Comparison of the 1st, 2nd and 3rd generation Lawrence Livermore National Laboratory Torso phantoms.

The Lawrence Livermore National Laboratory (LLNL) Torso phantom, which is the de facto standard for lung counter calibration for low energy photon emitters, has undergone a number of revisions since its development. The first generation used real human bone: the second generation used synthetic bone and had a major design change; the third generation had more subtle material and mould changes. This work has compared a first generation, two second generation, and two third generation LLNL phantoms to see if there are any differences between the phantoms. The comparison of five LLNL phantoms using the same counting regions has shown that the second and third generation phantoms are essentially equivalent at low photon energies, but the first generation phantom shows an increased counting efficiency at low photon energies due to a design flaw. It is also apparent that these phantoms have maintained their performance characteristics over an extended period of time.

Biological half-life of iodine in adults with intact thyroid function and in athyreotic persons.

A joint project between the Human Monitoring Laboratory (HML) and the Ottawa Hospital has measured the retention of 131I in patients who have received the radioiodine diagnostically. Thirty-nine subjects with intact thyroid glands and nine athyreotic subjects were measured in the HML's whole-body/thyroid counter to determine the retention of 131I following its medical administration. The average biological half-life of 131I in 26 euthyroid subjects was found to be 66.1+/-6.3 days which may he statistically significantly lower than the ICRP recommended value of 80 days. Nine hyperthyroid patients had a mean biological half-life of 38.2+/-8.6 days and in three hypothyroid patients the corresponding value was 29.3+/-8.8 days. Thyroid 131I uptake was measured in a conventional clinical fashion at the Ottawa Hospital Civic campus 24 h after oral administration of the radioiodine using a collimated thick sodium iodide detector placed over the neck anteriorly. Measured values were 10.144+/-0.009, 0.314+/-0.035 and 0.045+/-0.010 of the administered dose in euthyroid, hyperthyroid and hypothyroid patients respectively. The euthyroid range at the hospital is 0.06 - 0.22. Uptake was significantly lower for the euthyroid group than the ICRP value of 0.3. The radioiodine retention in athyreotic subjects followed a two compartment model with biological half-lives of 1.0+/-1.2 days and 18.4+/-1.1 days.

Comparison of two JAERI phantoms and the problems discovered.

During the course of an intercomparison exercise it was possible to compare two JAERI phantoms with each other by using a multi-energy photon emitting lung set (241Am/152Eu). One belonged to the IAEA (Vienna), the other belonged to the Human Monitoring Laboratory (Ottawa). The intercomparison of the phantoms showed that they were statistically distinct from each other, although the differences were small. The counting efficiencies varied from each other by about 4% at 17 keV and 2% at photon energies above 17 keV. It was concluded that these difference were either due to small variations of chest wall thickness during the manufacturing process or positioning errors. The intercomparison also revealed a serious problem with one of the overlay plates of the HML's phantom. The adipose mass fraction of the overlay plate was found to be much greater (approximately 40%) than the manufacturer's stated value (10%).

Chest wall thickness measurements and the dosimetric implications for male workers in the uranium industry.

The Human Monitoring Laboratory has measured the chest wall thickness and adipose mass fraction of a group of workers at a Canadian uranium refinery, a conversion plant, and a fuel fabrication site using ultrasound. A site-specific biometric equation has been developed for these workers, who seem to be somewhat larger than other workers reported in the literature. Chest wall thickness is a very important modifier on lung counting efficiency and these data have been put into the perspective of the impending Canadian dose limits that will reduce the limit of occupationally exposed workers to 100 mSv in a 5-y period with a maximum of 50 mSv in any one year. The sensitivity of the germanium and phoswich based lung counting systems have been compared. Over a range of chest wall thickness of 1.6 cm to 6.0 cm and using a 30-min counting time, the achievable MDA's lie in the range of 6.7 mg to 19.1 mg or 6.7 mg to 30 mg with a two-phoswich-detector array or a germanium lung counting system, respectively. Depending on chest wall thickness, these achievable MDA's are close to, or exceed, the predicted amounts of natural uranium that will remain in the lung (absorption type M and S) after an intake equivalent to the Annual Limit on Intake that corresponds to 20 mSv. Neither system is sufficiently sensitive to detect an intake of Type S natural uranium in a worker with a chest wall thickness that corresponds to the average (3.73 cm) if it occurred more than 7 d prior to the lung count.

The effect of lung deposition patterns on the activity estimate obtained from a large area germanium detector lung counter.

Lung counters for in vivo detection of low energy photon emitters are typically calibrated using phantoms containing lung tissue equivalent material with the radioactivity homogeneously distributed throughout the material. If the activity in a measurement subject is heterogeneously distributed, the activity estimate for that subject will be uncertain due to the assumptions of distribution. The magnitude of the uncertainty for a four-detector germanium array, using the Lawrence Livermore National Laboratory torso phantom with a newly designed lung set that allows the activity to be localized in one or more of 16 areas, was estimated. The results show that detector arrays will reduce the uncertainties arising from the geometry of the lung deposition compared to single detectors. The estimated activity of an internal deposition that emits 17.5 keV photons can be overestimated by a factor of three, or underestimated by a factor of infinity (i.e., the activity is missed completely). As the photon energy rises to 59.5 keV the uncertainty in the activity decreases so that the maximum overestimate (underestimate) will be a factor of two (five). As the energy rises to 344.3 keV only the maximum underestimate changes: it becomes a factor of three.

Comparison of sliced and whole lung sets for the LLNL and JAERI torso phantoms using GE detectors.

The performance characteristics of sliced lung sets were compared to lung sets with activity homogeneously distributed throughout the lung tissue substitute material. The activity estimate from planar sources differs from the estimate from homogeneous sources by a factor of 0.88 to 1.09 depending on the photon energy. This error is small compared to other uncertainties commonly encountered in lung counting, i.e., activity deposition in the lung, detector placement, size difference between individuals, etc. Sliced lung sets could be used instead of homogeneous lung sets to test or provide an interim calibration for a lung counting system.

Comparison of the LLNL and JAERI torso phantoms using Ge detectors and phoswich detectors.

The Human Monitoring Laboratory has compared the LLNL and JAERI torso phantoms using its germanium detector lung counting system by measuring the counting efficiencies for radioactive materials in the phantoms at photon energies of 17.7 keV, 59.5 keV, 121.8 keV, and 344 keV to assess the similarity (or differences) in performance characteristics. The counting efficiencies obtained from the two phantoms were compared by converting the Chest Wall Thickness data and Adipose Mass Fractions of the phantoms to Muscle Equivalent Chest Wall Thicknesses. The counting efficiencies for the two phantoms were found to be within a factor of 1.44 of each other at 17.7 keV, 1.30 at 59.5 keV, 1.25 at 121.8 keV, and 1.17 at 344 keV when using a four detector array (JAERI efficiency divided by LLNL efficiency). However, individual detector responses show that the counting efficiencies from the two phantoms differ considerably in the region of the heart (up to a factor of 6 at 17 keV). Other areas above the lungs give counting efficiencies that are similar to each other. A routine intercomparison exercise with Cameco Corporation has shown that the counting efficiencies derived from the LLNL and JAERI phantoms were found to be within a factor of 1.18 (JAERI/LLNL) when a natural uranium lung set was used to calibrate a lung counter consisting of phoswich detectors. This work has also shown that over the energy range 63 keV-185 keV the LLNL phantom can be used to calibrate phoswich detector systems that are positioned on the back of the subject.

Comparison of the ANSI, RSD, KKH, and BRMD thyroid-neck phantoms for 125I thyroid monitoring.

The Human Monitoring Laboratory, which acts as the Canadian National Calibration Reference Centre for In Vivo Monitoring, has determined the performance characteristics of four thyroid phantoms for 125I thyroid monitoring. The phantoms were a phantom built to the specifications of the American National Standards Institute Standard N44.3; the phantom available from Radiology Support Devices; the phantom available from Kyoto Kagaku Hyohon; the phantom manufactured by the Human Monitoring Laboratory and known as the BRMD phantom. The counting efficiencies of the phantoms for 125I were measured at different phantom-to-detector distances. The anthropomorphic characteristics of the phantoms have been compared with the average man parameters. It was concluded that the BRMD, American National Standards Institute, and Radiology Support Devices phantoms have the same performance characteristics when the neck-to-detector distances are greater than 12 cm and all phantoms are essentially equivalent at 30 cm or more. The Kyoto Kagaku Hyohon phantom showed lower counting efficiencies at phantom-to-detector distances less than 30 cm. This was attributed to the design of the phantom. This study has also shown that the phantom need not be highly anthropomorphic provided the calibration is not performed at short neck-detector distances. Indeed, it might be possible to use t simple point source of 125I placed behind a 1.5 cm block of lucite at neck detector distances of 12 cm or more.