Nuclear Medicine Physics: The Basics (Nuclear Medicine Physics: The Basics

253 Pages·2004·9.1 MB·English

by  Ramesh Chandra PhD

Nuclear Medicine Physics
The Basics

6th Edition
2004
Lippincott Williams & Wilkins
Philadelphia
530 Walnut Street, Philadelphia, PA 19106 USA
978-0-7817-4753-0
0-7817-4753-8
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© 2004 by LIPPINCOTT WILLIAMS & WILKINS
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Printed in the USA
Fifth Edition, 1998
Library of Congress Cataloging-in-Publication Data
Chandra, Ramesh, 1938-
Nuclear medicine physics: the basics/Ramesh Chandra.—6th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 0-7817-4753-8 (pbk.)
1. Medical physics. 2. Nuclear medicine. 3. Radioisotopes. I. Title.
[DNLM: 1. Health physics. 2. Nuclear medicine. 3. Radioisotopes. WN 110 C457n 2004] R895.C47 2004
616.07′575—dc22
2002043075
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted
practices. However, the authors, editors and publisher are not responsible for errors or omissions or for any
consequences from application of the information in this book and make no warranty, expressed or implied, with
respect to the currency, completeness, or accuracy of the contents of the publication. Application of this
information in a particular situation remains the professional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in
this text are in accordance with current recommendations and practice at the time of publication. However, in
view of ongoing research, changes in government regulations, and the constant flow of information relating to drug
therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in
indications and dosage and for added warnings and precautions. This is particularly important when the
recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance
for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the
FDA status of each drug or device planned for use in their clinical practice.
10 9 8 7 6 5 4 3 2 1
iv

Dedication
To my wife, Mithilesh, my son, Anurag, and my daughter, Ritu
v

AUTHORS
Ramesh Chandra PhD
Professor
Department of Radiology
New York University Medical Center
New York, New York
vi

Preface
The purpose and the audience for this new edition of this book and the subject matter remains the same as in
previous editions. I quote,
“This book is primarily addressed to resident physicians in nuclear medicine as well
as residents in radiology, pathology, and internal medicine who wish to acquire
knowledge of nuclear medicine. Nuclear medicine technologists wishing to advance
in their field should also find this book useful.
I have tried to write in a simple and concise manner, including not only essential
details but also many examples and problems taken from the routine practice of
nuclear medicine. Basic principles and underlying concepts are explained.
Mathematical equations or in some cases their derivations have been included only
when it was felt their inclusion will help the reader and when it was essential for the
proper development of the subject matter. However, the reader is warned that this
is not an introductory book of physics, and, therefore, familiarity on his or her part
with the elementary concepts of physics, such as units, energy, force, electricity,
and light, is assumed by the author.”
However, since the publication of earlier editions, PET has emerged from being a valuable research tool to being
an important clinical tool in the diagnosis of a variety of diseases. As a result, PET is no longer limited to a few
specialized laboratories, but has spread to most clinical nuclear departments. Therefore, I have now added new
material to cover this area of nuclear medicine. In particular, the following additions have been made:
 In Chapter 2, decay scheme of 18F, the most common radionuclide used in PET, has been added.
 In Chapter 5, a section on the common radiopharmaceuticals for PET has been added.
 In Chapter 8, a section on detectors used in PET devices has been added.
 In Chapter 14, the section on PET instrument has been enlarged and sections on PET-CT and SPECT/CT have
also been included.
 In Chapter 16, aspects related to protection from PET radiopharmaceuticals are discussed.
Other significant changes are:
 Since there was a good response to the problems at the end of each chapter, these have been enlarged.
 The number of figures has been increased and now for the first time the book includes pictures of the
important instruments.
 Chapter 15 has been augmented with a new section on Contrast/details curves and ROC.
Again, I thank all the readers and teachers who wrote to me or emailed with their commendations and/or
criticism, or who brought the errors to my attention. I would also like to thank Martha Helmers for all her help in
vii

preparation of figures. Last, but not the least, I thank the publisher and his staff for their help and cooperation in
bringing my labor to fruition.
Ramesh Chandra
New York, New York
viii
Contents
Authors
Dedication
Preface
1 - Basic Review
2 - Nuclides and Radioactive Processes
3 - Radioactivity: Law of Decay, Half-Life, and Statistics
4 - Production of Radionuclides
5 - Radiopharmaceuticals
6 - Interaction of High-Energy Radiation With Matter
7 - Radiation Dosimetry
8 - Detection of High-Energy Radiation
9 - In Vitro Radiation Detection
10 - In Vivo Radiation Detection: Basic Problems, Probes, and Rectilinear Scanners
11 - In Vivo Radiation Detection: Scintillation Camera
12 - Operational Characteristics and Quality Control of a Scintillation Camera
13 - Detectability or Final Contrast in an Image
14 - Emission Computed Tomography
15 - Biological Effects of Radiation and Risk Evaluation from Radiation Exposure
16 - Methods of Safe Handling of Radionuclides and Pertaining Rules and Regulations
Appendix A
Appendix B
Appendix C
Appendix D
Appendix E
Answers
Suggestions for Further Reading
Index
1
1
Basic Review
From a physicist's point of view, nature consists mainly of matter and the forces governing the behavior of matter.
This chapter reviews briefly some aspects of the atomic structure of matter that are essential for the
understanding of subsequent subject matter.
Matter, Elements, and Atoms
All matter is composed of a limited number of elements (105 or so) that in turn are made of atoms. An atom is the
smallest part of an element that retains all its chemical properties. In general, atoms are electrically neutral; that
is, they do not show any electric charge. However, atoms are not indivisible as once was thought but are
composed of three elementary particles: electrons, protons, and neutrons.
An electron is a tiny particle that possesses a negative charge of 1.6022 × 10−19coulomb (unit of charge) and a mass
of 9.109 × 10−31 kg. A proton is a particle with a positive charge equal in amount to that of an electron. A neutron
does not have any electric charge and weighs slightly more than a proton. Protons and neutrons have masses of
1.6726 × 10−27 and 1.6749 × 10−27 kg, respectively; hence, they are about 2000 times heavier than an electron.
Simplified Structure of an Atom
An atom is generally neutral because it contains the same number of electrons and protons. The number of protons
in an atom is also known as the atomic number Z. It specifies the position of that element in the periodic table and
therefore specifies its chemical identity. The electrons, protons, and neutrons in an atom are arranged in a
planetary structure in which the protons and neutrons (the sun) are located at the center and the electrons
(planets) are revolving over the surface of spherical shells (or orbits) of different radii. The center in which the
protons and neutrons are located is known as the nucleus and is similar to a packed sphere. The size of atoms of
different elements varies greatly but is in the range of 1 to 2 × 10−10 m. The nucleus is really small in comparison to
the atom (about 105 times smaller or 10−15m in size).
The attractive coulomb (electrical) force between the positively charged nucleus (due to the protons) and the
negatively charged electrons provides stability to the electrons revolving in the spherical shells. The first shell
(having the smallest radius) is known as the K shell, the second shell as L, the third shell as M, and so on. There is
a limit to the number of electrons that can occupy a given shell. The K shell can be occupied by a maximum of 2
electrons, the L shell by a maximum of 8 electrons, the M shell by a maximum of 18 electrons, and the N shell by a
maximum of 32 electrons. However, the outermost shell in a given atom cannot be occupied by more than eight
electrons. In a simple atom like hydrogen, there is only one electron that under normal circumstances occupies the
K shell. In a complex atom like iodine, there are 53 electrons that are arranged in the K, L, M, N, and O orbits in
numbers of 2, 8, 18, 18, and 7, respectively. The arrangement of electrons in various shells for hydrogen and three
other typical atoms is shown in Fig. 1.1. This is a simplified description of the atomic structure that, in reality, is
more complex as each shell is further divided into sub-shells. For our purpose, however, it is more than sufficient.
2

Fig. 1.1. Simplified atomic structure of four elements in their ground state.
Molecules
Molecules are formed by the combination of two or more atoms (e.g., a molecule of water, HO, is formed by the
2
combination of two hydrogen atoms and one oxygen atom). The combination of atoms is accomplished through the
interaction of electrons (also known as valent electrons) in the outermost orbits of the atom. Valent electrons
participate in the formation of the molecules in several ways—for example, in ionic binding, covalent binding, and
hydrogen binding. In theory, most chemical reactions and chemical properties of atoms or molecules can be
explained on the basis of the interaction of the valent electrons.
Binding Energy, Ionization, and Excitation
Each electron in a given shell is bound to the nucleus with a fixed amount of energy. Therefore, if one wishes to
remove an electron from a particular shell to make it free and no longer associated with that atom, energy will
have to be provided to the electron from outside the atom. The minimum amount of energy necessary to free an
electron from an atom is known as the binding energy of the electron in that atom. The unit in which energy is
measured on the atomic scale is known as an electron volt (eV), which is the energy acquired by an electron
accelerated through 1 volt of potential difference. The electrons in the K shell are the most tightly bound
electrons in an atom and therefore require the most energy to be removed from the atom. Electrons in the
outermost shell, on the other hand, are the least tightly bound electrons and therefore require the least amount
of energy for their removal from the atom. The binding energy of electrons in various shells increases rapidly with
the atomic number Z. Table 1.1 lists the K- and L-shell average binding energies of electrons in the atoms of
various elements.