Gamma Camera
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A gamma camera (γ-camera), also called a scintillation camera or Anger camera, is a device used to image gamma radiation emitting radioisotopes, a technique known as
scintigraphy Scintigraphy (from Latin ''scintilla'', "spark"), also known as a gamma scan, is a diagnostic test in nuclear medicine, where radioisotopes attached to drugs that travel to a specific organ or tissue (radiopharmaceuticals) are taken internally and ...
. The applications of scintigraphy include early drug development and nuclear medical imaging to view and analyse images of the human body or the distribution of medically injected, inhaled, or ingested
radionuclides A radionuclide (radioactive nuclide, radioisotope or radioactive isotope) is a nuclide that has excess nuclear energy, making it unstable. This excess energy can be used in one of three ways: emitted from the nucleus as gamma radiation; transfer ...
emitting
gamma ray A gamma ray, also known as gamma radiation (symbol γ or \gamma), is a penetrating form of electromagnetic radiation arising from the radioactive decay of atomic nuclei. It consists of the shortest wavelength electromagnetic waves, typically ...
s.


Imaging techniques

Scintigraphy Scintigraphy (from Latin ''scintilla'', "spark"), also known as a gamma scan, is a diagnostic test in nuclear medicine, where radioisotopes attached to drugs that travel to a specific organ or tissue (radiopharmaceuticals) are taken internally and ...
("scint") is the use of gamma cameras to capture emitted radiation from internal radioisotopes to create two-dimensional images.
SPECT Single-photon emission computed tomography (SPECT, or less commonly, SPET) is a nuclear medicine tomographic imaging technique using gamma rays. It is very similar to conventional nuclear medicine planar imaging using a gamma camera (that is, ...
(single photon emission computed tomography) imaging, as used in nuclear
cardiac stress test A cardiac stress test (also referred to as a cardiac diagnostic test, cardiopulmonary exercise test, or abbreviated CPX test) is a cardiological test that measures the heart's ability to respond to external stress in a controlled clinical environ ...
ing, is performed using gamma cameras. Usually one, two or three detectors or heads, are slowly rotated around the patient's torso. Multi-headed gamma cameras can also be used for
positron emission tomography Positron emission tomography (PET) is a functional imaging technique that uses radioactive substances known as radiotracers to visualize and measure changes in Metabolism, metabolic processes, and in other physiological activities including bl ...
(PET) scanning, provided that their hardware and software can be configured to detect "coincidences" (near simultaneous events on 2 different heads). Gamma camera PET is markedly inferior to PET imaging with a purpose designed PET scanner, as the scintillator crystal has poor sensitivity for the high-energy annihilation photons, and the detector area is significantly smaller. However, given the low cost of a gamma camera and its additional flexibility compared to a dedicated PET scanner, this technique is useful where the expense and resource implications of a PET scanner cannot be justified.


Construction

A gamma camera consists of one or more flat crystal planes (or detectors) optically coupled to an array of
photomultiplier tubes Photomultiplier tubes (photomultipliers or PMTs for short) are extremely sensitive detectors of light in the ultraviolet, visible, and near-infrared ranges of the electromagnetic spectrum. They are members of the class of vacuum tubes, more speci ...
in an assembly known as a "head", mounted on a gantry. The gantry is connected to a computer system that both controls the operation of the camera and acquires and stores images. The construction of a gamma camera is sometimes known as a compartmental radiation construction. The system accumulates events, or counts, of
gamma Gamma (uppercase , lowercase ; ''gámma'') is the third letter of the Greek alphabet. In the system of Greek numerals it has a value of 3. In Ancient Greek, the letter gamma represented a voiced velar stop . In Modern Greek, this letter re ...
photon A photon () is an elementary particle that is a quantum of the electromagnetic field, including electromagnetic radiation such as light and radio waves, and the force carrier for the electromagnetic force. Photons are massless, so they always ...
s that are absorbed by the crystal in the camera. Usually a large flat crystal of
sodium iodide Sodium iodide (chemical formula NaI) is an ionic compound formed from the chemical reaction of sodium metal and iodine. Under standard conditions, it is a white, water-soluble solid comprising a 1:1 mix of sodium cations (Na+) and iodide anions ...
with thallium doping in a light-sealed housing is used. The highly efficient capture method of this combination for detecting gamma rays was discovered in 1944 by
Sir Samuel Curran Sir Samuel Crowe Curran (23 May 1912 – 15 February 1998), FRS, FRSE, was a physicist and the first Principal and Vice-Chancellor of the University of Strathclyde – the first of the new technical universities in Britain. He is the inven ...
whilst he was working on the
Manhattan Project The Manhattan Project was a research and development undertaking during World War II that produced the first nuclear weapons. It was led by the United States with the support of the United Kingdom and Canada. From 1942 to 1946, the project w ...
at the
University of California at Berkeley The University of California, Berkeley (UC Berkeley, Berkeley, Cal, or California) is a public land-grant research university in Berkeley, California. Established in 1868 as the University of California, it is the state's first land-grant univ ...
. Nobel prize-winning physicist
Robert Hofstadter Robert Hofstadter (February 5, 1915 – November 17, 1990) was an American physicist. He was the joint winner of the 1961 Nobel Prize in Physics (together with Rudolf Mössbauer) "for his pioneering studies of electron scattering in atomic nucle ...
also worked on the technique in 1948. The crystal scintillates in response to incident gamma radiation. When a gamma photon leaves the patient (who has been injected with a
radioactive pharmaceutical Radiopharmacology is radiochemistry applied to medicine and thus the pharmacology of radiopharmaceuticals (medicinal radiocompounds, that is, pharmaceutical drugs that are radioactive). Radiopharmaceuticals are used in the field of nuclear medic ...
), it knocks an electron loose from an iodine atom in the crystal, and a faint flash of light is produced when the dislocated electron again finds a minimal energy state. The initial phenomenon of the excited electron is similar to the
photoelectric effect The photoelectric effect is the emission of electrons when electromagnetic radiation, such as light, hits a material. Electrons emitted in this manner are called photoelectrons. The phenomenon is studied in condensed matter physics, and solid st ...
and (particularly with gamma rays) the
Compton effect Compton scattering, discovered by Arthur Holly Compton, is the scattering of a high frequency photon after an interaction with a charged particle, usually an electron. If it results in a decrease in energy (increase in wavelength) of the photon ...
. After the flash of light is produced, it is detected.
Photomultiplier A photomultiplier is a device that converts incident photons into an electrical signal. Kinds of photomultiplier include: * Photomultiplier tube, a vacuum tube converting incident photons into an electric signal. Photomultiplier tubes (PMTs for sho ...
tubes (PMTs) behind the crystal detect the fluorescent flashes (events) and a computer sums the counts. The computer reconstructs and displays a two dimensional image of the relative spatial count density on a monitor. This reconstructed image reflects the distribution and relative concentration of radioactive tracer elements present in the organs and tissues imaged.


Signal processing

Hal Anger Hal Oscar Anger (May 20, 1920 – October 31, 2005) was an American electrical engineer and biophysicist at Donner Laboratory, University of California, Berkeley, known for his invention of the gamma camera. In all, Anger held 15 patents, many of ...
developed the first gamma camera in 1957. His original design, frequently called the Anger camera, is still widely used today. The Anger camera uses sets of
vacuum tube A vacuum tube, electron tube, valve (British usage), or tube (North America), is a device that controls electric current flow in a high vacuum between electrodes to which an electric voltage, potential difference has been applied. The type kn ...
photomultiplier A photomultiplier is a device that converts incident photons into an electrical signal. Kinds of photomultiplier include: * Photomultiplier tube, a vacuum tube converting incident photons into an electric signal. Photomultiplier tubes (PMTs for sho ...
s (PMT). Generally each tube has an exposed face of about in diameter and the tubes are arranged in hexagon configurations, behind the absorbing crystal. The electronic circuit connecting the photodetectors is wired so as to reflect the relative coincidence of light fluorescence as sensed by the members of the hexagon detector array. All the PMTs simultaneously detect the (presumed) same flash of light to varying degrees, depending on their position from the actual individual event. Thus the spatial location of each single flash of fluorescence is reflected as a pattern of voltages within the interconnecting circuit array. The location of the interaction between the gamma ray and the crystal can be determined by processing the voltage signals from the photomultipliers; in simple terms, the location can be found by weighting the position of each photomultiplier tube by the strength of its signal, and then calculating a mean position from the weighted positions. The total sum of the voltages from each photomultiplier, measured by a
pulse height analyzer A pulse-height analyzer (PHA) is an instrument that accepts electronic pulses of varying heights from particle and event detectors, digitizes the pulse heights, and saves the number of pulses of each height in registers or channels, thus recording ...
is proportional to the energy of the gamma ray interaction, thus allowing discrimination between different isotopes or between scattered and direct photons.


Spatial resolution

In order to obtain spatial information about the gamma-ray emissions from an imaging subject (e.g. a person's heart muscle cells which have absorbed an intravenous injected radioactive, usually thallium-201 or
technetium-99m Technetium-99m (99mTc) is a metastable nuclear isomer of technetium-99 (itself an isotope of technetium), symbolized as 99mTc, that is used in tens of millions of medical diagnostic procedures annually, making it the most commonly used medical ra ...
, medicinal imaging agent) a method of correlating the detected photons with their point of origin is required. The conventional method is to place a
collimator A collimator is a device which narrows a beam of particles or waves. To narrow can mean either to cause the directions of motion to become more aligned in a specific direction (i.e., make collimated light or parallel rays), or to cause the spati ...
over the detection crystal/PMT array. The collimator consists of a thick sheet of
lead Lead is a chemical element with the symbol Pb (from the Latin ) and atomic number 82. It is a heavy metal that is denser than most common materials. Lead is soft and malleable, and also has a relatively low melting point. When freshly cu ...
, typically thick, with thousands of adjacent holes through it. There are three types of collimators: low energy, medium energy, and high energy collimators. As the collimators transitioned from low energy to high energy, the hole sizes, thickness, and septations between the holes also increased. Given a fixed septal thickness, the collimator resolution decreases with increased efficiency and also increasing distance of the source from the collimator. Pulse-height analyser determines the
Full width at half maximum In a distribution, full width at half maximum (FWHM) is the difference between the two values of the independent variable at which the dependent variable is equal to half of its maximum value. In other words, it is the width of a spectrum curve mea ...
that selects certain photons to contribute to the final image, thus determining the collimator resolution. The individual holes limit photons which can be detected by the crystal to a cone shape; the point of the cone is at the midline center of any given hole and extends from the collimator surface outward. However, the collimator is also one of the sources of blurring within the image; lead does not totally attenuate incident gamma photons, there can be some
crosstalk In electronics, crosstalk is any phenomenon by which a signal transmitted on one circuit or channel of a transmission system creates an undesired effect in another circuit or channel. Crosstalk is usually caused by undesired capacitive, induc ...
between holes. Unlike a lens, as used in visible light cameras, the collimator attenuates most (>99%) of incident photons and thus greatly limits the sensitivity of the camera system. Large amounts of radiation must be present so as to provide enough exposure for the camera system to detect sufficient scintillation dots to form a picture. Other methods of image localization (
pinhole A hole is an opening in or through a particular medium, usually a solid body. Holes occur through natural and artificial processes, and may be useful for various purposes, or may represent a problem needing to be addressed in many fields of en ...
, rotating slat collimator with CZT) have been proposed and tested; however, none have entered widespread routine clinical use. The best current camera system designs can differentiate two separate point sources of gamma photons located at 6 to 12 mm depending on distance from the collimator, the type of collimator and radio-nucleide. Spatial resolution decreases rapidly at increasing distances from the camera face. This limits the spatial accuracy of the computer image: it is a fuzzy image made up of many dots of detected but not precisely located scintillation. This is a major limitation for heart muscle imaging systems; the thickest normal heart muscle in the left ventricle is about 1.2 cm and most of the left ventricle muscle is about 0.8 cm, always moving and much of it beyond 5 cm from the collimator face. To help compensate, better imaging systems limit scintillation counting to a portion of the heart contraction cycle, called gating, however this further limits system sensitivity.


See also

*
Nuclear medicine Nuclear medicine or nucleology is a medical specialty involving the application of radioactive substances in the diagnosis and treatment of disease. Nuclear imaging, in a sense, is "radiology done inside out" because it records radiation emitting ...
*
Scintigraphy Scintigraphy (from Latin ''scintilla'', "spark"), also known as a gamma scan, is a diagnostic test in nuclear medicine, where radioisotopes attached to drugs that travel to a specific organ or tissue (radiopharmaceuticals) are taken internally and ...


References


Further reading

* H. Anger. A new instrument for mapping gamma-ray emitters. Biology and Medicine Quarterly Report UCRL, 1957, 3653: 38. (University of California Radiation Laboratory, Berkeley) * * * * *


External links

* {{Nuclear technology Nuclear medicine Image sensors Medical physics American inventions Gamma rays Articles containing video clips