RESUMO
I-123 is preferential over I-131 for diagnostic SPECT imaging after a thyroidectomy to determine the presence and size of residual thyroid tissue for radioiodine ablation. Scattering degrades the quality of I-123 SPECT images, primarily due to the penetration of high-energy photons into the main photopeak. The objective of this study was to quantitatively and qualitatively investigate the impact of two widely used window-based scatter correction techniques, the dual energy window (DEW) and triple energy window (TEW) techniques, in I-123 postsurgical SPECT/CT thyroid imaging using an anthropomorphic phantom with small sizes of remnants and anatomically correct surrounding structures. For this purpose, non-scatter-corrected, DEW and TEW scatter-corrected SPECT/CT acquisitions were performed for 0.5-10 mL remnants within a phantom, with 0.5-12.6 MBq administered activities within the remnants, and without and with background-to-remnant activity ratios of 5% and 10%. The decrease in photons, the noise and non-uniformity in the background region due to scatter correction were measured, as well as the signal-to-noise ratio (SNR) and the contrast-to-noise ratio (CNR) from small remnants. The images were also visually evaluated by two experienced nuclear medicine physicians. Scatter correction decreased photons to a higher extent in larger regions than smaller regions. Larger remnants yielded higher SNR and CNR values, particularly at lower background activities. It was found from the quantitative analysis and the qualitative evaluation that TEW scatter correction performed better than DEW scatter correction, particularly at higher background activities, while no significant differences were reported at lower background activities. Scatter correction should be applied in I-123 postsurgical SPECT/CT imaging to improve the image contrast and detectability of small remnants within the background.
RESUMO
Post-surgical I-123 and I-131 SPECT/CT imaging can provide information on the presence and sizes of thyroid remnants and/or metastasis for an accurate re-staging of disease to apply an individualized radioiodine therapy. The purpose of this study was to develop and validate a neck-thyroid phantom with small sizes of thyroid remnants to be utilized for the optimization of post-surgical SPECT/CT imaging. 3D printing and molding techniques were used to develop the hollow human-shaped and -sized phantom which enclosed the trachea, esophagus, cervical spine, clavicle, and multiple detachable sections with different sizes of thyroid remnant in clinically relevant positions. CT images were acquired to evaluate the morphology of the phantom and the sizes of remnants. Triple-energy window scattered and attenuation corrected SPECT images were acquired for this phantom and for a modified RS-542 commercial solid neck-thyroid phantom. The response and sensitivity of the SPECT modality for different administered I-123 and I-131 activities within the equal-size remnants of both phantoms were calculated. When we compared the phantoms, using the same radiopharmaceutical and similar activities, we found that the measured sensitivities were comparable. In all cases, the I-123 counting rate was higher than the I-131 one. This phantom with capabilities to insert different small sizes of remnants and simulate different background-to-remnants activity ratios can be utilized to evaluate postsurgical thyroid SPECT/CT imaging procedures.
RESUMO
The Kirki project aimed to identify, among the mining waste abandoned at a mine and processing plant, the most critical potential pollution sources, the exposed milieus and the main pathways for contamination of a littoral area. This was accompanied by the definition of a monitoring network and remedial options. For this purpose, field analytical methods were extensively used to allow a more precise identification of the source, to draw relevant conceptual models and outline a monitoring network. Data interpretation was based on temporal series and on a geographical model. A classification method for mining waste was established, based on data on pollutant contents and emissions, and their long-term pollution potential. Mining waste present at the Kirki mine and plant sites comprises (A) extraction waste, mainly metal sulfide-rich rocks; (B) processing waste, mainly tailings, with iron and sulfides, sulfates or other species, plus residues of processing reagents; and (C) other waste, comprising leftover processing reagents and Pb-Zn concentrates. Critical toxic species include cadmium and cyanide. The stormy rainfall regime and hilly topography favour the flush release of large amounts of pollutants. The potential impacts and remedial options vary greatly. Type C waste may generate immediate and severe chemical hazards, and should be dealt with urgently by careful removal, as it is localised in a few spots. Type B waste has significant acid mine drainage potential and contains significant amounts of bioavailable heavy metals and metalloids, but they may also be released in solid form into the surface water through dam failure. The most urgent action is thus dams consolidation. Type A waste is by far the most bulky, and it cannot be economically removed. Unfortunately, it is also the most prone to acid mine drainage (seepage pH 1 to 2). This requires neutralisation to prevent acid water accelerating heavy metals and metalloids transfer. All waste management options require the implementation of a monitoring network for the design of a remediation plan, efficiency control, and later, community alert in case of accidental failure of mitigation/remediation measures. A network design strategy based on field measurements, laboratory validation and conceptual models is proposed.
