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Although significant improvements in cancer treatment have led to a longer survival period, the death rate of patients with solid tumours has not changed during the last decades. Most researchers are currently concentrating on defining the mechanisms of the different resistance pathways activated by tumour cells; meanwhile, the role of limited drug distribution within tumours has been neglected. The application of nanotechnology in medicine offers unexplored opportunities for realizing a new generation of anticancer therapies that can overcome the physical hindrances that characterize solid tumours. Indeed, surface-engineered nanoparticles (NPs) (both organic and inorganic) have been used as powerful tools in cancer therapy. Particularly, Au NPs have been utilized to develop a new drug-free treatment, photo-thermal therapy (PTT), due to their stimuli-responsive properties. PTT combined with immunotherapy represents a major breakthrough in the fight against malignant solid tumours. In this review, we provide a complete overview of the synergistic approaches based on PTT and immunotherapy, considering the selection, design, and functionalization of the NPs and their thermo-optical properties, moving to in vivo studies and finally to clinical trial applications in patients suffering from solid tumours.

[EN] We present the first results of the MINDVIEW project. An innovative imaging system for the human brain examination, allowing simultaneous acquisition of PET/MRI images, has been designed and constructed. It consists of a high sensitivity and high resolution PET scanner integrated in a novel, head-dedicated, radio frequency coil for a 3T MRI scanner. Preliminary measurements from the PET scanner show sensitivity 3 times higher than state-of-the-art PET systems that will allow safe repeated studies on the same patient. The achieved spatial resolution, close to 1 mm, will enable differentiation of relevant brain structures for schizophrenia. A cost-effective and simple method of radiopharmaceutical production from C-11-carbon monoxide and a mini-clean room has been demonstrated. It has been shown that C-11-raclopride has higher binding potential in a new VAAT null mutant mouse model of schizophrenia compared to wild type control animals. A significant reduction in TSPO binding has been found in gray matter in a small sample of drug-naive, first episode psychosis patients, suggesting a reduced number or an altered function of immune cells in brain at early stage schizophrenia. (c) 2018 Elsevier Masson SAS. All rights reserved.

Recently, dual-modality systems have been developed, aimed to correlate anatomical and functional information, improving disease localization and helping ontological or surgical treatments.& para;& para;Moreover, due to the growing interest in handheld detectors for preclinical trials or small animal imaging, in this work a new dual modality integrated device, based on a Ultrasounds probe and a small Field of View Single Photon Emission gamma camera, is proposed., QC 20180503

[EN] We present the first results of the MINDVIEW project. An innovative imaging system for the human brain examination, allowing simultaneous acquisition of PET/MRI images, has been designed and constructed. It consists of a high sensitivity and high resolution PET scanner integrated in a novel, head-dedicated, radio frequency coil for a 3T MRI scanner. Preliminary measurements from the PET scanner show sensitivity 3 times higher than state-of-the-art PET systems that will allow safe repeated studies on the same patient. The achieved spatial resolution, close to 1 mm, will enable differentiation of relevant brain structures for schizophrenia. A cost-effective and simple method of radiopharmaceutical production from C-11-carbon monoxide and a mini-clean room has been demonstrated. It has been shown that C-11-raclopride has higher binding potential in a new VAAT null mutant mouse model of schizophrenia compared to wild type control animals. A significant reduction in TSPO binding has been found in gray matter in a small sample of drug-naive, first episode psychosis patients, suggesting a reduced number or an altered function of immune cells in brain at early stage schizophrenia. (c) 2018 Elsevier Masson SAS. All rights reserved.

[EN] We present the first results of the MINDVIEW project. An innovative imaging system for the human brain examination, allowing simultaneous acquisition of PET/MRI images, has been designed and constructed. It consists of a high sensitivity and high resolution PET scanner integrated in a novel, head-dedicated, radio frequency coil for a 3T MRI scanner. Preliminary measurements from the PET scanner show sensitivity 3 times higher than state-of-the-art PET systems that will allow safe repeated studies on the same patient. The achieved spatial resolution, close to 1 mm, will enable differentiation of relevant brain structures for schizophrenia. A cost-effective and simple method of radiopharmaceutical production from C-11-carbon monoxide and a mini-clean room has been demonstrated. It has been shown that C-11-raclopride has higher binding potential in a new VAAT null mutant mouse model of schizophrenia compared to wild type control animals. A significant reduction in TSPO binding has been found in gray matter in a small sample of drug-naive, first episode psychosis patients, suggesting a reduced number or an altered function of immune cells in brain at early stage schizophrenia. (c) 2018 Elsevier Masson SAS. All rights reserved.

We present an imaging characterization of a 10 x 10 LuYAP array (2 x 2 x 10 mm3 pixels) with an innovative dielectric coating insulation (0.015 mm thick), in view of its possible use in a gamma camera for imaging positron emission tomography (PET) or in similar applications, e.g. as γ-prompt detector in hadron therapy. The particular assembly of this array was realized in order to obtain a packing fraction of 98%, improving detection efficiency and light collection. For imaging purpose, the array has been coupled with a selected Hamamatsu H10966-100 Multi Anode Photomultiplier read out by a customized 64 independent channels electronics. This tube presents a superbialkali photocathode with 38% of quantum efficiency, permitting to enhance energy resolution and consequently image quality. A pixel identification of about 0.5 mm at 662 keV was obtained, highlighting the potentiality of this detector in PET applications., QC 20170630

We designed and tested new concept imaging devices, based on a thin scintillating crystal, aimed at the online monitoring of the range of protons in tissue during proton radiotherapy. The proposed crystal can guarantee better spatial resolution and lower sensitivity with respect to a thicker one, at the cost of a coarser energy resolution. Two different samples of thin crystals were coupled to a position sensitive photo multiplier tube read out by 64 independent channels electronics. The detector was equipped with a knife-edge Lead collimator that defined a reasonable field of view of about 10 cm in the target. Geant4 Monte Carlo simulations were used to optimize the design of the experimental setup and assess the accuracy of the results. Experimental measurements were carried out at the Skandion Clinic, the recently opened proton beam facility in Uppsala, Sweden. PMMA and water phantoms studies were performed with a first prototype based on a round 6.0 mm thick Cry019 crystal and with a second detector based on a thinner 5 × 5 cm2, 2.0 mm thick LFS crystal. Phantoms were irradiated with mono-energetic proton beams whose energy was in the range between 110 and 160 MeV. According with the simulations and the experimental data, the detector based on LFS crystal seems able to identify the peak of prompt-gamma radiation and its results are in fair agreement with the expected shift of the proton range as a function of energy. The count rate remains one of the most critical limitations of our system, which was able to cope with only about 20% of the clinical dose rate. Nevertheless, we are confident that our study might provide the basis for developing a new full-functional system., QC 20170703

During the last years the research for new scintillation crystals has been crucial for the improvement of imaging performance in nuclear medicine applications. Crytur company has recently released two new scintillators named CRY-018 and CRY-019 which are non hygroscopic, have short decay time and low refraction index. They represent the ideal candidates to substitute NaI:Tl and BGO crystals in future PET ad SPECT applications. The purpose of this work is to characterize this unknown crystals, look for possible applications in imaging for nuclear medicine. The results of this work were compared with the results obtained with a LaBr3:ce scintillation crystal. This particular crystal is used as a comparison benchmark because of its strong linear pulse height uniformity response and high energy resolution. Measurements have been performed with a high count rate which is typical for medical applications. Irradiation of the crystals have been performed in three different geometries and in a photon energy range suitable with SPECT and PET applications. The experimental results identify the CRY-018 as an Yttrium and Silicon mixture and the CRY-019 with as Lutetium and Silicon one. Moreover a light yield of about 45% of LaBr3 one, was obtained for both the CRY-018 and CRY-019. This is one of the higher light yield between most of the scintillation crystals usually used in nuclear medicine. Both crystals are characterized by a non-proportionality in the pulse height linearity response. Energy resolutions of 7.4% for CRY-018 and 8.4% for CRY-019 at 661 keV, have been measured. The intrinsic component of the energy resolution has been esteemed for all three scintillators. An intrinsic detection efficiency of about 45% at 122 keV for CRY-018 and 14% at 661 keV for CRY-019 has been measured. Compared with LaBr3:Ce efficiency, which is highly deteriorated by the coating required by the hygroscopicity, CRY-018 and CRY-019 are really interesting considering that these two samples ar, QC 20161227

The SYRMEP collaboration is developing a tomographic imaging project with synchrotron radiation in the energy range 15-35 keV, using a photostimulable phosphor image plate and a high efficiency silicon pixel detector. We present here the preliminary studies which have been carried out in order to define the optimum working parameters and to evaluate the performances of the whole system. Simulation programs have been developed to determine the required angular resolution of the alignment system, and to select the optimal energy to visualize mammographic details while delivering the minimum dose. Images of custom test objects have been acquired in order to evaluate the spatial and contrast resolution of the two detectors. The delivered dose is comparable to the dose delivered in conventional planar mammography.

Nuclear Medicine SPECT imaging is taking on new challenges, regarding the improvement of quality and contrast of images. In order to reach this goal, energy resolution and Compton rejection capability have to be enhanced. For detectors based on scintillation crystal, the choice of a scintillator with high light yield is suitable; recently one of the major candidates is Lanthanum Tri-Bromide (LaBr3:Ce), with its high 63,000 ph/MeV light yield. Unfortunately, LaBr3:Ce suffers size limitations due to the actual growth techniques (maximum 3 in diameter) and has also elevated cost. For these reasons, great interest is shown on small field of view deleclors based on LaBr3:Ce, Lhough l for imaging of specific physiological process or organ. To improve energy resolution, continuous crystals are more appropriate instead than pixelaled ones. Since in a continuous crystal a decrease in position linearity, due Lo Lhe light reflections, is typically obtained at the edges, an absorbent treatment of surfaces is generally ulilized for SPECT applicalions. On Lhe other hand, light absorption causes a relevara degraclalion of local energy resolution and pulse height uniformily response, affecling local image confrasl. In this work an analysis on a new conlinuous LaBr3:Ce scinlillalion crystal with size proper lo a small field of view gamma imager but with reflective treatment of surfaces is presented. This leads up to outstanding overall and local energy resolution results and excellent pulse height uniformity response On the whole field of view. Furthermore, preliminary imaging results are satisfactory, compared to the ones from a scintillation crystal with absorbent edges., QC 20150615

We propose the characterization of a first array of 10×10 Lutetium Yttrium Orthoaluminate Perovskite (LuYAP:Ce) crystals, 2 mm×2 mm×10 mm pixel size, with an innovative assembling designed to enhance light output, uniformity and detection efficiency. The innovation consists of the use of 0.015 mm thick dielectric coating as inter-pixel light-insulators, manufactured by Crytur (Czech Republic) intended to improve crystal insulation and then light collection. Respect to the traditional treatment with 0.2 mm of white epoxy, a thinner pixel gap enhances packing fraction up to 98% with a consequent improvement of detection efficiency. Spectroscopic characterization of the array was performed by a Hamamatsu R6231 photomultiplier tube. A pixel-by-pixel scanning with a collimated 99mTc radioisotope (140 keV photon energy) highlighted a deviation in pulse height close to 3.5% respect to the overall mean value. Meanwhile, in term of energy resolution a difference between the response of single pixel and the array of about 10% was measured. Results were also supported and validated by Monte Carlo simulations performed with GEANT4. Although the dielectric coating pixel insulator cannot overcome the inherent limitations of LuYAP crystal due to its self-absorption of light (still present), this study demonstrated that the new coating treatment allows better light collection (nearly close to the expected one) with in addition a very good uniformity between different pixels. These results confirm the high potentiality of this coating for any other crystal array suited for imaging application and new expectations for the use of LuYAP for PET systems., QC 20150630

Medical imaging is a fundamental tool in the diagnosis, treatments, and monitoring of disease processes as cancer. Detectors of large area and high Field Of View are necessary to scan the whole body in a reasonable time. Relatively large area photodetectors are necessary even for imaging of small mice and rats with high sensitivities and spatial resolutions, generally obtained by using pinhole or multipinhole collimators. Standard PET scanners, with scintillators coupled to photomultipliers, have generally a limited detector area due to the high costs of both scintillators and photomultipliers. In this respect, the replacement of photomultipliers with gaseous photodetectors represents a possible solution of the problem and brings the additional advantage to provide devices with sensitive areas free from dead regions. In this paper we report on a PET scanner equipped with a multiwire proportional chamber with a CsI thin film as photoconverter. A similar approach has already been successfully pursued in nuclear and particle physics experiments. A prototype of such a PET detector has been designed and built, and will be tested soon. Possible solutions for increasing the photoelectron number, and thus the detector performance, are presented., QC 20120907