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    Dr Saurabh

    Samdariya

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    I. IntroductionII. Historical aspects

    III. Sources

    IV. Ionising radiations

    V. Decay constant

    VI. activity

    VII. half life

    VIII. radioactive seriesIX. radioactive equilibrium

    X. modes of radioactive decay

    XI. Introduction to radioisotopes

    XII. radioisotopes in clinical medicine

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    the property of an element wherein atom gives off

    radiation in terms of particle, electromagneticradiation or both in order to achieve stability is

    called as radioactivity & the process is called as

    radioactive decay/disintegration.

    Total 118 elements discovered till now

    Most of them are stable

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    Naturally occuring radioactive elements

    Uranium

    grouped into 3 series Actinium

    Thorium

    U238 4.51 x 109

    yr Pb206

    U235 7.13 x 108 yr Pb207

    Th23 21.39 x 1010 yr

    Pb208

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    HISTORICAL ASPECTS

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    William

    ConradRoentgen

    Discoveryof x

    Rays - 1895

    Nobel prize-1901

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    Ernest Rutherford

    Discovery of alpha

    particles

    (1897)

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    Sir Joseph john

    Thomson

    Discovery of electrons

    Nobel prize-1906

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    Paul ulrich vilard

    Discovery of

    gamma rays-1900

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    Sir James Chadwick

    Discovery of neutron

    Nobel prize-1932

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    1.naturally occuring-Radon

    Pottasium

    Carbon-14

    2. manmade - Medical uses

    Consumer products( smoke

    detectors)

    Fall out from nuclear testing

    Emissions (nuclear plants)

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    POSITIVECHARGE

    PROTONS

    NEUTRALCHARGE

    NEUTRONS

    NUCLEUS

    NEGATIVE CHARGE

    ELECTRONS

    ATOM

    Most of the atoms mass.

    NUCLEUS ELECTRONS

    PROTONS NEUTRONS NEGATIVE CHARGE

    POSITIVECHARGE

    NEUTRALCHARGE

    ATOM

    QUARKSAtomic Number

    equals the # of...

    equal in a

    neutral atom

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    Atomic Mass Unit (amu)is defined as exactly 1/12 of the mass of the atom

    of Carbon-12. It is a very small number.

    Isotopes An atom of an element that has the same atomic number butdifferent mass number is called an isotope.

    Ions When an atom loses or gains electrons, the species formed is calledan ion and carries a net charge

    The atomic massof an element is the average of the isotopic masses,

    weighted according to the naturally occurring abundances of the isotopesof the element.

    The molecular weight is the sum of amu for all elements, in the molecule,

    times Avogadros number (a very large number, 6.02*1023), in grams

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    Four Primary Types Of Ionising Radiations-

    1. Alpha particles

    2.Beta particles3.Gamma rays (or photons)

    4.X-Rays (or photons)

    5.Neutrons

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    Composed of two protons and twoneutrons

    Particle radiation (largest and mostmassive of all the ionizing particles)

    Least penetrating of all ionizing radiationand can be shielded by a few inches ofair, penetrating power can be stopped by

    a piece of paper or the outer layer ofskin.

    It has a very short range and it has greatdestructive power within its short range.

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    Alpha emission ctdIt is not suitable forradiation therapy since

    its range is less than atenth of a millimeterinside the body.

    Its main radiation hazardcomes when it is ingestedinto the body it ispositioned for maximumdamage when in contact

    with fast-growingmembranes and livingcells

    BETA RADIATION

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    BETA RADIATION

    Particle radiation Beta particles are just electrons from the nucleusThe high energy electrons have greater range ofpenetration than alpha particles, but still much less than

    gamma rays. The radiation hazard from betas isgreatest if they are ingested. can be shielded by several inches of plastic, thin

    plywood and sheet metal. Can penetrate up to 1/4 in. into the tissue

    G di i i

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    Gamma radioactivity

    is composed of

    electromagnetic rays; hasno mass

    distinguished from x-raysonly by the fact that itcomes from the nucleus

    Most gamma rays aresomewhat higher in energythan x-rays and therefore

    are very penetrating.

    G di i i

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    thick concrete can reduce

    the effect of gamma raysto permissible levels.

    It is the most usefultype of radiation formedical purposes, but atthe same time it is themost dangerous becauseof its ability to penetratelarge thicknesses of

    material

    Gamma radioactivity

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    Fraction of total no of atoms that decay per unit of

    time

    Radioactive decay is a stastical phenomenon

    No of atom disintegrating per unit time-no ofradioactive atoms present

    N N

    T

    N = No e-t

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    Radioactivity of radioactive elements

    A = - N

    A = Ae- t

    units - curiebecqurel(SI)

    1 ci =3.7x10 dps

    1 Bq = 1 dps=2.7x 10-11 ci

    y

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    Time required for either the activity or no of radioactive

    atom to decay to half of the initial value

    N = Noe- t

    T1/2 =

    .693

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    Physical Half-Life

    Time (in minutes, hours, days or years) required for the activity of a radioactive material to decrease by one half due

    to radioactive decay

    Biological Half-Life Time required for the body to eliminate half of the radioactive

    material (depends on the chemical form)

    Effective Half-Life

    The net effect of the combination of the physical & biological

    half-lives in removing the radioactive material from the body

    Half-lives range from fractions of seconds to millions of years

    1 HL = 50% 2 HL = 25% 3 HL = 12.5%

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    Avg life time for decay of radioactive atoms

    Time period that a hypothetical source would need if it

    retained its original activity for the time period and then

    suddenly decayed to zero activity to produce the same no

    of disintegration as produced over an infinite time period

    by the source if it decayed exponentially

    ta = 1/

    ta = 1.44 t1/2

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    Activity per unit mass of radionuclide

    Uses -

    1.Tracer studies are done using high

    sp. activity elements.2.Teletherapy source(Co-60 is preferred

    overCs-137)

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    parent nuclei daughter nucei

    (t1/2)p> (t1/2)d {Transient eq.}

    (t1/2)p>>>>>(t1/2)d {Secular eq. }

    examples-

    - Mo generator producing Tc99m for

    diagnostic purposes (transient)

    - Ra source in a sealed tube or needle

    in order to keep radon gas (secular)

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    A = A1 x y2 [ ( 1-e-y2-y1 ) t ]y2-y

    1

    A2 / A1 = Y2 / Y2-Y1 = T1 / T1-T2

    A2 = A1 (1- e-y2

    t )

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    An unstable releases energy to become morestable(RADIOACTIVE DECAY)

    decay

    primay decay processes decay

    e capture

    emission

    Secondary decay processes iso metastbleinternal conversion

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    3000 known nuclei, but only266 stable ones!

    Z > 83 elements not stable!

    Tendency forN Z, for smallZ, but N > Z for larger Z.

    (due to proton repulsion)

    Unusual stability formagic numbers.Z, N = 2, 10, 18, 36, 54

    (analogous to electronic shells

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    Radioactivity

    decays with time

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    particles are monoenegertic and have 4 to 8 Mevenergy.

    ZXA

    Z- 2YA-4 + 2He

    4 + Q

    Q = Disintegration energy(K.E. of alpha particle

    and daughter nuclei)

    Ex- elements having high Z (Ra216 Rn222 Po218

    U235 Pu239 Am241)

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    1.

    -

    (negatron)

    decay- high n/p ratioEx.- H, C, P, Co, Sr, Mo, I,

    Cs, Au

    0n1 1p1 + -1 0 + + Q

    ZX

    A

    Z- 1Y

    A

    + -1

    0

    + +Q

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    2 . + (positron)decay- low n/p ratio( )

    1p

    10n

    1 + +10 + + Q

    Z

    XA

    Z- 1

    YA ++1

    0 +

    +Q

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    Similar to + decay

    nucleus captures e- from its orbit (usually K shell )

    It increases nuclear mass by .511 Mev

    From p to n

    Occur for not sufficient energy for b+decay(1.22Mev)

    Ex - Na, K, Cr, Co, Ir

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    Secondary decay processes-

    1. emission

    . excitation energy given off by

    photon = rays

    . fast process

    E = EP - ED

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    Ionizing Radiation

    alpha particle

    beta particle

    Radioactive Atom

    X-ray

    gamma ray

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    http://upload.wikimedia.org/wikipedia/commons/8/84/IodoAtomico.JPGhttp://upload.wikimedia.org/wikipedia/commons/8/84/IodoAtomico.JPG
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    if two atoms of an element are having same atomic no

    (p) but differ in their their atomic mass(A) then those two

    atoms are called as isotope of each other and if atom is

    having property of radioemission it is called as

    RADIOISOTOPES.

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    DIAGNOSIS THERAPY

    in vitro in vivo internal external

    Systemic sources tele radio

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    14C

    3H

    125I

    201Tl123I

    111In

    67Ga

    81Rb-81mKr

    others

    + emitters

    for PET

    18F, 11C,13N,15O

    86Y, 124I

    68Ge-68Ga

    82Sr-82Rb

    131I,90Y153Sm,186Re

    188W-188Re

    166Ho,177Lu,

    Others

    a-emitters:225Ac-213Bi

    211At,223Ra

    149Tb

    e--emitters:125I

    sealed sourcesand

    applicators:

    192Ir,

    182Ta,

    137Cs

    Others

    needles for

    brachytherapy:

    103Pd,

    125I

    microspheres

    90Sr or 90Y,

    others

    60Co

    Gamma

    Knife

    137Cs

    blood

    cell

    irradi-ation

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    Radioactive traccers which emmit gamma rays

    within the body are given by injection inhalation or

    orally

    Radioactive tracers are short lived isotopes linked

    to chemical compounds which permit speciic

    physiological processes to be scrutinised

    Emitted gamma rays are detected by gamma

    camera & build image from the point from whichradiationis emitted.image is enhanced by computer

    & viewed on monitor..

    thus a organ can be viewed from

    several angles

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    now a days PET & PETCT are also used instead of gamma

    camera.. They detects positrons emitted from

    radionucleides

    FUNCTIONAL imaging

    Mean effffective dose is 4.6 mSv per diagnostic procedure

    Advantage over routine x ray imaging-

    1.both bone & soft issue can be imaged successfully

    2.functional status of organ is determined

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    2 forms

    teletherapy/EBRT

    (external RNT)

    brachytherapy

    (internal RNT)

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    http://upload.wikimedia.org/wikipedia/commons/8/84/IodoAtomico.JPG
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    The imaged property is the distribution of radionuclide-

    labeled agents injected in the body: radiopharmaceuticals

    Produce functional images of tracer concentrations relatedto pathophysiological Process

    Radioisotope- An unstable isotope of an element thatdecays or disintegrates spontaneously, emitting radiation

    Radioactive decay of radioisotopes leads to the emission of-, -, -, and x radiation depending on the radionuclideinvolved

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    The range of-, -particles is small

    for in vivo imaging using external

    Radioisotope imaging is restricted to the use of radionuclides emitting photons with energies > 50 keV

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    Anger camera (1960s)

    Radioisotope imaging is restricted to the useof radio nuclides emitting photons

    with energies > 50 keV

    Lead collimator (incidence orientationselection)

    Scintillation camera of NaI (sodium iodide) Photomultipliers (PMT)

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    Static planar scintigraphy

    Dynamic planar scintigraphy

    Emission Computed Tomography (ECT)

    Single Photon Computed Tomography (SPECT) Positron Emission Tomography (PET

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    Single Photon Computed Tomography (SPECT) Same principle of Gamma camera but with 2 or 3 rotating

    cameras to record projection data more efficiently

    In CT we know the position of the emitting source and thedetection point; in SPECT only the detection point

    In CT absorption is the essence of the imaging process; inSPECT attenuation degrades the images

    Attenuation must be compensated for (single scan-line of

    photons to estimate transmission coefficient)

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    Gated SPECT particularly useful in cardiacperfusion studies

    Some systems with slip ring technology

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    Radiotracer produces positrons, which areannihilated within around 1mm from their origin

    After annihilation 2 -ray photons are emittedalong a Line Of Response (LOR)

    Electronic coincidence detectors (12ns), which

    eliminates lead collimators and allows higherefficiency

    In PET it is easier to correct for attenuation

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    AUGER electron emitters for therapy

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    + emitters

    for

    in vivo dosimetry

    Scintigraphic abdominal

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    images 5 & 24 h p.i.

    affected by

    carcinoid with

    extensive hepatic and

    paraaortal metastases

    Patients:

    3 patients with metastases of

    carcinoid tumor (histologicallyconfirmed)

    . No therapy with unlabeled

    somatostatin > 4 weeks

    Age: 46 67 years, male

    All were candidates for a

    possible 90Y-DOTATOC therapy

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    PhysicalRadionuclide Half-Life Use__________________Americium-241 432 yrs Smoke Detectors

    Bismuth-213 46 min TAT(targeted alpha therapy)

    Cesium-137 30 yrs Food Irradiator

    Cobalt-60 5.27 yrs EBRT,sterilising

    Cromium-51 28 days label RBC & quantify GI protein loss

    Dysprosium-165 2hr aggregated OH in synovectomy

    Erbium-169 9.4 days arthritis pain-synovial joints

    Holmium-166 26 hr liver tumors(,Rx)

    Hydrogen-3 12 yrs Exit Signs

    Iridium-192 74 days Industrial Radiography,BT wires

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    Physical

    Radionuclide Half-Life UseIodine-125 60 days Brachtherapy(prostate,brain)

    - DVT leg, GFR kidney

    Radioimmunoassys

    Iodine-131 8 days Imaging & treating throid cancer,- abnormal liver function ,

    renal blood flow

    urinary tract obstruction

    Iron-59 46 days Study Fe metabolism in spleen

    Lutetium-177 6.7 days Rx of small endocrine tumors

    Molybdenum-99 66 hr PARENT in generator for Tc99m

    Palladium-103 17 days prostate ca-BT permanent seed implant

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    Physical

    Radionuclide Half-Life Use______________________Phosphorus-32 14 days Rx of Polycythemia vera

    Plutonium-239 24,000 yrs Nuclear Weapon

    Pottasium-42 12 hr Detemination of exchangeable

    pottasium in coronary blood flow

    Radon-222 4 days Environmental Level

    Rhenium-186 3.8 days pain reief in bone caner

    Rhenium-188 17 hr -iradiate coronary arteries from

    an angioplasty baloon

    Samarium-153 47 hr pain relief in metastatic bone 20

    Selenium-75 120 days study production of digestive

    enzymes (Selenomethionine)

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    Physical

    Radionuclide Half-Life Use______________Sodium-24 15 hrs study electrolytes in body

    Strontium-89 50 days relief from pain of prostate

    & bone cancerStrontium-90 29 yrs Eye Therapy Device

    Technetium-99m 6 hrs Diagnostic Imaging

    (skeleton,myocardium,lung)

    Xenon-133 5 days lung ventilation studiesYtterbium-169 32 days CSF studies

    Ytterbium-177 1.9 hrs progenitor ofLu-177

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    Physical

    Radionuclide Half-Life Use_________________________

    Fluorine-18 PET(brain,heart physiology,pathology)

    Cobalt-57 272 days marker to estimate organ size

    Gallium-67 78 hr tumor imaging, localisation of

    inflammatory leison(infective)

    Gallium-68 68 min positron emitter(PET)

    Iodine-123 13 hr of thyroid function .

    Thallium-20173 hr of CAD , MI

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    allow to separate chemically short-lived radioactive daughter nuclei with

    good characteristics for medical

    imaging from long-lived radioactive

    parent nuclei. Typical techniques used

    are chromatographic absorption,

    distillation or phase separation

    This method is in particular applied forthe separation of the rather short-lived99Tcm (T1/2=6 h) from the long lived

    99Mo

    (T1/2=2.7 d).

    Milking cow analogy

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    Applying the radioactivedecay law the growth of

    activity of the daughter

    nuclei A2 with respect of

    the initial activity of themother nucleusA1

    0can

    be expressed in terms of

    their respective decay

    constants 2 and 2 with

    2 >> 1:

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    52-year old female breast cancer

    ANT POST

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    Phosphorus-32

    Rhenium-186

    Samarium-153

    Strontium-89

    Rhenium-188

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    Gadolinium enhanced

    SPECT imageRadioisotope

    cisternography

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