Photon-counting versus an integrating CCD-based gamma camera: important consequences for spatial resolution

Charge-coupled devices (CCDs) coupled to scintillation crystals can be used for high resolution imaging with x-rays and gamma-rays. When the CCD images can be read out fast enough, the energy and interaction position of individual gamma quanta can be estimated by real-time image analysis of scintillation light flashes ('photon counting mode'). We tested a set-up in which an electron-multiplying CCD was coupled to a 1 mm thick columnar CsI crystal by means of a fibre-optic taper. We found that, compared to light integration, photon counting improves the intrinsic spatial resolution by a factor of about 3 to 6. Applying our set-up to Tc-99m and I-125 imaging, we were able to obtain intrinsic resolutions below 60 mu m (full width at half maximum). Counting losses due to overlapping of light flashes are negligible for event rates typical for biomedical radio-nuclide imaging and do strongly depend on energy window settings. Energy resolution was estimated to be approximately 35 keV FWHM for a 1:1 taper. We conclude that CCD-based gamma cameras have great potential for applications such as in vivo imaging of gamma emitters.