Positronium lifetime measurement using a clinical PET system for tumor hypoxia identification

Abstract

Positronium (Ps) imaging has been recently spotlighted for its potential applications in nuclear medicine. Among them, we expect that the Ps lifetime can be a sensor for tumor hypoxia; hence, we are aiming to achieve Ps lifetime imaging, Quantum PET (Q-PET), based on whole gamma imaging (WGI). A linear correlation was previously shown between the Ps lifetime and the oxygen partial pressure (pO2) in water by using a bench-top detector system. However, nobody has ever measured the Ps lifetimes for pO2 values of 10 mmHg and 40 mmHg, corresponding to hypoxic cancer cells and healthy tissue cells, respectively. Therefore, this study aimed at measuring the Ps lifetime of 22Na solutions each having such tiny differences in the pO2 value. For possible extension toward imaging, we used VRAIN, a clinical brain-dedicated time-of-flight (TOF) PET system. The pO2 values of the 22Na solutions were adjusted to 0, 10, 40, and 160 (air) mmHg by adjusting the inflow of nitrogen gas. Each 22Na solution was placed near the center of the detector geometry and measured. Three different energy windows (EWs) for 1275 keV gamma detection were compared (1100–1500 keV, 900–1500 keV and 700–1500 keV). Due to the increased number of events, the error values (σ: standard deviation) of the calculated Ps lifetimes decreased as the EW widened. The optimized EW was determined to be 700–1500 keV, which showed the lowest error value. The Ps lifetime values gradually became shorter as the pO2 values increased. The Ps lifetime values at 0 mmHg and 160 mmHg were 1.9389 ± 0.0025 ns and 1.9104 ± 0.0024 ns at the EW of 700–1500 keV. The difference between the lifetime values was more than three times the errors (±3σ), and we considered it was a statistically significant difference. The Ps lifetime values of 10 mmHg and 40 mmHg were 1.9360 ± 0.0026 ns and 1.9291 ± 0.0024 ns at the same condition, and the difference could be distinguished with an error value of more than ± 1σ.