A Novel High-Sensitivity Rapid-Acquisition Single-Photon Cardiac Imaging Camera

被引:195
作者
Gambhir, Sanjiv S. [1 ,2 ]
Berman, Daniel S. [3 ,4 ]
Ziffer, Jack [5 ]
Nagler, Michael [6 ]
Sandler, Martin [7 ]
Patton, Jim [7 ]
Hutton, Brian [8 ,9 ]
Sharir, Tali [10 ]
Ben Haim, Shlomo [6 ]
Ben Haim, Simona [8 ,9 ]
机构
[1] Stanford Univ, Sch Med, Dept Radiol, James H Clark Ctr, Stanford, CA 94305 USA
[2] Stanford Univ, Dept Bioengn, Mol Imaging Program, Stanford, CA 94305 USA
[3] Cedars Sinai Med Ctr, Dept Med, Div Cardiol, Los Angeles, CA 90048 USA
[4] Cedars Sinai Med Ctr, Dept Imaging, Los Angeles, CA 90048 USA
[5] Baptist Hosp Miami, Miami, FL USA
[6] Spectrum Dynam Ltd, Tirat Karmel, Israel
[7] Vanderbilt Univ, Med Ctr, Dept Radiol & Radiol Sci, Nashville, TN 37232 USA
[8] UCL, Inst Nucl Med, London, England
[9] UCL, Hosp NHS Trust, London, England
[10] Procardia Maccabi Healthcare Serv, Tel Aviv, Israel
关键词
molecular imaging; myocardial perfusion SPECT; nuclear cardiology; DETECTOR;
D O I
10.2967/jnumed.108.060020
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
This study described and validated a new solid-state single-photon gamma-camera and compared it with a conventional-SPECT Anger camera. The compact new camera uses a unique method for localizing gamma-photon information with a bank of 9 solid-state detector columns with tungsten collimators that rotate independently. Methods: Several phantom studies were performed comparing the new technology with conventional-SPECT technology. These included measurements of line sources and single- and dual-radionuclide studies of a torso phantom. Simulations were also performed using a cardiothoracic phantom. Furthermore, 18 patients were scanned with both the new camera and a conventional-SPECT camera. Results: The new camera had a count sensitivity that was 10 times higher than that of the conventional camera and a compensated spatial resolution that was moderately better. Dual-radionuclide studies using a phantom show the further potential of the new camera for a 2-tracer simultaneous acquisition. Two-minute clinical studies with the new camera and 11-min studies with the conventional camera qualitatively showed good-to-excellent image quality and improved myocardial edge definition for the new camera. Conclusion: These initial performance characteristics of a new solid-state single- photon gamma-camera offer great promise for clinical dynamic SPECT protocols, with important implications for applications in nuclear cardiology and molecular imaging.
引用
收藏
页码:635 / 643
页数:9
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