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Development and characterization of a compact hand-held gamma probe system, SURGEOGUIDE, based on NEMA NU3-2004 standards

Using an intra-operative gamma probe after periareolar or peritumoral injection of a radiotracer during surgery helps the surgeon to identify the sentinel, or first, nodal site of regional metastasis in clinically node-negative patients. The pathological analysis of this node can have an important influence on the treatment staging in various cancers. This paper reports the design and performance evaluation of a gamma probe recently developed in our department. The detector unit of this system consists of an 8 mm diameter and 10 mm thickness monolithic CsI(Tl) scintillator optically, coupled to a Silicon Photomultiplier (SiPM) with an active area of 6×6 mm2, and a single-hole collimator. The unit is shielded using tungsten. The system can operate in three different modes for Tc-99m, I-131, or F-18 isotopes. The following measurements were carried out to evaluate the performance of the probe: sensitivity in air and scatter medium, spatial resolution in scatter medium, angular resolution in scatter medium, and side and back shielding effectiveness. All experiments have been performed based on the NEMA NU3-2004 standard set up. The measured system sensitivities in air and scatter medium (water) are 1700 cps/MBq and 1770 cps/MBq, respectively, both measured at 3 cm from the collimator. The spatial resolution in the scatter medium is about 45 mm at 3 cm distance from the collimator. Also, the angular resolution of the probe is 74̂ FWHM. Finally, a shielding effectiveness of 99.5% is measured. The results show that the probe can potentially be used for sentinel lymph node localization during the surgery.