0000000000728077
AUTHOR
C. Casella
showing 16 related works from this author
A Demonstrator for a new Axial PET Concept
2008
In PET imaging, improving sensitivity while maintaining very good spatial resolution is crucial. To achieve this goal, we propose a novel concept of PET scanner, with axially arranged crystals, providing a high sensitivity and a 3D reconstruction of the gamma interaction point. The trans-axial coordinate is given by the crystal hit, while the z coordinate is reconstructed by the weighted distribution of light escaping the crystal and entering into an array of Wave Length Shifting (WLS) strips interleaving the crystal layers. This novel configuration allows full identification of Compton interactions in the crystals that can be included in image reconstruction thus enhancing the sensitivity.…
The AX-PET demonstrator—Design, construction and characterization
2011
Abstract Axial PET is a novel geometrical concept for Positron Emission Tomography (PET), based on layers of long scintillating crystals axially aligned with the bore axis. The axial coordinate is obtained from arrays of wavelength shifting (WLS) plastic strips placed orthogonally to the crystals. This article describes the design, construction and performance evaluation of a demonstrator set-up which consists of two identical detector modules, used in coincidence. Each module comprises 48 LYSO crystals of 100 mm length and 156 WLS strips. Crystals and strips are readout by Geiger-mode Avalanche Photo Diodes (G-APDs). The signals from the two modules are processed by fully analog front-end …
Performance of the AX-PET Demonstrator
2011
The goal of the AX-PET project is to build and test a demonstrator for a high resolution, high sensitivity PET scanner, based on a novel geometrical concept of long axially oriented crystals. The demonstrator comprises two PET modules used in coincidence. The two modules have been constructed and characterized (both individually and in coincidence) in dedicated test setups, with point-like sources. Good performance in terms of energy, spatial and timing resolution have been demonstrated. First measurements with extended phantoms filled with FDG-radiotracers have been recently performed.
Development of a High Precision Axial 3-D PET for Brain Imaging
2009
We describe a PET device based on a novel method to extract the coordinates of the interaction point of the 511keV γ rays from 100 mm long and thin LYSO (Lutetium Yttrium OxyorthoSilicate) scintillator bars, positioned axially in the tomograph. The coordinate along the hit crystal is measured by using a hodoscope of Wave Length Shifting (WLS) plastic strips mounted perpendicularly to each plane of scintillators. As photodetectors, new Geiger mode Avalanche PhotoDetectors (G-APDs) with integrated electronics are being used to detect both the hit crystal in a block (x and y coordinates) and the interaction point in the crystal (z coordinate) through the light escaping from the crystal and tra…
AX-PET: Concept, proof of principle and first results with phantoms
2010
AX-PET is a novel PET concept based on long crystals axially arranged and orthogonal Wavelength shifter (WLS) strips, both individually readout by Geiger-mode Avalanche Photo Diodes (G-APD). Its design was conceived in order to reduce the parallax error and simultaneously improve spatial resolution and sensitivity. The assessment of the AX-PET concept and potential was carried out through a set of measurements comprising individual module characterizations and scans in coincidence mode of point-like and extended sources. The estimated energy and spatial resolutions from point-like measurements are R FWHM =11.6% (at 511 keV) and 1.7–1.9 mm (FWHM) respectively as measured with point-like sour…
Sensitivity recovery for the AX-PET prototype using inter-crystal scattering events
2014
The development of novel detection devices and systems such as the AX-positron emission tomography (PET) demonstrator often introduce or increase the measurement of atypical coincidence events such as inter-crystal scattering (ICS). In more standard systems, ICS events often go undetected and the small measured fraction may be ignored. As the measured quantity of such events in the data increases, so too does the importance of considering them during image reconstruction. Generally, treatment of ICS events will attempt to determine which of the possible candidate lines of response (LoRs) correctly determine the annihilation photon trajectory. However, methods of assessment often have low su…
Italian cancer figures, report 2014: Prevalence and cure of cancer in Italy
2015
This Report intends to estimate the total number of people still alive in 2010 after cancer diagnosis in Italy, regardless of the time since diagnosis, and to project these estimates to 2015. This study is also aimed to estimate the number of already cured cancer patients, whose mortality rates have become undistinguishable from that of the general population of the same age and sex.The study took advantage of the information from the AIRTUM database, which included 29 Cancer Registries (covering 21 million people, 35% of the Italian population). A total of 1,624,533 cancer cases diagnosed between 1976 and 2009 contributed to the study. For each registry, the observed prevalence was calcula…
Characteristics of the colorectal cancers diagnosed in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening
2015
The impact of organized screening programmes on colorectal cancer (CRC) can be observed at a population level only several years after the implementation of screening. We compared CRC characteristics by diagnostic modality (screen-detected, non-screen-detected) as an early outcome to monitor screening programme effectiveness. Data on CRCs diagnosed in Italy from 2000 to 2008 were collected by several cancer registries. Linkage with screening datasets made it possible to divide the cases by geographic area, implementation of screening, and modality of diagnosis (screen-detected, non-screen-detected).We compared the main characteristics of the different subgroups of CRCs through multivariate …
Changes in life expectancy for cancer patients over time since diagnosis
2019
Highlights • Research question: how cancer impacts on LE changes during patients’ entire life • LE increased in patients surviving the first years and decreasing thereafter. • Patients’ LE in the end approached but seldom reached the general population’s LE. • This method describes when cancer survivors’ excess risk of death became negligible. • Life expectancy indicator is easy to be understood and interpreted by patients.
The AX-PET Concept: New Developments And Tomographic Imaging
2011
The Axial PET (AX-PET) concept proposes a novel detection geometry for PET, based on layers of long scintillating crystals axially aligned with the bore axis. Arrays of wavelength shifting (WLS) strips are placed orthogonally and underneath the crystal layers; both crystals and strips are individually readout by G-APDs. The axial coordinate is obtained from the WLS signals by means of a Center-of-Gravity method combined with a cluster algorithm. This design allows spatial resolution and sensitivity to be decoupled and thus simultaneously optimized. In this work we present the latest results obtained with the 2-module AX-PET scanner prototype, which consists of 6 radial layers of 8 LYSO crys…
Incidence trends of colorectal cancer in the early 2000s in Italy. Figures from the IMPATTO study on colorectal cancer screening
2015
We utilised the IMPATTO study's archives to describe the 2000-2008 colorectal cancer (CRC) incidence rate trends in Italy, once screening programmes based on the faecal immunochemical test were implemented in different areas. Data on CRCs diagnosed in Italy from 2000 to 2008 in subjects aged 40-79 years were collected by 23 cancer registries. Incidence rate trends were evaluated as a whole and by macro-area (North-Centre and South-Islands), presence of a screening programme, sex, ten-year age class, anatomic site, stage at diagnosis, and pattern of diagnosis (screen-detected, non-screen-detected). The annual percent change (APC) of incidence rate trends, with 95% confidence intervals (95%CI…
Survival of European children and young adults with cancer diagnosed 1995-2002
2009
This study analyses survival in 40,392 children (age 0-14 years) and 30,187 adolescents/young adults (age 15-24 years) diagnosed with cancer between 1995 and 2002. The cases were from 83 European population-based cancer registries in 23 countries participating in EUROCARE-4. Five-year survival in countries and in regional groupings of countries was compared for all cancers combined and for major cancers. Survival for 15 rare cancers in children was also analysed. Five-year survival for all cancers combined was 81% in children and 87% in adolescents/young adults. Between-country survival differences narrowed for both children and adolescents/young adults. Relative risk of death reduced signi…
A Monte-Carlo based model of the AX-PET demonstrator and its experimental validation
2013
AX-PET is a novel PET detector based on axially oriented crystals and orthogonal wavelength shifter (WLS) strips, both individually read out by silicon photo-multipliers. Its design decouples sensitivity and spatial resolution, by reducing the parallax error due to the layered arrangement of the crystals. Additionally the granularity of AX-PET enhances the capability to track photons within the detector yielding a large fraction of inter-crystal scatter events. These events, if properly processed, can be included in the reconstruction stage further increasing the sensitivity. Its unique features require dedicated Monte-Carlo simulations, enabling the development of the device, interpreting …
Common Breast Cancer Susceptibility Alleles and the Risk of Breast Cancer for BRCA1 and BRCA2 Mutation Carriers: Implications for Risk Prediction
2010
Abstract The known breast cancer susceptibility polymorphisms in FGFR2, TNRC9/TOX3, MAP3K1, LSP1, and 2q35 confer increased risks of breast cancer for BRCA1 or BRCA2 mutation carriers. We evaluated the associations of 3 additional single nucleotide polymorphisms (SNPs), rs4973768 in SLC4A7/NEK10, rs6504950 in STXBP4/COX11, and rs10941679 at 5p12, and reanalyzed the previous associations using additional carriers in a sample of 12,525 BRCA1 and 7,409 BRCA2 carriers. Additionally, we investigated potential interactions between SNPs and assessed the implications for risk prediction. The minor alleles of rs4973768 and rs10941679 were associated with increased breast cancer risk for BRCA2 carrie…
Long axial crystals for PET applications: The AX-PET demonstrator and beyond
2013
The usage of long, axially oriented scintillator crystals in a PET scanner has been shown by the AX-PET Demonstrator as a possible solution for a high resolution and high sensitivity PET detector. In the AX-PET implementation, arrays of wavelength shifting (WLS) strips, placed orthogonally behind every crystal layer, are used to define the axial coordinate. After extensive characterization measurements, the AX-PET Demonstrator has been successfully used for the reconstruction of several phantoms and a few rodents. Possible extensions of the AX-PET concept towards Time Of Flight capabilities have been investigated, using Philips digital SiPMs as alternative photodetector. Promising CRT value…
AX-PET: A novel PET concept with G-APD readout
2012
Abstract The AX-PET collaboration has developed a novel concept for high resolution PET imaging to overcome some of the performance limitations of classical PET cameras, in particular the compromise between spatial resolution and sensitivity introduced by the parallax error. The detector consists of an arrangement of long LYSO scintillating crystals axially oriented around the field of view together with arrays of wave length shifter strips orthogonal to the crystals. This matrix allows a precise 3D measurement of the photon interaction point. This is valid both for photoelectric absorption at 511 keV and for Compton scattering down to deposited energies of about 100 keV. Crystals and WLS s…