SPECT is a rapidly changing field, and the past several years have produced new developments in both hardware technology and image-processing algorithms. At the component level there have been improvements in scintillators and photon transducers as well as a greater availability of semiconductor technology. These devices permit the fabrication of smaller and more compact systems that can be customized for particular applications. New clinical devices include high-count sensitivity cardiac SPECT systems that do not use conventional collimation and the introduction of diagnostic-quality hybrid SPECT/CT systems. While there has been steady progress with reconstruction algorithms, exciting new processing algorithms have become commercially available that promise to provide substantial reductions in SPECT acquisition time without sacrificing diagnostic quality. Preclinical small-animal SPECT systems have become a major focus in nuclear medicine. These systems have pushed the limits of SPECT into the submillimeter range, making them valuable molecular imaging tools capable of providing information unavailable from other modalities. From the beginning of radionuclide imaging, there has been a dedicated effort to produce tomographic images of the internal distribution of radiopharmaceuticals. Although the early development of SPECT will not be discussed in this article, an excellent review of the key investigators and their ground-breaking work can be found in a recent article by Jaszczak (1). The present article will focus on recent developments in SPECT that cover approximately the past 3 y. I will begin by briefly reviewing the fundamental physical assumptions underlying SPECTand follow that with a discussion of the advances in detection instrumentation. Clinical and research devices designed for patient studies will be reviewed next. Small-animal SPECT systems will also be described. These sections will be followed by a review of reconstruction algorithms and correction methods. An outstanding in-depth source of information on all of these topics for the interested reader can be found in the book Emission Tomography: The Fundamentals of PET and SPECT (2).Conventional nuclear medicine images compress the 3-dimensional (3D) distributions of radiotracers into a 2-dimensional image. As a result, the contrast between areas of interest and the surrounding territory is often significantly reduced. This reduction limits the diagnostic information that is available in the study. In addition, the exact location of an abnormality can be difficult to determine. Tomographic images remove these difficulties but at the price of longer acquisition times, poorer spatial resolution, and the susceptibility to artifacts. Recent advances in SPECT instrumentation and processing have made marked improvements in each of these areas.
SPECT FUNDAMENTALSThe fundamental objective of any tomographic imaging is to determine the internal distribution of an object solely from external measurements. This can be accomplished only if the following re...