Nuclear Medicine Physics University of Szeged Department of Nuclear Medicine History 1. 1896 Henri Becquerel - mysterious rays (Uranium) 1897 Marie and Pierre Curie - radioactivity 1901-1914 Therapy with radium 1924-1935 Georg de Hevesy - radiotracer studies in animals (bone mineral, 32P) • 1938 Glenn Seaborg - 131I, 99mTc • 1946 Allen Reid, Albert Keston - 125I, RIA (insulin) (1959) • • • • History 2. • 1957 Benedict Cassen, David Kuhl - rectilinear scanner (Picker 1959) • 1958 Hal Anger - gamma camera (Nuclear Chicago 1962) • 1962 David Kuhl - emission tomography (SPECT, PET) • 1964 commercial 99mTc-generator History 3. • • • • • • 1971 nuclear medicine - medical speciality US 1976 John Keyes, Ronald Jaszczak - SPECT 1983 Henry Wagner- neuroreceptor PET 1990 Computer network for nuclear medicine 1995 Coincidence SPECT (SPECT/PET) 1999 PET/CT Nuclear Medicine • Diagnostics – in vivo – in vitro • Therapy • multidisciplinary approach – – – – – physician physicist chemist, pharmacologist computer specialist engineer Topics • • • • • • • Basic physics Instrumentation, measurement systems Radiochemistry, radiopharmacology In vitro diagnostics In vivo diagnostics (organ systems) Therapy Radiation safety Radio-nuclides in NM • Penetration of the radiation • No penetration • Half-life T 1/2 • Atomic number Atomic physics • • • • Nucleus and electron shell Electron (e) shell (10-10 m) K, L, M etc. Nucleus (10-15 m) proton (p)(Z), neutron (n)(N) Mass number A=Z+N • Isotopes z X, isobars AX • Nuclide card (Karlsruher Nuklidkarte) Energy level diagram for 99mTc Decay of radionuclides Type of decay Mother nuclide Daughter nuclide Half life + particles + energy (e.g.photon) Activity • The activity of a radioactive sample is the number of atoms undergoing transformation per unit time • 1 bequerel (Bq): one disintegration per second (dps) • 1 curie (Ci): 3.7x1010 dps (1g 226Ra) Decay processes 1. A X Alpha decay e.g. 224Ra Z Beta decay e.g. 14C, 99Mo A Z Positron decay e.g. 11C, 18F A Z X Electron capture e.g. 111In, 125I A Z X+ X A-4 Z-2 4 Y + 2 alpha + E A Y Z+1 0 + -1e + Ev + Eß A 0 Z-1Y ++1e + Ev + Eß+ A A e- Z-1Y* Z-1Y + gamma Decay scheme of 14C Principal decay scheme of 99Mo Decay scheme of 18F Decay processes 2. • Isomeric transition (e.g. 99mTc) • Internal conversion (therapy) • Nuclear fission (reactor) Interaction of radiation with matter • Radiation detection, biologic effect • Ionization, excitation • Ionization: ion pair (negative electron, positively charged nucleus) • Excitation: light, heat, chemical reaction Interaction of charged particles (Alfa, beta etc.) • Elastic collisions with atomic nuclei (Bremsstrahlung) • Excitation of electrons (X-rays, Auger electrons) • Ionisation (ion pairs) • Catastrophic collision Path of heavy charged particle in matter close approach ionization excitation Interaction of Beta Particles • Bremsstrahlung (breaking radiation) • Cerenkov radiation • Positron annihilation Positron annihilation Interactions of photons • • • • • • Photoelectric absorption Compton scatter Pair production (Rayleigh scattering (coherent scattering) (CT)) (Photonuclear reaction) Measure of photon absorption ( linear attenuation coeff. [cm-1 ]) Principal photon interactions in matter Radiation detector systems University of Szeged Department of Nuclear Medicine Classification of detectors • Medium in which the interaction takes place (liquid, solid, gas) • Nature of the physical phenomenon produced (excitation, ionisation, chemical change) • Type of electronic pulse generated Gas-filled detectors • Ionisation chambers (personal dosimeters, dose calibrators) • Proportional counters (gas chromatography, alfa beta particles directly, survey dosimeters) • Geiger-Müller tubes (survey instruments, low level radiation) Gas-filled detector Characteristic pulse-height curves Scintillation detectors • Higher counting rates (fast resolving times) • Gamma radiation (proportionality) • Sodium iodine crystals (Tl activated) (well counters, Gamma camera, SPECT) • BGO, LSO (PET) • Semiconductors (dosimeter, camera?) Scintillation detector system Principles of a single-channel PHA Gamma camera • Scintillation crystal (NaI) • PM tubes • Electronics (high-voltage supply, amplifiers, pulseheight analyser) • Collimators • Computer • Quality assurance (sensitivity, uniformity, linearity) Block diagram of the Anger scintillation camera Collimation Parallel-hole collimator Converging collimator Diverging collimator Pinhole collimator Position-determining circuitry Single photon emission computed tomography (SPECT) • • • • • • Dedicated SPECT Gamma camera based SPECT (single head, multiple head) Detector Gantry Computer Quality assurance (uniformity, linearity, geom. resolution, COR, 3D phantoms) Positron emission tomography (PET) • • • • • • • Dedicated PET (Brain) Whole body PET Animal PET Detectors BGO, LSO (coincidence detection) Gantry, bed Computer Quality assurance (uniformity, linearity, geom. resolution, COR, transmission source)
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