COVID-19 pneumonia incidentally discovered on [18F]F-PSMA-1007 PET/CT scan.

A 75-year-old man underwent a positron emission tomography/computed tomography (PET/CT) scan with fluorine-18-prostate specific membrane antigen ([¹8F]F-PSMA-1007) for initial staging of prostate adenocarcinoma. The scan showed lung infiltrates predominantly in both lower lobes with moderate uptake, in addition to a bilateral pulmonary hilar lymph node uptake. CT images revealed ground-glass opacities and a reticular pattern, suggesting COVID-19 pneumonia, which was confirmed by reverse transcription polymerase chain reaction (RT-PCR). Similar incidental findings have been reported in patients undergoing PET/CT scans with other radiotracers. In this case, the probable lung angiogenesis linked to COVID-19 infection can be potencially demonstrated by [¹8F]F-PSMA-1007, which helps ensure timely diagnosis and appropriate care for cancer patients.

Development and validation of a Medaka fish voxel-based model for internal ionizing radiation dosimetry.

In this paper, we present a voxel-based phantom of Medaka fish that can be used to assess the internal radiation doses that would be absorbed by different organs of this fish species if exposed to radioactive wastewater released into the ocean. The geometric model for fish was generated based on available Wavefront Object files for smooth-bodied Medaka fish organs, whereas due to the lack of Medaka fish material specification, the material model was constructed using material data appropriate to ICRP 110 adult male voxel-based phantom. Absorbed Fractions (AFs) and Specific Absorbed Fractions (SAFs) were calculated for eight organs of major interest as sources and for each organ as target at a set of discrete photon, electron, alpha and neutron energies. To validate the present model the calculated AFs in the studied organs were compared to ones obtained in similar organs in a voxel-based phantom of another teleost fish species called Limanda limanda. The results presented are consistent with the reference dosimetric data. We concluded that the Medaka model can be used in radioecology research to improve marine radiation protection.

Comparison between InterDosi and MCNP in the estimation of photon SAFs on a series of ICRP pediatric voxelized phantoms.

In the present work, a new Monte Carlo Geant4 based code called InterDosi 1.0, was used to simulate specific absorbed fractions (SAFs) in the six reference pediatric voxel-based phantoms developed by the International Commission on Radiological Protection (ICRP). The aim of this study was to assess the ability of this code to estimate SAFs in a variety of voxel-based phantoms. A large number of photon SAFs were calculated for pairs of organs corresponding to three sources and 170 target organs/regions. A total of 108 initial photons were uniformly emitted from the source organs with eight discrete energies. In order to speed up the calculation of SAFs, Monte Carlo multithreaded simulations were started on a workstation with 12 threads, and a Geant4 tracking optimization technique was applied that consists in skipping the voxel boundaries when two adjacent voxels share the same material, which seems to reduce the simulation time by an average of approximately 36%. The results showed good agreement with the reference data produced through the MCNP 2.7 code, with average and maximum absolute discrepancies of 0.5% and 7.68%, respectively. We concluded that these results confirm the feasibility of InterDosi code to perform photon internal dosimetry calculations at a voxel level.

S-values estimation of positron-emitting radionuclides in the ICRP voxel-based adult male organs using a new Geant4-based code DoseCalcs: validation study.

Identifying the organs and tissues at risk from internal radiation exposure caused by radiopharmaceuticals requires determining the absorbed dose. The absorbed dose for radiopharmaceuticals is calculated by multiplying cumulated activity in source organs by the S-value, a crucial quantity that connects the energy deposited in the target organ and the emitting source one. It is defined as the ratio of absorbed energy in the target organ per unit of mass and unit of nuclear transition in the source organ. In this study, we used a new Geant4-based code called DoseCalcs to estimate the S-values for four positron-emitting radionuclides ([Formula: see text]C, [Formula: see text]N, [Formula: see text]O, and [Formula: see text]F) using decay and energy data from International Commission on Radiological Protection (ICRP) Publication 107. Twenty-three regions were simulated as radiation sources in the ICRP voxelized adult model developed in ICRP Publication 110. The Livermore physics packages were tailored to radionuclide photon mono-energy and [Formula: see text]-mean energy. The estimated S-values based on [Formula: see text]-mean energy show good agreement with those in the OpenDose data whose values were calculated using the full [Formula: see text] spectrum. The results provide new S-values data for selected source regions; hence, they could be used for comparison and adult-patient dose estimation.

Validation of the DoseCalcs Monte Carlo code for estimating the 18F S-values for ICRP adult and 15-year-old male and female phantoms.

Internal radiation exposure using radiopharmaceuticals, as in nuclear medicine procedures, necessitates the estimation of the S-value to determine and improve the estimates of absorbed doses in at-risk organs and tissues. The S value is defined as the absorbed dose in the target organ per unit of nuclear transformation in the source organ. It is calculated using the specific absorbed fraction, which is an important quantity that connects the deposited energy in the target and emitting source organs. In this study, we applied DoseCalcs, a new Geant4-based tool, to estimate the S values of [Formula: see text]F using nuclear data from ICRP Publication 107. Geometrical data from ICRP Publications 110 and 143 were used to select four models representing male and female phantoms for adults and 15 years old to study the variability in the S-values arising from variations in anatomy and initial energy validations, because we used the [Formula: see text] mean energy instead of the full beta spectrum. The [Formula: see text]F-released photons and [Formula: see text] from 26 source organs were tracked using the Geant4 Livermore package. Accordingly, the S-values were calculated for 141 target organs. The results for the adult male and female phantoms were compared with the OpenDose reference data. These results agreed well with OpenDose, the average ratio for self-absorption S-values was 1.015, and the average ratios for the cross-irradiation were 1.2 and 1.22 for the AM and AF, respectively. This indicates the accuracy of DoseCalcs for subsequent use in estimating [Formula: see text]F S-values using voxelized geometries.

Intercomparison of S-Factor values calculated in Zubal voxelized phantom for eleven radionuclides commonly used in targeted prostate cancer therapy.

In this study we aimed at comparing various radionuclides ordinarily used in targeted prostate cancer therapy, thereby evaluating S-Factor parameter in the prostate organs as well as in its surrounding healthy tissues, namely the urinary bladder and rectum. InterDosi code version 1.1 was used to estimate S-Factor values in Zubal voxelized phantom for 11 radionuclides, namely 225Ac, 21At, 67Cu, 125I, 131I, 212Pb, 177Lu, 223Ra, 161 Tb, 227Th and 90Y. The prostate organ was considered the source of different ionizing radiation emitted by the radionuclides cited above. The results showed that among all studied alpha-emitting radionuclides, 225 Ac, 223 Ra and 227 Th provide equidistantly the highest self-irradiation S-Factors whereas, 211At provides the lowest cross-irradiation S-Factors. On the other hand, considering only beta-emitting radionuclides, it is shown that 177Lu and 90Y induce respectively lowest and highest cross-absorption S-Factors on the surrounding healthy organs. We conclude that 177Lu and 211At are more adequate for prostate radionuclide therapy because they can relatively prevent surrounding organs from radiation toxicity and at the same time provide sufficient dose to treat the prostate tumor.

InterDosi Monte Carlo study of radiation exposure of a reference crab phantom due to radioactive wastewater deposited in marine environment following the Fukushima nuclear accident.

S-values are typically used to quantify internal doses of biota internally due to the incorporation of radionuclides. In this study, the InterDosi 1.0 Monte Carlo code was used to estimate S-values in five main organs of a crab phantom as well as in surrounding seawater for eleven radionuclides, namely 3H, 14C, 134Cs, 137Cs, 60Co, 125Sb, 90Sr, 129I, 99Tc, 106Ru, and 238Pu. After the Fukushima accident, these radionuclides have been detected in wastewater by the Japan Nuclear Regulatory Authority. In this work, S-values were calculated for all crab organs and the surrounding seawater. These values can be used in conjunction with any measured activities in water, to determine internal doses absorbed by crab organs. Furthermore, it is shown that for a self-absorption condition the studied radionuclides can be classified into five main categories, with 238Pu showing the highest S-values for any organ. Moreover, the results demonstrate that the obtained S-values decrease with increasing organ mass. In contrast, for a cross-absorption condition, the studied organs can be classified into seven main categories. In addition, by taking seawater as a source of irradiation, 238Pu had the highest cross-absorption S-values in two organs of particular biological relevance, the heart and gonads, when compared to the remaining radionuclides. It is concluded that due to the pre-calculated S-value database of a reference crab, it will become easier to use this organism as a bio indicator to study any radiation-induced effects on the marine environment.

Estimation of electron-specific absorbed fractions with the InterDosi code using ICRP adult female voxel-based phantom.

The International Commission on Radiological Protection (ICRP) through its publications recommends the estimation of Specific Absorbed Fractions (SAFs) using voxelized phantoms in order to assess the doses internally absorbed by organs exposed to ionizing radiation. In the present work, we report a large set of SAFs calculated using the ICRP Adult Female (ICRP-AF) phantom. The new Geant4-based code called InterDosi version 1.0 was used to simulate monoenergetic electrons of 20 different energies, ranging from 0.005 to 10 MeV, emitted uniformly from 18 different source organs. In order to estimate SAFs in 169 target organs/regions, 360 Monte Carlo multithreaded simulations were run on 32 CPUs of the HPC-MARWAN-CNRST computing grid. The calculated SAFs were compared to the recent results obtained using GATE 8.1 code and published by the OpenDose collaboration. It is shown that the obtained results are in well-agreement with the reference values, with absolute discrepancies less than 0.6% for a self-absorption condition and less than 5% in almost all energies for a cross-absorption condition. We concluded that InterDosi code might be used for dosimetry of internal electron emitters.

InterDosi Monte Carlo simulations of photon and electron specific absorbed fractions in a voxel-based crab phantom.

InterDosi is a new in-house Monte Carlo code that aims at facilitating the use of the Geant4 toolkit for internal dosimetry using voxel-based phantoms. In the present work the dosimetric capabilities of this code are assessed by calculating self-irradiation specific absorbed fractions (SI-SAFs) in a voxel-based crab phantom. Recent standard human organ compositions and densities taken from ICRP Publication 110 have been used for material specifications of the four organs of a crab, namely, the heart, hepatopancreas, gills, and gonads, whereas the material assigned to the crab shell has been modeled based on literature values. The SI-SAFs were calculated for mono-energetic photons of energies between 10 and 4000 keV, and for mono-energetic electrons of energies between 100 and 4000 keV. The statistical errors corresponding to the calculated SI-SAFs were all less than 0.01%. The results obtained demonstrate that the simulated masses and volumes of the crab organs are in good agreement with those presented in the literature. In addition, the dosimetric results show that the calculated SI-SAFs are generally consistent with those reported in the literature, with some moderate differences due to differences in material specification. It is concluded that the InterDosi code can be successfully employed in internal dose estimations in small organisms, and it is suggested that material specifications specifically relating to crab tissues should be developed to provide more precise SI-SAFs.

InterDosi simulations of photon and alpha specific absorbed fractions in zubal voxelized phantom.

In this work we used the InterDosi code to estimate photon specific absorbed fractions (SAFs) for some organs of the Zubal adult male voxelized phantom. Chemical compositions and densities of ICRP 110 adult male organs were attributed to those of the studied voxelized phantom. The SAFs of monoenergetic photons with energies ranging from 0.01 to 2 MeV, were calculated for three target regions, namely kidneys, liver, and spleen, which were the radiation source regions too. The obtained SAFs were compared to recent results obtained with the GATE code. In the GATE study, chemical compositions and densities of different organs were obtained from the ICRU report number 44. The inter-comparisons between the two studies show reasonably similar results, as 80% of the calculated SAFs are consistent within 2.5% discrepancy. This demonstrates the usefulness and applicability of the InterDosi code for internal dose calculations in a voxel-based phantom. We completed this work by studying the alpha SAFs in some organs for energies emitted by 213Bi used in targeted alpha-therapy and an analytical formula was derived for rapid alpha self-irradiation calculation in soft tissues.