Abstract:
A continuous rotation sampling scheme for use with a nuclear medicine gamma camera facilitates collection of transmission and emission data leading to a reduced overall scan time. The gantry ( 16 ) contains a plurality of radiation detector heads ( 20   a   -20   c ) with planar faces and at least one adjustably mounted radiation source ( 30   a ). During transmission data collection, the gantry ( 16 ) continuously rotates about a subject receiving aperture ( 18 ) while the radiation source ( 30   a ) continuously rasters back and forth across the field of view. The detected transmission radiation ( 32   a ) is reconstructed into an attenuation volumetric image representation by a transmission reconstruction processor ( 64   t ). The transmission reconstruction processor ( 64   t ) performs a fan beam reconstruction algorithm in each of a multiplicity of planes perpendicular to an axis of rotation. An angular displacement versus radiation source motion index is calculated in order to update the transmission reconstruction for a sampled data line of transmission radiation. Such continuous rotation during transmission data acquisition reduces overall scan time by eliminating the dead time during which the gantry rotates and comes to rest at incremental angular orientations.

Description:
BACKGROUND OF THE INVENTION 
     The present invention relates to the arts of nuclear medicine and diagnostic imaging. It finds particular application in conjunction with gamma cameras and will be described with particular reference thereto. It is to be appreciated that the present invention is applicable to single photon emission computed tomography (SPECT), positron emission tomography (PET), whole body nuclear scans, and/or other like applications. 
     Diagnostic nuclear imaging is used to study a radionuclide distribution in a subject. Typically, one or more radiopharmaceuticals or radioisotopes are injected into a subject. The radiopharmaceuticals are commonly injected into the subject&#39;s blood stream for imaging the circulatory system or for imaging specific organs which absorb the injected radiopharmaceuticals. Gamma or scintillation camera detector heads, typically including collimators, are placed adjacent to a surface of the subject to monitor and record emitted radiation. For three-dimensional reconstruction, the detector heads are rotated or indexed around the subject to monitor the emitted radiation from a plurality of directions. In SPECT, emission radiation is detected by each collimated detector. In PET, data collection is limited to emission radiation that is detected concurrently by a pair of oppositely disposed heads. The monitored radiation data from the multiplicity of directions is reconstructed into a three dimensional image representation of the radiopharmaceutical distribution within the subject. 
     One of the problems with these imaging techniques is that photon absorption and scatter by portions of the subject or subject support between the emitting radionuclide and the detector heads distort the resultant image. One solution for compensating for photon attenuation is to assume uniform photon attenuation throughout the subject. That is, the subject is assumed to be completely homogeneous in terms of radiation attenuation with no distinction made for bone, soft tissue, lung, etc. This enables attenuation estimates to be made based on the surface contour of the subject. However, human subjects do not cause uniform radiation attenuation, especially in the chest. 
     In order to obtain more accurate SPECT and PET radiation attenuation measurements, a direct transmission radiation attenuation measurement is made using transmission computed tomography techniques. More specifically, radiation is projected from a radiation source through the subject. Attenuated radiation rays are received by the detector at the opposite side. The source and detectors are rotated to collect transmission data concurrently or sequentially with the emission data through a multiplicity of angles. This transmission data is reconstructed into an image representation using conventional tomography algorithms. Regional radiation attenuation properties of the subject and the support, which are derived from the transmission computed tomography image, are used to correct or compensate for radiation attenuation in the emission data. 
     SPECT and PET measurements are typically made at incrementally stepped locations. One difficulty resides in optimizing the sampling of both the SPECT or PET emission data and the transmission data so as to reduce overall scan time. Typically, nuclear camera detector heads are stepped to a plurality of positions around the patient, e.g. 60 positions. At each position, emission and/or transmission radiation data is collected. The total time to perform a transmission scan is composed of the time to actually acquire data at each angular orientation and the time to mechanically rotate the gantry from one angular orientation to another and stabilize it at the new orientation. Typically, these two components are of a similar order of magnitude, e.g. 4-5 seconds for data collection at each angular orientation and approximately 2-4 seconds for gantry rotation to each angular orientation and stabilization. A wait time for stabilization of only 2-4 seconds per step adds 4-8 minutes to a 120 step scan. 
     The present invention contemplates a new and improved data sampling technique for collecting transmission radiation which overcomes the above-referenced problems and others. 
     SUMMARY OF THE INVENTION 
     In accordance with one aspect of the present invention, a method of diagnostic imaging using a nuclear medicine gamma camera includes placing a subject in a subject receiving aperture and injecting the subject with a radiopharmaceutical. At least one radiation source and a plurality of radiation detectors are positioned about the subject receiving aperture such that the radiation source is across the subject receiving aperture from a corresponding radiation detector. Radiation from the radiation source is transmitted toward the corresponding radiation detector which is positioned across the subject receiving aperture. The at least one radiation source and radiation detectors are continuously rotated together about the subject receiving aperture. Radiation transmitted by the radiation source is detected using one of the plurality of radiation detectors and reconstructed into an attenuation volume image representation. Radiation emitted by the injected radiopharmaceutical is detected using the plurality of radiation detectors and reconstructed into an image representation. 
     In accordance with another aspect of the present invention, a nuclear medicine gamma camera for diagnostic imaging includes a rotating gantry which defines a subject receiving aperture. A plurality of radiation detectors are movably attached to the rotating gantry such that the detector heads rotate about the subject receiving aperture with rotation of the rotating gantry about an axis of rotation. At least one radiation source is mounted to at least one detector head for rotation therewith such that transmission radiation from the radiation source is directed toward and received by a corresponding detector head positioned across the subject receiving aperture from the radiation source. The radiation source is rastered back and forth in a direction parallel to that of the axis of rotation. A raster sensor detects rastering of the radiation source across a field of view and a gantry sensor detects gantry rotation about the subject receiving aperture. A reconstruction processor reconstructs a volumetric emission image representation from the detected emission and transmission data, the sensed rastering of the radiation source, and the sensed gantry rotation. 
     In accordance with another aspect of the present invention, a method of generating emission radiation images includes concurrently (1) continuously rotating a radiation source around an axis of rotation and (2) rastering a radiation source back and forth parallel to the axis of rotation. Radiation transmitted from the radiation source and radiation emitted by radioisotopes disposed in a volume of interest adjacent the axis of rotation are detected in at least one detection plane which is parallel to and displaced from the axis of rotation. The at least one detection plane is rotated concurrently with the radiation source. The rastering of the radiation source is sensed as the transmitted radiation is detected and the rotation of the radiation source and the at least one detection plane are sensed as the transmitted and emitted radiation are detected. The detected transmission radiation is reconstructed into a transmission volume image representation. Detected emission radiation is weighted with the transmission image representation and the weighted emission radiation is then reconstructed into a volumetric emission radiation image representation. 
     One advantage of the present invention is that it reduces gantry dead time. 
     Another advantage of the present invention is that it reduces overall transmission scan time by approximately 50%. 
     Another advantage of the present invention is that it provides greater resolution for SPECT emission data than is required for transmission data. 
     Other benefits and advantages of the present invention will become apparent to those skilled in the art upon a reading and understanding of the preferred embodiment. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     The invention may take form in various components and arrangements of components, and in various steps and arrangements of steps. The drawings are only for purposes of illustrating preferred embodiments and are not to be construed as limiting the invention. 
     FIG. 1 is a diagrammatic illustration of a nuclear medicine gamma camera in accordance with aspects of the present invention; 
     FIG. 2 is a diagrammatic illustration of a preferred orientation of heads in a three head nuclear medicine gamma camera for SPECT imaging in accordance with the present invention; 
     FIG. 3 is a perspective view of a preferred orientation of two heads of a nuclear medicine gamma camera for SPECT or PET in accordance with the present invention; 
     FIG. 4 is a plot of gantry angle versus radiation source position in accordance with a step-and-shoot sampling technique of the prior art; and, 
     FIG. 5 is a plot of gantry angle versus radiation source position in accordance with the continuous rotation sampling technique of the present invention. 
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     With reference to FIG. 1, a diagnostic imaging apparatus includes a subject support  10 , such as a table or couch, which supports a subject  12  being examined or imaged. The subject  12  is injected with one or more radiopharmaceuticals or radioisotopes such that emission radiation is emitted therefrom. Optionally, the subject support  10  is selectively height adjustable so as to center the subject  12  at a desired height, e.g., the volume of interest is centered. A first or stationary gantry  14  rotatably supports a rotating gantry  16 . The rotating gantry  16  defines a subject receiving aperture  18 . In a preferred embodiment, the first gantry  14  is moved longitudinally along the subject support  10  so as to selectively position regions of interest of the subject  12  within the subject receiving aperture  18 . Alternately, the subject support  10  is advanced and retracted to achieve the desired positioning of the subject  12  within the subject receiving aperture  18 . 
     Detector heads  20   a ,  20   b ,  20   c  are individually positionable on the rotating gantry  16 . The detector heads  20   a - 20   c  also rotate as a group about the subject receiving aperture  18  (and the subject  12  when received) with the rotation of the rotating gantry  16 . The detector heads  20   a - 20   c  are radially and circumferentially adjustable to vary their distance from the subject and spacing on the rotating gantry  16 , as for example, in the manner disclosed in U.S. Pat. No. 5,717,212. Separate translation devices  22   a ,  22   b ,  22   c , such as motors and drive assemblies, independently translate the detector heads radially and laterally in directions tangential to the subject receiving aperture  18  along linear tracks or other appropriate guides. 
     Each of the detector heads  20   a - 20   c  has a radiation receiving face facing the subject receiving aperture  18 . Each head includes a scintillation crystal, such as a large doped sodium iodide crystal, that emits a flash of light or photons in response to incident radiation. An array of photomultiplier tubes receive the light flashes and convert them into electrical signals. A resolver circuit resolves the x, y-coordinates of each flash of light and the energy of the incident radiation. That is to say, radiation strikes the scintillation crystal causing the scintillation crystal to scintillate, i.e., emit light photons in response to the radiation. The photons are received by the photomultiplier tubes and the relative outputs of the photomultiplier tubes are processed and corrected to generate an output signal indicative of (i) a position coordinate on the detector head at which each radiation event is received, and (ii) an energy of each event. The energy is used to differentiate between various types of radiation such as multiple emission radiation sources, stray and secondary emission radiation, scattered radiation, transmission radiation, and to eliminate noise. In SPECT imaging, a projection image representation is defined by the radiation data received at each coordinate on the detector head. In PET imaging, the detector head outputs are monitored for coincident radiation. From the position and orientation of the heads and the location on the faces at which the coincident radiation was received, a ray between the peak detection points is calculated. This ray defines a line along which the radiation event occurred. The radiation data from a multiplicity of angular orientations of the heads is then reconstructed into a volumetric image representation of the region of interest. 
     For SPECT imaging, the detector heads  20   a - 20   c  include mechanical collimators  24   a ,  24   b ,  24   c , respectively, removably mounted on the radiation receiving faces of the detector heads  20   a - 20   c . The collimators include an array or grid of lead vanes which restrict the detector heads  20   a - 20   c  from receiving radiation not traveling along selected rays in accordance with the selected imaging procedure. For PET imaging, a SPECT camera without collimators on the detector heads may be employed. Alternately, PET imaging is performed using collimators to eliminate stray radiation. 
     With reference to FIG.  2  and FIG.  3  and continuing reference to FIG. 1, at least one radiation source  30   a  is mounted to at least one detector head  20   a  such that transmission radiation (represented by the arrows  32   a ) from the radiation source  30   a  is directed toward and received by the corresponding detector head  20   b  positioned across the subject receiving aperture from the radiation source  30   a . It is to be appreciated that radiation sources may be mounted to two or all three detector heads. In a preferred embodiment, a collimator is employed at least on the detector head  20   b  which receives the transmission radiation  32   a . That is to say, the collimator  24   b  restricts the detector head  20   b , (in the embodiment of FIG. 2) from receiving those portions of transmission radiation not traveling along direct rays from the source to the radiation receiving face of the detector head. Alternately, other collimation geometries are employed for different applications and radiation sources, such as a line source. Additional collimation may take place at the source. 
     FIG. 2 illustrates a three-head embodiment, including a first detector head  20   a , a second detector head  20   b , and a third detector head  20   c  arranged on the rotating gantry  16  spaced from one another around the subject receiving aperture  18 . A first radiation source  30   a  is mounted to the first detector head  20   a  such that transmission radiation  32   a  therefrom is directed toward and received by the second detector head  20   b . A second radiation source  30   b  is optionally mounted to the second detector head  20   b  such that transmission radiation therefrom can be directed toward and received by the first detector head  20   a.    
     In one embodiment, the radiation source  30   a  contains a radioactive point source  36   a  adjustably mounted inside a shielded steel cylinder which is sealed at the ends. As shown in FIG. 3, the radiation source  30   a  rasters longitudinally across the field of view as the gantry rotates through a plurality of angular orientations about the subject receiving aperture. The steel cylinder is adjustably mounted onto the corresponding detector head through a pivoting arm mechanism. Alternately, the radiation source  30   a  is a bar source, flat rectangular source, disk source, flood source, tube or vessel filled with radionuclides, or active radiation generators such as x-ray tubes. 
     With reference again to FIG. 1, as the gantry  16  continuously rotates about the subject receiving aperture  18  during the collection of transmission data, a gantry rotation sensor  52  senses or indexes the gantry rotation, and therefore the location of the detector heads  20   a - 20   c  and the radiation source  30   a  at each data sampling. In one embodiment, the gantry rotation sensor is an optical sensor which senses the position of the gantry versus time by projecting light, such as a laser beam, through a graticulated ring on the gantry and receiving the projected light. It is to be appreciated that conventional mechanical means, such as rotating gears, are also employed for detecting angular orientation of the gantry. A raster sensor  56  senses or indexes the location or speed of the point source  36   a  within the radiation source  30   a  as it continuously rasters back and forth across the field of view during the continuous rotation of the gantry  16 . As will be described more fully below, data from the gantry sensor  52  and the raster sensor  56  are used to reconstruct the transmission data from the gantry sensor  56  and detector head. Radial and any circumferential offset information are used to reconstruct the emission data. 
     Running an imaging operation includes a reconstruction process for emission and transmission data. The reconstruction process changes according to the type of radiation collected and the types of collimators used (i.e., fan, cone, parallel beam, and/or other modes). Emission radiation from the subject  12  is received by detector heads  20   a - 20   c  and transmission radiation  32   a  from the radiation source  30   a  is received by the detector head  20   b  to generate emission projection data and transmission projection data. The emission data normally contains inaccuracies caused by varying absorption characteristics of the subject&#39;s anatomy. A sorter  60  sorts the emission projection data and transmission projection data, such as on the basis of their relative energies or the detector head which originated the data. The data is stored in a projection view memory  62 , more specifically in a corresponding emission data memory  62   e  and transmission data memory  62   t . A reconstruction processor  64   t  uses a fan beam reconstruction algorithm to reconstruct the transmission data into a transmission image representation or volume of attenuation factors stored in a memory  66 . Each voxel value stored in the memory  66  is indicative of attenuation of tissue in a corresponding location within the subject  12 . 
     An emission data correction processor  68  corrects each emission data in accordance with the attenuation factors determined from the transmission data. More specifically, for each ray along which emission data is received, the emission correction processor  68  calculates a corresponding ray through the transmission attenuation factors stored in the memory  66 . Each ray of the emission data is then weighted or corrected by the emission data correction processor  68  in accordance with the attenuation factors. The corrected emission data are reconstructed by an emission radiation reconstruction processor  70  to generate a three-dimensional emission image representation that is stored in a volumetric emission image memory  72 . A video processor  74  withdraws selected portions of the data from the image memory  72  to generate corresponding human-readable displays on a video monitor  76 . Typical displays include reprojections, selected slices or planes, surface renderings, and the like. 
     With reference to FIG.  4  and FIG.  5  and continuing reference to FIG. 1, a continuous rotation sampling scheme is utilized to acquire transmission data. As illustrated in FIG. 5, during a transmission scan, the point source continuously rasters back and forth across the field of view (from P a  to P b  and vice versa) while the gantry continuously rotates through a plurality of angular orientations to acquire transmission data. For example, rather than rotating and stabilizing the gantry at a 0° orientation, then rastering the point source from P a   1  to P b   1 , and then rotating the gantry to a 6° angular orientation (as illustrated in prior art FIG.  4 ), the gantry rotates continuously from 0° through 6° while the radiation point source rasters from P a   1  to P b   1,2 . Collecting transmission data during continuous rotation of the gantry facilitates sequential collection of a complete set of emission and transmission data in a greatly reduced time (as opposed to the step-and-shoot prior art method illustrated in FIG.  4 ). 
     Those skilled in the art will appreciate that continuous rotation and translation of the point source causes the apex of the transmission radiation fans to traverse a twisted path. In other words, each transmission projection is no longer a common horizontal line on a plot of gantry angle versus radiation source position and P b   1  and P b   2  completely overlap, illustrated as P b   1,2  in FIG.  5 . In this embodiment, the transmission data is handled as a series of slices, each slice being defined by a plurality of radiation fans with known apices, each offset by a small angle from the preceding slice. 
     In order to account for the continuous rotation of the gantry during transmission data acquisition, the transmission reconstruction processor  64   t  uses a fan beam reconstruction algorithm which is indexed for the actual apex position of each sampled data line. It is to be appreciated that other conventional reconstruction algorithms may be employed. Proper indexing of the continuously changing camera geometry includes calculating an angular displacement versus radiation source motion index. This index relates the rate of gantry rotation to the rastering speed of the point source for any given element of a transmission projection. The gantry rotation sensor  52  senses the angular position of the gantry, and therefore the point source about the subject receiving aperture, while the raster speed sensor  56  senses the rastering position or speed of the point source. A simple division of gantry rotation speed (degree/second) by point source rastering speed (cm/second) can supply an angular displacement versus radiation source motion index (degree/cm) for use in the reconstruction algorithm. Preferably, the motion index is converted into units of gantry rotation (in degrees) per unit of radiation source motion (in terms of a radiation detector face pixel). Therefore, the transmission reconstruction processor  64   t  updates the geometry of the gamma camera on a pixel-by-pixel basis. 
     The effective resolution of the emission data is selected with the rotational speed of the rotating gantry. In the embodiment of FIG. 5, the effective transmission data resolution in the center plane is 6° and at the edge planes is 12°. However, the more significant portions of the image are normally near the center. In another embodiment, two radiation sources are employed for transmission scanning with the angular sampling of the first source/detector combination overlapping the angular sampling of the second source/detector combination. In this embodiment, the apex of the transmission radiation fan from the first source/detector combination is forced between the apex from the second source/detector combination such that the transmission data resolution is 6° at the edge planes, as in the center plane, resulting in better overall angular sampling. The resolution of the transmission data is adjustable by selecting the point source speed relative to the gantry rotation speed. The point source of radiation is preferably slow enough that a statistically meaningful amount of radiation is sampled in each plane, but fast enough that radiation fan apex orientation blurring is minimized. 
     The invention has been described with reference to the preferred embodiment. Modifications and alterations will occur to others upon a reading and understanding of the preceding detailed description. It is intended that the invention be construed as including all such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.