A study was conducted to evaluate the feasibility of simultaneous dual radionuclide brain imaging with 123I and 99mTc using photopeak image subtraction techniques or offset photopeak image acquisition. The contribution of the photons from one radionuclide to a second radionuclide's photopeak energy window (crosstalk) was evaluated for SPECT and planar imaging of a brain phantom containing 123I and 99mTc for a range of activity levels and distribution properties approximating those in rCBF images of the adult human brain. Crosstalk was evaluated for 10% symmetrical energy windows centered on the 123I and 99mTc photopeaks and for 10% energy windows asymmetrically placed to the left and right of the center of the respective photopeaks. Major observations include: (1) in the centered photopeak windows, 99mTc crosstalk in the 123I window is 8.9% of the 99mTc seen in the 99mTc window and ranges from 37.5% to 75.0% of the 123I in the 123I window. 123I crosstalk is 37.8% of the 123I seen in the 123I window and ranges from 4.4% to 8.9% of the 99mTc seen in the 99mTc window; (2) the spatial distribution of a radionuclide's crosstalk photons differs from that observed in the radionuclide's photopeak window; (3) a 99mTc photopeak window offset to the left does not decrease 123I crosstalk, and the percentage of 99mTc scattered photons is significantly increased in the window.(ABSTRACT TRUNCATED AT 250 WORDS)
For proper attenuation correction of SPECT images, a set of 3D attenuation maps specific to the imaging slices is needed. Among the many different approaches for deriving the attenuation maps, fan beam transmission CT (FBTCT), performed on the same SPECT system as emission imaging, has many promising and clinically practical features. The major problem of FBTCT is that the current SPECT systems do not have a large enough field of view (FOV) to cover the typical cross-sectional size of patients. To address this problem, we have developed a novel asymmetric fan (AsF) sampling scheme to extend the FOV to practical sizes for clinical TCT imaging on existing SPECT systems. This AsF scheme samples only half of the intended FOV in each projection; the other half would be sampled in an opposing projection after detector rotation. We have implemented the AsF sampling on a three-head SPECT system through a specially designed source-collimator assembly. We have modified the conventional convolution backprojection algorithm to facilitate simple and fast image reconstruction. The feasibility of the approach is confirmed by the quality of the derived TCT images of various phantoms and human subjects. The AsF sampling scheme could also have applications in other general transmission CT systems.
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