SPECT Applications Research Articles

Role of Exendin-4 Functional Imaging in Diagnosis of Insulinoma: A Systematic Review.

Insulinomas are the most common neuroendocrine neoplasms of the pancreas. Diagnosis is made through patient clinical presentation with hypoglycemia symptoms and imaging, such as EUS, CT, MRI, and functional imaging. Exendin-4 PET/CT (and SPECT/CT) is a new prominent radiotracer developed to image insulinomas. The aim of the study is to evaluate whether exendin-4 imaging is a useful tool in imaging for insulinoma patients when other imaging methods do not reach them. MEDLINE research conducted on PubMed, Scopus, and Web of Science gathered a total of 501 papers. Studies that evaluated exendin-4 SPECT and PET in insulinoma patients were screened and assessed through QUADAS-2 for risk of bias and applicability concerns' assessment. Sensitivity, specificity, and accuracy were reported when available. A total of 13 studies were deemed eligible for a QUADAS 2 review. Studies included ranged from 2009 to 2022. The most-used tracer was 68Ga-DOTA-exendin-4 in PET and 111In-DTPA-exendin-4 in SPECT. Exendin-4 labeled with 99mTc was also reported. The QUADAS-2 risk of bias assessment was overall low, with some unclear reports in the reference and index domains. Only two domains were at high risk of bias because of an explicated non-blind imaging review. Applicability concerns for bias were low in all domains. Reported sensitivities ranged from 95% to 100% and specificities from 20% to 100%. exendin-4 imaging is a sensitive functional imaging tracer in both SPECT and PET applications, especially in suspicion of benign insulinomas located where endoscopic ultrasound cannot reach, being more sensitive than morfostructural imaging.

Performance evaluation of a novel multi-pinhole collimator on triple-NaI-detector SPECT/CT for dedicated myocardial imaging

BackgroundIn this study we evaluated the imaging capabilities of a novel Multi-pinhole collimator (MPH-Cardiac) specially designed for nuclear cardiology imaging on a Triple-NaI-detector based SPECT/CT system.Methods99mTc point source measurements covering the field of view (FOV) were used to determine tomographic sensitivity (TSpointsource) and spatial resolution. Organ-size tomographic sensitivity (TSorgan) was measured with a left ventricle (LV) phantom filled with typical myocardial activity of a patient scan. Reconstructed image uniformity was measured with a 140 mm diameter uniform cylinder phantom. Using the LV phantom once filled with 99mTc and after with 123I, Contrast-to-noise ratio (CNR) was measured on the reconstructed images by ROI analysis on the myocardium activity and on the LV cavity. Furthermore, a polar map analysis was performed determining Spill-Over-Ratio in water (SORwater) and image noise. The results were compared with that of a dual-head parallel-hole low energy high resolution (LEHR) collimator system. A patient with suspected coronary artery disease (CAD) was scanned on the LEHR system using local protocol of 16 min total acquisition time, followed by a 4-min MPH-Cardiac scan.ResultsPeak TSpointsource was found to be 1013 cps/MBq in the axial center of the FOV while it was decreasing toward the radial edges. TSorgan in the CFOV was found to be 134 cps/MBq and 700 cps/MBq for the LEHR and MPH-Cardiac, respectively. Average spatial resolution throughout the FOV was 4.38 mm FWHM for the MPH-Cardiac collimator. Reconstructed image uniformity values were found to be 0.292% versus 0.214% for the LEHR and MPH-Cardiac measurements, respectively. CNR was found to be higher in case of MPH-Cardiac than for LEHR in case of 99mTc (15.5 vs. 11.7) as well as for 123I (13.5 vs. 8.3). SORwater values were found to be 28.83% and 21.1% for the 99mTc measurements, and 31.44% and 24.33% for the 123I measurements for LEHR and MPH-Cardiac, respectively. Pixel noise of the 99mTc polar maps resulted in values of 0.38% and 0.24% and of the 123I polar maps 0.62% and 0.21% for LEHR and MPH-Cardiac, respectively. Visually interpreting the patient scan images, MPH-Cardiac resulted in better image contrast compared to the LEHR technique with four times shorter scan duration.ConclusionsThe significant image quality improvement achieved with dedicated MPH-Cardiac collimator on triple head SPECT/CT system paves the way for short acquisition and low-dose cardiovascular SPECT applications.

A Novel J-Shape Antenna Array for Simultaneous MR-PET or MR-SPECT Imaging.

Simultaneous MR-PET/-SPECT is an emerging technology that capitalises on the invaluable advantages of both modalities, allowing access to numerous sensitive tracers and superior soft-tissue contrast alongside versatile functional imaging capabilities. However, to optimise these capabilities, concurrent acquisitions require the MRI antenna located inside the PET/SPECT field-of-view to be operated without compromising any aspects of system performance or image quality compared to the stand-alone instrumentation. Here, we report a novel gamma-radiation-transparent antenna concept. The end-fed J-shape antenna is particularly adept for hybrid ultra-high field MR-PET/-SPECT applications as it enables all highly attenuating materials to be placed outside the imaging field-of-view. Furthermore, this unique configuration also provides advantages in stand-alone MR applications by reducing the amount of coupling between the cables and the antenna elements, and by lowering the potential specific absorption rate burden. The use of this new design was experimentally verified according to the important features for both ultra-high field MRI and the 511 keV transmission scan. The reconstructed attenuation maps evidently showed much lower attenuation ( ∼15 %) for the proposed array when compared to the conventional dipole antenna array since there were no high-density components. In MR, it was observed that the signal-to-noise ratio from the whole volume obtained using the proposed array was comparable to that acquired by the conventional array which was also in agreement with the simulation results. The unique feature, J-shape array, would enable simultaneous MR-PET/-SPECT experiments to be conducted without unduly compromising any aspects of system performance and image quality compared to the stand-alone instrumentation.

Influence of Doppler broadening model accuracy in Compton camera list-mode MLEM reconstruction

The Compton camera is a gamma ray imaging device expected to provide clinically relevant images in the SPECT applications where collimated cameras are sub-optimal. Its imaging performances depend not only on the design of the detection system but also on choices related to tomographic reconstruction. The aim of this work is to show that the accuracy in modelling the acquisition largely influences the quality of the images. For this purpose, we restrict here to Doppler broadening models in conjunction with the list-mode maximum likelihood expectation maximization (LM-MLEM) algorithm. The study was carried out with Monte-Carlo simulation. We show that the reconstructed point spread function is location-dependent when the model is not accurate, and the usual elongation artefacts well-known in Compton camera imaging will appear. The model we propose allows us to reconstruct isolated point sources and more complex non-uniform sources with improved resolution even in the direction orthogonal to the camera.

Understanding the differential impact of children’s TV on executive functions: a narrative-processing analysis

Evidence from multiple empirical studies suggests children’s Executive Functions are depleted immediately after viewing some types of TV content but not others. Correlational evidence suggests any such effects may be most problematic during the pre-school years. To establish whether “screen-time” is developmentally appropriate at this age we believe a nuanced approach must be taken to the analysis of individual pieces of media and their potential demands on viewer cognition. To this end we apply a cognitive theory of visual narrative processing, the Scene Perception and Event Comprehension Theory (SPECT; Loschky, Larson, Smith, & Magliano, 2020) to the analysis of TV shows previously used to investigate short-term effects of TV viewing. A theoretical formalisation of individual content properties, together with a quantitative content-based analysis of previously used children’s content (Lillard & Peterson, 2011; Lillard et al., 2015b) is presented. This analysis found a pattern of greater stimulus saliency, increased situational change and a greater combined presence of cognitively demanding features for videos previously shown to reduce children’s EF after viewing. Limitations of this pilot application of SPECT are presented and proposals for future empirical investigations of the psychological mechanisms activated by specific TV viewing content are considered.

Clinical application and interpretation of SPECT in daily clinical practice

Clinical application and interpretation of SPECT in daily clinical practice

Mechanism of Cu-Catalyzed Aryl Boronic Acid Halodeboronation Using Electrophilic Halogen: Development of a Base-Catalyzed Iododeboronation for Radiolabeling Applications.

An investigation into the mechanism of Cu-catalyzed aryl boronic acid halodeboronation using electrophilic halogen reagents is reported. Evidence is provided to show that this takes place via a boronate-driven ipso-substitution pathway and that Cu is not required for these processes to operate: general Lewis base catalysis is operational. This in turn allows the rational development of a general, simple, and effective base-catalyzed halodeboronation that is amenable to the preparation of 125I-labeled products for SPECT applications.

Clinical Applications of Technetium-99m Quantitative Single-Photon Emission Computed Tomography/Computed Tomography.

Single-photon emission computed tomography/computed tomography (SPECT/CT) is an already established nuclear imaging modality. Co-registration of functional information (SPECT) with anatomical images (CT) paved the way to the wider application of SPECT. Recent advancements in quantitative SPECT/CT have made it possible to incorporate quantitative parameters, such as standardized uptake value (SUV) or %injected dose (%ID), in gamma camera imaging. This is indeed a paradigm shift in gamma camera imaging from qualitative to quantitative evaluation. In fact, such quantitative approaches of nuclear imaging have only been accomplished for positron emission tomography (PET) technology. Attenuation correction, scatter correction, and resolution recovery are the three main features that enabled quantitative SPECT/CT. Further technical improvements are being achieved for partial-volume correction, motion correction, and dead-time correction. The reported clinical applications for quantitative SPECT/CT are mainly related to Tc-99m-labeled radiopharmaceuticals: Tc-99m diphosphonate for bone/joint diseases, Tc-99m pertechnetate for thyroid function, and Tc-99m diethylenetriaminepentaacetic acid for measurement of glomerular filtration rate. Dosimetry before trans-arterial radio-embolization is also a promising application for Tc-99m macro-aggregated albumin. In this review, clinical applications of Tc-99m quantitative SPECT/CT will be discussed.

Selection of abstracts from the scientific sessions of the Society of Nuclear Medicine and Molecular Imaging, Philadelphia PA June 23–26, 2018

This mini-review highlights cardiovascular studies that were presented during the 2018 Society of Nuclear Medicine and Molecular Imaging (SNMMI) annual meeting in Philadelphia. The aim of this review is to inform readers about several noteworthy studies reported at the meeting. Although cardiovascular application of PET and SPECT are not the primary focus of the SNMMI, several scientific teams working in this field presented their latest scientific findings at this meeting. The review therefore aims to inform the readers who did not attend the SNMMI annual meeting about some interesting new concepts presented this year at the conference.

Technological advances and clinical application progress of the dedicated cardiac cadmium-zinc-telluride SPECT

The dedicated cardiac cadmium-zinc-telluride (CZT) SPECT device has been commercially applied to the clinics in recent years. Compared to the traditional SPECT, cardiac CZT SPECT has better image quality, higher spatial and energy resolution with shorter acquisition duration and lower radiation exposure. With these advantages, the clinical application of cardiac CZT SPECT is of great potential. This review summarizes the technological advances, clinical progress and current shortages of cardiac CZT SPECT. Key words: Tomography, emission-computed, single-photon; Heart; Tellurium; Zinc; Cadmium; Trends

Application of SPECT / BT Simulations on Dynamic Resources by the Gate Software Oncological Imaging

Application of SPECT / BT Simulations on Dynamic Resources by the Gate Software Oncological Imaging

Imaging performances of a small FoV gamma camera based on CRY018 scintillation crystal

Looking at the latest growth in the improvement of detectors for Nuclear Medicine imaging (i.e. PET and SPECT devices), the development and the characterization of new scintillation materials acquire an even important role. In this contest, a large number of new scintillation crystals have became available.The most important features required to these scintillators in order to obtain great images quality are the high light yield and energy resolutions, absence of hygroscopic nature and above all good imaging performances. The imaging requirements for a scintillator dedicated to SPECT applications are features like position linearity, intrinsic spatial resolution, integral uniformity, image contrast and signal to noise ratio.The proposed work is aimed to the investigation of the imaging performances of a recently developed scintillation crystal, named CRY018, for SPECT applications. The crystal has been show very promising characteristics as gamma ray imager, it can easily work as continuous detector allowing an energy resolution of 17% (@122 keV) and an intrinsic spatial resolution value of 1.2 mm (@122 keV photon energy) when coupled to a Position Sensitive PMT (this value is comparable to the one obtained for a LaBr3:Ce with the same experimental setup).

Imaging characterization of a new gamma ray detector based on CRY019 scintillation crystal for PET and SPECT applications

In the last 40 years, in the field of Molecular Medicine imaging there has been a huge growth in the employment and in the improvement of detectors for PET and SPECT applications in order to reach accurate diagnosis of the diseases. The most important feature required to these detectors is an high quality of images that is usually obtained benefitting from the development of a wide number of new scintillation crystals with high imaging performances. In this contest, features like high detection efficiency, short decay time, great spectral match with photodetectors, absence of afterglow and low costs are surely attractive. However, there are other factors playing an important role in the realization of high quality images such as energy and spatial resolutions, position linearity and contrast resolution. With the aim to realize an high performace gamma ray detector for PET and SPECT applications, this work is focused on the evaluation of the imaging characteristics of a recently developed scintillation crystal, CRY019.

A crystal identification method for monolithic phoswich detectors based on scintillation light distribution

Phoswich detectors based on scintillation crystals are widely diffused for both PET and SPECT applications. In order to separate the signals arising from different layers many methods have been proposed in literature. Separation of the layers commonly relies on time discrimination or pulse height discrimination. In this work, by means of experimental measurement on a phoswich detector based on Lanthanum Bromide and Lutetium Fine Silicate monolithic crystals, a novel method allowing to separate signals coming from different layers has been evaluated. The main feature of this method, specifically developed for phoswich based on monolithic scintillation crystals, is the discrimination capability based on the scintillation light distribution shape. For this reason, the findings that will be shown could be easily extended to whatever combination of scintillator, independently from their decay time or light yield.

Pilot Studies With BGO Scintillators Coupled to Low-Noise, Large-Area, SiPM Arrays

Despite the fact that timing capabilities for devices based on BGO are limited when compared with LYSO or LSO based systems, the cost of BGO is considerably lower and could thus, be an option for devices with high scintillator volumes (as in the case of nuclear medicine scanners), but also in smaller dedicated imagers. Recently, many studies have been carried out in order to determine the potential capabilities of BGO for PET and SPECT applications, where BGO scintillator crystals have been coupled to SiPM photosensor devices. However, so far these studies have only been done on small-size BGO samples. In this work, we have studied three different BGO size configurations, coupled to a ${\hbox {12}} \times {\hbox {12}}$ low-noise SiPM array. Each SiPM has an active area of ${\hbox \times {\hbox {3}} \hbox{mm}^{2}$ with a pixel pitch of 4.2 mm. A special charge division network providing information for each row and column output of the SiPM array has been used. The first tested BGO configuration has 2.5 mm crystal pixel pitch and 10 mm thickness, while the second makes use of smaller 1.5 mm pixels with 1.67 mm pitch but only 3 mm thick. The third evaluated configuration provided limited photon depth of interaction (DOI) information by using two staggered layers of BGO pixels also with 2.5 mm pitch and with a total thickness of 20 mm. Performances of these configurations in terms of spatial and energy resolutions have been determined. Energy resolution as good as 14.2% was obtained. Our results indicate that single layer crystal arrays with pixel values as low as 1.5 mm or two staggered layers with 2.5 mm pitch are well suited for PET applications, such as low-cost and high performance dedicated PET systems or large systems.

Investigation of radiation detection properties of CRY-018 and CRY-019 scintillators for medical imaging

During the last years the research for new scintillation crystals has been crucial for the improvement of imaging performance in nuclear medicine applications. Crytur company has recently released two new scintillators named CRY-018 and CRY-019 which are non hygroscopic, have short decay time and low refraction index. They represent the ideal candidates to substitute NaI:Tl and BGO crystals in future PET ad SPECT applications. The purpose of this work is to characterize this unknown crystals, look for possible applications in imaging for nuclear medicine. The results of this work were compared with the results obtained with a LaBr3:ce scintillation crystal. This particular crystal is used as a comparison benchmark because of its strong linear pulse height uniformity response and high energy resolution. Measurements have been performed with a high count rate which is typical for medical applications. Irradiation of the crystals have been performed in three different geometries and in a photon energy range suitable with SPECT and PET applications. The experimental results identify the CRY-018 as an Yttrium and Silicon mixture and the CRY-019 with as Lutetium and Silicon one. Moreover a light yield of about 45% of LaBr3 one, was obtained for both the CRY-018 and CRY-019. This is one of the higher light yield between most of the scintillation crystals usually used in nuclear medicine. Both crystals are characterized by a non-proportionality in the pulse height linearity response. Energy resolutions of 7.4% for CRY-018 and 8.4% for CRY-019 at 661 keV, have been measured. The intrinsic component of the energy resolution has been esteemed for all three scintillators. An intrinsic detection efficiency of about 45% at 122 keV for CRY-018 and 14% at 661 keV for CRY-019 has been measured. Compared with LaBr3:Ce efficiency, which is highly deteriorated by the coating required by the hygroscopicity, CRY-018 and CRY-019 are really interesting considering that these two samples are only 6 mm thick. Crytur's crystals seem to be suitable for nuclear medicine applications.

(R)-NODAGA-PSMA: A Versatile Precursor for Radiometal Labeling and Nuclear Imaging of PSMA-Positive Tumors.

PurposeThe present study aims at developing and evaluating an urea-based prostate specific membrane antigen (PSMA) inhibitor suitable for labeling with 111In for SPECT and intraoperative applications as well as 68Ga and 64Cu for PET imaging.MethodsThe PSMA-based inhibitor-lysine-urea-glutamate-coupled to the spacer Phe-Phe-D-Lys(suberoyl) and functionalized with the enantiomerically pure prochelator (R)-1-(1-carboxy-3-carbotertbutoxypropyl)-4,7-carbotartbutoxymethyl)-1,4,7-triazacyclononane ((R)-NODAGA(tBu)3), to obtain (R)-NODAGA-Phe-Phe-D-Lys(suberoyl)-Lys-urea-Glu (CC34). CC34 was labeled with 111In, 68Ga and 64Cu. The radioconjugates were further evaluated in vitro and in vivo in LNCaP xenografts by biodistribution and PET studies. Biodistribution studies were also performed with 68Ga-HBED-CC-PSMA (HBED-CC: N,N′-bis[2-hydroxy-5-(carboxyethyl)benzyl]ethylenediamine-N,N′-diacetic acid) and 111In-PSMA-617 for comparison.Results 68Ga-CC34, 64Cu-CC34, and 111In-CC34 were prepared in radiochemical purity >95%. 68/natGa-CC34, 64/natCu-CC34, 111/natIn-CC34, 68/natGa-HBED-CC-PSMA, and 111/natIn-PSMA-617 exhibited high affinity for the LNCaP cells, with Kd values of 19.3±2.5 nM, 27.5±2.7 nM, 5.5±0.9 nM, 2.9±0.6 nM and 5.4±0.8 nM, respectively. They revealed comparable internalization profiles with approximately 75% of the total cell associated activity internalized after 3 h of incubation. 68Ga-CC34 showed very high stability after its administration in mice. Tumor uptake of 68Ga-CC34 (14.5±2.9% IA/g) in LNCaP xenografts at 1 h p.i. was comparable to 68Ga-HBED-CC-PSMA (15.8±1.4% IA/g) (P = 0.67). The tumor-to-normal tissue ratios at 1 and 2 h p.i of 68Ga-CC34 were also comparable to 68Ga-HBED-CC-PSMA (P>0.05). Tumor uptake of 111In-CC34 (28.5±2.6% IA/g) at 1 h p.i. was lower than 111In-PSMA-617 (52.1±6.5% IA/g) (P = 0.02). The acquisition of PET-images with 64Cu-CC34 at later time points showed wash-out from the kidneys, while tumor uptake still remained relatively high. This resulted in an increased tumor-to-kidney ratio over time.Conclusions 68Ga-CC34 is comparable to 68Ga-HBED-CC-PSMA in terms of tumor uptake and tumor to normal tissue ratios. 64Cu-CC34 could enable high contrast imaging of PSMA positive tissues characterized by elevated expression of PSMA or when delayed imaging is required. 64Cu-CC34 is currently being prepared for clinical translation.

⁹⁹mTc-3PRGD₂ SPECT to monitor early response to neoadjuvant chemotherapy in stage II and III breast cancer.

Monitoring of response to neoadjuvant chemotherapy (NCT) is important for optimal management of patients with breast cancer. (99m)Tc-3PRGD2 SPECT is a newly developed imaging modality for evaluating tumor vascular status. In this study, we investigated the application of (99m)Tc-3PRGD2 SPECT in evaluating therapy response to NCT in patients with stage II or III breast cancer. Thirty-three patients were scheduled to undergo (99m)Tc-3PRGD2 SPECT at baseline, after the first and second cycle of NCT. Four patients had extremely low (99m)Tc-3PRGD2 uptake at baseline, and were not included in the subsequent studies. Changes in tumor to nontumor (T/N) ratio were compared with pathological tumor responses classified using the residual cancer burden system. Receiver operator characteristic analysis was used to compare the power to identify responders between the end of the first and the end of the second cycle of NCT. The impact of breast cancer subtype on (99m)Tc-3PRGD2 uptake was evaluated. The correlation between (99m)Tc-3PRGD2 uptake and pathological tumor response was also evaluated in each breast cancer subtype. Surgery was performed after four cycles of NCT and pathological analysis revealed 18 responders and 15 nonresponders. In patients with clearly visible (99m)Tc-3PRGD2 uptake at baseline, the sensitivity, specificity, and negative predictive value of (99m)Tc-3PRGD2 SPECT were 86.7 %, 85.7 % and 86.7 % after the first cycle of NCT, and 92.9 %, 93.3 % and 93.3 % after the second cycle, respectively. Among these patients, the HER-2-positive group demonstrated both higher T/N ratios and a greater change in T/N ratio than patients with other breast cancer subtypes (P < 0.05). A strong correlation was found between changes in T/N ratio and pathological tumor response in the HER-2-positive group (P < 0.03). (99m)Tc-3PRGD2 SPECT seems to be useful for determining the pathological tumor response in patients with stage II or III breast cancer undergoing NCT, especially those with the HER-2-positive subtype.

Applicability of a set of tomographic reconstruction algorithms for quantitative SPECT on irradiated nuclear fuel assemblies

A fuel assembly operated in a nuclear power plant typically contains 100–300 fuel rods, depending on fuel type, which become strongly radioactive during irradiation in the reactor core. For operational and security reasons, it is of interest to experimentally deduce rod-wise information from the fuel, preferably by means of non-destructive measurements. The tomographic SPECT technique offers such possibilities through its two-step application; (1) recording the gamma-ray flux distribution around the fuel assembly, and (2) reconstructing the assembly׳s internal source distribution, based on the recorded radiation field. In this paper, algorithms for performing the latter step and extracting quantitative relative rod-by-rod data are accounted for.As compared to application of SPECT in nuclear medicine, nuclear fuel assemblies present a much more heterogeneous distribution of internal attenuation to gamma radiation than the human body, typically with rods containing pellets of heavy uranium dioxide surrounded by cladding of a zirconium alloy placed in water or air. This inhomogeneity severely complicates the tomographic quantification of the rod-wise relative source content, and the deduction of conclusive data requires detailed modelling of the attenuation to be introduced in the reconstructions. However, as shown in this paper, simplified models may still produce valuable information about the fuel.Here, a set of reconstruction algorithms for SPECT on nuclear fuel assemblies are described and discussed in terms of their quantitative performance for two applications; verification of fuel assemblies׳ completeness in nuclear safeguards, and rod-wise fuel characterization. It is argued that a request not to base the former assessment on any a priori information brings constraints to which reconstruction methods that may be used in that case, whereas the use of a priori information on geometry and material content enables highly accurate quantitative assessment, which may be particularly useful in the latter application.Two main classes of algorithms are covered; (1) analytic filtered back-projection algorithms, and (2) a group of model-based or algebraic algorithms. For the former class, a basic algorithm has been implemented, which does not take attenuation in the materials of the fuel assemblies into account and which assumes an idealized imaging geometry. In addition, a novel methodology has been presented for introducing a first-order correction to the obtained images for these deficits; in particular, the effects of attenuation are taken into account by modelling the response for an object with a homogeneous mix of fuel materials in the image area. Neither the basic algorithm, nor the correction method requires prior knowledge of the fuel geometry, but they result in images of the assembly׳s internal activity distribution. Image analysis is then applied to deduce quantitative information.Two algebraic algorithms are also presented, which model attenuation in the fuel assemblies to different degrees; either assuming a homogenous mix of materials in the image area without a priori information or utilizing known information of the assembly geometry and of its position in the measuring setup for modelling the gamma-ray attenuation in detail. Both algorithms model the detection system in detail. The former algorithm returns an image of the cross-section of the object, from which quantitative information is extracted, whereas the latter returns conclusive relative rod-by-rod data.Here, all reconstruction methods are demonstrated on simulated data of a 96-rod fuel assembly in a tomographic measurement setup. The assembly was simulated with the same activity content in all rods for evaluation purposes. Based on the results, it is argued that the choice of algorithm to a large degree depends on application, and also that a combination of reconstruction methods may be useful. A discussion on alternative analysis methods is also included.

Ultra-high-sensitivity submillimeter mouse SPECT.

SPECT with submegabecquerel amounts of tracer or subsecond time resolution would enable a wide range of new imaging protocols such as screening tracers with initially low yield or labeling efficiency, imaging low receptor densities, or even performing SPECT outside regular radiation laboratories. To this end we developed dedicated ultra-high-sensitivity pinhole SPECT. A cylindric collimator with 54 focused 2.0-mm-diameter conical pinholes was manufactured and mounted in a stationary small-animal SPECT system. The system matrix for image reconstruction was calculated via a hybrid method based on both (99m)Tc point source measurements and ray-tracing analytic modeling. SPECT images were reconstructed using pixel-based ordered-subsets expectation maximization. Performance was evaluated with phantoms and low-dose bone, dynamic kidney, and cardiac mouse scans. The peak sensitivity reached 1.3% (13,080 cps/MBq). The reconstructed spatial resolution (rod visibility in a micro-Jaszczak phantom) was 0.85 mm. Even with only a quarter megabecquerel of activity, 30-min bone SPECT scans provided surprisingly high levels of detail. Dynamic dual-isotope kidney and (99m)Tc-sestamibi cardiac scans were acquired with a time-frame resolution down to 1 s. The high sensitivity achieved increases the range of mouse SPECT applications by enabling in vivo imaging with less than a megabecquerel of tracer activity or down to 1-s frame dynamics.