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Medical Physics Applications 757
of one electron of an outer shell accompanied by the emission of X-rays or an
Auger electron. Therefore, contrary to the Compton scattering, the photon is totally
absorbed in the radiation detector and there is no directional information provided
by the gamma or X-rays in the photoelectric process.
11.1 Single Photon Emission Computed Tomography (SPECT)
Single Photon Emission Computed Tomography (SPECT) has become a routine
technique in medical applications [Brooks and DiChiro (1976)]. This gamma-ray
imaging technique proceeds through the injection into the patient of a radioac-
tive substance, which emits photons of well-defined energy. The distribution of ra-
dionuclides, position and concentration inside patient’s body is externally monitored
through the emitted radiation deposited in a photon detector array rotating around
the body. This rotation allows the acquisition of data from multiple angles. This
procedure allows the study of organs behaviors, bringing the possibility to reveal
signs of malfunctioning as early as possible.
Organ imaging requires a radiation of sufficient energy to penetrate the body tis-
sues. However, the radiation energy must remain low enough to allow its absorption
in the detecting device. Therefore, photons with an energy ranging between 50 keV
and several hundreds of keV can be used for imaging. Photons in this energy range
are produced by specific radionuclides. A widely-used radionuclide is
99m
Tc, an iso-
mer of technetium with a half-life of 6.02 hours, which decays emitting 140.5 keV
(89%) photons (see Fig. 11.1).
Other sources like
201
Tl,
178
Ta and
133
Xe, emitting lower energy photons, are
also used. For instance,
201
Tl emits 135 keV (2%) and 167 keV (8%) photons and
(69–83) keV mercury K X-rays (90%).
Photons, produced after injection of
99m
Tc in the patient’s body, will eventually
reach a detector where their energy deposition is measured. The organ structure and
its evolution are then visualized from the resulting photon absorption patterns. The
images are the projection of a three-dimensional distribution onto a two-dimensional
plane. This can be achieved by rotating the detector around the patient. Series of
two-dimensional projections are taken from different directions.
To create the two-dimensional projections, Anger cameras are often used. First,
the photon emitted from within the patient crosses a collimator. Then, it reaches a
scintillator. The point of scintillation corresponds exactly to the plane coordinates
of the point of emission. Once the initial photon has reached the scintillator, it
excites all the photomultipliers. Analyzing the intensity of the signal coming from
every photomultiplier allows the determination of the plane coordinates. Finally,
the intensity of every photomultiplier’s signal is added. If it equals the energy of
the photon emitted, the information will be kept and helps the formation of the
image. If the energy is inferior, it means that the photon was scattered. Therefore,
the wrong coordinates were found and the information is rejected.