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At least 19 records
All sourcesNASA NTRSDOE OSTI
DOE OSTI2013

Rapid determination of radiostrontium in seawater samples

A new method for the determination of radiostrontium in seawater samples has been developed at the Savannah River National Laboratory (SRNL) that allows rapid preconcentration and separation of strontium and yttrium isotopes in seawater samples for measurement. The new SRNL method employs a novel and effective pre-concentration step that utilizes a blend of calcium phosphate with iron hydroxide to collect both strontium and yttrium rapidly from the seawater matrix with enhanced chemical yields. The pre-concentration steps, in combination with rapid Sr Resin and DGA Resin cartridge separation options using vacuum box technology, allow seawater samples up to 10 liters to be analyzed. The total 89 Sr + 90 Sr activity may be determined by gas flow proportional counting and recounted after ingrowth of 90 Y to differentiate 89 Sr from 90 Sr. Gas flow proportional counting provides a lower method detection limit than liquid scintillation or Cerenkov counting and allows simultaneous counting of samples. Simultaneous counting allows for longer count times and lower method detection limits without handling very large aliquots of seawater. Seawater samples up to 6 liters may be analyzed using Sr Resin for 89 Sr and 90 Sr with a Minimum Detectable Activity (MDA) of 1-10 mBq/L, depending on count times. Seawater samples up to 10 liters may be analyzed for 90 Sr using a DGA Resin method via collection and purification of 90 Y only. If 89 Sr and other fission products are present, then 91 Y (beta energy 1.55 MeV, 58.5 day half-life) is also likely to be present. 91 Y interferes with attempts to collect 90 Y directly from the seawater sample without initial purification of Sr isotopes first and 90 Y ingrowth. The DGA Resin option can be used to determine 90 Sr, and if 91 Y is also present, an ingrowth option with using DGA Resin again to collect 90 Y can be performed. An MDA for 90 Sr of <1 mBq/L for an 8 hour count may be obtained using 10 liter seawater sample aliquots.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗
DOE OSTI2025

Deuteron-induced reactions on natural Zr from threshold to 50 MeV: production of 86g Y

Two stacks of thin Zr foils were irradiated with 30 and 50 MeV deuterons, respectively, using the Lawrence Berkeley National Laboratory 88-Inch Cyclotron, and 19 excitation functions for nat Zr(d,x) reactions were measured over a beam energy range of 6.3–47.64 MeV, where the independent cross sections for nat Zr(d,x) 88 Nb and nat Zr(d,x) 86m,g Y were measured for the first time. The well-characterized nat Fe(d,x) 56 Co, nat Ni(d,x) 56 Co, nat Ni(d,x) 58 Co, nat Ni(d,x) 61 Cu, nat Ti(d,x) 46 Sc and nat Ti(d,x) 48 V monitor reactions were used to determine the deuteron beam current throughout the stacks. All cross sections were determined using High Purity Germanium (HPGe) detector γ-ray spectroscopy. A variance minimization technique was employed to simultaneously constrain the deuteron beam currents with multiple monitor reactions, thus reducing systematic uncertainties. An additional 16 channels are reported for reactions on the nickel, titanium, and iron monitor foils, leading to a total of 35 excitation functions, with seven reaction channels reported for the first time in this work. The measured excitation functions are compared to calculations provided by the reaction modeling codes TALYS – 2.0, ALICE – 2020, CoH – 3.5.3 and EMPIRE – 3.2.3, as well as the TENDL – 2023 data library. The degree of agreement between theory and experiments is discussed. The possible production of the important PET radionuclide 86g Y via the nat Zr(d,x) route was critically examined. The physical yields for nat Zr(d,x) 86 Y and other yttrium isotopes produced were calculated and compared to other production pathways. Due to high-level of associated radionuclide impurities, this route cannot deliver 86g Y suitable for medical applications.

86gY↗
DOE OSTI2012

Nucleosynthesis in a massive star associated with magnetohydrodynamical jets from collapsars

We investigate the nucleosynthesis during the stellar evolution and the jet-like supernova explosion of a massive star of 70 M{sub Circled-Dot-Operator} having the solar metallicity in the main sequence stage. The nucleosynthesis calculations have been performed with large nuclear reaction networks, where the weak s-, p-, and r-processes are taken into account. As a result s-elements of 60 > A > 90 and r-elements of 90 > A > 160 are highly overproduced relative to the solar system abundances. We find that the Sr-Y-Zr isotopes are primarily synthesized in the explosive nucleosynthesis which could be one of the sites of the lighter element primary process (LEPP).

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2011

Identification of fission-like events in the {sup 16}O + {sup 181}Ta system: Mass and isotopic yield distribution

In this paper, nuclear reaction cross sections for 24 fission-like fragments (30{<=}Z{<=}60) have been measured for the 6.5 MeV/A {sup 16}O + {sup 181}Ta system. The recoil-catcher activation technique was employed followed by off-line {gamma} spectroscopy. The isotopic yield distributions for yttrium and indium isotopes have been obtained from the experimental data. The variance of the presently measured isotopic yield distributions have been found to be in agreement with the literature values. However, the variance of the mass distribution of fission residues has found to be narrower as compared to other relatively heavier systems. A self-consistent approach to determining the isobaric charge dispersion parameters has been adopted. The measured fission cross sections at 97 and 100 MeV are satisfactorily described by a statistical model code. An attempt has been made to explain the production cross sections of intermediate mass residues in the fission of heavy residues populated via complete and/or incomplete fusion processes.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2011

Shape evolution in yttrium and niobium neutron-rich isotopes

The isotopic evolution of the ground-state nuclear shapes and the systematics of one-quasiproton configurations are studied in neutron-rich odd-A yttrium and niobium isotopes. We use a self-consistent Hartree-Fock-Bogoliubov formalism based on the Gogny energy density functional with two parametrizations, D1S and D1M. The equal-filling approximation is used to describe odd-A nuclei preserving both axial and time-reversal symmetries. Shape-transition signatures are identified in the N=60 isotopes in both the charge radii and spin parities of the ground states. These signatures are a common characteristic for nuclei in the whole mass region. The nuclear deformation and shape coexistence inherent to this mass region are shown to play a relevant role in the understanding of the spectroscopic features of the ground and low-lying one-quasiproton states. Finally, a global picture of the neutron-rich A{approx}100 mass region from krypton up to molybdenum isotopes is illustrated with the systematics of the nuclear charge radii isotopic shifts.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2011

Nuclear Data Sheets for A = 93

Nuclear structure data pertaining to all nuclei with mass number A=93 (Se, Br, Kr, Rb, Sr, Y, Zr, Nb, Mo, Tc, Ru, Rh, Pd, Ag) have been compiled and evaluated and incorporated into the ENSDF data file. This publication for A=93 supersedes the previous publication by C.M. Baglin, Nuclear Data Sheets80, 1 (1997) (literature cutoff date November 1996) and subsequent revisions by C.M. Baglin of the ENSDF files for 93Br and {sup 93}Kr (literature cutoff 26 February 2001) and for {sup 93}Rh (literature cutoff 27 February 2001); it includes all data available prior to 15 December 2010. Significant changes since prior evaluations include the following: 2010Hw03 identified several high-spin states in {sup 93}Kr in {sup 252}Cf SF decay; in addition to the many low-spin levels already known in {sup 93}Rb from {beta}{sup -} decay, several higher-spin states have now been identified in a {sup 252}Cf SF decay study (2009Hw03); this SF decay has also been used to identify additional states in {sup 93}Sr (2003Hw01) and the {sup 238}U({sup 82}Se,X{gamma}) reaction (2007Bu35) has provided new information on {sup 93}Y. (HI,xn{gamma}) reaction studies have expanded our knowledge of the structure of {sup 93}Zr (2002Fo03, 2005Pa48), {sup 93}Nb (2007Wa45), {sup 93}Mo (2005Fu01), {sup 93}Tc (2003Ha22) and {sup 93}Pd (2004So04,2004Ru02). Considerable information on {sup 93}Nb was provided by a (p,2n{gamma}) study (2010Or01, 2006Or09, 2007Or01). The level schemes of {sup 93}Ru, {sup 93}Rh and {sup 93}Pd have undergone the most extensive revision thanks to studies of {sup 93}Rh {epsilon} decay (2004De40), {sup 94}Ag {epsilon}p decay (2004Mu30) and {sup 94}Ag p decay (2005Mu15, 2005Mu30), respectively. The half-life of the Zr member of this chain is of particular interest because of {sup 93}Zr's large contribution to long-term activity of nuclear reactor waste and also due to its potential as a supernova chronometer. During 2010, two new well-documented measurements of T{sub 1/2}({sup 93}Zr) were published (2010Ya01 and 2010Ca01); one agrees well with an earlier, undocumented measurement but, unfortunately, the other is many standard deviations lower for reasons which are not immediately apparent.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2012

Reaction rate uncertainties and the {nu}p-process

Current hydrodynamical simulations of core collapse supernovae find proton-rich early ejecta. At the same time, the models fail to eject neutron-rich matter, thus leaving the origin of the main r-process elements unsolved. However, the proton-rich neutrino-driven winds from supernovae have been identified as a possible production site for light n-capture elements beyond iron (such as Ge, Sr, Y, Zr) through the {nu}p-process. The detailed nucleosynthesis patterns of the {nu}p-process depend on the hydrodynamic conditions and the nuclear reaction rates of key reactions. We investigate the impact of reaction rate uncertainties on the {nu}p-process nucleosynthesis.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2012

Practical Vascular Anatomy in the Preparation of Radioembolization

As the incidence of primary and metastatic liver cancer continues to increase, the use of minimally invasive techniques as a treatment option is becoming more common. Radioembolization, a form of intra-arterial brachytherapy, is a technique where particles of glass or resin, impregnated with the isotope {sup 90}yttrium ({sup 90}Y), are infused through a catheter directly into the hepatic arteries. This modality is based on the fact that hepatic malignancies receive their blood supply from the hepatic artery, whereas normal hepatocytes are perfused mostly from the portal circulation, which allows delivery of high doses to the tumor vasculature with relative sparing of normal liver tissue. This has been shown to be effective for both primary and metastatic tumors. A variety of complications may be related to hepatic intra-arterial treatments, especially to the gastroduodenal region. These complications are known to come from inadvertent extrahepatic infusion of {sup 90}Y particles, through arteries originating from the hepatic arterial branches such as the falciform artery, cystic artery, arteries from the pancreaticoduodenal arcade, gastroduodenal artery, or right gastric artery. Surgeons and interventional radiologists rely on accurate imaging and assessment of the hepatic arterial supply. It is important to know the common anatomic variations and technical considerations before radioembolization. We recommend an aggressive occlusion of all the above-mentioned arteries; further, clinicians should watch out for any other aberrant branches, and if in doubt, they ought to be coiled.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Technical Solutions to Ensure Safe Yttrium-90 Radioembolization in Patients With Initial Extrahepatic Deposition of {sup 99m}Technetium-Albumin Macroaggregates

Purpose: To evaluate the incidence of extrahepatic deposition of technetium-99m-labeled albumin macroaggregates ({sup 99m}Tc-MAA) after pretreatment angiography, before yttrium-90 radioembolizaton ({sup 90}Y-RE), and to report on technical solutions that can be used to ensure safe delivery of {sup 90}Y-microspheres in patients with initial extrahepatic deposition. Materials and Methods: A retrospective analysis of 26 patients with primary and secondary liver malignancies, who were scheduled for treatment with {sup 90}Y-RE in our institution in 2009, was performed. The angiograms and single-photon emission computed tomography images of all patients were reviewed by an interventional radiologist and a nuclear medicine physician, respectively, to identify and localize extrahepatic deposition of {sup 99m}Tc-MAA when present. Subsequently, the technical solutions were used to successfully perform {sup 90}Y-RE in these patients were evaluated and described. Results: Extrahepatic deposition of {sup 99m}Tc-MAA was observed in 8 of 26 patients (31%). In 7 of 8 patients, a second pretreatment angiography was performed to detect the cause of extrahepatic deposition. The technical solutions to enable safe {sup 90}Y microspheres delivery included more distal placement of the microcatheter in the proper/right hepatic artery in 4 of 7 (57%) patients; (super)selective catheterization of multiple segmental branches in 2 of 7 (29%); and additional coiling of a newly detected branch in the remaining patient (14%). This was confirmed by a second MAA procedure. {sup 90}Y-RE was eventually performed in 25 of 26 (96%) patients. No procedure-related complications (<30 days) were observed. Conclusion: Extrahepatic deposition of {sup 99m}Tc-MAA after pretreatment angiography did occur in 8 of 26 (31%) patients. The technical solutions as presented allowed safe {sup 90}Y-RE delivery in 25 of 26 (96%) patients.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2018

Optimized anion exchange column isolation of zirconium-89 (89Zr) from yttrium cyclotron target: Method development and implementation on an automated fluidic platform

Zirconium-89 (89Zr), produced by the (p,n) reaction from naturally monoisotopic yttrium (natY), is a promising positron emitting isotope for immunoPET imaging. Its long half-life of 78.4 h is sufficient for evaluating slow physiological processes. A prototype automated fluidic system, coupled to on-line and in-line detectors, has been constructed to facilitate development of new 89Zr purification methodologies. The highly reproducible reagent delivery platform and near-real time monitoring of column effluents allows for efficient method optimization. The separation of Zr from dissolved Y metal targets was evaluated using several anion exchange resins. Each resin was evaluated against its ability to quantitatively capture Zr from a load solution that is high in dissolved Y. The most appropriate anion exchange resin for this application was identified, and the separation method was optimized. The method is capable of a high Y decontamination factor (>105) and has been shown to separate Fe, an abundant contaminant in Y foils, from the 89Zr elution fraction. Finally, the performance of the method was evaluated using cyclotron bombarded Y foil targets. The separation method was shown to achieve >95% recovery of the 89Zr present in the foils. The 89Zr eluent, however, was in a chemical matrix not immediately conducive to labeling onto proteins. The main intent of this study was to develop a tandem column 89Zr purification process, wherein the anion exchange column method described here is the first separation in a dual-column purification process.

Zirconium-89, ImmunoPET, medical isotope, automati↗
DOE OSTI2013

Isotope Specific Remediation Media and Systems - 13614

On March 11, 2011, now two years ago, the magnitude 9.0 Great East Japan earthquake, Tohoku, hit off the Fukushima coast of Japan. While, of course, most of the outcome of this unprecedented natural and manmade disaster was a negative, both in Japan and worldwide, there have been some extremely invaluable lessons learned and new emergency recovery technologies and systems developed. As always, the mother of invention is necessity. Among these developments has been the development and full-scale implementation of proven isotope specific media (ISMs) with the intent of surgically removing specific hazardous isotopes for the purpose of minimizing dose to workers and the environment. The first such ISMs to be deployed at the Fukushima site were those removing cesium (Cs-137) and iodine (I-129). Since deployment on June 17, 2011, along with treated cooling water recycle, some 70% of the curies in the building liquid wastes have been removed by the Kurion system alone. The current levels of cesium are now only 2% of the original levels. Such an unprecedented, 'external cooling system' not only allowed the eventual cold shut down of the reactors in mid-December, 2011, but has allowed workers to concentrate on the cleanup of other areas of the site. Water treatment will continue for quite some time due to continued leakage into the buildings and the eventual goal of cleaning up the reactors and fuel pools themselves. With the cesium removal now in routine operation, other isotopes of concern are likely to become priorities. One such isotope is that of strontium, and yttrium (Sr-90 and Y-90), which is still at original levels causing further dose issues as well as impediments to discharge of the treated waste waters. For over a year now, a new synthetic strontium specific media has been under development and testing both in our licensed facility in Oak Ridge, Tennessee, but also in confirmatory tests by the Japan Atomic Energy Agency (JAEA) in Japan for Tokyo Electric Power Company (TEPCO). The tests have proven quite successful, even in high salt conditions, and, with loading and dose calculations being completed, will be proposed to add to the existing cesium system. There is no doubt, as high gamma isotopes are removed, other recalcitrant isotopes such as this will require innovative removal media, systems and techniques. Also coming out of this international effort are other ISM media and systems that can be applied more broadly to both Commercial Nuclear Power Plants (NPPs) as well as in Department of Energy (DOE) applications. This cesium and strontium specific media has further been successfully tested in 2012 at a Magnox station in the UK. The resulting proposed mitigation systems for pond and vault cleanup look quite promising. An extremely unusual ISM for carbon 14 (C-14), nickel (Ni-63) and cesium (Cs-137) has been developed for Diablo Canyon NPP for dose reduction testing in their fuel pool. These media will be deployed in Submersible Media Filter (SMF) and Submersible Columns (SC) systems adapted to standard Tri-Nuclear{sup R} housings common in the U.S. and UK. External Vessel Systems (mini-Fukushima) have also been developed as a second mitigation system for D and D and outages. Finally, technetium (Tc- 99) specific media developed for the Waste Treatment Plant (WTP) recycle or condensate (secondary) waste streams (WM 2011) are being further perfected and tested for At-Tank Tc-99 removal, as well as At Tank Cs media. In addition to the on-going media development, systems for deploying such media have developed over the last year and are in laboratory- and full-scale testing. These systems include the fore mentioned Submersible Media Filters (SMF), Submersible Columns (SC) and external pilot- and full-scale, lead-lag, canister systems. This paper will include the media development and testing, as well as that of the deployment systems themselves. (authors)

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE W↗
DOE OSTI2014

Production of Positron Emitting Radiometals: Cu-64, Y-86, Zr-89. Final report

This proposal seeks support to increase our production of the radionuclides yttrium-86 and zirconium-89 while continuing to produce copper-64. We have the advantage that we already ship out copper-64 to some 20-25 institutions per week (over 60 different institutions total including 4 Canadian sites) and thus our group already has significant experience with producing, purifying and shipping radioactive materials. A significant portion of the funds requested supported the purchase of a new hotcell for the production of zirconium-89 and yttrium-86.

38 RADIATION CHEMISTRY, RADIOCHEMISTRY, AND NUCLEA↗
DOE OSTI2012

Transarterial Hepatic Yttrium-90 Radioembolization in Patients with Unresectable Intrahepatic Cholangiocarcinoma: Factors Associated with Prolonged Survival

Introduction: In unresectable intrahepatic cholangiocarcinoma (ICC), systemic chemotherapy often is viewed as the only option, although efficacy is limited. Radioembolization (RE) using yttrium-90 ({sup 90}Y) microspheres is an accepted therapy for patients with hepatocellular-carcinoma or metastatic liver tumors. However, there are limited data on the value of RE in patients with ICC and few data on factors influencing prognosis. The purpose of our retrospective analysis was to establish which factors influenced time-to-progression (TTP) and overall survival (OS). Methods: Patients with unresectable ICC were treated with {sup 90}Y resin-microspheres and assessed at 3-monthly intervals. Radiologic response was evaluated by using Response Criteria in Solid Tumors (RECIST). Baseline characteristics, biochemical/clinical toxicities, and response were examined for impact on TTP and OS. Results: Thirty-four treatments were administered to 33 patients without major complications. By RECIST, 12 patients had a partial response, 17 had stable disease, and 5 had progressive disease after 3 months. The median OS was 22 months posttreatment and 43.7 months postdiagnosis. Median TTP was 9.8 months. Survival and TTP were significantly prolonged in patients with ECOG 0 (vs. ECOG 1 or 2; median OS: 29.4, 10, and 5.1 months; TTP: 17.5, 6.9, and 2.4 months), tumor burden {<=}25% (OS: 26.7 vs. 6 months; TTP: 17.5 vs. 2.3 months), or tumor response (PR or SD vs. PD; OS: 35.5, 17.7 vs. 5.7 months; TTP: 31.9, 9.8 vs. 2.5 months), respectively (P < 0.001). Conclusions: Radioembolization is an effective and safe option for patients with unresectable ICC. Predictors for prolonged survival are performance status, tumor burden, and RECIST response.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Current Role of Selective Internal Irradiation With Yttrium-90 Microspheres in the Management of Hepatocellular Carcinoma: A Systematic Review

Purpose: This article reviews the role of selective internal irradiation (SIR) with yttrium-90 ({sup 90}Y) microspheres for hepatocellular carcinoma (HCC). Methods and Materials: Studies were identified by searching Medline and PubMed databases for articles from 1990 to 2009 using the keywords 'selective internal irradiation,' 'hepatocellular carcinoma,' 'therapeutic embolization,' and 'yttrium-90.' Results: {sup 90}Y microspheres are a safe and well-tolerated therapy for unresectable HCC (median survival range, 7 -21.6 months). The evidence was limited to cohort studies and comparative studies with historical control. {sup 90}Y microspheres have been reported to downstage unresectable HCC to allow for salvage treatments with curative intent, act as a bridging therapy before liver transplantation, and treat HCC with curative intent for patients who are not surgical candidates because of comorbidities. Conclusions: {sup 90}Y microsphere is recommended as an option of palliative therapy for large or multifocal HCC without major portal vein invasion or extrahepatic spread. It can also be used for recurrent unresectable HCC, as a bridging therapy before liver transplantation, as a tumor downstaging treatment, and as a curative treatment for patients with associated comorbidities who are not candidates for surgery.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Embolization of Hepatic Arterial Branches to Simplify Hepatic Blood Flow Before Yttrium 90 Radioembolization: A Useful Technique in the Presence of Challenging Anatomy

Purpose: In the presence of variant hepatic arterial anatomy, obtaining whole-liver coverage with yttrium 90 (Y90) radioembolization may be challenging. The purpose of this study was to determine whether a technique whereby variant hepatic arterial branches are embolized and then Y90 is administered selectively into one remaining hepatic arterial branch results in whole-liver coverage and effective therapy. A retrospective comparison of treatment response was made between a group of patients who underwent this technique before Y90 administration and a group of patients who received standard Y90 administration as a single dose into the proper hepatic artery or in divided doses into the immediate hepatic artery branches. The rest of the workup and treatment were identical in both groups, including routine embolization of potential nonhepatic, nontarget vessels (e.g., the gastroduodenal artery). Methods: A total of 32 patients (mean age 56.9 years, range 39-77 years) treated with Y90 between June 2004 and March 2008 were analyzed. The primary malignancy was colorectal in 29, breast in 2, and cholangiocarcinoma in 1. Group 1 comprised 20 patients who had no alterations to their hepatic arterial supply. Group 2 comprised 12 cases who had undergone prior embolization of hepatic arterial branches before administration of Y90. The response to treatment was assessed by comparing standardized uptake value (SUV) on the pre- and postprocedure fludeoxyglucose positron emission tomographic studies of representative lesions within the right and left lobes of the liver. Results: In group 1, significant response (P < 0.001) was seen among right lobe lesions but not among left lobe lesions (P = 0.549). In group 2, there was a significant response among both right (P = 0.028) and left (P = 0.014) lobe lesions. No difference was found in the response of right lobe lesions (P = 0.726) between groups 1 and 2; a significantly greater response was found in group 2 compared to group 1 (P = 0.004) for left lobe lesions. Conclusion: Selective Y90 radioembolization after manipulation of hepatic arterial blood supply leads to an even distribution within the entire liver. When variations in hepatic arterial anatomy exist, this technique allows effective whole-liver radioembolization therapy from a single selective arterial injection.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2012

Superselective Internal Radiation With Yttrium-90 Microspheres in the Management of a Chemorefractory Testicular Liver Metastasis

We treated a patient with biopsy-proven, chemotherapy-resistant testicular cancer liver metastasis using Y-90 selective internal radiation treatment. We chose yttrium-90 rather than surgery and ablation due to tumor location and size as well as the patient's clinical history. The result was marked tumor response by positron emission tomography and computed tomography as well as significant improvement of the patient's quality of life accompanied by a substantial decrease of his tumor markers.

62 RADIOLOGY AND NUCLEAR MEDICINE↗
DOE OSTI2011

Treatment Planning and Volumetric Response Assessment for Yttrium-90 Radioembolization: Semiautomated Determination of Liver Volume and Volume of Tumor Necrosis in Patients with Hepatic Malignancy

Purpose: The primary purpose of this study was to demonstrate intraobserver/interobserver reproducibility for novel semiautomated measurements of hepatic volume used for Yttrium-90 dose calculations as well as whole-liver and necrotic-liver (hypodense/nonenhancing) tumor volume after radioembolization. The secondary aim was to provide initial comparisons of tumor volumetric measurements with linear measurements, as defined by Response Evaluation Criteria in Solid Tumors criteria, and survival outcomes. Methods: Between 2006 and 2009, 23 consecutive radioembolization procedures were performed for 14 cases of hepatocellular carcinoma and 9 cases of hepatic metastases. Baseline and follow-up computed tomography obtained 1 month after treatment were retrospectively analyzed. Three observers measured liver, whole-tumor, and tumor-necrosis volumes twice using semiautomated software. Results: Good intraobserver/interobserver reproducibility was demonstrated (intraclass correlation [ICC] > 0.9) for tumor and liver volumes. Semiautomated measurements of liver volumes were statistically similar to those obtained with manual tracing (ICC = 0.868), but they required significantly less time to perform (p < 0.0001, ICC = 0.088). There was a positive association between change in linear tumor measurements and whole-tumor volume (p < 0.0001). However, linear measurements did not correlate with volume of necrosis (p > 0.05). Dose, change in tumor diameters, tumor volume, and necrotic volume did not correlate with survival (p > 0.05 in all instances). However, Kaplan-Meier curves suggest that a >10% increase in necrotic volume correlated with survival (p = 0.0472). Conclusion: Semiautomated volumetric analysis of liver, whole-tumor, and tumor-necrosis volume can be performed with good intraobserver/interobserver reproducibility. In this small retrospective study, measurements of tumor necrosis were suggested to correlate with survival.

62 RADIOLOGY AND NUCLEAR MEDICINE↗