COHN analysis: Body composition measurements based on the associated particle imaging and prompt-gamma neutron activation analysis techniques

The measurement of the body's carbon (C), oxygen (O), hydrogen (H), and nitrogen (N) content can be used to calculate the relative amounts of fat, protein, and water. A system based on prompt-gamma neutron activation analysis (PGNAA), coupled with the associated particle imaging (API) technique, is being developed for this purpose. A compact D,T neutron generator (similar to 10(7) n/s output) with an internal alpha-particle detector is used. The counting system consists of 6 shielded bismuth germanate (BGO) detectors (10.2 cm x 10.2 cm x 10.2 cm) operated with fast-timing electronics to detect only gamma-rays within a 100 ns time window following a trigger pulse generated by the alpha detector. The body can be scanned from the shoulders to the knees within about 30 min, with the equivalent whole-body dose <0.4 mSv. The cumulative gamma-ray spectra in the 2 MeV to 8 MeV region is collected and analyzed for multiple peaks attributed to body C,O,H, and N. Measurement precision for each element, based on tissue-equivalent phantoms, are in the 2-5% range, which are sufficient for population studies in adults. Further improvements are needed to extend the measurements to pediatric clinical research studies.