Evaluation of camera-based freehand SPECT in preoperative sentinel lymph node mapping for melanoma patients.

BACKGROUND: Assessment of lymphatic status via sentinel lymph node (SLN) biopsy is an integral and crucial part of melanoma surgical oncology. The most common technique for sentinel node mapping is preoperative planar scintigraphy of an injected gamma-emitting lymphatic tracer followed by intraoperative node localization using a non-imaging gamma probe with auditory feedback. In recent years, intraoperative visualization of SLNs in 3D has become possible by coupling the probe to an external system capable of tracking its location and orientation as it is read out, thereby enabling computation of the 3D distribution of the tracer (freehand SPECT). In this project, the non-imaging probe of the fhSPECT system was replaced by a unique handheld gamma camera containing an array of sodium iodide crystals optically coupled to an array of silicon photomultipliers (SiPMs). A feasibility study was performed in which preoperative SLN mapping was performed using camera fhSPECT and the number of detected nodes was compared to that visualized by lymphoscintigraphy, probe fhSPECT, and to the number ultimately excised under non-imaging probe guidance. RESULTS: Among five subjects, SLNs were detected in nine lymphatic basins, with one to five SLNs detected per basin. A basin-by-basin comparison showed that the number of SLNs detected using camera fhSPECT exceeded that using lymphoscintigraphy and probe fhSPECT in seven of nine basins and five of five basins, respectively. (Probe fhSPECT scans were not performed for four basins.) It exceeded the number excised under non-imaging probe guidance for seven of nine basins and equaled the number excised for the other two basins. CONCLUSIONS: Freehand SPECT using a prototype SiPM-based gamma camera demonstrates high sensitivity for detection of SLNs in a preoperative setting. Camera fhSPECT is a potential means for efficiently obtaining real-time 3D activity distribution maps in applications such as image-guided percutaneous biopsy, and surgical SLN biopsy or radioguided tumor excision.

PhytoBeta imager: a positron imager for plant biology.

Several positron emitting radioisotopes such as (11)C and (13)N can be used in plant biology research. The (11)CO(2) tracer is used to facilitate plant biology research toward optimization of plant productivity, biofuel development and carbon sequestration in biomass. Positron emission tomography (PET) imaging has been used to study carbon transport in live plants using (11)CO(2). Because plants typically have very thin leaves, little medium is present for the emitted positrons to undergo an annihilation event. The emitted positrons from (11)C (maximum energy 960 keV) could require up to approximately 4 mm of water equivalent material for positron annihilation. Thus many of the positrons do not annihilate inside the leaf, resulting in limited sensitivity for PET imaging. To address this problem we have developed a compact beta-positive, beta-minus particle imager (PhytoBeta imager) for (11)CO(2) leaf imaging. The detector is based on a Hamamatsu H8500 position sensitive photomultiplier tube optically coupled via optical grease to a 0.5 mm thick Eljen EJ-212 plastic scintillator. The detector is equipped with a flexible arm to allow its placement and orientation over or under the leaf to be studied while maintaining the leaf's original orientation. To test the utility of the system the detector was used to measure carbon translocation in a leaf of the spicebush (Lindera benzoin) under two transient light conditions.

Gamma-ray measurements from the space shuttle during a solar flare.

An X2/2B level solar flare occurred on 12 August, 1989, during the last day of the flight of the Space Shuttle Columbia (STS-28). Detectors on the GOES 7 satellite observed increased X-ray fluxes at approximately 1400 GMT and a solar particle event (SPE) at approximately 1600 GMT. Measurements with the bismuth germanate (BGO) detector of the Shuttle Activation Monitor (SAM) experiment on STS-28 showed factors of two to three increases in count rates at high latitudes comparable to those seen during South Atlantic Anomaly (SAA) passages beginning at about 1100 GMT. That increased activity was observed at both north and south high latitudes in the 57 degrees, 300 kilometer orbit and continued until the detector was turned off at 1800 GMT. Measurements made earlier in the flight over the same geographic coordinates did not produce the same levels of activity. This increase in activity may not be entirely accounted for by observed geomagnetic phenomena which were not related to the solar flare.

Effects of increased shielding on gamma-radiation levels within spacecraft.

The Shuttle Activation Monitor (SAM) experiment was flown on the Space Shuttle Columbia (STS-28) from 8-13 August, 1989 in a 57 degrees, 300 km orbit. One objective of the SAM experiment was to determine the relative effect of different amounts of shielding on the gamma-ray backgrounds measured with similarly configured sodium iodide (NaI) and bismuth germante (BGO) detectors. To achieve this objective twenty-four hours of data were taken with each detector in the middeck of the Shuttle on the ceiling of the airlock (a high-shielding location) as well as on the sleep station wall (a low-shielding location). For the cosmic-ray induced background the results indicate an increased overall count rate in the 0.2 to 10 MeV energy range at the more highly shielded location, while in regions of trapped radiation the low shielding configuration gives higher rates at the low energy end of the spectrum.