US2016287903A1PendingUtilityA1

System and method for determining amount of radioactive material to administer to a patient

Assignee: UNIV JOHNS HOPKINSPriority: Nov 21, 2006Filed: Apr 19, 2016Published: Oct 6, 2016
Est. expiryNov 21, 2026(~0.3 yrs left)· nominal 20-yr term from priority
A61B 6/032A61B 6/037A61N 2005/1089A61B 6/5217A61N 5/1031A61N 5/1039
43
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Claims

Abstract

A computerized system and method are provided for determining an optimum amount of radioactivity to administer to a patient, comprising: assuming an activity retention limit; utilizing the activity retention limit to determine a dose rate for a phantom category; utilizing the dose rate for the phantom category to determine the dose rate for a second phantom category; and utilizing the dose rate for a second phantom category to find information regarding the second phantom category. In other embodiments, a computerized system and method are provided for determining an optimum amount of radioactivity to administer to a patient, comprising: obtaining at least one image relating to anatomy of a particular patient; obtaining multiple images regarding radioactivity distribution over time in the particular patient; combining the radioactivity images with the anatomy images; running a Monte Carlo simulation to obtain dose image information; and using the dose image information to obtain BED and/or EUD information.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . A computerized method for determining an optimum amount of radioactivity to administer to a patient, comprising:
 assuming an activity retention limit; utilizing the activity retention limit to determine a dose rate for a phantom category;   utilizing the dose rate for the phantom category to determine the dose rate for a second phantom category; and   utilizing the dose rate for a second phantom category to find information regarding the second phantom category.   
     
     
         2 . The method of  claim 1 , wherein the information is the activity retention limit for the second phantom category. 
     
     
         3 . The method of  claim 1 , further comprising:
 obtaining the mean absorbed dose by integrating the dose rate over time;   using the mean absorbed dose to determine an optimum amount of radioactivity to administer to the patient.   
     
     
         4 . The method of  claim 1 , wherein a dose rate resulting from short range particulate emissions is distinguished from a dose rate resulting from longer range emissions. 
     
     
         5 . The method of  claim 4 , wherein the short range particulate emissions are electrons. 
     
     
         6 . The method of  claim 4 , wherein the longer range emissions are photons. 
     
     
         7 . The method of  claim 1 , wherein utilizing the activity retention limit to determine the dose rate for the phantom category further comprises calculating how the dose rate is related to the activity retention limit in a particular point in time. 
     
     
         8 . The method of  claim 1 , wherein utilizing the activity retention limit to determine the dose rate for the phantom category further comprises using the following formula:
   DR P ( t )= A   LU ( t )· S   LU←LU   P   +A   RB ( t )· S   LU←RB   P    (1),
   
       with: 
       
         
           
             
               
                 
                   
                     
                       
                         
                           A 
                           LU 
                         
                          
                         
                           ( 
                           t 
                           ) 
                         
                       
                       = 
                       
                         
                           
                             
                               A 
                               T 
                             
                             · 
                             
                               F 
                               T 
                             
                           
                           
                              
                             
                               
                                 
                                   - 
                                   
                                     π 
                                     LU 
                                   
                                 
                                 · 
                                 T 
                               
                                
                               
                                   
                               
                             
                           
                         
                          
                         
                            
                           
                             
                               - 
                               
                                 λ 
                                 LU 
                               
                             
                             · 
                             T 
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     2 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         
                           A 
                           RB 
                         
                          
                         
                           ( 
                           t 
                           ) 
                         
                       
                       = 
                       
                         
                           
                             
                               A 
                               T 
                             
                             · 
                             
                               ( 
                               
                                 1 
                                 - 
                                 
                                   F 
                                   T 
                                 
                               
                               ) 
                             
                           
                           
                              
                             
                               
                                 - 
                                 
                                   λ 
                                   RB 
                                 
                               
                               · 
                               T 
                             
                           
                         
                          
                         
                            
                           
                             
                               - 
                               
                                 λ 
                                 RB 
                               
                             
                             · 
                             T 
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     3 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         S 
                         
                           LU 
                           ← 
                           RB 
                         
                         P 
                       
                       = 
                       
                         
                           
                             S 
                             
                               LU 
                               ← 
                               TB 
                             
                             P 
                           
                           · 
                           
                             
                               M 
                               TB 
                               P 
                             
                             
                               
                                 M 
                                 TB 
                                 P 
                               
                               - 
                               
                                 M 
                                 LU 
                                 P 
                               
                             
                           
                         
                         - 
                         
                           
                             S 
                             
                               LU 
                               ← 
                               LU 
                             
                             P 
                           
                           · 
                           
                             
                               M 
                               LU 
                               P 
                             
                             
                               
                                 M 
                                 TB 
                                 P 
                               
                               - 
                               
                                 M 
                                 LU 
                                 P 
                               
                             
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     4 
                     ) 
                   
                 
               
             
           
         
         A LU (t) lung activity at time t,| 
         S LU←LU   P  lung to lung  131 I S-factor for reference phantom, P, 
         A RB (t) remainder body activity (total-body-lung) at time, t, 
         S LU←RB   P  remainder body to hung  131 I S-factor for reference phantom, P, 
         A T  whole-body activity at time, T, 
         F T  fraction of A T  that is in the lungs at time, T, 
         λ LU  effective clearance rate from lungs (=ln(2)/T E ; with T E =effective half-life), 
         λRB effective clearance rate from remainder body (=ln(2)/T RB , with T RB =effective half-life in remainder body), 
         S LU←TB   P  total-body to lung  131 I S-factor for reference phantom. P, 
         M RB   P  total-body mass of reference phantom. P, 
         M LU   P  lung mass of reference phantom. P. 
       
     
     
         9 . The method of  claim 3 , wherein obtaining the mean absorbed dose by integrating the dose rate over time further comprises utilizing the following formula:
   DLU= Ã   LU   ·S   LU←LU   P   +Ã   RB   ·S   LU←RB   P    (9)
   
       with 
       
         
           
             
               
                 
                   
                     
                       
                         
                           A 
                           ~ 
                         
                         LU 
                       
                       = 
                       
                         
                           
                             
                               A 
                               DRC 
                               P 
                             
                             · 
                             
                               F 
                               48 
                             
                             · 
                             
                                
                               
                                 
                                   
                                     l 
                                      
                                     
                                         
                                     
                                      
                                     
                                       n 
                                        
                                       
                                         ( 
                                         2 
                                         ) 
                                       
                                     
                                   
                                   
                                     T 
                                     E 
                                   
                                 
                                  
                                 T 
                               
                             
                           
                           
                             ln 
                              
                             
                               ( 
                               2 
                               ) 
                             
                           
                         
                         · 
                         
                           T 
                           E 
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     10 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         A 
                         ~ 
                       
                       RB 
                     
                     = 
                     
                       
                         
                           
                             A 
                             DRC 
                             P 
                           
                           · 
                           
                             ( 
                             
                               1 
                               - 
                               
                                 F 
                                 48 
                               
                             
                             ) 
                           
                           · 
                           
                              
                             
                               
                                   
                               
                                
                               
                                 
                                   
                                     l 
                                      
                                     
                                         
                                     
                                      
                                     
                                       n 
                                        
                                       
                                         ( 
                                         2 
                                         ) 
                                       
                                     
                                   
                                   
                                     T 
                                     RB 
                                   
                                 
                                 · 
                                 T 
                               
                             
                           
                         
                         
                           ln 
                            
                           
                             ( 
                             2 
                             ) 
                           
                         
                       
                       · 
                       
                         
                           T 
                           RB 
                         
                         . 
                       
                     
                   
                 
                 
                   
                     ( 
                     11 
                     ) 
                   
                 
               
             
           
         
       
     
     
         10 . A computerized system for determining an optimum amount of radioactivity to administer to a patient, comprising:
 a server coupled to a network;   a user terminal coupled to the network;   an application coupled to the server and/or the user terminal, wherein the application is configured for:
 assuming an activity retention limit; 
 utilizing the activity retention limit to determine a dose rate for a phantom category; 
 utilizing the dose rate for the phantom category to determine the dose rate for a second phantom category; and 
 utilizing the dose rate for a second phantom category to find information regarding the second phantom category. 
   
     
     
         11 . The system of  claim 10 , wherein the information is the activity retention limit for the second phantom category. 
     
     
         12 . The system of  claim 10 , wherein the application is further configured for: obtaining the mean absorbed dose by integrating the dose rate over time; using the mean absorbed dose to determine an optimum amount of radioactivity to administer to the patient. 
     
     
         13 . The system of  claim 10 , wherein a dose rate resulting from short range particulate emissions is distinguished from a dose rate resulting from longer range emissions. 
     
     
         14 . The system of  claim 13 , wherein the short range particulate emissions are electrons. 
     
     
         15 . The system of  claim 13 , wherein the longer range emissions are photons. 
     
     
         16 . The system of  claim 10 , wherein utilizing the activity retention limit to determine the dose rate for the phantom category further comprises calculating how the dose rate is related to the activity retention limit in a particular point in time. 
     
     
         17 . The system of  claim 10 , wherein utilizing the activity retention limit to determine the dose rate for the phantom category further comprises using the following formula:
   DR P ( t )= A   LU ( t ) ·S   LU←LU   P   +A   RB ( t )· S   LU←RB   P    (1),
   
       with: 
       
         
           
             
               
                 
                   
                     
                       
                         
                           A 
                           LU 
                         
                          
                         
                           ( 
                           t 
                           ) 
                         
                       
                       = 
                       
                         
                           
                             
                               A 
                               T 
                             
                             · 
                             
                               F 
                               T 
                             
                           
                           
                              
                             
                               
                                 
                                   - 
                                   
                                     π 
                                     RB 
                                   
                                 
                                 · 
                                 T 
                               
                                
                               
                                   
                               
                             
                           
                         
                          
                         
                            
                           
                             
                               - 
                               
                                 λ 
                                 LU 
                               
                             
                             · 
                             T 
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     2 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         
                           A 
                           RB 
                         
                          
                         
                           ( 
                           t 
                           ) 
                         
                       
                       = 
                       
                         
                           
                             
                               A 
                               T 
                             
                             · 
                             
                               ( 
                               
                                 1 
                                 - 
                                 
                                   F 
                                   T 
                                 
                               
                               ) 
                             
                           
                           
                              
                             
                               
                                 - 
                                 
                                   λ 
                                   RB 
                                 
                               
                               · 
                               T 
                             
                           
                         
                          
                         
                            
                           
                             
                               - 
                               
                                 λ 
                                 RB 
                               
                             
                             · 
                             T 
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     3 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         S 
                         
                           LU 
                           ← 
                           RB 
                         
                         P 
                       
                       = 
                       
                         
                           
                             S 
                             
                               LU 
                               ← 
                               TB 
                             
                             P 
                           
                           · 
                           
                             
                               M 
                               TB 
                               P 
                             
                             
                               
                                 M 
                                 TB 
                                 P 
                               
                               - 
                               
                                 M 
                                 LU 
                                 P 
                               
                             
                           
                         
                         - 
                         
                           
                             S 
                             
                               LU 
                               ← 
                               LU 
                             
                             P 
                           
                           · 
                           
                             
                               M 
                               LU 
                               P 
                             
                             
                               
                                 M 
                                 TB 
                                 P 
                               
                               - 
                               
                                 M 
                                 LU 
                                 P 
                               
                             
                           
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     4 
                     ) 
                   
                 
               
             
           
         
         A LU (t) lung activity at time t,| 
         S LU←LU   P  lung to lung  131 I S-factor for reference phantom, P, 
         A RB (t) remainder body activity (total-body-lung) at time, t, 
         S LU←RB   P  remainder body to hung  131 I S-factor for reference phantom, P, 
         A T  whole-body activity at time, T, 
         F T  fraction of A T  that is in the lungs at time, T, 
         λ LU  effective clearance rate from lungs (=ln(2)/T E ; with T E =effective half-life), 
         λRB effective clearance rate from remainder body (=ln(2)/T RB , with T RB =effective half-life in remainder body), 
         S LU←RB   P  total-body to lung  131 I S-factor for reference phantom. P, 
         M RB   P  total-body mass of reference phantom. P, 
         M LU   P  lung mass of reference phantom. P. 
       
     
     
         18 . The method of  claim 12 , wherein obtaining the mean absorbed dose by integrating the dose rate over time further comprises utilizing the following formula:
   DLU= Ã   LU   ·S   LU←LU   P   +Ã   RB   ·S   LU←RB   P    (9)
   
       with 
       
         
           
             
               
                 
                   
                     
                       
                         
                           A 
                           ~ 
                         
                         LU 
                       
                       = 
                       
                         
                           
                             
                               A 
                               DRC 
                               P 
                             
                             · 
                             
                               F 
                               48 
                             
                             · 
                             
                                
                               
                                 
                                   
                                     l 
                                      
                                     
                                         
                                     
                                      
                                     
                                       n 
                                        
                                       
                                         ( 
                                         2 
                                         ) 
                                       
                                     
                                   
                                   
                                     T 
                                     E 
                                   
                                 
                                  
                                 T 
                               
                             
                           
                           
                             ln 
                              
                             
                               ( 
                               2 
                               ) 
                             
                           
                         
                         · 
                         
                           T 
                           E 
                         
                       
                     
                     , 
                   
                 
                 
                   
                     ( 
                     10 
                     ) 
                   
                 
               
               
                 
                   
                     
                       
                         A 
                         ~ 
                       
                       RB 
                     
                     = 
                     
                       
                         
                           
                             A 
                             DRC 
                             P 
                           
                           · 
                           
                             ( 
                             
                               1 
                               - 
                               
                                 F 
                                 48 
                               
                             
                             ) 
                           
                           · 
                           
                              
                             
                               
                                   
                               
                                
                               
                                 
                                   
                                     l 
                                      
                                     
                                         
                                     
                                      
                                     
                                       n 
                                        
                                       
                                         ( 
                                         2 
                                         ) 
                                       
                                     
                                   
                                   
                                     T 
                                     RB 
                                   
                                 
                                 · 
                                 T 
                               
                             
                           
                         
                         
                           ln 
                            
                           
                             ( 
                             2 
                             ) 
                           
                         
                       
                       · 
                       
                         
                           T 
                           RB 
                         
                         . 
                       
                     
                   
                 
                 
                   
                     ( 
                     11 
                     )

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