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Journal of Nuclear Medicine

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OtherSPECIAL CONTRIBUTION

Recent Advances in SPECT Imaging

Mark T. Madsen
Journal of Nuclear Medicine April 2007, 48 (4) 661-673; DOI: https://doi.org/10.2967/jnumed.106.032680
Mark T. Madsen
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  • FIGURE 1. 
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    FIGURE 1. 

    Scintillation camera. (A) In a conventional scintillation camera, light from the scintillation is sampled by an array of photomultipler tubes, which generate an energy signal as well as an x,y-coordinate pair. If the event falls within the pulse–height analyzer energy window, an image matrix element is incremented at the associated x,y-location. (B) With StarBrite technology (Saint-Gobain Crystals and Detectors), grooves are machined into the back surface of the 1-in. thick NaI(Tl) crystal to limit the spread of the scintillation light, resulting in improved intrinsic spatial resolution.

  • FIGURE 2. 
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    FIGURE 2. 

    Photon transducers for converting scintillations into an electronic pulse. (A) PMT. (B) Position-sensitive PMT. (C) Avalanche photodiode. (D) Silicon photomultiplier.

  • FIGURE 3. 
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    FIGURE 3. 

    New cardiac SPECT systems. (A) CardiArc uses slit–slat approach to acquire projection information. (B) D-SPECT detector head consists of 10 pixelated CZT detector columns. After a scout scan determines heart location, each detector independently swivels to collect projections.

  • FIGURE 4. 
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    FIGURE 4. 

    SPECT/CT systems. (A) GE Healthcare Infinia Hawkeye. (B) Philips Precedence. (C) Siemens Symbia True Point. (D) Example of clinical 111In-pentetreotide SPECT/CT study of patient with carcinoid.

  • FIGURE 5. 
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    FIGURE 5. 

    Mutual perpendicular cross-sections through submillimeter-resolution 3D myocardial perfusion image volume of living mouse (50). Image data were acquired over 30 min, starting 30 min after administration of 222 MBq (6 mCi) of 99mTc-tetrofosmin. On left a short-axis slice shows myocardial perfusion in right ventricular (RV) and left ventricular (LV) walls. Perfusion in anterior papillary muscle (arrow) can be distinguished from other parts of LV wall. On top right is a vertical long-axis slice; on bottom right is a horizontal long-axis slice. Images at bottom show a hot rod phantom and the reconstructed cross-sectional image, with a slice thickness of 0.5 mm.

  • FIGURE 6. 
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    FIGURE 6. 

    Iterative reconstruction. Projections calculated from the estimated distribution are arithmetically compared with measured data and the result backprojected to update the next estimate. Corrections for attenuation, scatter, and spatial resolution are made by mathematically modeling these factors into the forward and backprojection calculations.

  • FIGURE 7. 
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    FIGURE 7. 

    Example images from new image-processing algorithms. (A) Wide Beam Reconstruction (WBR) applied to bone SPECT. The top row shows the conventional SPECT views, whereas the bottom row shows the results when WBR is applied to the same patient data. (Images courtesy of Vanderbilt University Medical Center, Nashville, TN.) (B) Astonish method applied to myocardial perfusion SPECT. The stress, rest, and gated components of a 99mTc-MIBI myocardial SPECT study processed with filtered backprojection are compared with Astonish processed data acquired in half the time. (Images courtesy of Radiologic Associates of Sacramento.)

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    TABLE 1

    Scintillators

    ScintillatorAtomic number Z effectiveDensity ρ (g/cm3)Decay time τ (ns)Wavelength λ (nm)Relative light output (% of NaI(Tl))
    NaI(Tl)503.67200415100
    CsI(Tl)544.51,00055045 (118*)
    CsI(Na)544.5163042085
    LaBr3:Ce475.325360160
    • ↵* Represents total light output. Because of the long wavelength of the scintillation, the effective signal for CsI(Tl) is only 45% of NaI(Tl).

    • View popup
    TABLE 2

    Typical Performance Values for a Conventional SPECT System

    No. of detector heads2
    Field of view40 × 55 cm
    Energy resolution9.50%
    Intrinsic spatial resolution3.8 mm (FWHM)
    Planar count sensitivity (LEHR)190 cps/MBq (95 cps/MBq per head)
    SPECT spatial resolution (LEHR)10.5 mm (FWHM)
    • LEHR = low energy, high resolution; FWHM = full width at half maximum; cps = counts per second.

    • View popup
    TABLE 3

    Commercially Available SPECT/CT Systems

    Infinia HawkeyePrecedenceTrue Point
    ManufacturerGE HealthcarePhilipsSiemens
    SPECT SystemInfiniaSkylightSymbia
    CT systemHawkeyeBrillianceT, T2, T6
    No. of CT slices1 or 46 or 162 or 6
    Slice thickness (mm)10 or 50.6–120.6–10*
    Tube rotation (s)230.50.6–1.5*
    Standard HC resolution (lp/cm) (2% MTF)>31315*
    Room dimensions (cm)419 × 470711 × 442640 × 358
    • ↵* Values are for Symbia T6 (see text).

    • HC = high contrast; lp/cm = line pairs per centimeter; MTF = modulation transfer function.

    • View popup
    TABLE 4

    Commercial Small-Animal SPECT Systems

    ManufacturerDeviceWeb site URL
    BioscanNanoSPECTwww.bioscan.com/product.php?p=nanospect
    Gamma MedicaX-SPECTwww.gammamedica.com/X-SPECT.php
    GE HealthcareExplore SPECT-CZTwww.gehealthcare.com/usen/fun_img/pcimaging/index.html
    Molecular ImagingU-SPECTwww.milabs.com
    NeuroPhysicsMollyQwww.neurophysics.com/products/products.html
    SiemensInveonwww.medical.siemens.com/webapp/wcs/stores/servlet/ProductDisplay?storeId=10001&langId=-11&catalogId=-11&catTree=100001,1006503&productId=168892
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Journal of Nuclear Medicine: 48 (4)
Journal of Nuclear Medicine
Vol. 48, Issue 4
April 2007
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Recent Advances in SPECT Imaging
Mark T. Madsen
Journal of Nuclear Medicine Apr 2007, 48 (4) 661-673; DOI: 10.2967/jnumed.106.032680

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Recent Advances in SPECT Imaging
Mark T. Madsen
Journal of Nuclear Medicine Apr 2007, 48 (4) 661-673; DOI: 10.2967/jnumed.106.032680
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    • Abstract
    • SPECT FUNDAMENTALS
    • DETECTION INSTRUMENTATION
    • CLINICAL DEVICES
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