Quantitative terbium-161 SPECT/CT imaging: demonstrating the feasibility of image-based dosimetry and highlighting pitfalls

This study demonstrates that highly accurate SPECT/CT-based <sup>161</sup>Tb quantification is feasible, further cementing <sup>161</sup>Tb as a viable theragnostic alternative. A MEGP collimator, a 75 keV window, and a CF derived from a homogeneous cylinder measurement appears preferable. The 49 keV window could be useful at late imaging time points, given its high sensitivity, if further optimized. Degradation from penetration and subsequent downscatter may be mitigated with a more refined reconstruction. Further investigations into dead-time effects are encouraged.

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Publication Details

Journal
EJNMMI Research
Published
2025-10-13
DOI
https://doi.org/10.1186/s13550-025-01326-3
Citations
1
Primary Topic
Medical Imaging Techniques and Applications
Type
article
Field-Weighted Citation Impact
1.36

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article

Quantitative terbium-161 SPECT/CT imaging: demonstrating the feasibility of image-based dosimetry and highlighting pitfalls

Nicholas Philip van der Meulen, Frida Westerbergh, Philipp Ritt, Andreas Grings et al.
1 citations
EJNMMI Research
Medical Imaging Techniques and Applications
1.36
article

Quantitative terbium-161 SPECT/CT imaging: demonstrating the feasibility of image-based dosimetry and highlighting pitfalls

Nicholas Philip van der Meulen, Frida Westerbergh, Philipp Ritt, Andreas Grings, Peter Bernhardt, Cristina Müller
article en
1 citations

Abstract

This study demonstrates that highly accurate SPECT/CT-based <sup>161</sup>Tb quantification is feasible, further cementing <sup>161</sup>Tb as a viable theragnostic alternative. A MEGP collimator, a 75 keV window, and a CF derived from a homogeneous cylinder measurement appears preferable. The 49 keV window could be useful at late imaging time points, given its high sensitivity, if further optimized. Degradation from penetration and subsequent downscatter may be mitigated with a more refined reconstruction. Further investigations into dead-time effects are encouraged.

EJNMMI ResearchVol. 15(1)
Sahlgrenska University Hospital (SE), Paul Scherrer Institute (CH), ETH Zurich (CH), Universitätsklinikum Erlangen (DE), Isotopen Technologien München (Germany) (DE), University of Gothenburg (SE)
Cancerfonden, Vetenskapsrådet, Göteborgs Universitet
Openalex Percentile: Top 15%
Medical Imaging Techniques and Applications
1.36
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