PET/SPECT Isotope Activity Planner
Calculate the required calibration activity for PET and SPECT radiopharmaceuticals, or find the remaining activity at any point after calibration.
🏥 What is the PET/SPECT Isotope Activity Planner?
The PET/SPECT Isotope Activity Planner is a clinical nuclear medicine tool that calculates the activity of a radiopharmaceutical dose at any point in its lifecycle, from the moment it is calibrated in the hot lab to the moment it is injected into a patient. Because every radioactive isotope decays continuously, the activity present at calibration time is always greater than the activity delivered at injection time. Accurate decay correction is essential for both patient safety and diagnostic quality.
The planner addresses two complementary problems faced daily in nuclear medicine departments. The first problem is determining how much activity to prepare. If you need to inject 370 MBq of F-18 FDG into a patient 60 minutes after the dose is calibrated, you cannot simply order 370 MBq from the cyclotron facility. You must account for decay during transit and preparation, which means you actually need roughly 541 MBq at calibration time. The second problem is determining how much activity remains in a batch at any given moment, which governs whether a batch is still usable and how many patients it can serve.
The calculator covers 11 commonly used PET and SPECT isotopes: F-18, Tc-99m, Ga-68, I-123, Rb-82, Cu-64, Zr-89, Lu-177, Y-90, Tl-201, and In-111. Each isotope has a substantially different half-life, ranging from 76 seconds for Rb-82 to 6.7 days for Lu-177, which creates very different logistical challenges. A custom half-life entry supports any other isotope not in the preloaded list.
The Decay Calculator mode goes beyond a simple current-activity estimate by showing the times at which 50%, 25%, 10%, and 5% of the original calibration activity remain. These landmarks help radiopharmacists plan multi-patient sessions, decide when to discard a batch, and schedule quality control measurements. Together, the two modes replace the manual lookup tables and spreadsheet calculations that nuclear medicine technologists previously relied on for daily dose planning.
📐 Formula
📖 How to Use This Calculator
Required Calibration Activity (Mode 1)
💡 Example Calculations
Example 1 - F-18 FDG dose for a PET scan with 60-minute prep time
Target: 370 MBq F-18 FDG at injection, 60 minutes after calibration
Example 2 - Tc-99m bone scan with 2-hour transit from commercial supplier
Target: 740 MBq Tc-99m at injection, 120 minutes after calibration
Example 3 - Ga-68 DOTATATE batch: how much remains after 90 minutes?
Calibration: 500 MBq Ga-68, elapsed time: 1.5 hours (decay calculator mode)
❓ Frequently Asked Questions
🔗 Related Calculators
How do you calculate required calibration activity for a PET scan?
Use the formula A_cal = A_inj times e^(lambda times t), where lambda = ln(2)/t_half is the decay constant and t is the time in hours between calibration and injection. For example, for F-18 with t_half = 1.83 h and a 60-minute prep time, the decay factor is e^(-0.379 times 1) = 0.684, so you need A_cal = A_inj / 0.684, approximately 1.46x the desired injected activity.
What is the half-life of F-18 used in FDG PET scans?
F-18 has a physical half-life of 109.77 minutes (approximately 1.83 hours). This relatively short half-life means FDG must be produced at a nearby cyclotron and used within about 10 hours of calibration. A batch calibrated at 37,000 MBq (1 Ci) will decay to roughly 185 MBq (5 mCi) after 10 hours.
What is the difference between calibration activity and injected activity?
Calibration activity is the measured activity of a radiopharmaceutical dose at a specific reference time (the calibration time), typically when the dose leaves the radiopharmacy. Injected activity is the activity actually delivered to the patient at the time of injection. Because radioactive isotopes decay continuously, the injected activity is always less than the calibration activity unless injection occurs at the exact calibration time.
How long is a Tc-99m dose usable after calibration?
Tc-99m has a half-life of 6.01 hours. A dose is generally considered usable while it retains at least 5-10% of its calibrated activity. At the 10% threshold that corresponds to roughly 19.9 hours, or about 3.3 half-lives. In practice, most nuclear medicine departments use Tc-99m doses within 12 hours of the calibration time to stay within practical activity ranges.
What isotopes are used in SPECT imaging?
The most common SPECT isotope is Tc-99m (t_half = 6.01 h), used for bone scans, renal studies, lung perfusion, and brain SPECT. Others include I-123 (t_half = 13.2 h) for thyroid imaging, Tl-201 (t_half = 72.9 h) for cardiac perfusion, and In-111 (t_half = 67.3 h) for white blood cell and receptor imaging. Lu-177 (t_half = 161 h) is used for PRRT therapy with SPECT dosimetry.
What isotopes are used in PET imaging?
F-18 (t_half = 1.83 h) is the most widely used PET isotope, primarily as FDG for oncology, neurology, and cardiology. Ga-68 (t_half = 1.13 h) is used for neuroendocrine tumor imaging (DOTATATE) and prostate cancer (PSMA). Rb-82 (t_half = 1.27 min) is used for cardiac PET. Cu-64 (t_half = 12.7 h) and Zr-89 (t_half = 78.4 h) are used for immuno-PET with antibodies.
Why does Rb-82 require an on-site generator for cardiac PET?
Rubidium-82 has an extremely short half-life of just 76.4 seconds (1.27 minutes). Transporting a Rb-82 dose from an external facility is impractical because 99% of the activity would decay within about 8 minutes. Instead, Rb-82 is produced continuously from a Sr-82/Rb-82 generator (half-life of Sr-82 is 25.3 days) that is installed directly in the cardiac PET suite and eluted immediately before patient injection.
How does decay correction affect multi-patient PET sessions?
When a single F-18 FDG batch serves multiple patients, each patient receives a different fraction of the calibrated batch depending on when their injection occurs. The dose for patient 1 at calibration time requires no correction, while patient 4 injected 3 hours later needs a calibrated dose 1.96x higher. Activity planners use A_cal(patient n) = A_inj times e^(lambda times t_n) to account for this decay over the session.
What is the shelf life of a Ga-68 radiopharmaceutical?
Ga-68 has a half-life of 67.71 minutes. A dose calibrated at 300 MBq decays to about 150 MBq (50%) after 68 minutes and to 37.5 MBq (12.5%) after 204 minutes. In practice, Ga-68 preparations are typically discarded 2-3 hours after calibration when the activity falls below the minimum required for diagnostic imaging, usually around 100-150 MBq per patient dose.
How do you calculate how long before scan time to calibrate a dose?
Rearrange the decay formula: t = ln(A_cal / A_inj) / lambda. For example, if you need 370 MBq at injection and your calibrated batch is 1000 MBq, then t = ln(1000/370) / lambda. For Tc-99m (lambda = 0.1155/h), t = ln(2.703) / 0.1155 = 8.6 hours before injection. This tells you to calibrate the dose 8.6 hours before the scheduled injection.
What activity is typically injected for F-18 FDG PET?
Standard adult F-18 FDG injected activity is 185-370 MBq (5-10 mCi) per the SNMMI guidelines, with weight-based protocols using 3.7-5.2 MBq/kg commonly used in pediatric patients. The effective dose is approximately 7 mSv for a 370 MBq injection. The exact dose is adjusted based on scanner sensitivity, patient weight, and clinical indication.