Abstract

The production 18F-FDG for positron emission tomography (PET) has consistently increased over the past two decades. The risk of internal contamination at 18F-FDG production facilities exists. A setup for evaluation of the 18F-FDG activity incorporated into the OEW brain, called Head Counting System (HCS), was presented in previous works. In this study, the whole body counter setup (WBC) was evaluated for monitoring 18F incorporations. The Monte Carlo Virtual Software (VMC in-vivo) and the MCNPx code were used to assess the system calibration coefficient (CC). Three 18F distributions were simulated: i) uniformly distributed in soft tissue (UDST); ii) Na18F biodistribution (NAFB); and iii) 18F-FDG biodistribution (FDGB). The calibration coefficient of WBC was compared to the current head counting system CC under the same biodistribution conditions. The ICRP male reference voxelized phantoms (RCP_AM) was used in the simulations. The results showed that the WBC setup was more efficient than the head counter for all the studied 18F distributions: UDST = 1060 %, FDGB = 488 % and NAFB = 340 %. Despite this, especially for 18F-FDG, the possibility of bladder voiding before measurement can lead to considerable uncertainties when the WBC setup is used. On the other hand, bladder activity does not show great influence the calibration coefficient of the head counting system. Future work will evaluate the WBC sources of uncertainties in the measurement of 18F incorporated activity.

Highlights

  • The production of PET radiopharmaceuticals has increased considerably in recent years [1]

  • The computational times for cases simulated on the MCNPx, ranged from 2 to 6 hours per case

  • Since the same number of particles histories were followed for the two geometries studied, this indicates that Whole Body Counters (WBC) geometry is more efficient

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Summary

Introduction

The production of PET radiopharmaceuticals has increased considerably in recent years [1]. The most widely used PET radiopharmaceutical in the world continues to be fludeoxyglucose F 18 (18F-FDG) [2]. Despite the increased risk of internal contamination, due to the intensification and dissemination of 18F-FDG production, few studies have addressed this issue [1], [3]–[6]. 18F-FDG synthesis take place in sealed hot cells and it is highly automated. Internal contaminations of the occupationally exposed workers (OEW) during production processes have already been reported [1], [5]. The possible contaminants in 18F-FDG synthesis are fluoride ions (18F-), fluoromethane (CH318F) [1] and 18F-FDG itself [5]. The first two can lead to internal contamination by inhalation [1] and the last one by ingestion or inhalation [5]

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