(155)Tb production by cyclotrons: what level of (155)Gd enrichment allows clinical applications?

利用回旋加速器生产 (155)Tb:(155)Gd 的富集程度达到什么水平才能应用于临床?

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Abstract

BACKGROUND: (155)Tb represents a potentially useful radionuclide for diagnostic medical applications, but its production remains a challenging problem, in spite of the fact that many production routes have been already investigated and tested. A recent experimental campaign, conducted with low-energy proton beams impinging on a (155)Gd target with 91.9% enrichment, demonstrated a significant co-production of (156g)Tb, a contaminant of great concern since its half-life is comparable to that of (155)Tb and its high-energy γ emissions severely impact on the dose released and on the quality of the SPECT images. In the present investigation, the isotopic purity of the enriched (155)Gd target necessary to minimize the co-production of contaminant radioisotopes, in particular (156g)Tb, was explored using various computational simulations. RESULTS: Starting from the recent experimental data obtained with a 91.9% (155)Gd-enriched target, the co-production of other Tb radioisotopes besides (155)Tb has been theoretically evaluated using the Talys code. It was found that (156)Gd, with an isotopic content of 5.87%, was the principal contributor to the co-production of (156g)Tb. The analysis also demonstrated that the maximum amount of (156)Gd admissible for (155)Tb production with a radionuclidic purity higher than 99% was 1%. A less stringent condition was obtained through computational dosimetry analysis, suggesting that a 2% content of (156)Gd in the target can be tolerated to limit the dose increase to the patient below the 10% limit. Moreover, it has been demonstrated that the imaging properties of the produced (155)Tb are not severely affected by this level of impurity in the target. CONCLUSIONS: (155)Tb can be produced with a quality suitable for medical applications using low-energy proton beams and (155)Gd-enriched targets, if the (156)Gd impurity content does not exceed 2%. Under these conditions, the dose increase due to the presence of contaminant radioisotopes remains below the 10% limit and good quality images, comparable to those of (111)In, are guaranteed.

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