SYSTEM AND METHOD OF USING TEMPORAL MEASUREMENTS OF LOCALIZED RADIATION TO ESTIMATE THE MAGNITUDE, LOCATION, AND VOLUME OF RADIOACTIVE MATERIAL IN THE BODY
A system and method for the measurement of radiation emitted from the body, for example, is presented. In one example, radiation sensors (e.g., gamma radiation sensors) may be used to measure activity proximate an injection site as a function of time. In some embodiments, one or more rangefinders may be employed to determine a size and/or position of a subject relative to the radiation sensors to better account for varying material densities within the system in estimating, for example, the amount of radioactive material in the tissue proximate the injection site. With an estimated function of radioactive material proximate the injection site as a function of time known, an estimated arterial input function may be determined, allowing for calculation of a correction factor that may be applied by a clinician during nuclear medical imaging. The magnitude, location, and volume of the radioactive source in the body may also be estimated.
1 . A method for the ex vivo real-time determination over a period of time of one or more of the magnitude, location, and volume of radioactive material in the body by measuring radiation that decays in vivo emitted by a subject, the method comprising:
(i) applying one or more ex vivo radiation measurement sensors proximate an area of interest on a patient;
(ii) applying one or more rangefinders proximate an area of interest on a patient for determining a position of the subject relative to the one or more radiation measurement sensors;
(iii) detecting radiation over a desired period of time and producing signal data associated with the desired period of time;
(iii) amplifying the signal data using a signal amplifier in operable communication with the radiation measurement sensor, wherein the radiation measurement sensor has at least one sensor output for such amplified signal data, and outputting the amplified signal data;
(iv) processing the amplified signal data using a computer processor in operative communication with a non-transient memory and the measurement sensor output by performing the steps of:
(a) receiving the amplified signal data associated with the desired period of time;
(b) comparing the amplified signal data to a set of expected signal data for radioactive sources of various magnitudes, locations, and volumes within a subject at the position determined by the one or more rangefinders;
(c) determining one or more of a magnitude, location, and volume of the radioactive source in the body over the desired period of time by fitting the amplified signal data to the most likely set of expected signal data.
2 . The method of claim 1 , wherein a Maximum Likelihood Expectation Maximization method is used to fit the most likely magnitude, location, and volume of the radioactive source in the body.
3 . The method of claim 1 , further comprising the step of determining a dose of radioactivity to an area of tissue proximate the location of the radioactive source.
4 . The method of claim 1 , further comprising the step of using the determined one or more magnitude, location, and volume of radioactive source in the body to make one or more of a clinical decision or diagnosis.
5 . The method of claim 1 , wherein an array comprising two or more of the ex vivo radiation measurement sensors and two or more rangefinders are utilized.
6 . The method of claim 5 , wherein the array of two or more radiation measurement sensors and two or more rangefinders are disposed in a substantially symmetric geometry about the radioactive source in the body.
7 . The method of claim 5 , wherein the two or more sensors are disposed proximate one or more desired measurement location, and further wherein each desired measurement location comprises at least a first sensor disposed relatively closer to the radioactive source than a second sensor.
8 . The method of claim 1 , wherein one or more of a magnitude, location, or volume is determined for two or more radiation sources in the body.
9 . The method of claim 8 , further comprising the step of comparing the one or more determined magnitude, location, or volume of the two or more radioactive sources, and making a clinical decision or diagnosis based on the comparison.
10 . The method of claim 9 , wherein the clinical decision or diagnosis is also based on one or more prior determinations or comparisons of the subject patient.
11 . The method of claim 9 , wherein the clinical decision or diagnosis is further based on a comparison to a table comprising data from a population of other patients.
12 . The method of claim 1 , wherein the one or more rangefinders comprises an ultrasound transducer and detector.
13 . The method of claim 1 , wherein the one or more rangefinders comprises an optical detector.
14 . The method of claim 1 , wherein the one or more rangefinders comprises a camera and laser system for determining the position of the subject.
15 . The method of claim 1 , further comprising the step of utilizing the position of the subject to estimate a position of bone within the patient.
16 . A system for the ex vivo real-time detection over a period of time of radiation emitted by a subject from the administration of a radioactive analyte that decays in vivo, the system comprising:
two or more ex vivo radiation measurement sensors to detect radiation over a desired period of time and to produce signal data associated with the desired period of time, the ex vivo measurement sensors adapted to sensing radiation proximate to a point of administration on the subject of the radioactive analyte and disposed within a deformable cuff comprising two or more detector plates, wherein the two or more detector plates are joined by a pivot point between each pair of detector plates having a sensor for measuring a relative angle between the pair of detector plates in real time such that the relative positions of the two or more sensors disposed within the two or more detector plates are known in real time;
a signal amplifier in operable communication with the two or more radiation measurement sensors, the signal amplifier adapted to amplify the signal data, the measurement sensors having at least one sensor output for such amplified signal data;
at least one computer processor and a non-transient memory, the computer processor in operable communication with the non-transient memory and the measurement sensor output port;
wherein the non-transient memory includes computer program code executable by the at least one computer processor, the computer program code configured for performing the steps of receiving the amplified signal data with the desired period of time, accessing a measured amount of radioactive material proximate the point of administration at a time t, and using the amplified signal data, estimating a function of radioactive material proximate the point of injection as a function of time from a time of injection to time t.
17 . The system of claim 16 , wherein the measured value of radioactive material proximate the point of administration at time t is measured using the two or more ex vivo radiation measurement sensors disposed on the two or more corresponding detector plates, wherein a distance from the array to a radiometric center of the radioactive material being measured can be determined, and further wherein a volume of the radioactive material being measured can be determined.