Abstract

A compact, hand-held gamma camera with excellent intrinsic and extrinsic performance has been developed for the rapid identification and localization of the sentinel lymph node during the surgical staging of cancer. A goal for this device is an image acquisition time of five seconds to allow the surgeon to easily search for points of interest without excessive motion blurring. The camera comprises a 5/spl times/5 cm/sup 2/ field of view NaI (TI) pixellated crystal array, a high sensitivity (2.0 cm thick) hexagonal parallel-hole collimator, a position sensitive photomultiplier tube (PSPMT), and a novel highly multiplexed electrical readout. The good intrinsic energy resolution (12.3/spl plusmn/2.6%) resolution, extrinsic sensitivity (5 cps//spl mu/Ci with 24% energy window) and extrinsic spatial resolution (1.6+/-0.02 mm at 0.5 cm) facilitate rapid identification of a hot node.

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