WO2000079301A1 - Dispositif de detection et de localisation d'une source radioactive emettrice de rayonnements gamma, utilisation dudit dispositif - Google Patents
Dispositif de detection et de localisation d'une source radioactive emettrice de rayonnements gamma, utilisation dudit dispositif Download PDFInfo
- Publication number
- WO2000079301A1 WO2000079301A1 PCT/FR2000/001746 FR0001746W WO0079301A1 WO 2000079301 A1 WO2000079301 A1 WO 2000079301A1 FR 0001746 W FR0001746 W FR 0001746W WO 0079301 A1 WO0079301 A1 WO 0079301A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- gamma radiation
- flux
- radioactive
- collimator
- radioactive source
- Prior art date
Links
Classifications
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01T—MEASUREMENT OF NUCLEAR OR X-RADIATION
- G01T1/00—Measuring X-radiation, gamma radiation, corpuscular radiation, or cosmic radiation
- G01T1/16—Measuring radiation intensity
- G01T1/161—Applications in the field of nuclear medicine, e.g. in vivo counting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment
- A61B6/42—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for detecting radiation specially adapted for radiation diagnosis
- A61B6/4208—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for detecting radiation specially adapted for radiation diagnosis characterised by using a particular type of detector
- A61B6/4258—Apparatus for radiation diagnosis, e.g. combined with radiation therapy equipment with arrangements for detecting radiation specially adapted for radiation diagnosis characterised by using a particular type of detector for detecting non x-ray radiation, e.g. gamma radiation
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01T—MEASUREMENT OF NUCLEAR OR X-RADIATION
- G01T1/00—Measuring X-radiation, gamma radiation, corpuscular radiation, or cosmic radiation
- G01T1/16—Measuring radiation intensity
- G01T1/161—Applications in the field of nuclear medicine, e.g. in vivo counting
- G01T1/164—Scintigraphy
- G01T1/1641—Static instruments for imaging the distribution of radioactivity in one or two dimensions using one or several scintillating elements; Radio-isotope cameras
- G01T1/1648—Ancillary equipment for scintillation cameras, e.g. reference markers, devices for removing motion artifacts, calibration devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/392—Radioactive markers
Definitions
- the invention relates to an apparatus for detecting and locating a radioactive source emitting gamma radiation. It also relates to the use of the device.
- the detection device of the invention applies more particularly in the following description, but without limitation, for the detection of lymph nodes, some of which by fixing a radioactive substance injected in situ, are capable of characterizing the extension of a tumor, particularly in the context of breast cancer or skin cancer (melanoma).
- Primary cancers first present a local stage followed more or less late by secondary locations.
- the extension process begins even before clinical manifestations of dissemination are detectable.
- the first anatomical structures affected outside of the primary tumor are generally the lymph nodes.
- cancer treatment involves removing the lymph nodes in the affected area. Such an operation aims not only to remove possible secondary locations, but also to diagnose possible metastatic 0 dissemination, thus making it possible to propose the indication of additional medical treatment.
- the surgical treatment consists in addition of removing the prirnitive tumor and also removing the lymph nodes 5 located in the axillary hollow, an operation called "lymphatic dissection", then carrying out a histological analysis of the lymph nodes. collected.
- lymphatic dissection an operation which is an important source of functional sequelae for the patient.
- lymphatic engorgement resulting from the suppression of the lymphatic network draining most of the upper limb generates a pathology called lymphedema or "big arm syndrome" at the origin of a discomfort as much functional as aesthetic.
- lymphedema or "big arm syndrome”
- motor disorders of the shoulder There is also the appearance of motor disorders of the shoulder.
- lymph nodes removed during axillary dissection do not always prove to be invaded on histological analysis. It is noted in particular that in the case of tumors of size less than or equal to 10 mm, only 6% of the nodes removed are invaded. In other words, 95% of the cleaning done is in fact useless.
- the identification of the sentinel node being strictly visual, it is necessary to dissect the tissues in the region suspected of the presence of the first lymph node relay.
- the lymph node relay does not have a perfectly defined localization on the anatomical level, this search is not simple and can prove to be long and relatively dilapidated.
- the sentinel lymph node is then detected using two techniques, respectively:
- the imaging device cannot be transported, so that the examination necessarily takes place pre-operatively and elsewhere than at the site of said operation, thus complicating the organization of the planning of the various participants.
- the identification is done by means of a skin marking guided by a radioactive source matched with the hyperfenty zone on the image. In this way, this mark is necessarily imprecise, since:
- the angle of incidence of the incision may be different from that of the imaging, leading to a localization error which is all the greater the deeper the ganglion.
- the scintillation camera only allows a rough preliminary location of the lymph node location preoperatively.
- the detection probe is a small material which can therefore be handled manually.
- This probe detects the gamma photons emitted by a radioactive source and allows the sound location of said source placed in the opening angle of its collimator.
- the detection probe comprises a collimator consisting of a single hole, a scintillating crystal, a photomultiplier with a single anode and associated electronic means making it possible to assess the intensity of the detected signal by displayed digital data or an audible signal.
- this detection probe only makes it possible to assess the amount of radioactivity present in the field of vision of its collimator, without being able to specify the exact direction in which the radioactive source is located.
- the location of the ganglion is very delicate because of the very restricted angle of observation of the system and the large number of degrees of freedom in positioning. Furthermore, due to the variability of the angle of incidence, and therefore of the thickness of the tissues traversed by the radiation coming from the ganglion, as well as the instability of positioning, the probe being held in the hand, the lymph node identification is time-consuming and sometimes unsuccessful.
- the problem which the invention aims to solve is to propose an apparatus which makes it possible, pre-operatively or above all intra-operatively, to detect and locate exactly a radioactive source thus making it possible, in the case for example of the detection of lymph nodes, to avoid any unnecessary dilapidation in view of or during the surgical operation.
- the invention proposes a device for detecting and locating a radioactive source emitting gamma radiation.
- This device is characterized in that it comprises: • first means for determining the direction of the source emitting gamma radiation relative to the center of the detector; • second means capable of pointing the source of radioactive emission.
- the invention consists of a detection system allowing during surgery to locate and locate exactly organs or tissues and in particular lymph nodes fixing a radioactive source emitting gamma radiation.
- the objective is not to constitute a faithful image of the tissue or organ fixing the radioactive source, but to identify in which direction the said source is in relation to the center of the detector, and this in order to control the setting in motion of the detector in order to bring this source in front of the central part of the detection zone.
- said first means include: means for detecting gamma radiation;
- the gamma ray sensor means are constituted by a collimator and a scintillating crystal capable of emitting a light signal under the effect of a gamma ray.
- the collimator has a central zone comprising a plurality of channels parallel to each other and perpendicular to the surface of said collimator.
- the collimator further has a peripheral zone comprising a plurality of divergent channels, presenting with the channels of the central zone an increasing angulation with their distance from the central zone.
- the specific structure of the collimator therefore makes it possible, by its peripheral part, to detect the location of a possibly distant source without being concerned with the accuracy of the localization and with a central part having a high spatial resolution so that subsequent calibration on the direction of the tissue or organ fixing the radioactive source is precise.
- the collimator is attached on its rear face to a scintillating crystal capable of emitting a light signal under the effect of gamma rays.
- This crystal consists in practice of a sodium or cesium iodide crystal activated with thallium. It has sufficient thickness to arrest a significant proportion of the gamma photons to be detected. In practice, the thickness of the crystal is between 5 and 10 mm for the detection of photons of energy equal to 140 keV emitted by technetium-99m.
- the scintillating crystal has a generally round shape, the diameter of which depends on the photomultiplier used described below.
- the precision of the location of the impacts received by the peripheral part is of no importance. It is enough to know if the detector should be moved rather in one direction than in another.
- the device of the invention comprises a plurality of evaluation means constituted by one or more photomultipliers with a single anode capable of receiving the light signal emitted by the sensor means.
- the means for evaluating the flux of gamma radiation are constituted by a multi-anode photomultiplier.
- the signal from each anode will then be considered equivalent to that from the anode of a single anode photomultiplier.
- the first means include, as already said, means for analyzing the flux of gamma radiation evaluated by the evaluation means.
- the purpose of this analysis is to determine in which direction relative to the center of the detection field is the radioactive source. Analysis indicates that the source is either shifted in a particular direction, either located in the axis of the detector.
- the analysis is performed by comparing the signals from the evaluation means and in particular from the photomultipliers. This analysis uses electronic means to determine among the signals generated by each of the photomultipliers, or by group of photomultipliers, which has the greatest intensity.
- the signals from the anode of each single anode photomultiplier or from each anode of the multi-anode photomultiplier are combined to form four signals coded in X and Y by relation to the center of the photomultiplier, denoted X-, X +, Y-, Y +, and whose combination provides X and Y coordinates of a given point.
- the detected intensities are stored in four registers, for example North, South, East, West, according to the positivity of X and Y.
- the means of analysis of the evaluated flow are able to take into account all or only part of the intensities originating from the evaluation means as a function of the degree of quasi-standardization.
- the processing of the information is carried out first of all from the signals coming from the whole of the sensitive surface of the crystal, making it possible to quickly bring the center of the detector closer to the source located in the field of exploration, then only from the central part of the crystal, allowing the detector to be centered more precisely, but more slowly, on the hot spot regardless of the sources located in the rest of the exploration field.
- said second means of the detection apparatus of the invention comprise: mechanical means capable of imparting a displacement to the device, so as to bring its central axis closer to the radioactive source emitting gamma radiation; means capable of materializing the central axis of the device.
- the mechanical means able to print a movement on the device respond to movement instructions as long as the analysis means indicate that the central axis of the detector is not in correspondence with the source.
- the means capable of materializing the central axis of the device are in the form of a light ray.
- said means are in the form of at least two coherent light sources generating narrow light beams whose intersection corresponds to the perpendicular to the center of the sensitive surface of the collimator (center of the device).
- the light source is positioned so that the edge of the beam corresponds to a limit of the region explored by the collimator.
- the device of the invention can be used for the detection of a tissue or human or animal organ fixing a radioactive source emitting gamma radiation.
- the device will be more particularly used for the detection of lymph nodes which, by fixing a radioactive source emitting gamma radiation, testify to the secondary extension of the primary tumor.
- the device could also be used for intraoperative identification of an anomaly such as for example breast microcalcifications, which will have been previously marked by an in situ injection of a radioactive substance under the control of radiographic or ultrasound imaging. More generally, the device of the invention can be used for the detection and localization of a quasi-point radioactive source through a medium which does not fully absorb the gamma radiation it emits.
- the invention relates to a method for detecting a radioactive source emitting gamma radiation fixed by a tissue or organ of a human or animal, according to which:
- a radioactive substance emitting gamma radiation is injected into the body; • the direction of the source emitting gamma radiation is determined; characterized in that the direction determined materializes so as to point the source of radioactive emission.
- Figure 1 is a schematic representation of the first means of the detection device of the invention.
- Figure 2 is a section of the collimator along its central axis.
- FIG. 3 is a representation of the different impacts detected by the photomultiplier via the surface of the collimator and transformed into electrical signals.
- Figure 1 the first means of the detection device of the invention. These consist of means for detecting gamma radiation (1) emitted by the source (2), a plurality of means for evaluating the flux of gamma rays and means for analyzing the flux evaluated.
- the sensor means consist of a collimator (3), which has a scintillating crystal (4) on its rear face. Furthermore, the plurality of means for evaluating the flux of gamma radiation (1) is in the form of a multi-anode photomultiplier (5) having four anodes. To identify in which direction the radioactive source (2) is in relation to the center of the detector, the collimator has: • a central zone (6) comprising a plurality of channels parallel to each other (7) and perpendicular to the surface of said collimator;
- a peripheral zone (8) comprising a plurality of divergent channels
- the photomultiplier has four anodes delimiting four sectors North, South, East, West, relative to the center of the photomultiplier.
- the analysis of the intensities evaluated by the different sectors of the photomultiplier is carried out in the form of four points coded in X and Y relative to the center of the photomultiplier, thus determining the coordinates of impacts detected in the four registers North, South, East , Where is.
- the device also includes second means, not shown, capable of pointing the source of radioactive emission.
- second means consist of mechanical means making it possible to impart a displacement to the device and means capable of materializing the central axis of the device, in particular in the form of a light ray.
- the detection device is used for the detection of the sentinel ganglion labeled with technetium 99 m, in particular in the context of breast cancer.
- the detection device is placed a few centimeters above the region inside which the radioactive ganglion is probably located.
- the means for analyzing the intensities evaluated by the photomultiplier process all of the signals from the entire sensitive surface of the crystal.
- a number of impacts are obtained on the four anodes translated into electrical signals by the photomultiplier. These impacts are distributed in the four registers North, East, South, West as shown in Figure 3.
- the device is moved by mechanical means in the direction in which the sector is located whose activity or flow is above a threshold minimum background noise measured beforehand. Likewise, if two sectors have an activity greater than the background noise, the device moves in the intermediate direction between the two sectors until a quasi-uniformity of the fluxes evaluated. If three or four sectors have a higher activity, the device then processes the impacts obtained only in the central zone of the crystal.
- the reset can take place at regular intervals, in particular every two seconds.
- the second step is linked automatically and is limited to the analysis of the central part of the crystal, allowing to center more precisely, but more slowly, the device on the hot spot, whatever the sources located in the rest of the field of exploration.
- the mechanical means of movement are activated in the direction of the sector corresponding to the register containing the maximum value.
- the four cardinal registers are reset at shorter time intervals than in the initial phase.
- the values contained in the registers are equal to each other, which immobilizes the device and generates a specific signal, for example an audible signal or a flashing light.
- a specific signal for example an audible signal or a flashing light.
- a fifth register denoted sigma contains the sum of the other four.
- the system has the advantage of operating in real time, so that the light beam permanently indicates the direction in which the ganglion is located, even in the event of possible displacement of the tissues printed by the surgeon, for example when incising tissue, feels them or changes the location of the spacers.
- the apparatus of the invention can be applied to the detection of all tissues or organs fixing a radioactive source.
- This detection mode will be more particularly advantageous in the detection of sentinel lymph nodes, in particular in the context of breast cancer or melanoma.
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU59900/00A AU5990000A (en) | 1999-06-22 | 2000-06-22 | Device for detecting and locating a radioactive source emitting gamma rays, use of same |
EP00945989A EP1188070B1 (fr) | 1999-06-22 | 2000-06-22 | Dispositif de detection et de localisation d'une source radioactive emettrice de rayonnements gamma, utilisation dudit dispositif |
DE60029588T DE60029588T2 (de) | 1999-06-22 | 2000-06-22 | Vorrichtung zum nachweis und zum orten einer radioaktiven, gammastrahlung aussendenden quelle und deren verwendung |
US10/026,127 US6603124B2 (en) | 1999-06-22 | 2001-12-21 | Apparatus for detecting and locating a radioactive source emitting gamma rays and use of said apparatus |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR99/08115 | 1999-06-22 | ||
FR9908115A FR2795526B1 (fr) | 1999-06-22 | 1999-06-22 | Dispositif de detection et de localisation d'une source radioactive emettrice de rayonnements gamma, utilisation dudit dispositif |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/026,127 Continuation US6603124B2 (en) | 1999-06-22 | 2001-12-21 | Apparatus for detecting and locating a radioactive source emitting gamma rays and use of said apparatus |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2000079301A1 true WO2000079301A1 (fr) | 2000-12-28 |
Family
ID=9547280
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/FR2000/001746 WO2000079301A1 (fr) | 1999-06-22 | 2000-06-22 | Dispositif de detection et de localisation d'une source radioactive emettrice de rayonnements gamma, utilisation dudit dispositif |
Country Status (8)
Country | Link |
---|---|
US (1) | US6603124B2 (fr) |
EP (1) | EP1188070B1 (fr) |
AT (1) | ATE334405T1 (fr) |
AU (1) | AU5990000A (fr) |
DE (1) | DE60029588T2 (fr) |
ES (1) | ES2269162T3 (fr) |
FR (1) | FR2795526B1 (fr) |
WO (1) | WO2000079301A1 (fr) |
Families Citing this family (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
TW200404515A (en) * | 2002-08-21 | 2004-04-01 | Hamamatsu Photonics Kk | Radiation detector |
WO2007017847A1 (fr) * | 2005-08-11 | 2007-02-15 | Navotek Medical Ltd. | Systeme et procede de traitement medical faisant appel a un capteur de position base sur la radioactivite |
US7952079B2 (en) * | 2004-08-12 | 2011-05-31 | Navotek Medical Ltd. | Localization of a radioactive source |
WO2006016368A2 (fr) * | 2004-08-12 | 2006-02-16 | Navotek Medical Ltd. | Localisation de source radioactive dans le corps d'un sujet |
US20080262473A1 (en) * | 2004-10-19 | 2008-10-23 | Navotek Medical Ltd. | Locating a Catheter Tip Using a Tracked Guide |
US7847260B2 (en) | 2005-02-04 | 2010-12-07 | Dan Inbar | Nuclear threat detection |
US8173970B2 (en) | 2005-02-04 | 2012-05-08 | Dan Inbar | Detection of nuclear materials |
US7820977B2 (en) * | 2005-02-04 | 2010-10-26 | Steve Beer | Methods and apparatus for improved gamma spectra generation |
BRPI0616514A2 (pt) * | 2005-08-11 | 2011-06-21 | Navotek Medical Ltd | sistema de tratamento médico e método utilizando radioatividade com base em sensor de posição |
CN101292174A (zh) | 2005-10-17 | 2008-10-22 | 皇家飞利浦电子股份有限公司 | 使用镥本底辐射的pmt增益和能量校准 |
WO2007094002A2 (fr) * | 2006-02-16 | 2007-08-23 | Navotek Medical Ltd. | Indication de position par pointage d'une source de rayonnement intracorporelle |
US7942843B2 (en) * | 2008-08-18 | 2011-05-17 | Navotek Medical Ltd. | Implantation device for soft tissue markers and other implants |
US20110303854A1 (en) * | 2010-06-14 | 2011-12-15 | Utah State University | Gamma ray directionality probe |
ITRM20120201A1 (it) * | 2012-05-09 | 2013-11-10 | Consiglio Naz Delle Ricerche Cnr | Rilevatore scintigrafico direzionale |
US9490911B2 (en) | 2013-03-15 | 2016-11-08 | Fairfield Industries Incorporated | High-bandwidth underwater data communication system |
US9490910B2 (en) * | 2013-03-15 | 2016-11-08 | Fairfield Industries Incorporated | High-bandwidth underwater data communication system |
GB2520762B (en) * | 2013-12-02 | 2018-04-04 | Symetrica Ltd | Gamma-ray detector |
US10712458B2 (en) | 2016-06-30 | 2020-07-14 | Magseis Ff Llc | Seismic surveys with optical communication links |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2942109A (en) * | 1956-07-19 | 1960-06-21 | Persa R Bell | Scintillation spectrometer |
US3794840A (en) * | 1972-03-27 | 1974-02-26 | Charlotte Memorial Hospital | Method and apparatus for directing a radiation beam toward a tumor or the like |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4200799A (en) * | 1976-07-15 | 1980-04-29 | Tokyo Shibaura Electric Co., Ltd. | Tomographing device |
US5694933A (en) * | 1995-04-28 | 1997-12-09 | Care Wise Medical Products Corporation | Apparatus and methods for determining spatial coordinates of radiolabelled tissue using gamma-rays and associated characteristic X-rays |
US5777332A (en) * | 1996-08-13 | 1998-07-07 | General Electric Company | Automatic patient alignment during nuclear imaging body contour tomography scans |
US6285028B1 (en) * | 1998-06-02 | 2001-09-04 | Kabushiki Kaisha Toshiba | Semiconductor radiation detector and nuclear medicine diagnostic apparatus |
WO2000049840A1 (fr) * | 1999-02-19 | 2000-08-24 | The Research Foundation Of State University Of New York | Appareil a imagerie radiographique et procede destine a des interventions vasculaires |
US6628984B2 (en) * | 2000-04-12 | 2003-09-30 | Pem Technologies, Inc. | Hand held camera with tomographic capability |
-
1999
- 1999-06-22 FR FR9908115A patent/FR2795526B1/fr not_active Expired - Fee Related
-
2000
- 2000-06-22 AT AT00945989T patent/ATE334405T1/de not_active IP Right Cessation
- 2000-06-22 AU AU59900/00A patent/AU5990000A/en not_active Abandoned
- 2000-06-22 ES ES00945989T patent/ES2269162T3/es not_active Expired - Lifetime
- 2000-06-22 DE DE60029588T patent/DE60029588T2/de not_active Expired - Lifetime
- 2000-06-22 EP EP00945989A patent/EP1188070B1/fr not_active Expired - Lifetime
- 2000-06-22 WO PCT/FR2000/001746 patent/WO2000079301A1/fr active IP Right Grant
-
2001
- 2001-12-21 US US10/026,127 patent/US6603124B2/en not_active Expired - Fee Related
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2942109A (en) * | 1956-07-19 | 1960-06-21 | Persa R Bell | Scintillation spectrometer |
US3794840A (en) * | 1972-03-27 | 1974-02-26 | Charlotte Memorial Hospital | Method and apparatus for directing a radiation beam toward a tumor or the like |
Also Published As
Publication number | Publication date |
---|---|
DE60029588D1 (de) | 2006-09-07 |
US6603124B2 (en) | 2003-08-05 |
EP1188070B1 (fr) | 2006-07-26 |
EP1188070A1 (fr) | 2002-03-20 |
ATE334405T1 (de) | 2006-08-15 |
US20030111611A1 (en) | 2003-06-19 |
AU5990000A (en) | 2001-01-09 |
DE60029588T2 (de) | 2007-08-09 |
FR2795526B1 (fr) | 2001-11-23 |
ES2269162T3 (es) | 2007-04-01 |
FR2795526A1 (fr) | 2000-12-29 |
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