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Cyclotrons and production of radioactive isotopes
at Rigshospitalet
Holger Jensen,
Cyklotronchef,
Fysiker Lic. Scient.
PET- og Cyklotronenheden,
Afsnit 3982, Rigshospitalet,
Blegdamsvej 9,
2100 København Ø.
Danmark.
Tlf. +45 3545 1866
E-mail: [email protected]
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware
2. A few words about PET.
3. A few words about cyclotrons in Denmark.
4. A few words about small and big cyclotrons.
5. A few words about cyclotron theory.
6. A few words about isotope production.
Side 2
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware
2. A few words about PET. Maybe??
3. A few words about cyclotrons in Denmark. Skip
4. A few words about small and big cyclotrons. Skip
5. A few words about cyclotron theory. YES
6. A few words about isotope production. YES
Side 3
1A The PET and Cyclotron unit in numbers and hardware
Side 4
The hospital:
• 1200 beds, 12.000 employees, 800 M Euro budget, +2000 publications.
Department of Clinical Physiology, Nuclear Medicine & PET:
• “0 beds”, ≈200 employees, 16 (+8) M Euro budget, +165 publications ,
• Equipment for ≈ 65 M Euro
• +120.000 patient investigations, …
1B The PET and Cyclotron unit in numbers and hardware
Side 5
PET and Cyclotron unit:
• 60-70 employee,
• 1 PET
• 5 PET/CT,
• 1 PET/MR,
• 1 HRRT brain scanner,
• 1 µPET
• 9000 PET- and 1000 RTP scans per year,
Radiochemistry unit: • 5 radiochemistry GMP labs,
• 14 hot cells.
• 10 chemist, 2 radio pharmacist, 5 lab. technicians for chemistry
• Marketing authorisation for two products: FDG and 81Rb/81mKr
1C The PET and Cyclotron unit in numbers and hardware
Radiopharmaceuticals
Apoptosis:
• [18F] Annexin V
Angiogenesis:
• 64Cu-NODAGA-cRGDyK
• 64Cu-NODAGA-E[cRGDyK]2
• 68Ga-NODAGA-cRGDyK
EGFRvIII:
• [18F]FALGEA
uPAR:
• Radiolabelled AE105
Brain imaging:
• 5-HT7 receptors
• Nicotinic receptors
Tracers available
for human use
• [18F]FDG
• [18F]FLT
• [18F]FET
• [18F]Altanserin
• [11C]PIB
• [11C]DASB
• [11C]Flumazenil
• [11C]SB207145
• [11C]CUMI-101
• [13N]NH3
• [15O]H2O
• [68Ga]DOTATOC
• [64Cu]DOTATATE (Risø)
• [18F]Fluoride (Risø)
• [18F]Choline (Risø)
Tracers expected to be
available in the near future
• [11C]Cimbi-36
• [11C]AZ10419369
• [64Cu]ATSM (Risø)
New tracers
available for preclinical use
Side 6
1D The PET and Cyclotron unit in numbers and hardware
Side 7
Cyclotron unit:
• Scanditronix MC32 (1992) and CTI/Siemens RDS Eclipse HP (2005)
• 2 physicist, 4 cyclotron technicians, 6 physics students (=operators),
• “No” service contracts,
• 18F, 11C, (13N) at both cyclotrons (11 and 16 MeV)
• 15O, 82Rb/82mKr, 111mCd and 211At only at MC32 (d- and α-beams and 16/32 MeV)
• 18F and 11C our major isotopes.
• Average success rate since 2006: 99.1%
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware √
2. A few words about PET. Maybe??
3. A few words about cyclotrons in Denmark. Skip
4. A few words about small and big cyclotrons. Skip
5. A few words about cyclotron theory. YES
6. A few words about isotope production GOTO 6A
Side 8
PET = Positron Emission Tomography
511 keV
511 keV
e-
b+
Result: Two photons on an almost straight line
that nearly contains the point of decay
2A: A few words about PET (Ref. S. Holm)
PET should really be named
ART =Annihilation Radiation Tomography
p n + e+ + ν
Side 9
A PET scanner counts coincidences
time d1
d2
e-
e+
detector
d1
detector
d2 Tube or Line Of
Response (LOR)
Coincidences 1 2 3 4 5
Coincidence
window Dt
|t1-t2|<Dt? t1
t2
coincidence
yes
Dt ~4-12 ns
PET radiation detection
2B: A few words about PET (Ref. S. Holm)
Side 10
30 cm/ns
Coincidence events determine sampling
paths (Lines Of Response)
2C: A few words about PET (Ref. S. Holm)
GE Advance PET (1993)
Typical resolution 4-6 mm
Side 11
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Sidefod distribution of tracer
function / physiology
Annihilation
CT PET
attenuation of photons
structure / anatomy
2D: A few words about PET/CT (Ref. T.L. Klausen)
Side 12
Overskrift her
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PET/CT December 2001
CT PET PET/CT
2E: A few words about PET/CT (Ref. L. Højgaard)
Side 13
CT PET PET/CT
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PET HRRT brain scanner with 120,000 crystals
Resolution 1.2 mm
2F: A few words about PET (Ref. L. Højgaard)
Typical resolution for normal scanners 4-5 mm
c = 3 x 108m/s = 30 cm/ns
∆x = 1.2 mm ∆t = 4 ps.
Side 14
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware √
2. A few words about PET. √
3. A few words about cyclotrons in Denmark. SKIP
4. A few words about small and big cyclotrons. SKIP
5. A few words about cyclotron theory. GOTO 5
6. A few words about isotope production
Side 17
Side 18
1. 1938-1994, Niels Bohr Instituttet.
• One of the ”first” cyclotrons in Europe.
• One of the longest running cyclotrons.
3A: Cyclotrons in Denmark
2. 1992-2048+, Rigshospitalet
• Scanditronix MC32
• The John and Birthe Meyer foundation.
3. 1994, Århus PET center.
• GE, PETtrace
4. 2005, Rigshospitalet. (d. 17/01/2005)
• CTI/Siemens, RDS Eclipse HP
• The John and Birthe Meyer foundation.
5. 2005, Risø. (d. 22/01/2005)
• GE, PETtrace
Side 19
6. 2007, Odense PET center.
• GE, PETtrace.
3B: Cyclotrons in Denmark
7. 2009, Herlev
• IBA, Cyclone 18/9
8. 2010, Århus PET center.
• IBA, Cyclone 18/9
9. 2011, Risø.
• GE, ”Micro-cyclotron” PT600
10. 2019, Dansk Center for Partikelterapi
• Varian Medical Systems
11. 201?, Aalborg, Herning, …
• ???
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware √
2. A few words about PET. √
3. A few words about cyclotrons in Denmark. √
4. A few words about small and big cyclotrons.
5. A few words about cyclotron theory.
6. A few words about isotope production
Side 20
Scanditronix MC32, 1992, 32 MeV
CTI, RDS Eclipse HP, 2005, 11 MeV
4D: Our cyclotrons at Rigshospitalet.
Beam power: 100µA*32MeV = 3,2 kW
Total power: 130 kW (EF=40,6)
svarer til 26 typiske parcelhuse
( à 5 kW). Side 24
4E: The real big and heavy
25
PSI, Villigen, 1974, 590 MeV,
1990 t, d=9.3 m
P=2,4mA * 590 MeV ≈ 1.4 MW
Indiana UCF, 1975, 220 MeV, 2000 t
Beam power ≈≈ 283 houses
EF=40 58 MW energy consumption
or 11500 bungalows Side 25
4F: Sektor- separeret AVF cyklotron
26
Sektor-separeret cyklotron, H-,
TRIUMF, Vancouver, Cananda.
1977
Variabel energi 183-520 MeV,
4000 t, d=18 m,
18500 A til magnet
Side 26
SRC superconducting ring
cyclotron, RIKEN, 2006,
2600 MeV, 8300 t, d=12.4 m
4G: The world record
Side 27
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware. √
2. A few words about PET. √
3. A few words about cyclotrons in Denmark. √
4. A few words about small and big cyclotrons. √
5. A few words about cyclotron theory.
6. A few words about isotope production
Side 28
4A: The classical cyclotron
Beskrivelsen kan let gøres kompliceret og give en hver fysiker ”tårer i øjnene” over
den smukke matematik/fysik, men jeg har forsøgt at gøre det så simpelt at alle kan
følge med.
Page 29
4B: The 5 main components in a cyclotron
1. Ion source til at genere elektrisk ladede partikler, q, m
2. Magnetic field B til at fastholde partiklerne i “cirkulære”
baner
3. Vacuum for at undgå kollisioner med restgas.
4. RF-system til acceleration
5. Exstraction system.
Page 30
5C: De 5 hovedbestanddele i en cyklotron - ionkilde
1. Ionkilde til at genere elektrisk ladede partikler
Lånt fra IBA, S2C2 design. Side 31
5D: Den klassiske cyklotron - RF
32
De første cyklotroner blev bygget i 1930-32 af E. Lawrence og
M.S. Livingston (plus studenter) i Berkeley, USA.
Et stærkt homogent magnetisk felt B0 tvinger
elektrisk ladede partikler (ladning q og masse m) til
at følge ”cirkulære” baner i en plan vinkelret på B-
feltet. Lorentz kraften (F = q v x B0) giver:
FL = qvB0 = mv2 / r (F = q v x B0)
eller
p = mv = qB0r
Revolution time T is given by
T = 2 π r / v = 2 π m / qB0
The revolution frequency
fCYK = 1/T
is named the cyclotron-frequency or the resonanse frequency
fCYK = 1/T = q B0 / 2 π m
5E: Den klassiske cyklotron - RF
H- D- He++
q/m 1 ½ ½
h 1 2 2
33
RF frekvensen skal altså være et multipla af
cyklotronfrekvensen:
fRF = h • fCYK , h = 1, 2, 3, …
B og f hænger tæt sammen. Ved en justering af
faseforskellen mellem AC- spændingerne på
cyklotronens duanter og ved at benytte
specielle udformninger af disse kan partikler
med forskellige q/m forhold accelereres.
Det harmoniske nummer h indgår også i disse
tricks.
Revolution time T
T = 2 π r / v = 2 π m / qB0
is independent of radius r (and v)
A commen acceleration voltage Udee for the
dee’s can be used to accelerate all particles.
5H: Den klassiske cyklotron - vacuum
• Accelererede partikler vil vekselvirke med en eventuel restgas i maskinen.
• Derved mistes energi og partiklerne spredes (ændrer retning).
• Beamets fokusering mistes og ekstraktionen bliver dårligere.
• Der sker en aktivering af cyklotronens indre.
Side 36
• Pumper:
a) mek. for-pumpe,
b) diffusions-pumper,
c) kølebaffler
Side 45
• We are working on having less back streaming.
• Our CTI RDS Eclipse uses SantoVac and
is anyway growing black.
• But it has no baffles.
• Expected to affect the
ion source performance.
• MC32 has baffles and
is growing black too.
5H: Den klassiske cyklotron - vacuum
• Regular service:
a) Oil change for MP every ½ year.
b) Full service for DP every 2 year.
c) Even oil from MP can be seen in
Vacuum (Stefan Johansson, Turko)
• Improved cooling of baffles:
a) Present cooling water temperature: 12-14ºC.
b) Replacement with HSR BFC 400 multi baffles
with PCF145-Z refrigerator.
c) Both water and refrigerant (R134a) cooled.
d) T = -13-17ºC
e) Can be cooled with LN2 too.
f) Back streaming down by a factor 10.
• Better oil:
a) Replacement of the Baltzer 71A mineral oil with DC 704 silicon oil.
b) Pfeiffer+HSR/Balzers promises a factor 10 reduction in back streaming.
c) I want to know more about the effect of SantoVac oil. It is also very expensive.
P46
5H: Den klassiske cyklotron - vacuum
3J Vacuum upgrade
P47
• First question from IS- experts at TRIUMF was
“what is your vacuum in the central region”
• A good vacuum is essential for negative ion machines.
• Improving the pumping conductance in the central region by new dummy-dee-
support plates is one step in this direction.
• I want to do Monte Carlo Simulations to predict the effect.
• New baffles and better oil is another step in this direction.
5H: Den klassiske cyklotron - kinematik
H- D- He++
q/m 1 ½ ½
q2/m 1 ½ 1
h 1 2 2
Tmax 32 16 32 Dette giver følgende maksimale energier i vores MC32:
Tmax(H-) = Tmax(He++) = 32 MeV og Tmax(D
-) = 16 MeV
Dette svarer f.eks. til en hastighed på ca. 78.000 km/s for protoner eller ca. 2 gange
rundt om ækvator pr. sekund eller 26% af lysets hastighed!
Hertil kommer at vi har variable energier 16-32 og 8-16 for h.h.v. H- og D-.
Maksimal energi, Tmax, ved maksimal radius R er givet som
T ≈ ½ m v2 og da v = qB0r/m fås Tmax = q2B02R2 / 2m
H- og He++ har samme værdi for q2 /m ( = 1) og derfor også for Tmax
For deuteroner D- haves q2/m = ½
Tmax(D-) ½ Tmax(H
-, He++).
Side 48
5I: Den klassiske cyklotron - ekstraktion
Positiv ion cyklotroner: Beamet kan ekstraheres ved hjælp af en elektrostatisk
deflektor (men giver desværre ofte et meget radioaktivt septum).
Dette giver faste energier for det ekstraherede/eksterne beam.
Interne bestrålinger på en probe, som kan give variable energier, blev benyttet i
begyndelsen. (Selvom vi så at Lawrence allerede havde ideen til en deflektor i
1932.)
Vi producerer f.eks. 211At ved en sådan intern bestråling.
Negativ ion cyklotroner: Den nye generation af cyklotroner. Ion kilderne
er vanskelige og kræver bedre vakuum.
Ekstraktion sker ved hjælp stripper folier, og giver 100% extraktion.
Næsten ingen aktivering af cyklotronen bortset fra targets.
Variabel energi mulig, men tilbydes desværre kun på få maskiner idag.
Side 49
5J: Limitations of the classical cyclotron
Det relativistiske tilfælde/problem:
H.E. Bethe og M.E. Rose forudsagde allerede i 1937 maksimale beam energier som følge af relativistiske effekter, m = m0γ.
32 MeV protoner har f.eks. en -værdi på 1,034!
Impulsen p=m0v (=qBr) må erstattes med det relativistiske udtryk m0v i bevægelsesligningerne!
Resonance condition
fCYK = 1/T = q B / 2 π m
can be obtained for an increasing B-field with radius, which balance out the relativistic mass increase:
B(r) = B0 (r).
But but but this gives axial de-focusing and radial focusing effect. Has been a problem ever since 1937.
Side 50
5K: Den klassiske cyklotrons begrænsning
Voksende B-felt med radius:
B = B0 (r). • Radial fokuserende effekt
• Aksial de-fokuserende effekt
Faldende B-felt med radius:
• Radial de-fokuserende effekt
• Aksial fokuserende effekt
Side 51
5L: Den klassiske cyklotrons begrænsning – og løsning
Frekvens-modulerede cyklotroner, synchrocyclotrons, 1945, var en løsning på dette problem.
RF-frekvensen justeres for hvert beam-puls til at kompensere for den voksende omløbstid med voksende radius/hastighed.
Beam ”Duty-cycle” ≈ 1000 dårligere, men meget høje energier kan opnås.
But the old solution for high energies for nuclear physics research
Side 52
IBA, S2C2 design.
Synchrocyclotron with
superconducting coils
Side 52
Aksial fokusering fra E-feltet:
Det elektriske felt giver en aksial
fokuserende effekt.
a) Statisk felt giver også en fokusering
b) RF- giver en fase afhængig effekt.
Page 53
5M: Axsial focusing in the classical cyclotron
5N: Den klassiske cyklotrons begrænsning – og løsning
Llewellyn Thomas kom med en løsning til det relativistiske (og det aksiale de-
fokuserings) problem allerede i 1938.
B = B(r,θ)
Variationen i B(θ) giver en netto fokuserende effekt i aksial retning. Samtidig giver
B(r) den ønskede radiale fokusering og løser det relativistiske problem.
Thomas vinklen κ skal være > 0 og virker i praksis kun for E<45 MeV.
Offentligt tilgængelige resultater/løsninger kom først i 1956. Side 54
•Scanditronix, 1992.
•Negative ions (H- and D- beams).
• Magnetic field can be reversed for acceleration of positive ions for
internal bombardments (i.e. H+, D+, He++-beam).
• Dual beam exit possible.
• Variable energies 16-32 MeV and 8-16 MeV for H-, He++ and D-
respectively.
•Sector focused, AVF.
•Internal ion source, cold cathode Penning source with two
chimneys.
•The main isochronous magnet field is approxi-mately 1.6 T.
•Resonance frequency 24.3 MHz.
•Magnet 58 tons.
•Vacuum 2x10-6 mbar (beam on) and 3x10-7 mbar (beam off).
•Total power consumption 130 kW.
5P: Scanditronix MC32
Side 56
• Negative ion (H-), 11 MeV.
• Penning type ion source.
• Deep valley (27:1) magnet design.
• Peak hill field, 1.9 T. Trimbars.
• Resonance frequency fCYK=18 MHz.
• 4 x 30-degree dees.
• fRF = 72 MHz
• 10 + 40 ton
• Total power consumption ≈ 25 kW.
• Dual beam exit.
• 4 target per port.
• 18F, 11C, 13N, 15O, 64Cu, …?
• 18F yield, 7 Ci in 2 hours, dual beam, 2x60 µA.
• 11C yield, 1.8 Ci in 40 min,
5Q: CTI/Siemens RDS Eclipse HP
Side 57
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware. √
2. A few words about PET. GOTO 2
3. A few words about cyclotrons in Denmark. SKIP
4. A few words about small and big cyclotrons. SKIP
5. A few words about cyclotron theory. √
6. A few words about isotope production √
Side 58
6A: Short T½ implies a local production
Isotop Halveringstid Isotop Halveringstid 10
C 19.255 S 62Cu 9.74 M
11C 20.39 M 64
Cu 12.700 H 13
N 9.965 M 81Rb 4.576 H
15O 2.037 M 124
I 4.15 D 18
F 109.77 M 131Ba 11.5 D
111mCd 48.54 M
211At 7.214 H
Side 59
Henfaldsligningen:
𝐴 𝑡 = 𝐴0 𝑒−λ𝑡 = 𝐴0
1
2
𝑡
𝑇½
med henfaldskonstanten
λ = ln(2) / T½
6B: Where and how are the isotopes of the universe made?
Some people claims that God created everything. Physicists do not always agree!
Big-bang? Yes, mainly light isotopes.
Super nova explosions? Yes, mainly the heavy isotopes.
Nuclear reactors? Yes, fission fracments and neutron activation processes.
Massefordeling ved fission af 235U
Neutronindfangningstværsnit
Page 60
A-bombs? Yeah, gives fission products!
We still see the remains from the test explosions.
Research in nuclear physics during the last 70-80 years is the basis for all productions of radioisotopes today.
Almost all relevant isotopes can be produced with accelerators today.
6D: Where and how are the isotopes of the universe made?
Some people claims that God created everything. Physicists do not always agree!
Big-bang? Yes, mainly light isotopes.
Super nova explosions? Yes, mainly the heavy isotopes.
Nuclear reactors? Yes, fission fracments and neutron activation processes.
Page 62
6E: Some nuclear physics
Coulomb force: FCoulomb = (e2/40)•(Z1 Z2/r2).
The strong nuclear forces/interactions between the nucleons - FSI - will be
stronger than the Coulomb force for distances of a few fm (= 10-15 m).
For the reaction p + 18O 19Fex the Coulomb barrier energy is around 2-3
MeV corresponding to a velocity of the projectile/proton of 20-24.000 km/s!
Z1
Z2
A strong accelerator (for example a
cyclotron) is necessary.
Side 63
We operates with nuclear reaction
cross sections σ18O(p,n)18F
Typically only 1 out of 10000
particles will react. The rest will only
deposit heat in the target.
6F: One example
64
Production of 211At, for particle therapy of cancers:
209Bi(,2n)211At, E = 28 MeV, I = 18 A
209Bi (a,xn/t) At/Po
1,0E-02
1,0E-01
1,0E+00
1,0E+01
1,0E+02
1,0E+03
1,0E+04
15 20 25 30 35 40 45
E_beam [MeV]
Sig
ma [
mb
]211At: W.J. Ramler et al.
211At: R.M. Lambrecht et al.
210At: W.J.Ramler et al.
210At: R.M. Lambrecht et al.
209At: W.J. Ramler et al.
210Po: W.J. Ramler et al.
Before
α
209Bi
n
n
211At
After
Dt 10-21–10-16 s
The used reaction channel must be
optimized with respect to competing
channels.
Target- composition, thickness,
reaction-energy, irradiation time and
chemical separation/purifications is
used for this.
6G: Renhed og konkurrerende reaktionskanaler
65
64Ni
0.926%
60Ni
26.22%
62Ni
3.634%
61Ni
1.140%
58Ni
68.08%
61Co
1.650 H
57Co
271.7D
58Co
70.86 H
59Co
100.0%
60Co
5.271Y
65Cu
30.83%
63Cu
69.17%
61Cu
3.333H
62Cu
9.74M
64Cu
12.70H
60Cu
23.7M
Ep = 15-20 MeV
p + 64Ni ( 65Cu* ) 64Cu + n 200 mb
Det er svært at finde rene reaktioner!
61Co + 20 mb
63Cu + 2n ( 20 mb?)
1 g 64Ni, 97.0% berigning koster 200.000 – 300.000 Dkr.
6H: Another example, production of 18F for FDG, FET, FLT, …
Bestråling af væske-target til fremstilling af 18F, til 18F-FDG:
18O(p,n)18F,
Kølevand ind
Kølevand ud
·
+
P
Ag/Ti/Nb/Ta
target body
HAVAR- foil
Beriget H218O vand
Vi producerer p.t. 100-300 GBq 18F 8-10 gange pr. uge med dette target design.
Bestråling af væske-target til fremstilling af 18F, til 18F-FDG:
18O(p,n)18F, Ep = 16-18(11) MeV, Ip = 35-50(60+) A
He-køling/
Grid
Side 66
6I: Produktion af isotoper, væske target, 18F, IBA
• Kostede ≈ 500.000,00 Dkr i 2002
• Fungerer stadig.
•Vi har 2 stk. idag.
Side 67
6J: ”Home made” target for 18F
• Samarbejde mellem Lund, Uppsala og Rigshospitalet.
• Koster under 100.000,00 Dkr.
• Plus vi nu har 100% kontrol over
alle detailler.
Side 68
6O: Typical reactions used
73
Produktion af 211At, til alfa-terapi (SCX):
209Bi(,2n)211At, E = 28 MeV, I = 18 A
Bestråling af metal-target til fremstilling af 64Cu, 64Cu-ATSM (CTI):
64Ni(p,n)64Cu, Ep = 11 MeV, Ip = 40 A, 5-8 timer.
Bestråling af væske-target til fremstilling af 18F, til 18F-FDG (SCX+CTI):
18O(p,n)18F, Ep = 16-18(11) MeV, Ip = 20-35(60+) A
Bestråling af gas-target til produktion af 11C, til 11C-CH4 (CO2) (SCX+CTI):
14N(p,)11C, Ep = 16 (11) MeV, Ip = 25-30(60+) A
Bestråling af gas-target til produktion af 15O-H2O (SCX):
14N(d,n)15O, Ed = 8 MeV, Id = 5 A
Bestråling af væske-target til produktion af 13N, til 13N-NH3 (SCX):
16O(p,)13N, Ep = 16 MeV, Ip = 23 A
Agenda
1. A few words about “the PET and Cyclotron unit” in numbers and
hardware. √
2. A few words about PET. √ GOTO 2
3. A few words about cyclotrons in Denmark. Skip
4. A few words about small and big cyclotrons. Skip
5. A few words about cyclotron theory. √ GOTO 5
6. A few words about isotope production √
Side 76