A rectilinear scanner is an imaging device, used to capture emission from radiopharmaceuticals in nuclear medicine. The image is created by physically moving a radiation detector over the surface of a radioactive patient. It has become obsolete in medical imaging, largely replaced by the gamma camera since the late 1960s.

History

One of the first rectilinear scanners was developed by Benedict Cassen in 1950. Before then hand-held detectors had been used to locate radioactive materials in patients, but the Cassen system (designed for Iodine-131) combined a motor driven

photomultiplier tube 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 specif ...

and printing mechanism. Subsequent developments improved the detection systems, movement, display and printing of images.

Components

Cassen's original rectilinear scanner used calcium tungstate (CaWo₄) crystal as the radiation detector. Later systems used a Sodium iodide (NaI)

scintillator A scintillator is a material that exhibits scintillation, the property of luminescence, when excited by ionizing radiation. Luminescent materials, when struck by an incoming particle, absorb its energy and scintillate (i.e. re-emit the absorbed ...

, as in a gamma camera. The detector must be connected by mechanical or electronic means to an output system. This could be a simple light source over

photographic film Photographic film is a strip or sheet of transparent film base coated on one side with a gelatin photographic emulsion, emulsion containing microscopically small light-sensitive silver halide crystals. The sizes and other characteristics of th ...

, dot matrix printer,

oscilloscope An oscilloscope (informally a scope) is a type of electronic test instrument that graphically displays varying electrical voltages as a two-dimensional plot of one or more signals as a function of time. The main purposes are to display repetiti ...

or television screen.

Mechanism

The patient is administered with a radioactive pharmaceutical agent, such as

iodine Iodine is a chemical element with the symbol I and atomic number 53. The heaviest of the stable halogens, it exists as a semi-lustrous, non-metallic solid at standard conditions that melts to form a deep violet liquid at , and boils to a vi ...

, which will naturally collect in the thyroid. The detector moves in a raster pattern over studied area of the patient, making a constant count rate. A collimator restricts detection to a small area directly below its position so that by the end of the scan emission from the whole study area has been detected. The output method is designed such that positional and detection information is maintained. For example, when using a light source and film the light is moved in tandem with the detector, and the intensity of light produced increases with an increase in activity, producing dark areas on the film. Disadvantages include the very long imaging time (several minutes) due to the need to separately cover each target area, unlike a gamma camera which has a much larger field of view, and the motion artefacts this can result in.

References

{{DEFAULTSORT:Rectilinear Scanner 2d nuclear medical imaging Radiology