Estimation of the Gamma Exposer Rate Constant for Clinically Relevant Radionuclides in Nuclear Medicine Using GATE/GEANT4 Monte Carlo Simulation

Keywords: External dose rate, Nuclear Medicine, Radiation Protection, Monte Carlo simulation, Gamma rate constant

Abstract

Purpose. To establish a reliable computational method for calculating external radiation dose rates from nuclear medicine patients using Monte Carlo simulation and to systematically evaluate the effects of phantom geometry and detector characteristics on occupational exposure. Methods: MC GATE simulations version 9.1 (Geant4 10.7) calculated external dose rate constants for most clinical radionuclides: 99mTc, 67Ga, 18F, 11C, 131I, and 123I. Two phantoms were used, one with dimensions of (25×15×20, 30×20×25, and 35×25×30 cm3), and the other with a fixed length of 170 cm and variable width (15×20, 20×25, and 25×30 cm3), specific to the 99mTc nuclide. Detector sizes (3×3×3 to 10×10×10 cm³) were evaluated at distances of 1, 2, and 3 m. Different detector media (air, argon, and neon) were assessed for photon sensitivity. The results were compared with experimental data. Results: Simulated results agreed with experimental data within ±10%. Argon demonstrated superior sensitivity compared with air and neon detector media. Phantom dimensions increased overall, resulting in a 36.8% reduction due to self-attenuation. Radionuclides of 18F and 11C, followed by 67Ga, 131I, 123I, and 99mTc, posed the highest occupational exposure hazard. Patient body thickness was a more significant attenuation factor than patient height. Conclusion: GATE/Geant4 simulations provide a reliable and accurate tool for evaluating external dose rates in nuclear medicine departments. These findings underscore the importance of using appropriate detector sizes and media, as well as realistic patient geometry, in occupational dose assessments and provide essential data to improve radiation protection protocols.

Downloads

Download data is not yet available.

References

M.M. Khalil, Basic Sciences of Nuclear Medicine (Springer International Publishing, Cham, 2021).

M.M. Khalil, Basic Science of PET Imaging (Springer International Publishing, Cham, 2017).

M.U. Khan, and M.S. Usmani, “Radionuclide Infection Imaging: Conventional to Hybrid,” in: 12 Chapters on Nuclear Medicine, (IntechOpen, 2011).

R.J. Groper, D.K. Glover, and A.J. Sinusas, Cardiovascular Molecular Imaging (CRC Press, Boca Raton, 2007). https://doi.org/10.3109/9781420005097

H.R. Maxon, and H.S. Smith, “Radioiodine-131 in the diagnosis and treatment of metastatic well differentiated thyroid cancer,” Endocrinol. Metab. Clin. North. Am. 19(3), 685–718 (1990).

X. Deng, J. Rong, L. Wang, N. Vasdev, L. Zhang, L. Josephson, and S.H. Liang, “Chemistry for Positron Emission Tomography: Recent Advances in 11 C-, 18 F-, 13 N-, and 15 O-Labeling Reactions,” Angw. Chem. 58(9), 2580–2605 (2019). https://doi.org/10.1002/anie.201805501

S.Y. Ho, and D.R. Shearer, “Radioactive contamination in hospitals from nuclear medicine patients,” Health Physics, 62(5), 462 466 (1992). https://doi.org/10.1097/00004032-199205000-00015

F. Jafarian-Dehkordi, and C. Hoeschen, “Low-Dose radiation risk in medicine: a look at risk models, challenges, and future prospects,” Z. Med. Phys. 35(4), 393–400, (2025). https://doi.org/10.1016/j.zemedi.2025.07.002

IAEA, Occupational Radiation Protection: General Safety Guide, (International Atomic Energy Agency, Vienna, 2018).

IAEA, ORPGUIDE: Occupational radiation protection; IAEA safety standards series, (International Atomic Energy Agency, Vienna, 2000).

ICRP. "The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103," Ann. ICRP 37(2-4), 1–332 (2007). https://doi.org/10.1016/j.icrp.2007.10.003

M. Abuqbeitah, M. Demir, I. Çavdar, H. Tanyildizi, N. Yeyin, L. Uslu-Beşli, L. Kabasakal, et al., “Red bone marrow dose estimation using several internal dosimetry models for prospective dosimetry-oriented radioiodine therapy,” Radiat. Environ. Biophys. 57(4), 395–404 (2018). https://doi.org/10.1007/s00411-018-0757-2

L.K. Harding, N.J. Harding, H. Warren, A. Mills, and W.H. Thomson, “The radiation dose to accompanying nurses, relatives and other patients in a nuclear medicine department waiting room,” Nucl. Med. Commun. 11(1), 17–22 (1990). https://doi.org/10.1097/00006231-199001000-00004

N. Sirag, and A. Elrazek, “Design considerations to minimize staff doses in nuclear medicine units,” Int. J. Eng. Tech. Res. 4(1), 226–245 (2015).

D. Visvikis, M. Bardies, S. Chiavassa, C. Danford, A. Kirov, F. Lamare, L. Maigne, et al., “Use of the GATE Monte Carlo package for dosimetry applications,” Nucl. Instrum. Methods Phys. Res., Sect. A, 569(2), 335–340 (2006). https://doi.org/10.1016/j.nima.2006.08.049

J. Ierace, P. Rowshanfarzad, C. Sinnott, R. Nezich, P. Brayshaw, and M. Djukelic, “From Point Sources to Phantoms: Refining Dose Rate Models in Nuclear Medicine with Tc-99m, F-18, I-131 and Lu- 177,” Physical and Engineering Sciences in Medicine, preprint (2025). https://doi.org/10.21203/rs.3.rs-7707816/v1

A. Kinsara, S. Abdul-Majid, W. El-gammal, T. Albaghdadi, A. Maimani, and W. Abulfaraj, “External radiation doses from patients administered with radiopharmaceuticals measurements and Monte Carlo simulation,” Nucl. Technol. Radiat. Prot. 29, 199–206 (2014). https://doi.org/10.2298/NTRP1403199K

A. D. Soares, L. Paixão, and A. Facure, “Determination of the dose rate constant through Monte Carlo simulations with voxel phantoms,” Med. Phys. 45(11), 5283–5292 (2018). https://doi.org/10.1002/mp.13181

J. Allison, et al., “Recent developments in Geant4,” Nucl. Instrum. Methods Phys. Res., Sect. A, 835, 186–225 (2016). https://doi.org/10.1016/j.nima.2016.06.125

E. N. Obikili, and A. B. Okesina, “Transverse thoracic diameter in frontal chest radiographs of an adult Nigerian population,” West Afr. J. Med. 25(3), 186–189 (2007). https://doi.org/10.4314/wajm.v25i3.28275

L. M.Unger, and D. K. Trubey, Specific gamma-ray dose constants for nuclides important to dosimetry and radiological assessment, (Oak Ridge Nat. Lab. Radiat. Shielding Inform. Cent., Oak Ridge, TN, 1982).

OpenGATE Collaboration, Tools to Interact with the Simulation: Actors (GATE Documentation, 2026).

M. Tschurlovits, A. Leitner, and G. Daverda, “Dose Rate Constants for New Dose Quantities,” Radiat. Prot. Dosim. 42(2), 77–82 (1992). https://doi.org/10.1093/oxfordjournals.rpd.a081281

D. S.Smith, and M. G. Stabin, “Exposure rate constants and lead shielding values for over 1,100 radionuclides,” Health Phys. 102(3), 271–291 (2012). https://doi.org/10.1097/HP.0b013e318235153a

D.W.O. Rogers, “Introduction to Radiological Physics and Radiation Dosimetry by F. H. Attix,” Med. Phys. 14(4), 692 (1987). https://doi.org/10.1118/1.596041

G. F. Knoll, Radiation detection and measurement, (John Wiley & Sons, 2010).

M. Fathy, M. M. Khalil, W. M. Elshemey, and H. S. Mohamed, “Occupational radiation dose to nuclear medicine staff due to Tc99m, F18-FDG PET and therapeutic I-131 based examinations,”" Radiat. Prot. Dosim. 186(4), 443–451 (2019). https://doi.org/10.1093/rpd/ncz046

A. Al-Esaei, E. Saleh, S. Maghraby, T. Elsayed, and T. Kany, “Evaluation of Radiation Safety Parameters from Patients Receiving I-131 Therapy for Thyroid Carcinoma,” J. Med. Phys. Appl. Sci. 9(1), 52 (2024). https://doi.org/10.36648/2574-285x.9.1.52

P. F. Costa, et al., “Radiation Protection and Occupational Exposure on 68Ga-PSMA-11–Based Cerenkov Luminescence Imaging Procedures in Robot-Assisted Prostatectomy,” J. Nucl. Med. 63(9), 1349–1356 (2022). https://doi.org/10.2967/jnumed.121.263175

O. Günay, M. Sarıhan, O. Yarar, et al., “Determination of radiation dose from patients undergoing Tc-99m Sestamibi nuclear cardiac imaging,” Int. J. Environ. Sci. Technol. 16, 5251–5258 (2019). https://doi.org/10.1007/s13762-019-02262-1

M. Sarihan, and E. Abamor, “Radiation dose measurement on bone scintigraphy and planning clinical management,” Open Phys. 20(1), 1176–1184 (2022). https://doi.org/10.1515/phys-2022-0211

Published
2026-06-10
Cited
How to Cite
Jaralah, A. O., Elgohary, A. M., Rageh, M. M., & Khalil, M. M. (2026). Estimation of the Gamma Exposer Rate Constant for Clinically Relevant Radionuclides in Nuclear Medicine Using GATE/GEANT4 Monte Carlo Simulation. East European Journal of Physics, (2), 541-553. https://doi.org/10.26565/2312-4334-2026-2-61