using positron-emitting radionuclides (409- to 613-keV energy window). System efficiency was measured using (18)F and compared with corresponding data obtained using a long-lived (68)Ge/(68)Ga source that was implicitly traceable to a national standard., Results: One percent count loss was measured at 450 × 10(3) counts per minute. Penetration of the detector shielding by 511-keV photons gave rise to a negligible background count rate. System stability tests showed a coefficient of variation of 0.13% over 100 days. For a sample volume of 4 mL, the efficiencies relative to those at 0.1 mL were 0.96, 0.94, 0.91, 0.78, and 0.72 for (11)C, (18)F, (125)I, (99m)Tc, and (51)Cr, respectively. The efficiency of a traceable (68)Ge/(68)Ga source was 30.1% ± 0.07% and was found to be in close agreement with the efficiency for (18)F after consideration of the different positron fractions., Conclusions: Long-lived (68)Ge/(68)Ga reference sources, implicitly traceable to a national metrology institute, can aid standardization of gamma counter calibration for (18)F. A characteristic feature of positron emitters meant that accurate calibration could be maintained over a wide range of sample volumes by using a narrow energy window centered on the 511-keV peak.

Unlabelled: The purpose of this study was to assess the accuracy and practicality of well counter- and thyroid probe-based methods, commonly available in nuclear medicine facilities, for measuring the concentration of (18)F-FDG in blood samples. The degree to which the accuracy of such methods influences quantitative analysis of dynamic PET scans was also assessed., Methods: Thirty-five patients with cancer of the head and neck underwent dynamic PET imaging as part of a study intended to evaluate the utility of quantitative, image-based metrics for assessment of early treatment response. The activity in blood samples from the patients, necessary to provide an estimate of the input function for quantitative analysis, was measured both using a thyroid probe and using a well counter. Three calibration techniques were compared: single-point calibration using a standard solution for the thyroid probe (ProbePoint technique), single-point calibration using a standard solution for the well counter (WellPoint technique), and multiple-point calibration over the full range of expected blood activities for the well counter (WellCurve technique). The WellCurve method was assumed to provide the most accurate estimate of blood activity. The precision of measuring blood volume using a micropipette was also evaluated by obtaining multiple blood samples. Simplified-kinetic-analysis multiple-time-point (SKA-M) uptake rates for the primary tumor were calculated for all 35 patients using PET images and each of the 3 methods for assessing blood concentration., Results: Errors in blood activity measurements ranging from -9.5% to 7.6% were found using the ProbePoint method, whereas the error range was much less (from -1.3% to 0.9%) for the WellPoint method. The precision in blood volume measurements ranged from -6% to 12% in the 10 patients assessed. The errors in blood activity and volume measurements were reflected in the SKA-M measurements in the same range., Conclusion: The WellPoint method provides a compromise between accuracy and clinical practicality. Random errors in both blood activity and volume measurements accumulate and may compromise parameters--such as the SKA-M estimate of tumor uptake rate--that depend not only on images but also on blood concentration data.