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Achieved spatial resolution of the PET systems is often limited by the parallax error due to the lack of information about the Depth of Interaction (DoI) inside the crystal of the incoming 511 keV annihilation photons. The smaller the diameter of the PET ring and the thicker the scintillator are, the more this error affects imaging performance. In this work, a DoI calculator suitable for monolithic scintillation crystals and based on the shape of the scintillation light distribution at the photodetector surface has been proposed. To test the estimator performance, a test PET module with a 50 × 50 × 20 mm monolithic LYSO crystal coupled to a 12 × 12 SiPM array has been employed. In addition, for calibration and validation of the method, Geant4 simulations have been also used. The key result of the application of the proposed DoI estimator is obtaining a continuous DoI estimation with an average DoI resolution of about 5 mm in the 20 mm-thick crystal. Benefiting from the DoI estimation capabilities of the method, it has been also possible to achieve additional important goals, first of all reducing the parallax error. First, because the scintillation light collection varies as a function of the 3D position of the interaction of the annihilation photon inside the crystal, a method to correct this response variation via a proper 3D look-up-table is proposed. This has led to an improvement of about 35% in energy resolution. Moreover, a DoI-dependent position algorithm has been proposed, allowing an improvement of both planar (X-Y) position linearity and planar spatial resolution. This algorithm is specifically developed for the rows/columns multi-channel readout logic, that reduces the number of independent channels from N × N to N + N, where N is the number of SiPM photodetection elements (12 in our case) in each row and column. This development was performed in the framework of the MindView PET/MRI brain imaging project.

The aim of this study was to determine whether parameters related to TBI impacted upon OS and relapse in patients with acute leukemia in CR who underwent haematopoietic SCT (HSCT) in 11 Italian Radiation Oncology Centres. Data were analysed from 507 patients (313 males; 194 females; median age 15 years; 318 with ALL; 188 with AML; 1 case not recorded). Besides 128 autologous transplants, donors included 192 matched siblings, 74 mismatched family members and 113 unrelated individuals. Autologous and allogeneic transplants were analysed separately. Median follow-up was 40.1 months. TBI schedules and HSCT type were closely related. Uni- and multi-variate analyses showed no parameter was significant for OS or relapse in autologous transplantation. Multivariate analysis showed type of transplant and disease impacted significantly on OS in allogeneic transplantation. Disease, GVHD and TBI dose were risk factors for relapse. This analysis illustrates that Italian Transplant Centre use of TBI is in line with international practice. Most Centres adopted a hyperfractionated schedule that is used worldwide (12 Gy in six fractions over 3 days), which appears to have become standard. TBI doses impacted significantly upon relapse rates.

Background A new transcranial focused ultrasound device has been developed that can induce hyperthermia in a large tissue volume. The purpose of this work is to investigate theoretically how glioblastoma multiforme (GBM) can be effectively treated by combining the fast hyperthermia generated by this focused ultrasound device with external beam radiotherapy. Methods/Design To investigate the effect of tumor growth, we have developed a mathematical description of GBM proliferation and diffusion in the context of reaction–diffusion theory. In addition, we have formulated equations describing the impact of radiotherapy and heat on GBM in the reaction–diffusion equation, including tumor regrowth by stem cells. This formulation has been used to predict the effectiveness of the combination treatment for a realistic focused ultrasound heating scenario. Our results show that patient survival could be significantly improved by this combined treatment modality. Discussion High priority should be given to experiments to validate the therapeutic benefit predicted by our model. Electronic supplementary material The online version of this article (doi:10.1186/s40349-016-0078-3) contains supplementary material, which is available to authorized users.

In the last few years, integrated dual-imaging systems have emerged as a new modality for cancer staging with the aim to offer both functional and anatomic information. At moment the prevalent dual modality devices are based on Computer Tomography and Positron Emission Tomography. In this sense, the scientific community is debating about the high effective dose to the patient, representing an indicator of the stochastic risk, especially from Computer Tomography examination. So, a new dual modality imager, based on a Ultrasound probe and a Single Photon Emission Tomography was made in order to combine functional information, from gamma camera with structural one, obtained from the Ultrasound equipment. The Ultrasound probe is the most diffuse anatomical examination device at zero-dose, using a cost-effective and reliable method with few restriction in use. The proposed Single Photon Emission Tomography detector is a compact gamma camera (10x10 cm 2 active area), based on LaBr 3:Ce scintillation crystal coupled to 4x4 array of Hamamatsu H8500C-MOD8 Multi Anode Photomultiplier, with high spatial and energy resolution performances, equipped with rotating slant-hole collimator. A calibration phantom, made of a Co 57 point source inside a water filled box, was utilized to acquire 3D dual modality images. The detector has shown good performances in terms of spatial resolution and localization along z-axis of object of interest. This project was developed by several Italian Universities under an INFN collaboration.

Nuclear medicine imaging devices commonly use multi-element photo detection systems, composed of an array of N × N elements, each one providing an individual signal. Many strategies have been developed to reduce the number of readout channels, one of the main approaches is the Rows and Columns (R/C) projection logic. In this paper we proposed a modified version of Raised To the Power (RTP) algorithm adapted to R/C logic. In order to validate its efficiency a linear scanning irradiation on two 49× 49 mm2 LaBr3:Ce (0.5%) crystals with different thickness (4 mm and 10 mm) was carried out. Imaging performance analysis was made in terms of position linearity, Field-of-View (FoV) enlargement and spatial resolution. Imaging results from Anger Logic, RTP algorithm based on single element readout and RTP algorithm based on R/C readout were compared. A notable advantage of using RTP algorithms instead of Anger Logic was found: the FoV widens from about 30% to more than 70% of the detector area whereas the spatial resolution is highly improved, especially for off-center interactions, both for 4 mm-thick and 10 mm-thick crystals. Furthermore, imaging performance with the R/C readout is just slightly different from the single element one (FoV reduction less than 7% and SR worsening less than 10%). The R/C adapted RTP algorithm opens doors to high imaging performance with a substantial reduction of complexity and cost in the readout electronics.