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R J Ott

Publications and source records attributed to R J Ott.

At least 73 records · Page 4Linked to original sources

Three-dimensional display of data obtained by single photon emission computed tomography.

Three-dimensional display of radioactive distributions has been achieved using data generated by single photon emission computed tomography (SPECT). Computer techniques for constructing images are presented and the special problems associated with manipulating SPECT data are reviewed. The potential role of three-dimensional imaging in nuclear medicine is discussed and SPECT studies from several illustrative cases are presented.

Adult↗

An antibody-desferrioxamine conjugate labelled with 67Ga.

The optimum conditions for producing a 67Ga labelled antibody-desferrioxamine conjugate were determined. The mouse monoclonal antibody LICR-LON-M8 was coupled to the metal chelating compound desferrioxamine (DFO) using glutaraldehyde (GLUT). A DFO:GLUT:M8 molar ratio of 500:150:1 gave an immunoreactive antibody with low amounts (less than 5%) of high molecular weight polymer. The labelling efficiency with 67 Ga was greater than 90%, with a specific activity of 2-4 MBq/mg antibody. This 67Ga labelled antibody is suitable for evaluation as a diagnostic imaging agent.

Animals↗

The measurement of radiation doses from P32 chromic phosphate therapy of the peritoneum using SPECT.

Single photon emission computed tomography (SPECT) has been shown to be of value in estimating the radiation dose to the peritoneum from 32P therapy. Simple dosimetry calculations, assuming uniform irradiation of tissue, indicate that radiation doses of approximately 40 Gy to the peritoneal surface are achieved. However, the images show that the radionuclide distribution is non-uniform, giving rise to radiation dose variations of at least a factor of 10.

Chromium↗

A clinical evaluation of a prototype positron camera for longitudinal emission tomography.

A multiwire proportional-chamber positron camera, developed at the Rutherford Laboratory, has been evaluated at The Royal Marsden Hospital. The prototype camera consists of two opposing 30 X 30 cm2 chambers. Longitudinal tomograms of a positron-emitting radioactive distribution placed between the detectors are obtained via back-projection and 2D-deconvolution. Due to the limited stereoscopic angle achieved with stationary detectors, only five planes parallel to the detector faces are reconstructed. A selection of images is presented of phantoms using 68Ga and of patients using 18F, 18F fluorodeoxyglucose and Na124I, to illustrate the tomographic performance of the positron camera. A comparison between back-projected and deconvoluted images shows that the 2D-deconvolution process, which includes filtration of image noise, successfully removes the background due to scattered photons. The spatial resolution achieved depends on the half-height frequency cut-off used in the filtering process, and this parameter was chosen according to the count density in the back-projected images. A qualitative visual comparison was made between the positron images and equivalent single photon studies on the same patient. The results justify further development of this new detector, especially for use with generator-produced positron-emitting radionuclides. Three-dimensional deconvolution resulted in improved tomographic performance for phantom data, but was less successful for patient data. These problems associated with limited-angle tomography will be overcome by multi-view acquisition. This study has shown that a relatively low-cost positron imaging system can be used for routine organ imaging. Further developments in hardware and software should yield images which are superior to those from single-photon planar or tomographic studies.

Bone Marrow↗

Location of metastatic breast carcinoma by a monoclonal antibody chelate labelled with indium-111.

The ability of a radiolabelled monoclonal antibody, LICR-LON-M8 (M8), to locate metastatic breast carcinomas has been investigated. The scans generated by M8, either when labelled with radioiodine, or when conjugated with diethylenetriamine-pentaacetic acid (DTPA) and labelled with radioactive indium (111In), have been compared with X-rays and 99mTc-methyl diphosphonate (MDP) bone scans. All 10 patients with skeletal metastases had positive 111In-DTPA-M8 scans and the overall correlation with X-rays and MDP scans was good but varied with the region studied. By contrast, radioiodinated M8 did not detect metastases at any site. The discrepancies between 111In-DTPA-M8 images and conventional techniques may be related to the different stages in the evolution and development of the lesion at which the various techniques detect bone metastases.

Antibodies, Monoclonal↗

A comparison of attenuation correction methods for quantitative single photon emission computed tomography.

Transverse section tomograms of experimental phantoms and patients have been obtained using a GE 400T camera and a filtered back-projection reconstruction technique. These tomograms have been compared with the corresponding sections reconstructed from the same tomographic projection data, but using iterative algorithms with correction for photon attenuation. The comparison assesses the importance of including a correction for attenuation as well as demonstrating how closely a simple geometric attenuation correction, applied to the filtered back-projection reconstruction method, approximates to a more accurate correction incorporated in the computation of line integrals during iterative reconstruction. A comparison is also made between the behaviour of reconstruction algorithms with simulated projection data and real data in terms of convergence properties, and some shortcomings arising from simulation are noted.

Humans↗

The limitations of the dual radionuclide subtraction technique for the external detection of tumours by radioiodine-labelled antibodies.

A dual radionuclide subtraction technique for external detection of tumours has been evaluated to determine the viability of the method for use with radioisotope labelled antibodies. A number of external scintigraphic investigations have been carried out with 131I-labelled antibodies to carcinoembryonic antigen (CEA). The investigations were performed on patients with metastatic disease known to produce CEA. The dual radionuclide subtraction technique was used to account for the blood and tissue background. The 131I-labelled antibodies were found to localise in the metastatic lesions, but the subtraction technique using 99Tcm-labelled HSA and pertechnetate gave ambiguous results, which included the production of artefacts. The ambiguities noted in the clinical results were substantiated by experimental data, which highlight the unreliability of this technique.

Antibodies, Neoplasm↗

A comparison between 180 degrees and 360 degrees data reconstruction in single photon emission computed tomography of the liver and spleen.

Single photon emission computed tomography (SPECT) of the liver and spleen has been studied using a GE400T/STAR rotating gamma camera/computer system. We have compared section image contrast, in both phantom and patient studies, produced by 180 degrees and 360 degrees reconstructions of data from a full 360 degrees data acquisition. There is little difference in overall image quality between the two reconstruction modalities. Quantitatively, however, appropriate 180 degrees reconstructions significantly improve lesion contrast in both organs by as much as a factor of two. In all cases studied, the values of image contrast achieved when the 180 degrees arc of reconstruction was centred about the region of interest were higher than the values obtained from the 360 degrees reconstructions. These results are shown to be independent of the corrections made for photon attenuation. Clinically this technique may prove useful in clarifying the presence or absence of disease, particularly in equivocal cases where lesions have poor contrast or are small in size. An extended clinical trial of the technique is now in progress.

Adult↗

The spatial resolution of a rotating gamma camera tomographic facility.

An important feature determining the spatial resolution in transverse sections reconstructed by convolution and back-projection is the frequency filter corresponding to the convolution kernel. Equations have been derived giving the theoretical spatial resolution, for a perfect detector and noise-free data, using four filter functions. Experiments have shown that physical constraints will always limit the resolution that can be achieved with a given system. The experiments indicate that the region of the frequency spectrum between KN/2 and KN where KN is the Nyquist frequency does not contribute significantly to resolution. In order to investigate the physical effect of these filter functions, the spatial resolution of reconstructed images obtained with a GE 400T rotating gamma camera has been measured. The results obtained serve as an aid to choosing appropriate reconstruction filters for use with a rotating gamma camera system.

Air↗

Radioimmunoscintigraphy of squamous carcinomas of the head and neck.

A pilot study was carried out to assess the value of a radiolabeled antibody against epidermal growth factor receptor (EGFR1) in localizing tumors in patients with squamous carcinomas of the head and neck. Positive images of large tumours (greater than 3 cm diameter) were obtained in 8 of 11 patients after intravenous administration of 111indium-labeled EGFR1. Two patients gave equivocal results, while negative scans were obtained from the patient with the smallest tumor (1 cm diameter). There were no false-positive images. The success of this study in localizing relatively large squamous carcinomas indicates that the antibody should be evaluated in patients with smaller tumors to establish the limits of detection of the technique.

Adult↗

Constrained deconvolution of SPECT liver tomograms by direct digital image restoration.

Several techniques for performing digital image restoration are reviewed and the problems associated with evaluating image processing are discussed. An application of constrained deconvulution to images of the liver produced by single-photon emission computed tomography is presented. Specific evaluation criteria are suggested and based on these, the choice of conditions best suited for processing liver images is proposed. Typically cold tumor contrast can be improved by a factor of greater than 2 whilst image mottle increases negligibly.

Filtration↗