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The Cumulated Activity (OLINDA, IDAC) model performs pre-processing steps for the calculation of the absorbed dose from diagnostic or therapeutic radiopharmaceuticals. Given the time-course of the activity in a volume of tissue, it calculates the the Normalized Cumulated Activity [1] (OLINDA Residence Time). The normalized cumulated activity represents the total number of disintegrations which have occurred during an integration time per unit administered activity. Ideally, integration is performed from the time of administration to infinity.

The normalized cumulated activity values resulting from the Cumulated Activity (OLINDA, IDAC) model can serve as input to a program such as OLINDA [2] or IDAC2.1 for the actual calculation of the absorbed organ doses.

Note that all steps required for the analysis of dosimetry data are explained in detail in the PMOD Workflow for Dosimetry Preprocessing application guide.

Operational Equations

Given an activity A0 applied to a subject, and a measured (NOT decay corrected) activity A(t) in an organ, the Normalized Cumulated Activity τ is calculated by

Note that the unit of τ is usually given as [Bq⋅hr/Bq]. The measured part of the organ activity can easily be numerically integrated by the trapezoidal rule. For the unknown remainder of A(t) till infinity it is a conservative assumption to apply the radioactive decay of the isotope. This exponential area can easily be calculated and added to the trapezoidal area. Alternatively, if the measured activity curve has a dominant washout shape, a sum of exponentials can be fitted to the to the measured data and the entire integral algebraically calculated.

The Cumulated Activity (OLINDA, IDAC) model in PKIN supports both the trapezoidal integration approach as well as the use of fitted exponentials. It furthermore supports some practicalities such as

▪conversion of an average activity concentration in [kBq/cc] to VOI activity in [Bq] by multiplication with the VOI volume;

▪reversion of decay correction;

Model Input Parameters

The Cumulated Activity (OLINDA, IDAC) model has 4 input parameters which need to be specified interactively by the user. These settings can easily be propagated from one region to all others with the Model & Par button.

Editing of Constituents

Depending on the import of the activity curves, isotope and activity information may or may not be available. They can be edited in the Subject and Study Information window as illustrated below. Activate Edit Subject in the Tools list, select SUV PARAMETERS, and enter Radionuclide half-life and Calibrated dose in syringe. Note that the activity needs to be calibrated to time 0 of the activity curve.

The regional VOI volume is available if the TAC was generated in PMOD's View tool and transferred to PKIN. Often, not the entire volume of the organ can be outlined, because it is not clearly visible, or because (like muscle), it is not compact. In this case, standard organ volumes can be used for extrapolating VOI uptake to organ uptake. An organ can be assigned to a defined VOI as illustrated below:

1.Select the VOI in the list.

2.Open the VOI properties editor, and select the List button.

3.Select an appropriate name list. The OLINDA and IDAC organ lists have been implemented in the VOI facility to support correct VOI naming. For instance, the OLINDA 2 Human (Adult Female) contains the organ definitions (name, volume, mass) for the adult male phantom in OLINDA 2.

4.Choose the organ from the list. The predefined ORGAN volume and mass are shown and may be edited.

5.Close with the Set VOI name and color button.

An alternative approach is to edit the VOI and organ volumes as follows:

1.Activate Edit Data in the Tools list

2.Select a region in the upper list.

3.Choose Edit volume from the curve tools

4.Enter the Volume of the VOI in the dialog window.

5.Change The Organ Volume in the lower part. (Note: currently, Organ mass is not used for the calculation).

6.Close the PKIN data explorer with Ok.  

Model Output Parameters

As soon as the Fit Region button is activated, the fits and calculations are performed, resulting in a list of parameters:

Generate Output File for Dosimetry Programs

After the Cumulated Activity (OLINDA, IDAC) model has been configured and fitted for all organs, a .cas file for direct import into OLINDA or a .idac file for import into IDAC2.1 can be created as follows:

1.Select Edit Data from the Tools list in the lower right.

2.Switch the operation below the curve list to Dosimetry OLINDA/EXM Export , Dosimetry OLINDA 2 Export, or Dosimetry IDAC Export

OLINDA/EXM Output

The appearing dialog window

lists the phantoms supported by OLINDA/EXM. Please select the appropriate one, but note that OLINDA/EXM doesn't interpret this information during loading of the .cas file. The option Use default Olinda dose should normally be on. Otherwise, the dose information in the patient SUV panel will be used which will most probably cause problems upon import, because OLINDA/EXM crashes when the dose values are not integer.

Finally specify a location and a name for saving the .cas file which can be loaded in OLINDA/EXM using the Retrieve Case button.

Note that the region names must be spelled exactly as below for the export/import to work properly.

Adrenals
Brain
Breasts_including_skin
Gallbladder_contents
LLI_contents
SI_contents
Stomach_contents
ULI_contents
Heart_contents
Heart_wall
Kidneys
Liver
Lungs
Muscle
Ovaries
Pancreas
Red_marrow
Cortical_bone
Trabecular_bone
Spleen
Testes
Thymus
Thyroid
Urinary_bladder_contents
Uterus
Fetus
Placenta

The difference between the injected activity and the activity accumulated in all organs is treated as the Remainder.

OLINDA 2 Output

The appearing dialog window lists the phantoms supported by the export. Note that within OLINDA 2 the phantoms can be easily switched, whereby the activities are propagated.

Please select the appropriate one and save the file which is stored with .cas suffix. When opening the file in Olinda 2, the isotope and the model are selected, and the cumulated activities can be inspected on the Set Kinetics panel.

The Remainder value is automatically calculated from the total normalized number of disintegrations of the isotope (=Half-time[h]/ln(2)) minus the activity found in the organs (excluding the bladder). It shows up in the Total Body/Remainder field.

IDAC Output

The appearing dialog window

Please select the appropriate one and save the file which is stored with .idac suffix. When opening the file in IDAC2.1 the cumulated activity will be shown and available for calculating the doses.

Note that the VOI names for the organs must be defined exactly as follows:

References

1.Stabin MG: Fundamentals of Nuclear Medicine Dosimetry. Springer; 2008. DOI

2.Stabin MG, Sparks RB, Crowe E: OLINDA/EXM: the second-generation personal computer software for internal dose assessment in nuclear medicine. J Nucl Med 2005, 46(6):1023-1027.