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Updated: Jun 26, 2026

A Whole Body Dosimetry Protocol for Peptide-Receptor Radionuclide Therapy (PRRT): 2D Planar Image and Hybrid 2D+3D SPECT/CT Image Methods
Published on: April 24, 2020
Qualitative values of radioactivity, area and volumetric: application on phantoms (target and background)
Issa Abdel-Rahman Al-Shakhrah1
1Department of Physics, University of Jordan, Queen Rania Street, Amman, Jordan. issashak@yahoo.com
Abstract:
The visualization of a lesion depends on the contrast between the lesion and surrounding background (T/B; (target/background) ratio). For imaging in vivo not only is the radioactivity in the target organ important, but so too is the ratio of radioactivity in the target versus that in the background. Nearly all studies reported in the literature have dealt with the surface index, as a standard factor to study the relationship between the target (tissue or organ) and the background. It is necessary to know the ratio between the volumetric activity of lesions (targets) and normal tissues (background) instead of knowing the ratio between the area activity, the volume index being a more realistic factor than the area index as the targets (tissues or organs) are real volumes that have surfaces. The intention is that this work should aid in approaching a quantitative relationship and differentiation between different tissues (target/background or abnormal/normal tissues). For the background, square regions of interest (Rios) (11 x 11 pixels in size) were manually drawn by the observer at locations far from the border of the plastic cylinder (simulated organ), while an isocontour region with 50% threshold was drawn automatically over the cylinder. The total number of counts and pixels in each of these regions was calculated. The relationship between different phantom parameters, cylinder (target) depth, area activity ratio (background/target, A(B/T)) and real volumetric activity ratio (background/target, V(B/T)), was demonstrated. Variations in the area and volumetric activity ratio values with respect to the depth were deduced. To find a realistic value of the ratio, calibration charts have been constructed that relate the area and real volumetric ratios as a function of depth of the tissues and organs. Our experiments show that the cross-sectional area of the cylinder (applying a threshold 50% isocontour) has a weak dependence on the activity concentrations of the background.
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