Abstract

PurposePhantoms are routinely used in molecular imaging to assess scanner performance. However, traditional phantoms with fillable shapes do not replicate human anatomy. 3D-printed phantoms have overcome this by creating phantoms which replicate human anatomy which can be filled with radioactive material. The problem with these is that small objects suffer to a greater extent than larger objects from the effects of inactive walls, and therefore, phantoms without these are desirable. The purpose of this study was to explore the feasibility of creating resin-based 3D-printed phantoms using 18F.MethodsRadioactive resin was created using an emulsion of printer resin and 18F-FDG. A series of test objects were printed including twenty identical cylinders, ten spheres with increasing diameters (2 to 20 mm), and a double helix. Radioactive concentration uniformity, printing accuracy and the amount of leaching were assessed.ResultsCreating radioactive resin was simple and effective. The radioactive concentration was uniform among identical objects; the CoV of the signal was 0.7% using a gamma counter. The printed cylinders and spheres were found to be within 4% of the model dimensions. A double helix was successfully printed as a test for the printer and appeared as expected on the PET scanner. The amount of radioactivity leached into the water was measurable (0.72%) but not visible above background on the imaging.ConclusionsCreating an 18F radioactive resin emulsion is a simple and effective way to create accurate and complex phantoms without inactive walls. This technique could be used to print clinically realistic phantoms. However, they are single use and cannot be made hollow without an exit hole. Also, there is a small amount of leaching of the radioactivity to take into consideration.

Highlights

  • Molecular imaging is a key element of many diagnostic pathways, such as oncology— using 18F-FDG [1], 68Ga-PSMA [2], 99mTc-HDP [3]—and nuclear endocrinology— using 99mTc-sestamibi [4], 11C-methionine [5,6,7] and 11C-metomidate [8, 9]

  • A double helix was successfully printed as a test for the printer and appeared as expected on the positron emission tomography (PET) scanner

  • The amount of radioactivity leached into the water was measurable (0.72%) but not visible above background on the imaging

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Summary

Introduction

Molecular imaging is a key element of many diagnostic pathways, such as oncology— using 18F-FDG [1], 68Ga-PSMA [2], 99mTc-HDP [3]—and nuclear endocrinology— using 99mTc-sestamibi [4], 11C-methionine [5,6,7] and 11C-metomidate [8, 9]. The optimal functioning of single-photon emission computed tomography (SPECT) and (2021) 8:38 positron emission tomography (PET) scanners is ensured by regular quality control checks, many of which involve the use of objects called “phantoms” [10] These phantoms need to be radioactive and are either made with long-lived radionuclides (such as 57Co or 68Ge) and supplied by commercial companies as sealed sources or have unsealed short-lived radionuclides added to water-fillable voids. Both types of phantoms usually comprise simple geometrical shapes containing one or more radioactive concentrations. Recent developments in 3D printing have made it easier than ever to create more realistic phantoms [11]

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