The present invention relates generally to a system and method for producing Technetium-99m. More specifically, the present invention relates to a novel method and device for modifying commercially-available, widely-used low energy positron emission tomography (PET) cyclotrons in order to produce Technetium-99m in a more efficient, less expensive manner than previously known.
Technetium-99m (Tc-99m) is used in medical therapy in brain, bone, liver, spleen, kidney, and thyroid scanning and for blood flow studies and is the most widely used medical isotope in the world. Tc-99m is the radioisotope most widely used as a tracer for medical diagnosis. Technetium-99m is used in 20 million diagnostic nuclear medical procedures every year, half of which are bone scans, and the other half are roughly divided between kidney, heart and lung scans. Approximately 85 percent of diagnostic imaging procedures in nuclear medicine use this isotope. Currently, this isotope is produced worldwide in a small number of research reactors. A number of these reactors are likely to close in a few years leading to supply shortages. Additionally, these reactors must use highly enriched uranium to produce Tc-99m. It is a long-standing goal to eliminate the use of highly enriched uranium in research reactors due to security concerns. Currently, there are no domestic supplies, and the United States imports Tc-99m from Canada. Secure, economic domestic supply is of interest to the US.
A cyclotron is a type of particle accelerator in which charged particles accelerate outwards from the center along a spiral path. The particles are held to a spiral trajectory by a static magnetic field and accelerated by a rapidly varying (radio frequency) electric field. The cyclotron was an improvement over the linear accelerators (linacs) that were available when it was invented, being more cost- and space-effective due to the iterated interaction of the particles with the accelerating field. In the 1920s, it was not possible to generate the high power, high-frequency radio waves which are used in modern linacs (generated by klystrons). As such, impractically long linac structures were required for higher-energy particles. The compactness of the cyclotron reduces other costs as well, such as foundations, radiation shielding, and the enclosing building. Cyclotrons have a single electrical driver, which saves both money and power. Furthermore, cyclotrons are able to produce a higher duty factor stream of particles at the target, so the average power passed from a particle beam into a target is relatively high.
The spiral path of the cyclotron beam can only “sync up” with klystron-type (constant frequency) accelerating sources if the accelerated particles are approximately obeying Newton's Laws of Motion. If the particles become fast enough that relativistic effects become important, the beam becomes out of phase with the oscillating electric field, and cannot receive any additional acceleration. The classical cyclotron is therefore only capable of accelerating particles up to a several percent of the speed of light. To accommodate increased mass, the magnetic field may be modified by appropriately shaping the pole pieces as in the isochronous cyclotrons, operating in a pulsed mode and changing the frequency applied to the dees as in the synchrocyclotrons, either of which is limited by the diminishing cost effectiveness of making larger machines. Cost limitations have been overcome by employing the more complex synchrotron or modern, klystron-driven linear accelerators, both of which have the advantage of scalability, offering more power within an improved cost structure as the machines are made larger.
A radio-frequency quadrupole (RFQ) is a linear accelerator component generally used at low beam energies, roughly 50 keV to 3 MeV. It is similar in concept to a quadrupole mass analyzer but its purpose is to accelerate a single-species beam (rather than perform mass spectrometry on a multiple-species beam). The RFQ is a combined-function component that both accelerates and focuses the beam of charged particles.
Positron emission tomography (PET) is a nuclear medical imaging technique that produces a three-dimensional image or picture of functional processes in the body. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radionuclide (tracer), which is introduced into the body on a biologically active molecule. Three-dimensional images of tracer concentration within the body are then constructed by computer analysis. In modern scanners, three-dimensional imaging is often accomplished with the aid of a CT X-ray scan performed on the patient during the same session, in the same machine.
If the biologically active molecule chosen for PET is FDG, an analogue of glucose, the concentrations of tracer imaged will indicate tissue metabolic activity by virtue of the regional glucose uptake. Use of this tracer to explore the possibility of cancer metastasis (i.e., spreading to other sites) is the most common type of PET scan in standard medical care (90% of current scans). However, on a minority basis, many other radiotracers are used in PET to image the tissue concentration of many other types of molecules of interest.
To conduct the scan, a short-lived radioactive tracer isotope, e.g., fluorine-18, is injected into the living subject (usually into blood circulation). The tracer is chemically incorporated into a biologically active molecule. There is a waiting period while the active molecule becomes concentrated in tissues of interest; then the subject is placed in the imaging scanner. The molecule most commonly used for this purpose is fluorodeoxyglucose (FDG), a sugar, for which the waiting period is typically an hour. During the scan a record of tissue concentration is made as the tracer decays.
As the radioisotope undergoes positron emission decay (also known as positive beta decay), it emits a positron, an antiparticle of the electron with opposite charge. The emitted positron travels in tissue for a short distance (typically less than 1 mm, but dependent on the isotope), during which time it loses kinetic energy, until it decelerates to a point where it can interact with an electron. The encounter annihilates both electron and positron, producing a pair of annihilation (gamma) photons moving in approximately opposite directions. These are detected when they reach a scintillator in the scanning device, creating a burst of light which is detected by photomultiplier tubes or silicon avalanche photodiodes (Si APD). The technique depends on simultaneous or coincident detection of the pair of photons moving in approximately opposite direction.
There are various systems and methods for producing radioisotopes. The PET isotope production cyclotron accelerator is originally designed with energies of up to 18 MeV for the production of PET isotopes. The production of Tc-99m from molybdenum-100 (Mo-100) requires a significantly higher energy to efficiently produce this isotope. The proposed system increases the energy output of existing cyclotron systems while providing the ability to produce several other isotopes which were previously unable to be produced in these accelerators. The following chart includes a list of patents and published patent applications that are directed to this type of technology. Each of these references is incorporated by reference herein:
Among the several objects of this invention may be noted the provision of an apparatus for, as described and shown herein, a modification to existing positive or negative ion accelerator and associated facility, primarily a PET isotope production facility cyclotron, to enhance its isotope production capabilities and allow such devices to produce Tc-99m through the use of a secondary accelerator structure.
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In accordance with one aspect of the invention, a linear accelerator and control technology allow accelerated protons that are produced by a commercially-available, widely-used low energy PET cyclotron/accelerator to be further accelerated to a higher energy, allowing them to reach the energies needed to efficiently produce significant quantities of Tc-99m. An innovative target is also provided that allows for efficient collection and processing of the desired isotope. One embodiment of the present invention includes a device, target, and processes to allow existing commercial PET cyclotrons to produce technetium-99m. This system allows local production of Tc-99m in facilities that currently produce only PET isotopes, e.g., fluorine-18. Deployment of the technology may alleviate the supply shortage of Tc-99m. Local production could also result in lower costs for production and use of Tc-99m. This technology can also be used for the production of other useful isotopes, radioactive (“hot”) as well as stable (“cold”), see Tables 1 and 2 for a non-exhaustive list of examples.
The current low-energy PET isotope producing accelerators in wide use around the United States are based on a cyclotron accelerator technology. These technologies are rather simplistic in nature and are a mature and reliable technology. These technologies are designed to maximize PET isotope production, which have much lower production threshold energies. This can be seen in
An additional enhancement to the PET Cyclotron is the installation of a second ion source 19 separate from that of the cyclotron, such as SNICS, Torvus, plasma, sputter, spallation and the like, which would be coupled to the RFQ cavity when it is not attached to the PET cyclotron to serve as a target material enrichment device. For example, 17A (the main cyclotron system), 17 B connects to a shutoff valve and beam transport tube to 17 C and the existing target end station while parts 19-25 are isolated). During this phase, the ion source will be utilized to accelerate a high current source of negative or positive ions of the target nuclei. The nuclei are ionized in the ion source 19 and are accelerated to the linac/RFQ accelerator source 22. These nuclei then undergo acceleration in the accelerator cavity. Once accelerated, the nuclei are then sent through a doubly achromatic 270 degree bending (two or three segment) dipole bending magnet with a suitable set of adjustable slit apertures behind which is a moveable target 23. The addition of multiple isotope collectors in the 270 degree bending magnet allows for simultaneous separation and collection of various isotopes due to their energy and mass differences. As a bending magnet, this magnet provides both simultaneous bending and superior focusing of a wide bandwidth (energy) of accelerated atomic species. These nuclei will be brought incident onto a target for collection 25. The series of focusing quadrapole and 270 degree bending dipole magnets are used to select the desired mass and charge of the accelerated beam thereby enriching the target nuclei for use in the secondary system. The selected beam can defocused/focused onto the target in a diffuse setting or can be steered with focusing magnets to produce a micro/nanostructured target to assist in online/offline processing. The Tc-99m production target may be comprised of a cold target of either enriched material produced above, or natural isotopic abundance target material (Molybdenum). It can be aqueously separated using conventional techniques, online separated through aqueous flow over/under the target, as seen in
The target can also be produced such that it is a diffuse disc or other geometric shape of material also known as a collector grid. As shown in
An innovative target is presented to provide for efficient collection and processing of the desired radioisotope. Key aspects of the invention include micro or nano-structured patterns, flooding the target with free electrons, and imparting a vacuum on the target. Other innovations include a self-ablating target design and/or the use of a liquid target coupled with online processing to allow fresh target material to remain present to the charged particle beam.
The nanostructured and micro-structured pillar provides three main advantages over a traditional one-dimensional target structure. The first is the improved surface area which is exposed to the charged particle beam and is described above. The second is the improved cooling efficiency of the micro/nanostructured material. The improved surface area improves the cooling of the target allowing for higher beam currents to be applied to the target while still maintaining the target's integrity. The last major improvement is in the ability to extract the irradiated nuclei during operation of the accelerator (“online”).
To improve the efficiency of a target, high aspect ratio pillar-like micro- or nano-scale structures can be additively constructed out the target isotope material (see
For target materials that are relatively abundant or inexpensive, a subtractive technique can be used to fabricate high aspect ratio trench-like micro or nano-structures. Various type of subtractive techniques including: laser micro machining or a masked etching technique such as reactive ion etching, plasma-enhanced reactive ion etching, or chemical etching, or the like, can be used to selectively remove target material to develop the micro- or nano-scale trench-like structures, as shown in
The high aspect ratio pillars or trenches are aligned at an angle with respect to the incident charged particle beam so as to maximize penetration of the charged particles into the target. The angle should be minimized with respect to the incident particle beam to maximize the amount of target material seen by the charged particle beam, i.e., maximize the number of pillars per unit area or minimize the number of trenches per unit area. The thickness of the trench structure 4, as shown
The height of the pillar 6 will be limited to the physical strength of the pillars themselves as a function of the physical characteristics of the target material, coolant, and the density (g/cc) of the pillars relative to theoretical which are grown. The additive technique can provide a higher aspect ratio of the two options due to its higher degree of anisotropic growth compared to the subtractive etching techniques.
The thickness of the pillars 7, or the distance between trenches, is engineered such that the thickness is five times the average expected range of the charged particle beam in the target material.
To improve cooling of the micro/nanostructured materials, a low-pressure coolant (liquid or gas) is flowed over them in trenches 3,8. Traditional designs require coolant to flow over the back of solid production targets. The amount of heat that is able to be removed is limited in this configuration due to the low thermal conduction of the target material coupled with the localized heating on the surface. In most charged particle beams, there is intense localized heating. With high beam currents this can result in melting and destruction of the target. In this invention, the micro/nanostructured materials are contiguous and the coolant flow rate is kept low so as to maintain laminar flow in the micro/nanostructured pillars and trenches. Laminar flow provides improved cooling and this design is a significant improvement over existing one-dimensional target technologies.
The use of micro- and nano-scale pillar or trench structures allows for the continuous real-time extraction of the produced isotope; a great improvement over existing target technologies. This is accomplished when the target nuclei kinematically recoil from veins 4,7 after being struck by the incident charged particle as part of being converted to the desired activation product. Most of the activated product nuclei will recoil into the gas or liquid flowing by the pillar or trench wall 3,8. The flow gas or liquid picks up the isotope and carries it out of the micro/nanostructured target. An additional technique is used to ensure that the product of activation, which is usually negatively charged, is not electrostatically drawn to the target surface lodging itself into the trench walls. This negative charge of the activation product along with positive charging from the charged particle beam causes the production products in the coolant stream to be attracted to the target material walls (trench walls) without charge neutralization. To minimize this effect, an e-gun system (a common vernacular for an electron emitting device comprised of a bias power supply and a thermoionic emitting material along with extraction lenses) is used to flood the target with electrons in a low pressure or near vacuum configuration. The e-gun electrons are not at an energy suitable to cause destruction to the surface but does impart a negative charge onto the surface of the target material. This negative charge causes the negatively charged production products to be repelled from the pillar/trench surfaces and remain in the coolant stream for charge neutralization and subsequent collection. Upon exiting the target, the negatively charged activation products are electrically neutralized by the coolant stream for later removal through a filter or aqueous bath extraction technique. The pillar 4 can be maintained at an angle with respect to the incident ion beam or parallel to the beam axis depending on the angle of the scattering reactions and energy of the particles being harnessed. The trench structure can have a flowing gaseous or liquid coolant present wherein the coolant collects the activation products which recoil out of the nanostructured device and the target apparatus is flooded by electrons provided by an electron gun wherein the electrons charge the nanostructured surfaces and repel the ionized activation products promoting higher collection efficiencies as well as decreasing the electrostatic attraction between positive and negative charges.
As shown in
Since it is desirable to operate the system with active cooling on the front side of the target to achieve the highest possible beam currents, a unique, multiple-orifice, dynamically vacuum-pumped beam delivery system is required to create and maintain a vacuum for the beam for the longest possible time. In this innovation, the beam passes through the center of a small number of micron and sub-micron apertures in series 31. The apertures limit the amount of coolant gas or liquid which can proceed upstream toward the beam line origin, as shown in
Another manifestation of the high current, high specific activity target is a self-ablating target. The self-ablating target allows the surface of the target to spall from the surface after the charged particle has produced the new isotopes providing fresh target material constantly while allowing for continuous, real-time removal of the production products. The charged particle beam can only penetrate to a maximum depth of several hundred microns into the target and only the first few microns of the target material interact with the charged particle beam while the incident particle energy is high enough to produce the desired activation product. The results of these collisions are energetic kinematic recoils of the target nuclei, many of which will recoil out of the target. To maximize this effect, the target material is engineered to allow it to more easily spall from the surface. This is accomplished through the creation of a lower density semi-sponge-like form of the target material. During irradiation, the target undergoes radiation damage and begins to develop charged particle ionization tracks in the target material. Most of the energy of the incident charged particle, once the charged particle energy drops below the coulomb repulsion barrier level of the target material, is deposited, via ionization events as heat in the target. These ionization tracks and the build-up of incident charged particles in the target material eventually produces embrittlement of the target material. In addition, most of the charged particle beams, for example hydrogen isotopes, helium isotopes, or carbon xenon, are gaseous when they come to rest. The entrapment of these gaseous materials in the semi-porous target material builds up pressure and increases the likelihood of fragments spalling from the surface. The novel nature of these targets are that they are engineered with lower initial density and higher porosity to produce much more rapid embrittlement, to the extent that as target nuclei are converted to the desired production product their kinematic recoil results in spallation of small fragments from the target surface. This interconnected porosity also improves collection efficiency through decreased activation energy for ablation. The target is also kept at a negative electrical potential 27 relative to the remainder of the target assembly. The negative electrical potential is used to accelerate the spalled fragments toward a sweeping magnet 29 and collection grid 28. The spalled fragments will spall with multiple agglomerated atoms present. These are additionally charged with an e-gun and accelerated to the collection grid. The grid is then later processed for the activation products. As the material spalls away and is collected by the collection grid, fresh material is exposed to the incident charged particle beam. This technique ensures nearly production and collection of product nuclei by real-time collection and a constant supply of fresh material. The collected product material can later be run through a RF ionizer and mass separator to remove any target isotopes which may have adhered onto the spallation fragments and provide the highest specific activity product isotopes possible. In a faraday cup collection mode the cold isotope prep selector accelerator (CIPSA) will have the ability to deposit the target material in a uniform fashion using the focusing/defocusing magnets. The collection mode will also allow for computer controlled steering of the focusing magnets allowing for micro and nanofeatures to be deposited allowing for a micro or nanostructured target. This coupled unit will be called the Hot isotope prep selector accelerator (HIPSA). In the faraday cup collection mode, the HIPSA will have the ability to deposit the target material in a uniform fashion using the focusing/defocusing magnets.
The liquid target design acknowledges that under very high beam current loadings of the accelerator, the target, even with active cooling on the face of the target, cannot dissipate heat fast enough to prevent a target from melting. The liquid target design harnesses the heat deposition to liquefy the target material and provides a means for circulation and cooling of the target material above its molten phase. Initially the target is heated through external means such as resistance or inductance heating or slowly increasing the target current until the target liquefies in its entirety. The target is heated until the loop becomes molten. Once the loop is molten, if metallic, it is circulated with a magnehtodynamic drive, natural circulation, or other impeller driven system. If electrically insulating in nature, a natural circulation, or impeller driven system is used to flow the current through the loop. External cooling is provided to remove excess heat from the system.
To provide an online means of activation product removal, either one of two techniques is used for removal of the desired radioisotope products. The first is through a selective, micro/nanostructured membrane which is operated in the coolant loop. This membrane is cloth like and created from specially tailored monomer/polymer combinations on a refractory substrate with preferential extraction of the activation product over the target materials. This membrane is cycled in and out of the target loop for online removal of the target material.
The second removal technique is applicable if the activation product has a lower melting point than the target material. A cold finger is inserted into the coolant loop and held at a constant temperature 10 C below the melting point of the activation product. The cold finger plates out the activation product leaving the target nuclei to flow by. In another instantiation, the back side of the coolant loop is heated to the boiling point of the activation product and allowed to boil off. This evaporate is then condensed in the sealed loop resulting in a high specific activity.
The last extraction technique is performed in bulk or batch mode and uses electrolysis on the molten target salt to preferentially extract the activation product from the loop. This is done online or in batch sample modes.
Significant commercial application is possible. Technitium-99m is the most widely used medical isotope in the world and is currently produced in a small number of research reactors fueled with highly-enriched uranium. Several research reactors are slated for closure in the next few years causing concern about the availability of supply of this isotope. Significant research is underway to create processes that could avoid the use of HEU and/or utilize accelerators to produce this isotope. As yet none have been successful.
Low power cyclotrons are located and used in hundreds of hospitals in the US (and worldwide) to produce low atomic number isotopes used for a variety of diagnostic techniques, e.g., fluorine-18. The present invention will allow these existing cyclotrons to be upgraded and back-fitted to allow production of Tc-99m in existing facilities, thus significantly increasing the availability and security of supply of Tc-99m available in the United States, perhaps eliminating supply concerns altogether.
Although the present invention has been described in considerable detail with reference to certain preferred versions thereof, other versions are possible. Therefore, the spirit and scope of the appended claims should not be limited to the description of the preferred versions contained herein. All features disclosed in this specification may be replaced by alternative features serving the same, equivalent or similar purpose, unless expressly stated otherwise. Thus, unless expressly stated otherwise, each feature disclosed is one example only of a generic series of equivalent or similar features.
The present application claims priority to and the benefit of the filing date of U.S. Provisional Patent Application Ser. No. 62/006,457, filed Jun. 2, 2014, which is incorporated herein by reference.
Number | Date | Country | |
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62006457 | Jun 2014 | US |