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JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. COMPARISON OF TEFLON PHANTOM IMAGE FROM PET/CT SCANNER AND MONTE CARLO SIMULATION Z. Rafidah 1, M.S. Jaafar1, A. Shukri1, M.A.A Khader2 and Abdel Munem E1 1 Medical Physics Research Group, School of Physics, Universiti Sains Malaysia, 11800 Minden, Pulau Pinang, Malaysia. 2 Dept. of Nuclear Medicine, Penang Hospital, Residency Road, 10990 Penang, Malaysia. ABSTRACT The objective of this study was to compare the acquired image of teflon, human bone equivalent material on a Positron Emission Tomography/Computed Tomography (PET/CT) scanner with Monte Carlo simulation (MCNP). The cylindrical shape teflon phantom with dimensions of 19.5 cm length and 5.0 cm diameter was used for imaging with different settings of kilovolts (kV) and milliamperes (mA) of PET/CT. In this simulation, the photon flux in each pixel was accumulated by the Flux Image Radiograph (FIR) tally as flux image detectors and the image was plotted using Microsoft Office Excel. Results show that MCNP image was comparable with that of CT image and the obtained MCNP image depends on pixels size of the FIR tally. ABSTRAK Objektif kajian ini ialah untuk bandingkan imej yang diperolehi teflon, tulang manusia bahan setara pada Positron Emission Tomography / Computed Tomography (PELIHARAAN / CT) pengimbas dengan simulasi Monte Carlo (MCNP). Hantu teflon bentuk silinder dengan dimensi 19.5 cm panjang dan 5.0 cm garis pusat telah digunakan untuk pengimejan dengan persekitaran yang berbeza kilovoltan (kV) dan milliamperes (mA) PET / CT. Dalam simulasi ini, fluks foton dalam setiap piksel telah dikumpulkan oleh Flux Image Radiograph (FIR) kira sebagai pengesan-pengesan imej fluks dan imej dirancang menggunakan Microsoft Office Excel. Keputusan menunjukkan imej MCNP itu setanding dengan daripada imej CT dan memperolehi imej MCNP bergantung kepada saiz pixel catatan FIR. Keywords: PET/CT, MCNP, FIR Tally, teflon phantom. INTRODUCTION PET/CT is a dual-imaging technology which provides functional imaging at the molecular level and anatomical structure of human body. This combined scanner is operated from a single console with application-specific task cards selected for the CT and PET acquisition. The CT tomography is usually in the front of the gantry and the PET tomography is situated at the back of the system. A PET/CT imaging protocol usually involves acquisition of an initial CT scout scan which takes prescribed time of 10 seconds, followed by a CT and a PET scans. The CT scout scan serves as an anatomic reference for the PET/CT scan (Sureshbabu and Mawlawi, 2005). 11 JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. In this work, CT image of teflon phantom is compared to Monte Carlo simulation. This study was done to evaluate the simulation image from FIR tally with CT image acquired from a PET/CT scanner. Monte Carlo numerical simulation methods can be described as statistical methods that use random numbers as a base to perform simulation of any specified situation (Attix, 1986). The demand of Monte Carlo simulation PET/CT imaging is rising due to increasing complexity and cost of technical components. The Monte Carlo method is widely used for solving many scientific problems involving statistical processes and is particularly well suited for medical physics and biomedical engineering applications due to the stochastic nature of radiation emission, transport and detection processes (Zaidi and Ay, 2007). Indeed, Monte Carlo methods are accurate statistical simulation methods, based on first principles that are ideal to simulate particle transport in complex geometry. Applications of Monte Carlo techniques in the field of radiological imaging include performance assessment and optimisation of design geometries and scanning parameters (Ay and Zaidi, 2005). The general idea of MCNP analysis is to create a model which is more or less similar to the real system under study and calculate the interaction within the modelled system based on known probabilities of occurrence using random sampling of probability density functions (pdf) for each event. The evaluation of the effect of physical, geometrical and other design parameters on scanner performance and resulting image quality and patient dose could be achieved through cumbersome experimental measurements using developed test prototypes (DeMarco et al, 2007) or sophisticated Monte Carlo simulations (Colijn and Beekman, 2004). MATERIALS AND METHODS Image from cylindrical shaped teflon phantom was acquired on a Discovery ST PET/CT scanner (General Electric Medical Systems) using different settings of kV and mA; 140 kV, 120 kV, 100 kV, 80 kV and 120 mA, 100 mA and 80 mA respectively. Practically, increasing the kV will increases the electron strike speed, which in turn increases the energy of the X-ray photon beam while increasing the mA increases the number of electrons that become available to produce X-ray. Higher concentrations of electrons will lead to improve image resolution. The phantom is positioned horizontally, on the patient table. Before starting the PET/CT scan, the alignment of the phantom was checked by verifying that the laser lights align with cross line marks on the phantom. The patient table was moved up and down, to and fro, to have the edge of the phantom exactly at the isocenter. Scanning is started once the phantom is properly centered in the PET/CT scanner. The overall scanning time involved 10 seconds scouting and 6 minutes scanning. The image was displayed in Centricity DICOM Viewer and measurements were performed to check the dimensions of the phantom image. The viewer can display a series of four image slices in a single display. MONTE CARLO SIMULATION The teflon phantom with dimensions 19.5 cm length and 5 cm diameter as shown in Figure 1(a), has been simulated with MCNP5 code. MCNP is a general purpose, three dimensional general geometry time-dependent, Monte Carlo–N-particle code that is used to calculate coupled neutron-photon-electron transport. The code allows for generalised 3D object geometry and materials content. This paper focuses mainly on Monte Carlo simulation of the phantom from 12 JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. CT scanner. The specification of the computer that had been used for this simulation is Dell Inspiron 5300 with 3 GHz processor. The FIR planar radiograph flux image tally was used to construct a 2-D image. This study is performed at 40 keV to get the preliminary result from FIR tally. The position of the source, phantom, patient table and detector were maintained at the same distance as that in the real practical situation as shown in Figure 1(b). The universe in the input file was divided into two parts, air and void. The source, phantom and the patient table were placed in the air while the detector was placed in the void in order to construct the image. The particles were initiated from a single cross plane, and were given a direction perpendicular to the imaging plane. The size of the image acquired was 24 x 22 cm2 with a pixel size of about 1 x 1 mm2. No shielding was simulated here in order to simplify the simulation and decrease the run-time to its minimum value. In the simulation, the radiation source covers the whole phantom with X-ray energy of 40 keV and the total simulation time was 5 x 105 s. Source Air Phantom Patient table Void FIR detector (a) (b) Figure 1. The positioning of the phantom (a) in PET/CT scanner and (b) in Monte Carlo simulation. RESULTS AND DISCUSSION The obtained CT image of the phantom is a grey scale image on a black background. Figure 2 shows the CT image from PET/CT scanner. The CT images of the phantom are checked for geometric scaling error in the scanner by measuring the dimension of the phantom in x, y and z directions. The measured dimension in x direction was found to be + 0.2% offset for 5 cm diameter and 0% offset for the 19.5 cm length of the phantom. From these images, we can see that the dimensions of the images are approximately the same as the real dimensions of the phantom. The image analysis part of the Monte Carlo calculation was time consuming as it required manual selection of the parameters of the input file and its simulation. The simulation for obtaining the required image takes approximately 6 days. Figure 3 shows the projection profile of transmitted photon generated by the MCNP file. The different colours of the image show the relative flux on the phantom. It is shown that the MCNP file code can successfully simulate the required CT image. 13 JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. Although the tally was a two dimensional planar tally, the image obtained from the Monte Carlo simulation gave good information about the shape of the phantom. The length of the real phantom is 19.5 cm while the bottom of the image shown is 17.4 cm, an increased of up to 23.2 cm. The diameter of the real phantom is 5 cm while the diameter of the image started from 4.4 cm at the bottom of the image and increased up to 13.2 cm at the top part. Figure 2. CT image of teflon phantom from PET/CT scanner 14 JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. Figure 3. The MCNP5 simulation image of the phantom CONCLUSION The use of the Monte Carlo method to simulate radiation transport has become the most accurate means of simulating medical imaging systems with the aim of optimising instrumentation design or improving the accuracy of quantitative analysis for solving specific problem. This phantom imaging study supports the best scan choice for PET/CT imaging and demonstrates the effective CT photon energy. The dimensions of the MCNP simulated image is approximately the same as that of real dimensions of CT grey scale image of the phantom. Thus, the MCNP file code can successfully simulate the required CT image. The simulation techniques obtained from FIR tally provides valuable information in the future of medical imaging and further work will be embarked using Flux Image Cylinder (FIC) tally to acquire a better 3-D image. ACKNOWLEDGMENTS The author would like to thank all the members of Biophysics and Medical Physics Research Group, School of Physics, USM, Dato’ Dr Mohamed Ali Abdul Khader and all the staff at Nuclear Medicine Department in Penang Hospital for their co-operation, encouragement and support. 15 JOURNAL of NUCLEAR And Related TECHNOLOGIES, Vol. 6, No. 2, December, 2009. REFERENCES Attix F. H. (1986), Introduction to Radiological Physics and Radiation Dosimetry, Canada, pp 531-541. Ay M., Zaidi H. (2005), Development and validation of MCNP4C based Monte Carlo simulator for fan and cone-beam X-ray CT.Phys Med Biol 50:4863–4885. Colijn A. P., Beekman FJ (2004.), Accelerated simulation of cone beam X-ray scatter projections. IEEE Trans Med Imaging 23:584–590. DeMarco J. J., Cagnon CH, Cody DD, Stevens DM, McColloug CH, Zankl M. (2007), Estimating radiation doses from multidetector CT using Monte Carlo simulations: effects of different size voxelised patient models on magnitudes of organ and effective dose. Phys Med Biol 52:2583–2597. Sureshbabu W., Mawlawi O. (2005), PET/CT imaging artifacts. J Nucl Med Technol. 33: 156161. Zaidi H., Ay M. R. (2007), Current status and new horizons in Monte Carlo simulation of Xray CT scanners Med Bio Eng Comput 45:809–817. 16