<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JMP</journal-id><journal-title-group><journal-title>Journal of Modern Physics</journal-title></journal-title-group><issn pub-type="epub">2153-1196</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jmp.2022.133018</article-id><article-id pub-id-type="publisher-id">JMP-115615</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  Production of Gallium-68 with Medium to Low Energy Cyclotrons: What Opportunities for the Development of PET Radiotracers in Senegal?
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Papa</surname><given-names>Mady Sy</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mounibé</surname><given-names>Diarra</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Laboratory of Physics and Pharmaceutical Biophysics, Faculty of Medicine, Pharmacy and Odontology, UCAD, Dakar, Senegal</addr-line></aff><pub-date pub-type="epub"><day>01</day><month>03</month><year>2022</year></pub-date><volume>13</volume><issue>03</issue><fpage>267</fpage><lpage>273</lpage><history><date date-type="received"><day>28,</day>	<month>January</month>	<year>2022</year></date><date date-type="rev-recd"><day>27,</day>	<month>February</month>	<year>2022</year>	</date><date date-type="accepted"><day>2,</day>	<month>March</month>	<year>2022</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  This study focuses on the development possibilities of radiotracers used in PET in Senegal. This is a literature review that develops the production of 68-Gallium (
  <sup>68</sup>Ga[Ga]) via a medium to low energy cyclotron. It shows the possibility of producing 
  <sup>68</sup>Ga[Ga] with a simple production reaction using a target of 
  <sup>68</sup>Zn. This reaction provides high production yields, at the end of the bombardment (EOB), reaching up to 80 times the activity of a generator. PET imaging may offer better sensitivity and spatial resolution compared to SPECT which is currently used in Senegal. The acquisition of this type of medium to low energy accelerator in Senegal may constitute an important phase in the development of radiotracers with the objective of installing a PET imaging. However, solutions must be provided to minimize the presence of isotopic impurities.
 
</p></abstract><kwd-group><kwd>Gallium-68</kwd><kwd> PET</kwd><kwd> Radiotracers</kwd><kwd> Cyclotron</kwd><kwd> Senegal</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Gallium (Ga) is a chemical element belonging to the family of post-transition metals (group 13 of the periodic table of the elements). It is a silvery-looking metal with a melting point of 29.8˚C [<xref ref-type="bibr" rid="scirp.115615-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref2">2</xref>]. Gallium has two stable isotopes, <sup>69</sup>Ga and <sup>71</sup>Ga (61.1% and 39.9% of natural gallium, respectively). <sup>68</sup>Ga [Ga] (physical half-life of 67.71 minutes) combines two decay modes: electron capture (10% to 12%) and beta + decay (88 to 90%) (<xref ref-type="table" rid="table1">Table 1</xref>) to give <sup>68</sup>Zinc.</p><p>The β+ type decay results in the emission of a positron allowing the formation of two annihilation photons, essential for PET (positron emission tomography) imaging [<xref ref-type="bibr" rid="scirp.115615-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref4">4</xref>].</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Main emissions of <sup>68</sup>Ga[Ga] [<xref ref-type="bibr" rid="scirp.115615-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref4">4</xref>]</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="2"  >Gallium 68</th></tr></thead><tr><td align="center" valign="middle" >Gamma emission</td><td align="center" valign="middle" >γ annihilation = 511   keV ;   γ transition = 1077.34   keV ( 3.22 % )</td></tr><tr><td align="center" valign="middle" >β+</td><td align="center" valign="middle" >E β moy = 836   keV ;   E β max = 1899 keV</td></tr></tbody></table></table-wrap><p>While PET is becoming more and more accessible, <sup>68</sup>Ga [Ga] has the advantage of being a metal and therefore of offering possibilities different from those of halogens, by its way of binding to other atoms (chemistry of coordination), which makes it more versatile.</p><p>Currently, <sup>68</sup>Ga [Ga] is mainly produced from a <sup>68</sup>Ge[Ge]/<sup>68</sup>Ga[Ga] generator. The <sup>68</sup>Ge[Ge]/<sup>68</sup>Ga[Ga] generator remains practical, because it guarantees the supply of <sup>68</sup>Ga [Ga] for several months (<sup>68</sup>Ge[Ge] physical period: 270.82 days). However, the use of the generator can be limited by its activity (typically 1.85 GBq of nominal activity when new); the minimum interval between elutions (typically 3 - 4 hours); the elution efficiency (~60% - 80%); and the potential for the parent radionuclide to be long-lived (<sup>68</sup>Ge[Ge]) crosses the column and ends up in the eluate (breakthrough) [<xref ref-type="bibr" rid="scirp.115615-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>].</p><p>Taking these considerations into account, Jensen and Clark [<xref ref-type="bibr" rid="scirp.115615-ref9">9</xref>] have developed an innovative method to meet the growing demand for <sup>68</sup>Ga[Ga]. This method consisted in producing <sup>68</sup>Ga[Ga] via a cyclotron with a liquid target consisting of a solution of <sup>68</sup>ZnCl<sub>2</sub> [<xref ref-type="bibr" rid="scirp.115615-ref9">9</xref>]. Since then, other research groups have attempted to optimize the production of <sup>68</sup>Ga[Ga] with a liquid target [<xref ref-type="bibr" rid="scirp.115615-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref10">10</xref>]. Although the production of <sup>68</sup>Ga[Ga] via a liquid target is facilitated by the target preparation process, the activity of <sup>68</sup>Ga[Ga] available at the end of production is not significantly higher than that produced by the generator. To overcome the limitations seen with the use of a liquid target, a solid (enriched) target can dramatically improve the overall production of <sup>68</sup>Ga[Ga]. Precisely, the objective of this bibliographical synthesis is therefore to highlight the production of <sup>68</sup>Ga[Ga] via a cyclotron by the use of a solid target (nature of the target, irradiation and production rate, quality of the radioelement produced, various impurities observed…).</p></sec><sec id="s2"><title>2. Ways of Producing <sup>68</sup>Ga[Ga] from a cyclotron, Medium to Low Energy</title><p>Several methods of producing <sup>68</sup>Ga[Ga] have been developed using cyclotrons. Considering the type of particles typically accelerated in medium to low energy accelerators, four reactions can efficiently produce <sup>68</sup>Ga[Ga], namely:</p><p><sup>65</sup>Cu (α, n) <sup>68</sup>Ga on a copper target, <sup>68</sup>Zn (p, n) <sup>68</sup>Ga, <sup>68</sup>Zn (d, 2n) <sup>68</sup>Ga and <sup>70</sup>Zn (p, 3n) <sup>68</sup>Ga on zinc targets [<xref ref-type="bibr" rid="scirp.115615-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref12">12</xref>].</p><p>According to evaluations by Szelecs&#233;nyi and al. and Sadeghiet al. [<xref ref-type="bibr" rid="scirp.115615-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref13">13</xref>] based on the study of the cross section (maximum values of the cross sections: 882.0 &#177; 98.5 milli-barns for 17.2 &#177; 1.2 MeV with α particle on <sup>65</sup>Cu[Cu] target et 911.3 &#177; 99.4 milli-barns for 12.2 &#177; 1.3 MeV with a proton on <sup>68</sup>Zn target) (<xref ref-type="fig" rid="fig1">Figure 1</xref>), the reactions <sup>65</sup>Cu (α, n) <sup>68</sup>Ga and <sup>68</sup>Zn (p, n) <sup>68</sup>Ga are the best to produce <sup>68</sup>Ga[Ga] from of a medium to low energy accelerator.</p><p>In addition, among these two nuclear reactions, the irradiation of Zn by protons (<sup>68</sup>Zn[Zn] (p, n) <sup>68</sup>Ga[Ga]) is the preferred one (the one we have also chosen) according to several studies because it leads to a higher production yield with less impurities and uses protons, the simplest of all cyclotron projectiles [<xref ref-type="bibr" rid="scirp.115615-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref15">15</xref>].</p></sec><sec id="s3"><title>3. Production of <sup>68</sup>Ga[Ga] via a Cyclotron Using a Solid Target of <sup>68</sup>Zn[Zn]</title><sec id="s3_1"><title>3.1. Nature of the Target</title><p>Aiman H. Alnahwi et al. [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>] developed an automated <sup>68</sup>Ga[Ga] radiosynthesis for routine large-scale production using a squeezed <sup>68</sup>Zn[Zn] target (target highly enriched to 99.26 in <sup>68</sup>Zn[Zn]) (<xref ref-type="table" rid="table2">Table 2</xref>).</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Isotopic composition of the target and impurities [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>]</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Zn (%)</th><th align="center" valign="middle" ><sup>64</sup>Zn (0.01)</th><th align="center" valign="middle" ><sup>66</sup>Zn (0.1)</th><th align="center" valign="middle" ><sup>67</sup>Zn (0.61)</th><th align="center" valign="middle" ><sup>68</sup>Zn (99.26)</th><th align="center" valign="middle" ><sup>70</sup>Zn (0.02)</th><th align="center" valign="middle"  colspan="3"  ></th></tr></thead><tr><td align="center" valign="middle"  rowspan="2"  >Impureties (ppm)</td><td align="center" valign="middle" >Al (&lt;1)</td><td align="center" valign="middle" >Cu (5.3)</td><td align="center" valign="middle" >Fe (220)</td><td align="center" valign="middle" >Cr (20.3)</td><td align="center" valign="middle" >Sn (170)</td><td align="center" valign="middle" >Co (&lt;1)</td><td align="center" valign="middle" >Ca (&lt;5)</td><td align="center" valign="middle" >Cd (125)</td></tr><tr><td align="center" valign="middle" >Pb (3.6)</td><td align="center" valign="middle" >As (&lt;0.1)</td><td align="center" valign="middle" >Si (4)</td><td align="center" valign="middle" >Mg (1.8)</td><td align="center" valign="middle" >Mn (1.17)</td><td align="center" valign="middle" >K (13)</td><td align="center" valign="middle" >Na (2.7)</td><td align="center" valign="middle" ></td></tr></tbody></table></table-wrap><p>Thus, <sup>68</sup>Zn[Zn] pellets of different diameter and thickness were prepared (diameter: 6 to 10 mm and thickness: 0.51 to 0.55 mm). The target carrier was made of aluminum, so it was only weakly activated by the proton beam from the cyclotron according to these authors. In addition, aluminum, due to its thermal conductivity properties [<xref ref-type="bibr" rid="scirp.115615-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref18">18</xref>], allowed efficient cooling of the target during irradiation.</p><p>In another study, Lin et al. [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>] used an enriched <sup>68</sup>Zn[Zn] target (60 - 120 mg) with a diameter of 7 mm. The target was electrodeposited on a platinum disc and then it was transferred and mounted in the cyclotron PETtrace via the module Comecer EDS/PTS (Castel Bolognese RA, Italy).</p></sec><sec id="s3_2"><title>3.2. Target Irradiation and Production Efficiency</title><p>Aiman H. Alnahwi et al. [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>] used irradiations with a beam current between 5 and 35 μA on the squeezed <sup>68</sup>Zn[Zn] target with an energy ranging from 13 to 14.5 MeV for a duration of 90 minutes. The irradiations were first carried out on a 6 mm target for which the production yield (corrected for the decay) was 2.6 GBq/μA·h. The activity of <sup>68</sup>Ga[Ga] increased when the current applied to the target was greater (input 1 - 3). The highest production yields were obtained with the 8- and 10-mm targets (entries 4 - 5). Using a current of 35 μA, 145 &#177; 6 GBq (at EOB: end of bombardment) was produced (input 6) (<xref ref-type="table" rid="table3">Table 3</xref>). This value (145 &#177; 6 GBq in EOB) is superior to the values reported by Lin et al. (Lin, Waligorski, et Lepera 2018) which used an incident energy of 14.5 MeV proton beam with beam currents of 15 &#224; 40 μA and a power equivalent to about 80 times the activity of a generator.</p><p>Other authors like Sadeghi et al. [<xref ref-type="bibr" rid="scirp.115615-ref13">13</xref>] obtained interesting yield values for the <sup>68</sup>Zn[Zn] (p, n) <sup>68</sup>Ga[Ga] nuclear reaction using a solid target of Zn enriched to 97% in <sup>68</sup>Zn[Zn]. Their EOB yield reached 5.032 GBq/μAh at 15 MeV with the use of a target of 52 μm thick; with an irradiation time of 0.25 h and a beam current of 150 μA. Szelecs&#233;nyi et al. [<xref ref-type="bibr" rid="scirp.115615-ref11">11</xref>] reported that their values, calculated with the cross sections (5.809 GBq/μAh), were in agreement with these data.</p></sec><sec id="s3_3"><title>3.3. Dissolving the Target</title><p>After facilitated transport via magnetic media (Automated Target Transfer System [<xref ref-type="bibr" rid="scirp.115615-ref12">12</xref>] ), immediate dissolution of the target should be performed for rapid transfer to the purification column. 7N nitric acid HNO<sub>3</sub> can be used for target dissolution. Another particularly interesting method for extracting radioisotopes of gallium from zinc targets is the thermal diffusion method described by Tolmachev and Lundqvist [<xref ref-type="bibr" rid="scirp.115615-ref19">19</xref>]. A similar method was also employed by Zeisler et al. [<xref ref-type="bibr" rid="scirp.115615-ref20">20</xref>].</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Production yields [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>]</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Entry</th><th align="center" valign="middle" >Pressed target diameter (mm)</th><th align="center" valign="middle" >Energy Ep (MeV)</th><th align="center" valign="middle" >Maximum current on target (μA)</th><th align="center" valign="middle" >Activity (GBq)<sup>b</sup></th><th align="center" valign="middle" >Production yield (GBq/μA·h)</th><th align="center" valign="middle" >Saturation yield (GBq/μA)</th></tr></thead><tr><td align="center" valign="middle" >1</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >7.2</td><td align="center" valign="middle" >2.6</td><td align="center" valign="middle" >5.1</td></tr><tr><td align="center" valign="middle" >2</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >12</td><td align="center" valign="middle" >17.0</td><td align="center" valign="middle" >2.2</td><td align="center" valign="middle" >4.3</td></tr><tr><td align="center" valign="middle" >3</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >32.8</td><td align="center" valign="middle" >2.6</td><td align="center" valign="middle" >5.0</td></tr><tr><td align="center" valign="middle" >4</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >15</td><td align="center" valign="middle" >36.6</td><td align="center" valign="middle" >4.8</td><td align="center" valign="middle" >9.0</td></tr><tr><td align="center" valign="middle" >5</td><td align="center" valign="middle" >10</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >30</td><td align="center" valign="middle" >68.6</td><td align="center" valign="middle" >4.6</td><td align="center" valign="middle" >8.7</td></tr><tr><td align="center" valign="middle" >6</td><td align="center" valign="middle" >10</td><td align="center" valign="middle" >13</td><td align="center" valign="middle" >35<sup>c</sup></td><td align="center" valign="middle" >144.8 &#177; 6.4</td><td align="center" valign="middle" >2.7 &#177; 0.1</td><td align="center" valign="middle" >6.8 &#177; 0.1</td></tr><tr><td align="center" valign="middle" >7 (Lin)</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >14.5</td><td align="center" valign="middle" >30</td><td align="center" valign="middle" >60.9 &#177; 1.8</td><td align="center" valign="middle" >2.7 &#177; 0.1</td><td align="center" valign="middle" >5.6 &#177; 0.2<sup>d</sup></td></tr></tbody></table></table-wrap><p><sup>a</sup>The proton beam energies were calculated by Monte Carlo simulation using SRIM. Irradiation time was fixed at 30 min. <sup>b</sup>Total recovered activity, corrected at EOB. <sup>c</sup>Irradiation time was 90 min. <sup>d</sup>Saturation yield estimated from results reported by Lin et al. [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>]. Entries 1 - 5, n = 1; entry 6, n = 2.</p></sec><sec id="s3_4"><title>3.4. Purification of <sup>68</sup>Ga[Ga]</title><p>The automated purification process implemented by Aiman H. Alnahwi et al. [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>] used a hydroxamate resin. 0.01 N HCl solution (50 mL) was required to remove <sup>68</sup>Zn[Zn]. The <sup>68</sup>Ga[Ga] was then eluted from the hydroxamate resin with 0.75 N HCl as [<sup>68</sup>Ga] GaCl<sub>3</sub>. This provides <sup>68</sup>Ga[Ga] with a high radiochemical yield and a lead time of the dissolution and purification method of less than 10 - 12 min (20 min for Lin et al. [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>] ). The last purification step, carried out with the CUBCX resin [<xref ref-type="bibr" rid="scirp.115615-ref21">21</xref>], has already been validated internally.</p></sec><sec id="s3_5"><title>3.5. Metallic and Isotopic Impurities</title><p>Aiman H. Alnahwi et al. [<xref ref-type="bibr" rid="scirp.115615-ref16">16</xref>] described the presence of metal impurities after purification. For all batches tested, metallic impurities were below the general limit of 10 ppm and 20 ppm for heavy metals (USP and Ph. Eur.). The concentrations of impurities of antimony, barium, beryllium, bismuth, cadmium, chromium, cobalt, lead, lithium, molybdenum, selenium, silver, tin, titanium, vanadium were &lt;0.5 ppm. The elements Al, Fe, Mg, Zn and Cu were &lt;4 ppm.</p><p>The main isotopic impurities were identified by gamma spectrometry (29, 50 and 72 h post purification) and consisted of <sup>67</sup>Ga[Ga] (physical period: 3.26 days) and <sup>66</sup>Ga[Ga] (physical period: 9.45 h), as indicated previously by Al-Saleh et al. [<xref ref-type="bibr" rid="scirp.115615-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.115615-ref23">23</xref>] and their total combined amount was less than 2% at 6 h after irradiation (Energy 13 MeV). <sup>67</sup>Ga[Ga] can be produced via the reactions <sup>67</sup>Zn[Zn] (p, n) <sup>67</sup>Ga[Ga] and <sup>68</sup>Zn[Zn] (p, 2n) <sup>67</sup>Ga[Ga] with incident proton energy of 2 - 26 MeV and 13 - 29.5 MeV, respectively. <sup>66</sup>Ga[Ga] can be produced via <sup>66</sup>Zn[Zn] (p, n) <sup>66</sup>Ga[Ga] and <sup>67</sup>Zn[Zn] (p, 2n) <sup>66</sup>Ga[Ga] with incident particle energy of 6 - 26 MeV and 15 - 26 MeV, respectively [<xref ref-type="bibr" rid="scirp.115615-ref24">24</xref>]. According to the experimental measurements reported by Alves et al. [<xref ref-type="bibr" rid="scirp.115615-ref5">5</xref>], the amounts of <sup>67</sup>Ga[Ga] and <sup>66</sup>Ga[Ga] can be kept below 2% using a particle energy of 13 MeV. For example, the <sup>68</sup>Ga[Ga] purities may be 99.97% and 99.99% at EOB for particle energies of 14 and 13 MeV respectively. These values were confirmed by Lin et al. [<xref ref-type="bibr" rid="scirp.115615-ref8">8</xref>] who observed a small fraction (≤0.2%) of <sup>67</sup>Ga[Ga] when the target was irradiated for up to 90 min with 14.5 MeV protons.</p></sec><sec id="s3_6"><title>3.6. Target Recovery</title><p>Many authors have not performed a target recovery process, believing it to be more expensive than buying a new target. However, according to an IAEA document [<xref ref-type="bibr" rid="scirp.115615-ref12">12</xref>], <sup>68</sup>Zn[Zn] can easily be recovered provided no impurities (e.g. iron) are present. Thus, simple multiple drying with nitric acid can be performed as described below. The procedure includes: 1) dry evaporation; 2) Dilution in concentrated nitric acid (&gt;10 M); 3) Repeat the evaporation; 4) Dilution in 10 mM nitric acid; and 5) Evaporation to dryness or preparation of a ready-to-use solution. &gt;90% recovery of the <sup>68</sup>Zn isotope of Zinc is expected. All reagents used must be of high quality, traces of metal.</p><p>Buying a new target is worth more than this long and tedious target recovery process.</p></sec></sec><sec id="s4"><title>4. Conclusion</title><p>The acquisition of a medium to low energy cyclotron can be a huge opportunity for developing African countries including Senegal. The production technique is quite accessible. Obtaining gallium could initiate the development of new PET radiotracers hitherto unused, particularly <sup>68</sup>Ga[Ga]-PSMA (prostate specific membrane antigen), now essential in the diagnosis of prostate cancer. The objective of developing these radiotracers and the installation of a PET are today major challenges and issues for Senegal. Thus, the production of <sup>68</sup>Ga[Ga] via a cyclotron therefore constitutes an innovative and interesting method with high production yields. However, it must be optimized to reduce or even eliminate isotopic impurities.</p></sec><sec id="s5"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s6"><title>Cite this paper</title><p>Sy, P.M. and Diarra, M. (2022) Production of Gallium-68 with Medium to Low Energy Cyclotrons: What Opportunities for the Development of PET Radiotracers in Senegal? Journal of Modern Physics, 13, 267-273. https://doi.org/10.4236/jmp.2022.133018</p></sec></body><back><ref-list><title>References</title><ref id="scirp.115615-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Casagrande, K. 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