This paper presents a study of possible models to describe the relation between the scintillation light point-of-origin and the measured photo detector pixel signals in monolithic scintillation crystals. From these models the X, Y and depth of interaction (DOI) coordinates can be estimated simultaneously by nonlinear least-square fitting. The method depends only on the information embedded in the signals of individual events, and therefore does not need any prior position training or calibration. Three possible distributions of the light sources were evaluated: an exact solid-angle-based distribution, an approximate solid-angle distribution and an extended approximate solid-angle-based distribution which includes internal reflection at side and bottom surfaces. The performance of the general model using these three distributions was studied using Monte Carlo simulated data of a 20 x 20 x 10 mm lutetium oxyorthosilicate (Lu₂SiO₅ or LSO) block read out by 2 Hamamatsu S8550 avalanche photo diode arrays. The approximate solid-angle-based model had the best compromise between resolution and simplicity. This model was also evaluated using experimental data by positioning a narrow 1.2 mm full width at half maximum (FWHM) beam of 511 keV photons at known positions on the 20 x 20 x 10 mm LSO block. An average intrinsic resolution in the X-direction of 1.4 mm FWHM was obtained for positions covering the complete block. The intrinsic DOI resolution was estimated at 2.6 mm FWHM.

Accurate prediction of the outcome of molecular target-based treatment in advanced renal cell carcinoma (RCC) is an important clinical problem. Positron emission tomography/computed tomography using [18F]-2-fluoro-2-deoxyglucose (FDG PET/CT) is a noninvasive tool for the assessment of glucose accumulation which can be a marker of the biological characteristics of the tumor. In this paper, we assess FDG PET/CT as a survival prognostic marker in patients with advanced RCC. The study included 121 patients treated in the years 2011–2016 with a diagnosis of advanced renal cell carcinoma (stage IV, multifocal metastases in all patients). Assessment using FDG PET/CT was conducted by measuring the maximum standard uptake value (SUVmax) for the marker used (the highest SUV measurement result for each patient in a single examination). SUVmax measurements were compared with various clinical risk factors used as prognostic markers. The median follow-up period was 19 months (ranging from 3 to 61 months). SUVmax measurements in all patients ranged from 1.3 to 30.0 (median 6.9). Higher SUVmax was correlated with poorer prognosis. Multi-way analysis with standard risk factors revealed that SUVmax was an independent factor for overall survival (OS; p < 0.003, hazard ratio 1.312, 95% CI 1.147–1.346). For SUVmax < 7.0, median OS was 32 months. For 7.0 ≤ SUVmax < 12.0, median OS was 12.5 months. For SUVmax ≥ 12.0, median OS was 10 months. The differences were statistically significant. A preliminary SUVmax assessment conducted using FDG PET/CT can provide information useful in the prediction of survival of patients with advanced RCC.

[18F]F-DOPA is widely used in PET diagnostics. Diseases diagnosed with this tracer are schizophrenia, Parkinson’s disease, gliomas, neuroendocrine tumors, pheochromocytomas, and pancreatic adenocarcinoma. It should be noted that the [18F]F-DOPA tracer has been known for over 30 years. However, the methods of radiosynthesis applied in the past did not allow its clinical use due to low efficiency and purity. Currently, in the market, one encounters different types of radiosynthesis using the fluorine 18F isotope and variants of the same method. The synthesis and its modifications were carried out using a Raytest Synchrom R&D module. The synthesis consists of the following steps: (a) binding of the fluoride anion 18F− on an anion exchange column; (b) elution with TBAHCO3−; (c) nucleophilic fluorination to the ABX 1336 precursor; (d) purification of the intermediate product on the C18ec column; (e) Baeyer–Villiger oxidation; (f) hydrolysis; and (gfinal purification of the crude product on a semipreparative column. The nucleophilic synthesis of [18F]F-DOPA was successfully performed in 120 min, using the ABX 1336 precursor on the Raytest SynChrom R&D module, with a radiochemical yield (RCY) of 15%, radiochemical purity (RCP) ≥ 97%, and enantiomeric purity (ee) ≥ 96%.

No abstract