Abstract

A radio-guided surgery technique exploiting β− emitters is under development. It aims at a higher target-to-background activity ratio implying both a smaller radiopharmaceutical activity and the possibility of extending the technique to cases with a large uptake of surrounding healthy organs. Such technique requires a dedicated intraoperative probe detecting β- radiation. A first prototype has been developed relying on the low density and high light yield of the diphenylbutadiene doped para-therphenyl organic scintillator. The scintillation light produced in a cylindrical crystal, 5 mm in diameter and 3 mm in height, is guided to a photo-multiplier tube by optical fibres. The custom readout electronics is designed to optimize its usage in terms of feedback to the surgeon, portability and remote monitoring of the signal. Tests show that with a radiotracer activity comparable to those administered for diagnostic purposes the developed probe can detect a 0.1 ml cancerous residual of meningioma in a few seconds.

Highlights

  • Related content- Digital pulse shape discrimination between fast neutrons and gamma rays with paraterphenyl scintillator A S Chepurnov, M A Kirsanov, A A Klenin et al

  • A novel radio-guided surgery (RGS) technique using β− radiation is being developed [1, 2]

  • Meningioma brain tumour was identified as the first clinical case of interest because of its sensitivity to DOTATOC [5], a synthetic analogue of somatostatin, that can be marked with the pure β− radionuclide 90Y [6]

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Summary

Related content

- Digital pulse shape discrimination between fast neutrons and gamma rays with paraterphenyl scintillator A S Chepurnov, M A Kirsanov, A A Klenin et al. - An innovative radio-guided surgery technique for complete resection of tumors A Russomando, F Collamati, F Bellini et al. - Use of a CMOS image sensor for betaemitting radionuclide measurements L.

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