001     20155
005     20180208211050.0
024 7 _ |2 pmid
|a pmid:21983024
024 7 _ |2 DOI
|a 10.1016/j.zemedi.2011.09.002
024 7 _ |2 WOS
|a WOS:000299444800008
024 7 _ |2 ISSN
|a 1876-4436
037 _ _ |a PreJuSER-20155
041 _ _ |a eng
082 _ _ |a 610
084 _ _ |2 WoS
|a Radiology, Nuclear Medicine & Medical Imaging
100 1 _ |a Hammes, J.
|b 0
|0 P:(DE-HGF)0
245 _ _ |a GATE based Monte Carlo simulation of planar scintigraphy to estimate the nodular dose in radioiodine therapy for autonomous thyroid adenoma
260 _ _ |c 2011
|a Amsterdam [u.a.]
|b Elsevier
300 _ _ |a 290 - 300
336 7 _ |a Journal Article
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336 7 _ |a article
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440 _ 0 |a Zeitschrift für medizinische Physik
|x 0939-3889
|0 15081
|y 4
|v 21
500 _ _ |3 POF3_Assignment on 2016-02-29
500 _ _ |a Record converted from VDB: 12.11.2012
520 _ _ |a The recommended target dose in radioiodine therapy of solitary hyperfunctioning thyroid nodules is 300-400Gy and therefore higher than in other radiotherapies. This is due to the fact that an unknown, yet significant portion of the activity is stored in extranodular areas but is neglected in the calculatory dosimetry. We investigate the feasibility of determining the ratio of nodular and extranodular activity concentrations (uptakes) from post-therapeutically acquired planar scintigrams with Monte Carlo simulations in GATE. The geometry of a gamma camera with a high energy collimator was emulated in GATE (Version 5). A geometrical thyroid-neck phantom (GP) and the ICRP reference voxel phantoms "Adult Female" (AF, 16ml thyroid) and "Adult Male" (AM, 19ml thyroid) were used as source regions. Nodules of 1ml and 3ml volume were placed in the phantoms. For each phantom and each nodule 200 scintigraphic acquisitions were simulated. Uptake ratios of nodule and rest of thyroid ranging from 1 to 20 could be created by summation. Quantitative image analysis was performed by investigating the number of simulated counts in regions of interest (ROIs). ROIs were created by perpendicular projection of the phantom onto the camera plane to avoid a user dependant bias. The ratio of count densities in ROIs over the nodule and over the contralateral lobe, which should be least affected by nodular activity, was taken to be the best available measure for the uptake ratios. However, the predefined uptake ratios are underestimated by these count density ratios: For an uptake ratio of 20 the count ratios range from 4.5 (AF, 1ml nodule) to 15.3 (AM, 3ml nodule). Furthermore, the contralateral ROI is more strongly affected by nodular activity than expected: For an uptake ratio of 20 between nodule and rest of thyroid up to 29% of total counts in the ROI over the contralateral lobe are caused by decays in the nodule (AF 3 ml). In the case of the 1ml nodules this effect is smaller: 9-11% (AF) respectively 7-8% (AM). For each phantom, the dependency of count density ratios upon uptake ratios can be modeled well by both linear and quadratic regression (quadratic: r(2)>0.99), yielding sets of parameters which in reverse allow the computation of uptake ratios (and thus dose) from count density ratios. A single regression model obtained by fitting the data of all simulations simultaneously did not provide satisfactory results except for GP, while underestimating the true uptake ratios in AF and overestimating them in AM. The scintigraphic count density ratios depend upon the uptake ratios between nodule and rest of thyroid, upon their volumes, and their respective position in a non-trivial way. Further investigations are required to derive a comprehensive rule to calculate the uptake or dose ratios based on post-therapeutic scintigraphy.
536 _ _ |a Neurowissenschaften
|c L01
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588 _ _ |a Dataset connected to Web of Science, Pubmed
650 _ 2 |2 MeSH
|a Adult
650 _ 2 |2 MeSH
|a Female
650 _ 2 |2 MeSH
|a Humans
650 _ 2 |2 MeSH
|a Iodine Radioisotopes: administration & dosage
650 _ 2 |2 MeSH
|a Iodine Radioisotopes: pharmacokinetics
650 _ 2 |2 MeSH
|a Monte Carlo Method
650 _ 2 |2 MeSH
|a Phantoms, Imaging
650 _ 2 |2 MeSH
|a Radiometry: methods
650 _ 2 |2 MeSH
|a Radionuclide Imaging: methods
650 _ 2 |2 MeSH
|a Radiotherapy Planning, Computer-Assisted: methods
650 _ 2 |2 MeSH
|a Thyroid Gland: radiation effects
650 _ 2 |2 MeSH
|a Thyroid Gland: radionuclide imaging
650 _ 2 |2 MeSH
|a Thyroid Neoplasms: radionuclide imaging
650 _ 2 |2 MeSH
|a Thyroid Neoplasms: radiotherapy
650 _ 2 |2 MeSH
|a Thyroid Nodule: radionuclide imaging
650 _ 2 |2 MeSH
|a Thyroid Nodule: radiotherapy
650 _ 7 |0 0
|2 NLM Chemicals
|a Iodine Radioisotopes
650 _ 7 |a J
|2 WoSType
653 2 0 |2 Author
|a Monte Carlo simulation
653 2 0 |2 Author
|a GATE
653 2 0 |2 Author
|a scintigraphy
653 2 0 |2 Author
|a dosimetry
653 2 0 |2 Author
|a radioiodine therapy
653 2 0 |2 Author
|a solitary hyperfunctioning thyroid nodule
700 1 _ |a Pietrzyk, U.
|b 1
|u FZJ
|0 P:(DE-Juel1)VDB2211
700 1 _ |a Schmidt, M.
|b 2
|0 P:(DE-HGF)0
700 1 _ |a Schicha, H.
|b 3
|0 P:(DE-HGF)0
700 1 _ |a Eschner, W.
|b 4
|0 P:(DE-HGF)0
773 _ _ |0 PERI:(DE-600)2231492-1
|a 10.1016/j.zemedi.2011.09.002
|g Vol. 21, p. 290 - 300
|p 290 - 300
|q 21<290 - 300
|t Zeitschrift für Medizinische Physik
|v 21
|x 0939-3889
|y 2011
856 7 _ |u http://dx.doi.org/10.1016/j.zemedi.2011.09.002
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