Patent Description:
<CIT> discloses an apparatus including a Compton camera having a front detector filled with a gas and detecting information on a charged particle generated by Compton scattering in the gas and a rear detector detecting information on the scattered photon. The apparatus is constituted by laminating a plurality of front detectors having different gas kinds.

<CIT> discloses a gamma camera system including: a gamma camera; a distance measuring device capable of scanning and measuring a distance to an imaging object; a position computing device for calculating a positional relationship between the gamma camera and the imaging object; a sensitivity correction information estimating device for estimating measurement sensitivity; a resolution correction information estimating device for estimating the resolution; and an image generation computing device for generating a gamma-ray distribution image on the basis of the measurement sensitivity, the resolution, and gamma-ray count data.

<CIT> discloses detector head proximity sensing and collision avoidance apparatuses and methods, in which a gamma camera includes at least one radiation detector head. At least one such radiation detector head includes a plurality of capacitive elements disposed over at least a radiation sensitive portion of the radiation detector head. A proximity sensor monitor is coupled with the plurality of capacitive elements to detect proximity of a subject to the radiation detector head based on a measured electrical characteristic of the capacitive elements. A collision sensor monitor is coupled with the plurality of capacitive elements to detect conductive electric current flowing between spaced apart parallel conductive plates of the capacitive element responsive to mechanical deformation of the spacing between the plates.

The present embodiments relate to medical imaging using the Compton effect. The Compton effect allows for imaging higher energies than used for single photon emission computed tomography (SPECT). Compton imaging systems are constructed as test platforms, such as assembling a scatter layer and then a catcher layer mounted to a large framework. Electronics are connected to detect Compton-based events from emissions of a phantom. Compton imaging systems have failed to address design and constraint requirements for practical use in any commercial clinical settings. Current proposals lack the ability to be integrated into imaging platforms in the clinic or lack the design and constraint requirements (i.e., flexibility and scalability) to address commercial and diagnostic needs.

Compton-cameras may have low sensitivity ($) and poor image quality (IQ). The absolute number of scattered photons in the scatter layer is low due to the geometry (e.g., source-scatter solid angle Ω << 4π), material (e.g., low scatter fraction in the detection material which favors photoelectric effect), and detector fabrication limitations (e.g., practical detector thickness that can be manufactured for both scatter and catcher layers is bounded, such as a maximum of ~<NUM> for Si detectors and <NUM>. <NUM> for CZT detectors). The number of caught scattered photons in the catcher layer is low due to geometry (e.g., scatter-catcher solid angle Ω << 4π). Doppler broadening degrades image quality of Compton cameras. The contribution of Doppler broadening to the Compton angle uncertainty depends on incident photon energy E<NUM>, scattered angle θ, and the energy of moving electrons bound to the target atom. Limited detector energy resolution causes additional Compton angle uncertainties. Limited detector position resolution in both scatter and catcher layers causes additional Compton cone annular offsets.

By way of introduction, the preferred embodiments described below include methods and systems for medical imaging. To optimize image quality and/or sensitivity, the Compton camera is adaptable. The scatter and/or catcher detectors may move closer to and/or further away from a patient and/or each other. This adaptation allows a balancing of image quality and sensitivity by altering the geometry.

In a first aspect, a Compton camera is provided for medical imaging. A motor connects with a scatter detector, catcher detector, or both the scatter detector and the catcher detector. The motor is configured to move the scatter detector, catcher detector, or both the scatter detector and the catcher detector closer or further from the patient bed.

In a second aspect, a medical imaging system is provided. Solid-state detector modules each having a scatter detector and a catcher detector. A control processor is configured to alter a position of the scatter detector, the catcher detector, or both the scatter detector and the catcher detector relative to an isocenter of a patient space.

In a third aspect, a method is provided for medical imaging with a Compton camera. A motor moves a detector of the Compton camera. The detector as moved detects emissions from a patient. A Compton image is generated from the detected emissions.

The present invention is defined by the following claims, and nothing in this section need be taken as a limitation on those claims.

The components and the figures are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.

<FIG> are directed to a multi-modality compatible Compton camera. A modular design is used to form the Compton camera for use with various other imaging modalities or as a stand-alone Compton-based medical imager. <FIG> are directed to an adaptive Compton camera. Using the modular design of <FIG> or another Compton camera (e.g., not modular), one or both scatter and detector layers are moveable relative to the patient for controlling the image quality, sensitivity, and/or other characteristic for improved diagnosis. After a summary of the adaptive Compton camera embodiments, the Compton camera of <FIG> is described. Many of the features and components of the Compton camera of <FIG> may be used in the adaptive Compton camera embodiments later described in <FIG>.

For the adaptive Compton-camera, the scatter and/or the catcher layer are moveable towards and away from the imaging object. The scatter layer may be positioned as close as possible to the imaging object, while the catcher layer for image quality may be positioned as far away as possible from the scatter layer. Both considerations may be used together within an 'adaptive' Compton-camera. By sensing the imaging object boundaries, the configuration of the Compton camera is changed. For example, the distance of each scatter layer to the imaging object and the distance of each catcher layer to each corresponding scatter layer are changed to maximize a given figure-of-merit (FOM). The FOM may be the sensitivity ($), image quality (IQ), and/or other parameters defined by the user. The sensitivity ($) may be improved by moving the scatter layer closer to the imaging object while image quality (IQ) may be improved by moving the catcher layer away from the imaging object. Moving the catcher layer closer to the scatter layer may improve the sensitivity, so the movement is based on the desired FOM for diagnostic purposes. A digital collimator may be used to filter out Compton scatter events that have a Compton angle above a threshold to deal with some uncertainty.

Referring to <FIG>, a medical imaging system includes a multi-modality compatible Compton camera with segmented detection modules. The Compton camera, such as a Compton camera ring, is segmented into modules that house the detection units. Each module is independent, and when assembled into a ring or partial ring, the modules may communicate with each other. The modules are independent yet can be assembled into a multi-module unit that produces Compton scattering-based images. Cylindrically symmetric modules or spherical shell segmented modules may be used.

The scatter-catcher pair, modular arrangement allows efficient manufacturing, is serviceable in the field, and is cost and energy efficient. The modules allow for the design freedom to change the radius for each radial detection unit, angular span of one module, and/or axial span. The scatter-catcher pair modules are multi-modality compatible and/or form a modular ring Compton camera for clinical emission imaging. This design allows flexibility, so the Compton camera may be added to existing computed tomography (CT), magnetic resonance (MR), positron emission tomography (PET) or other medical imaging platforms, either as axially separated systems or as fully integrated systems. Each module may address heat dissipation, data collection, calibration, and/or allow for efficient assembly as well as servicing.

Each scatter-catcher paired module is formed from commercially suitable solid-state detector modules (e.g., Si, CZT, CdTe, HPGe or similar), allowing for an energy range of <NUM>-3000keV. Compton imaging may be provided with a wider range of isotope energies (>2MeV), enabling new tracers/markers through selection of the scatter-catcher detectors. The modularity allows for individual module removal or replacement, allowing for time and cost-efficient service. The modules may be operated independently and isolated or may be linked for cross-talk, allowing for improved image quality and higher efficiency in detecting Compton events using a scatter detector of one module and a catcher detector of another module.

The modularity allows for flexible design geometry optimized to individual requirements, such as using a partial ring for integration with a CT system (e.g., connected between the x-ray source and detector), a few modules (e.g., tiling) used for integration with a single photon emission computed tomography gamma camera or other space limited imaging system, or a full ring. Functional imaging based on Compton-detected events may be added to other imaging systems (e.g., CT, MR, or PET). Multiple full or partial rings may be placed adjacent to each other for greater axial coverage of the Compton camera. A dedicated or stand-alone Compton-based imaging system may be formed. In one embodiment, the modules include a collimator for lower energies (e.g., < 300keV), providing for multichannel and multiplexed imaging (e.g., high energies using the scatter-catcher detectors for Compton events and low energies using one of the detectors for SPECT or PET imaging). The modules may be stationary or fast rotating (<NUM>. 1rpm<<ω<<240rpm). The dimensional, installation, service, and/or cost constraints are addressed by the scatter-catcher paired modules.

<FIG> shows one embodiment of modules <NUM> for a Compton camera. Four modules <NUM> are shown, but additional or fewer modules may be used. The Compton camera is formed from one or more modules, depending on the desired design of the Compton camera.

The Compton camera is for medical imaging. A space for a patient relative to the modules is provided so that the modules are positioned to detect photons emitted from the patient. A radiopharmaceutical in the patient includes a radio-isotope. A photon is emitted from the patient due to decay from the radio-isotope. The energy from the radio-isotope may be <NUM>-3000keV, depending on the material and structure of the detectors. Any of various radio-isotopes may be used for imaging a patient.

Each of the modules <NUM> includes the same or many of the same components. A scatter detector <NUM>, a catcher detector <NUM>, circuit boards <NUM>, and baffle <NUM> are provided in a same housing <NUM>. Additional, different, or fewer components may be provided. For example, the scatter detector <NUM> and catcher detector <NUM> are provided in the housing <NUM> without other components. As another example, a fiber optic data line <NUM> is provided in all or a sub-set of the modules <NUM>.

The modules <NUM> are shaped for being stacked together. The modules <NUM> mate with each other, such as having matching indentation and extensions, latches, tongue-and-grooves, or clips. In other embodiments, flat or other surfaces are provided for resting against each other or a divider. Latches, clips, bolts, tongue-and-groove or other attachment mechanisms for attaching a module <NUM> to any adjacent modules <NUM> are provided. In other embodiments, the module <NUM> attaches to a gantry or other framework with or without direct connection to any adjacent modules <NUM>.

The connection or connections to the other modules <NUM> or gantry may be releasable. The module <NUM> is connected and may be disconnected. The connection may be releasable, allowing removal of one module <NUM> or a group of modules <NUM> without removing all modules <NUM>.

For forming a Compton camera from more than one module <NUM>, the housing <NUM> and/or outer shape of the modules <NUM> is wedge shaped. The modules <NUM> may be stacked around an axis to form a ring or partial ring due to the wedge shape. The part closer to the axis has a width size that is narrower along a dimension perpendicular to the axis than a width size of a part further from the axis. In the modules <NUM> of <FIG>, the housings <NUM> have the widest part furthest from the axis. In other embodiments, the widest part is closer to the axis but spaced away from the narrowest part closest to the axis. In the wedge shape, the scatter detector <NUM> is nearer to the narrower part of the wedge shape than the catcher detector <NUM>. This wedge shape in cross-section along a plane normal to the axis allows stacking of the modules <NUM> in abutting positions, adjacently, and/or connected to form at least part of a ring about the axis.

The taper of the wedge provides for a number N of modules <NUM> to form a complete ring around the axis. Any number N may be used, such as N=<NUM>-<NUM> modules. The number N may be configurable, such as using different housings <NUM> for different numbers N. The number of modules <NUM> used for a given Compton camera may vary, depending on the design of the Compton camera (e.g., partial ring). The wedge shape may be provided along other dimensions, such as having a wedge shape in a cross-section parallel to the axis.

The modules <NUM> as stacked are cylindrically symmetric as connected with a gantry of a medical imaging system. A narrowest end of the wedged cross-section is closest to a patient space of the medical imaging system and a widest end of the wedged cross-section may be furthest from the patient space. In alternative embodiments, other shapes than wedge allowing for stacking together to provide a ring or generally curved shape of the stack may be provided.

The housing <NUM> is metal, plastic, fiberglass, carbon (e.g., carbon fiber), and/or other material. In one embodiment, different parts of the housing <NUM> are of different materials. For example, tin is used for the housing around the circuit boards <NUM>. Aluminum is used to hold the scatter detector <NUM> and/or catcher detector <NUM>. In another example, the housing <NUM> is of the same material, such as aluminum.

The housing <NUM> may be formed from different structures, such as end plates having the wedge shape, sheets of ground plane housing the circuit boards <NUM>, and separate structure for walls holding the scatter detector <NUM> and catcher detector <NUM> where the separate structure is formed of material through which photons of a desired energy from a Compton event may pass (e.g., aluminum or carbon fiber). In alternative embodiments, walls are not provided for the modules <NUM> between the end plates for a region where the scatter detector <NUM> and/or catcher detector <NUM> are positioned, avoiding interference of photons passing from the scatter detector <NUM> of one module <NUM> to a catcher detector <NUM> of another module <NUM>. The housing <NUM> by and/or for holding the detectors <NUM>, <NUM> is made of low attenuating material, such as aluminum or carbon fiber.

The housing <NUM> may seal the module or includes openings. For example, openings for air flow are provided, such as at a top of widest portion of the wedge shape at the circuit boards <NUM>. The housing <NUM> may include holes, grooves, tongues, latches, clips, stand-offs, bumpers, or other structures for mounting, mating, and/or stacking.

Each of the solid-state detector modules <NUM> includes both scatter and catcher detectors <NUM>, <NUM> of a Compton sensor. By stacking each module, the size of the Compton sensor is increased. A given module <NUM> itself may be a Compton sensor since both the scatter detector <NUM> and catcher detector <NUM> are included in the module.

The modules <NUM> may be separately removed and/or added to the Compton sensor. For a given module <NUM>, the scatter detector <NUM> and/or catcher detector <NUM> may be removable from the module <NUM>. For example, a module <NUM> is removed for service. A faulty one or both detectors <NUM>, <NUM> are removed from the module <NUM> for replacement. Once replaced, the refurbished module <NUM> is placed back in the medical imaging system. Bolts, clips, latches, tongue-and-groove, or other releasable connectors may connect the detectors <NUM>, <NUM> or part of the housing <NUM> for the detectors <NUM>, <NUM> to the rest of the module <NUM>.

The scatter detector <NUM> is a solid-state detector. Any material may be used, such as Si, CZT, CdTe, HPGe, and/or other material. The scatter detector <NUM> is created with wafer fabrication at any thickness, such as about <NUM> for CZT. Any size may be used, such as about 5x5 cm. <FIG> shows a square shape for the scatter detector <NUM>. Other shapes than square may be used, such as rectangular. For the modules <NUM> of <FIG>, the scatter detector <NUM> may be rectangular extending between two wedge-shaped end-plates.

In the module <NUM>, the scatter detector <NUM> has any extent. For example, the scatter detector <NUM> extends from one wedge-shaped end wall to the other wedge-shaped end wall. Lesser or greater extent may be provided, such as extending between mountings within the module <NUM> or extending axially beyond one or both end-walls. In one embodiment, the scatter detector <NUM> is at, on, or by one end wall without extended to another end wall.

The scatter detector <NUM> forms an array of sensors. For example, the 5x5 cm scatter detector <NUM> of <FIG> is a 21x21 pixel array with a pixel pitch of about <NUM>. Other numbers of pixels, pixel pitch, and/or size of arrays may be used.

The scatter detector <NUM> includes semiconductor formatted for processing. For example, the scatter detector <NUM> includes an application specific integrated circuit (ASIC) for sensing photon interaction with an electron in the scatter detector <NUM>. The ASIC is collocated with the pixels of the scatter detector <NUM>. The ASIC is of any thickness. A plurality of ASICs may be provided, such as <NUM> ASICS in a 3x3 grid of the scatter detector <NUM>.

The scatter detector <NUM> may operate at any count rate, such as >100kcps/mm. Electricity is generated by a pixel due to the interaction. This electricity is sensed by the application specific integrated circuit. The location, time, and/or energy is sensed. The sensed signal may be conditioned, such as amplified, and sent to one or more of the circuit boards <NUM>. A flexible circuit, wires, or other communications path carries the signals from the ASIC to the circuit board <NUM>.

Compton sensing operates without collimation. Instead, a fixed relationship between energy, position, and angle of a photon interaction at the scatter detector <NUM> relative to a photon interaction at the catcher detector <NUM> is used to determine the angle of the photon entering the scatter detector <NUM>. A Compton process is applied using the scatter detector <NUM> and the catcher detector <NUM>.

The catcher detector <NUM> is a solid-state detector. Any material may be used, such as Si, CZT, CdTe, HPGe, and/or other material. The catcher detector <NUM> is created with wafer fabrication at any thickness, such as about <NUM> for CZT. Any size may be used, such as about 5x5 cm. The size may be larger along at least one dimension than the scatter detector <NUM> due to the wedge shape and spaced apart positions of the scatter detector <NUM> and the catcher detector <NUM>. <FIG> shows a rectangular shape for the catcher detector <NUM> but other shapes may be used. For the modules <NUM> of <FIG>, the catcher detector <NUM> may be rectangular extending between two end-plates where the length is the same as and the width is greater than the scatter detector <NUM>.

The catcher detector <NUM> forms an array of sensors. For example, the 5x6 cm catcher detector <NUM> of <FIG> is a 14x18 pixel array with a pixel pitch of about <NUM>. The pixel size is larger than the pixel size of the scatter detector <NUM>. The number of pixels is less than the number of pixels of the scatter detector <NUM>. Other numbers of pixels, pixel pitch, and/or size of arrays may be used. Other relative pixels sizes and/or numbers of pixels may be used.

In the module <NUM>, the catcher detector <NUM> has any extent. For example, the catcher detector <NUM> extends from one wedge-shaped end wall to the other wedge-shaped end wall. Lesser or greater extent may be provided, such as extending between mountings within the module <NUM> or extending axially beyond one or both end-walls. In one embodiment, the catcher detector <NUM> is at, on, or by one end wall without extending to another end wall.

The catcher detector <NUM> includes semiconductor formatted for processing. For example, the catcher detector <NUM> includes an ASIC for sensing photon interaction with an electron in the catcher detector <NUM>. The ASIC is collocated with the pixels of the catcher detector <NUM>. The ASIC is of any thickness. A plurality of ASICS may be provided, such as <NUM> ASICS in a 2x3 grid of the catcher detector <NUM>.

The catcher detector <NUM> may operate at any count rate, such as >100kcps/mm. Electricity is generated by a pixel due to the interaction. This electricity is sensed by the ASIC. The location, time, and/or energy is sensed. The sensed signal may be conditioned, such as amplified, and sent to one or more of the circuit boards <NUM>. A flexible circuit, wires, or other communications path carries the signals from the ASIC to the circuit board <NUM>.

The catcher detector <NUM> is spaced from the scatter detector <NUM> by any distance along a radial line from the axis or normal to the parallel scatter and catcher detectors <NUM>, <NUM>. In one embodiment, the separation is about <NUM>, but greater or lesser separation may be provided. The space between the catcher detector <NUM> and the scatter detector <NUM> is filled with air, other gas, and/or other material with low attenuation for photons at the desired energies.

The circuit boards <NUM> are printed circuit boards, but flexible circuits or other materials may be used. Any number of circuit boards <NUM> for each module may be used. For example, one circuit board <NUM> is provided for the scatter detector <NUM> and another circuit board <NUM> is provided for the catcher detector <NUM>.

The circuit boards <NUM> are within the housing <NUM> but may extend beyond the housing <NUM>. The housing <NUM> may be grounded, acting as a ground plane for the circuit boards <NUM>. The circuit boards <NUM> are mounted in parallel with each other or are non-parallel, such as spreading apart in accordance with the wedge shape. The circuit boards are positioned generally orthogonal to the catcher detector <NUM>. Generally is used to account for any spread due to the wedge shape. Brackets, bolts, screws, and/or stand-offs from each other and/or the housing <NUM> are used to hold the circuit boards <NUM> in place.

The circuit boards <NUM> connect to the ASICS of the scatter and catcher detectors <NUM>, <NUM> through flexible circuits or wires. The ASICs output detected signals. The circuit boards <NUM> are acquisition electronics, which process the detected signals to provide parameters to the Compton processor <NUM>. Any parameterization of the detected signals may be used. In one embodiment, the energy, arrival time, and position in three-dimensions is output. Other acquisition processing may be provided.

The circuit boards <NUM> output to each other, such as through a galvanic connection within a module <NUM>, to the data bridge <NUM>, and/or to a fiber optic data link <NUM>. The fiber data link <NUM> is a fiber optic interface for converting electrical signals to optical signals. A fiber optic cable or cables provide the acquisition parameters for events detected by the scatter and catcher detectors <NUM>, <NUM> to the Compton processor <NUM>.

The data bridge <NUM> is a circuit board, wires, flexible circuit, and/or other material for galvanic connection to allow communications between modules <NUM>. A housing or protective plate may cover the data bridge <NUM>. The data bridge <NUM> releasably connects to one or more modules <NUM>. For example, plugs or mated connectors of the data bridge <NUM> mate with corresponding plugs or mated connectors on the housing <NUM> and/or circuit boards <NUM>. A latch, clip, tongue-and-groove, screw, and/or bolt connection may be used to releasably hold the data bridge <NUM> in place with the modules <NUM>.

The data bridge <NUM> allows communications between the modules. For example, the fiber data link <NUM> is provided in one modules <NUM> and not another module <NUM>. The cost of a fiber data link <NUM> in every module <NUM> is avoided. Instead, the parameters output by the other module <NUM> are provided via the data bridge <NUM> to the module <NUM> with the fiber data link <NUM>. The circuit board or boards <NUM> of the module <NUM> with the fiber data link <NUM> route the parameter output to the fiber data link <NUM>, using the fiber data link <NUM> to report detected events from more than one module <NUM>. In alternative embodiments, each module <NUM> includes a fiber data link <NUM>, so the data bridge <NUM> is not provided or communicates other information.

The data bridge <NUM> may connect other signals between the modules <NUM>. For example, the data bridge <NUM> includes a conductor for power. Alternatively, a different bridge provides power to the modules <NUM> or the modules <NUM> are individually powered. As another example, clock and/or synchronization signals are communicated between modules <NUM> using the data bridge <NUM>.

In the embodiment of <FIG>, a separate clock and/or synchronization bridge <NUM> is provided. The clock and/or synchronization bridge <NUM> is a circuit board, wires, flexible circuit, and/or other material for galvanic connection to allow communication of clock and/or synchronization signals between modules <NUM>. A housing or protective plate may cover the clock and/or synchronization bridge <NUM>. The clock and/or synchronization bridge <NUM> releasably connects to one or more modules <NUM>. For example, plugs or mated connectors of the clock and/or synchronization bridge <NUM> mate with corresponding plugs or mated connectors on the housing <NUM> and/or circuit boards <NUM>. A latch, clip, tongue-and-groove, screw, and/or bolt connection may be used to releasably hold the clock and/or synchronization bridge <NUM> in place with the modules <NUM>.

The clock and/or synchronization bridge <NUM> may connect with the same or different grouping of modules <NUM> as the data bridge <NUM>. In the embodiment shown in <FIG>, the data bridge <NUM> connects between pairs of modules <NUM> and the clock and/or synchronization bridge <NUM> connects over groups of four modules <NUM>.

The clock and/or synchronization bridge <NUM> provides a common clock signal and/or synchronization signals for synchronizing clocks of the modules <NUM>. One of the parameters formed by the circuit boards <NUM> of each module <NUM> is the time of detection of the event. Compton detection relies on pairs of events - a scatter event and a catcher event. Timing is used to pair events from the different detectors <NUM>, <NUM>. The common clocking and/or synchronization allows for accurate pairing where the pair of events are detected in different modules <NUM>. In alternative embodiments, only scatter and catcher events detected in a same module <NUM> are used, so the clock and/or synchronization bridge <NUM> may not be provided.

Other links or bridges between different modules <NUM> may be provided. Since the bridges <NUM>, <NUM> are removable, individual modules <NUM> may be removed for service while leaving remaining modules <NUM> in the gantry.

Each module <NUM> is air cooled. Holes may be provided for forcing air through the module <NUM> (i.e., entry and exit holes). One or more baffles <NUM> may be provided to guide the air within the module <NUM>. Water, conductive transfer, and/or other cooling may be alternatively or additionally provided.

In one embodiment, the top portion of the wedge-shape module <NUM> or housing <NUM> is open (i.e., no cover on the side furthest from the patient area). One or more baffles <NUM> are provided along the centers of one or more circuit boards <NUM> and/or the housing <NUM>. A fan and heat exchanger <NUM> force cooled or ambient temperature air into each module <NUM>, such as along one half of the module <NUM> at a location spaced away from the catcher detector <NUM> (e.g., top of the module <NUM>). The baffles <NUM> and/or circuit boards <NUM> guide at least some of the air to the airspace between the scatter detector <NUM> and the catcher detector <NUM>. The air then passes by the baffles <NUM> and/or circuit boards <NUM> on another part (e.g., another half) of the module <NUM> for exiting to the heat exchanger <NUM>. Other routing of the air may be provided.

The heat exchanger and fan <NUM> is provided for each individual module <NUM>, so may be entirely or partly within the module <NUM>. In other embodiments, ducting, baffles, or other structure route air to multiple modules <NUM>. For example, groups of four modules <NUM> share a common heat exchanger and fan <NUM>, which is mounted to the gantry or other framework for cooling the group of modules <NUM>.

For forming a Compton sensor, one or more modules <NUM> are used. For example, two or more modules <NUM> are positioned relative to a patient bed or imaging space to detect photon emissions from the patient. An arrangement of a greater number of modules <NUM> may allow for detection of a greater number of emissions. By using the wedge shape, modules <NUM> may be positioned against, adjacent, and/or connected with each other to form an arc about the patient space. The arc may have any extent. The modules <NUM> directly contact each other or contact through spacers or the gantry with small separation (e.g., <NUM> or less) between the modules <NUM>.

In one example, four modules <NUM> are positioned together, sharing a clock and/or synchronization bridge <NUM>, one or more data bridges <NUM>, and a heat exchanger and fan <NUM>. One, two, or four fiber data links <NUM> are provided for the group of modules <NUM>. Multiple such groups of modules <NUM> may be positioned apart or adjacent to each other for a same patient space.

Due to the modular approach, any number of modules <NUM> may be used. Manufacturing is more efficient and costly by building multiple of the same component despite use of any given module <NUM> in a different arrangement than used for others of the modules <NUM>.

The fiber data links <NUM> of the modules <NUM> or groups of modules <NUM> connect to the Compton processor <NUM>. The Compton processor <NUM> receives the values for the parameters for the different events. Using the energy and timing parameters, scatter and catcher events are paired. For each pair, the spatial locations and energies of the pair of events are used to find the angle of incidence of the photon on the scatter detector <NUM>. The event pairs are limited to events in the same module <NUM> in one embodiment. In another embodiment, catcher events from the same or different modules <NUM> may be paired with scatter events from a given module <NUM>. More than one Compton processor <NUM> may be used, such as for pairing events from different parts of a partial ring <NUM>.

Once paired events are linked, the Compton processor <NUM> or another processor may perform computed tomography to reconstruct a distribution in two or three dimensions of the detected emissions. The angle or line of incidence for each event is used in the reconstruction. The reconstructed distribution of emissions is used to generate a Compton image.

The display <NUM> is a CRT, LCD, projector, printer, or other display. The display <NUM> is configured to display the Compton image. The image or images are stored in a display plane buffer and read out to the display <NUM>. The images may be displayed separately or are combined, such as displaying the Compton image overlaid with or adjacent to a SPECT image.

<FIG> shows one example arrangement of modules <NUM>. The modules <NUM> form a ring <NUM> surrounding a patient space. <FIG> shows four such rings <NUM> stacked axially. <FIG> shows the scatter detectors <NUM> and corresponding catcher detectors <NUM> of the modules <NUM> in the ring <NUM>. <FIG> shows a detail of a part of the ring <NUM>. Three modules <NUM> provide corresponding pairs of scatter and catcher detectors <NUM>, <NUM>. Other dimensions than shown may be used. Any number of modules <NUM> may be used to form the ring <NUM>. The ring <NUM> completely surrounds the patient space. Within a housing of a medical imaging system, the ring <NUM> connects with a gantry <NUM> or another framework as shown in <FIG>. The ring <NUM> may be positioned to allow a patient bed <NUM> to move a patient into and/or through the ring <NUM>. <FIG> shows an example of this configuration.

The ring may be used for Compton-based imaging of emissions from a patient. <FIG> shows an example of using the same type of modules <NUM> but in a different configuration. A partial ring <NUM> is formed. One or more gaps <NUM> are provided in the ring <NUM>. This may allow for other components to be used in the gaps and/or to make a less costly system by using fewer modules <NUM>.

<FIG> shows another configuration of modules <NUM>. The ring <NUM> is a full ring. Additional partial rings <NUM> are stacked axially relative to the bed <NUM> or patient space, extending the axial extent of detected emissions. The partial rings <NUM> are in an every other or every group of N modules <NUM> (e.g., N=<NUM>) distribution rather than the two gaps <NUM> partial ring <NUM> of <FIG>. The additional rings may be full rings. The full ring <NUM> may be a partial ring <NUM>. The different rings <NUM> and/or partial rings <NUM> are stacked axially with no or little (e.g., less than ½ a module's <NUM> axial extent) apart. Wider spacing may be provided, such as having a gap of more than one module's <NUM> axial extent.

<FIG> shows yet another configuration of modules <NUM>. One module <NUM> or a single group of modules <NUM> is positioned by the patient space or bed <NUM>. Multiple spaced apart single modules <NUM> or groups (e.g., group of four) may be provided at different locations relative to the bed <NUM> and/or patient space.

In any of the configurations, the modules <NUM> are held in position by attachment to a gantry, gantries, and/or other framework. The hold is releasable, such as using bolts or screws. The desired number of modules <NUM> are used to assemble the desired configuration for a given medical imaging system. The gathered modules <NUM> are mounted in the medical imaging system, defining or relative to the patient space. The result is a Compton sensor for imaging the patient.

The bed <NUM> may move the patient to scan different parts of the patient at different times. Alternatively or additionally, the gantry <NUM> moves the modules <NUM> forming the Compton sensor. The gantry <NUM> translates axially along the patient space and/or rotates the Compton sensor around the patient space (i.e., rotating about the long axis of the bed <NUM> and/or patient). Other rotations and/or translations may be provided, such as rotating the modules <NUM> about an axis non-parallel to the long axis of the bed <NUM> or patient. Combinations of different translations and/or rotations may be provided.

The medical imaging system with the Compton sensor is used as a standalone imaging system. Compton sensing is used to measure distribution of radiopharmaceutical in the patient. For example, the full ring <NUM>, partial ring <NUM>, and/or axially stacked rings <NUM>, <NUM> are used as a Compton-based imaging system.

In other embodiments, the medical imaging system is a multi-modality imaging system. The Compton sensor formed by the modules <NUM> is one modality, and another modality is also provided. For example, the other modality is a single photon emission computed tomography (SPECT), a PET, a CT, or a MR imaging system. The full ring <NUM>, partial ring <NUM>, axially stacked rings <NUM>,<NUM>, and/or singular module <NUM> or group of modules <NUM> are combined with the sensors for the other type of medical imaging. The Compton sensor may share a bed <NUM> with the other modality, such as being positioned along a long axis of the bed <NUM> where the bed positions the patient in the Compton sensor in one direction and in the other modality in the other direction.

The Compton sensor may share an outer housing with the other modality. For example, the full ring <NUM>, partial ring <NUM>, axially stacked rings <NUM>,<NUM>, and/or singular module <NUM> or group of modules <NUM> are arranged within a same imaging system housing for the sensor or sensors of the other modality. The bed <NUM> positions the patient within the imaging system housing relative to the desired sensor. The Compton sensor may be positioned adjacent to the other sensors axially and/or in a gap at a same axial location. In one embodiment, the partial ring <NUM> is used in a computed tomography system. The gantry holding the x-ray source and the x-ray detector also holds the modules <NUM> of the partial ring <NUM>. The x-ray source is in one gap <NUM>, and the detector is in another gap <NUM>. In another embodiment, the single module <NUM> or a sparse distribution of modules <NUM> connects with a gantry of a SPECT system. The module <NUM> is placed adjacent to the gamma camera, so the gantry of the gamma camera moves the module <NUM>. Alternatively, a collimator may be positioned between the modules <NUM> and the patient or between the scatter and catcher detectors <NUM>, <NUM>, allowing the scatter and/or catcher detectors <NUM>, <NUM> of the modules <NUM> to be used for photoelectric event detection for SPECT imaging instead of or in addition to detection of Compton events.

The module-based segmentation of the Compton sensor allows the same design of modules <NUM> to be used in any different configurations. Thus, a different number of modules <NUM>, module position, and/or configuration of modules <NUM> may be used for different medical imaging systems. For example, one arrangement is provided for use with one type of CT system and a different arrangement (e.g., number and/or position of modules <NUM>) is used for a different type of CT system.

The module-based segmentation of the Compton sensor allows for more efficient and costly servicing. Rather than replacing an entire Compton sensor, any module <NUM> may be disconnected and fixed or replaced. The modules <NUM> are individually connectable and disconnectable from each other and/or the gantry <NUM>. Any bridges are removed, and then the module <NUM> is removed from the medical imaging system while the other modules <NUM> remain. It is cheaper to replace an individual module <NUM>. The amount of time to service may be reduced. Individual components of a defective module <NUM> may be easily replaced, such as replacing a scatter or catcher detector <NUM>, <NUM> while leaving the other. The modules <NUM> may be configured for operation with different radioisotopes (i.e., different energies) by using corresponding detectors <NUM>, <NUM>.

<FIG> shows one embodiment of a flow chart of a method for forming, using, and repairing a Compton camera. The Compton camera is formed in a segmented approach. Rather than hand assembling the entire camera in place, scatter detector and catcher detector pairs are positioned relative to each other to form a desired configuration of the Compton camera. This segmented approach may allow different configurations using the same parts, ease of assembly, ease of repair, and/or integration with other imaging modalities.

Other embodiments form a combination of a Compton camera and a SPECT camera. The segmented modules <NUM> of <FIG> are used. The modules of <FIG> may be used for forming a SPECT camera. The detector arrangement of <FIG> may be used.

The method may be implemented by the system of <FIG> to assemble a Compton sensor as shown in any of <FIG>. The method may be implemented by the system of <FIG> to assemble a Compton sensor as shown in any of <FIG>. Other systems, modules, and/or configured Compton sensors may be used.

The acts are performed in the order shown (i.e., top to bottom or numerically) or other orders. For example, act <NUM> may be performed as part of act <NUM>.

Additional, different, or fewer acts may be provided. For example, acts <NUM> and <NUM> are provided for assembling the Compton camera without performing acts <NUM> and <NUM>. As another example, act <NUM> is performed without other acts.

In act <NUM>, scatter and catcher detector pairs are housed in separate housings. Modules are assembled where each module includes both a scatter detector and a catcher detector. A machine and/or person manufactures the housings.

The modules are shaped to abut where the scatter and catcher detector pairs of different ones of the housings are non-planar. For example, a wedge shape and/or positioning is provided so that the detector pairs from an arc, such as shown in <FIG>. The shape allows and/or forces the arc shape when the modules are positioned against one another.

In act <NUM>, the housings are abutted. A person or machine assembles the Compton sensor from the housings. By stacking the housings adjacent to each other with direct contact or contact through spacers, gantry, or framework, the abutted housings form the arc. A full ring or partial ring is formed around and at least in part defines a patient space. Based on the design of the Compton camera or Compton-SPECT camera, any number of housings with the corresponding scatter and catcher detector pairs are positioned together to form a camera.

The housings may be abutted as part of a multi-modality system or to create a single imaging system. For a multi-modality system, the housings are positioned in a same outer housing and/or relative to a same bed as the sensors for the other modality, such as SPECT, PET, CT, or MR imaging system. The same or different gantry or support framework may be used for the housings of the Compton camera and the sensors for the other modality. For other embodiments, the modules provide the multi-modality by providing for both a Compton camera and the SPECT imaging system.

The configuration or design of the Compton camera defines the number and/or position of the housings. Once abutted, the housings may be connected for communications, such as through one or more bridges. The housings may be connected with other components, such as an air cooling system and/or a Compton processor.

In act <NUM>, the assembled Compton camera detects emissions. A given emitted photon interacts with the scatter detector. The result is scattering of another photon at a particular angle from the line of incidence of the emitted photon. This secondary photon has a lesser energy. The secondary photon is detected by the catcher detector. Based on the energy and timing of both the detected scatter event and catcher event, the events are paired. The positions and energies for the paired events provides a line between the detectors and an angle of scattering. As a result, the line of incidence of the emitted photon is determined.

To increase the likelihood of detecting the secondary photon, the catcher events from one housing may be paired with the scatter events of another housing. Due to the angles, scatter from one scatter detector may be incident on the paired catcher detector in the same housing or a catcher detector in another housing. By the housings being open in the detector region and/or using low photon attenuating materials, a greater number of Compton events may be detected.

The detected events are counted or collected. The lines of response or lines along which the different Compton events occur are used in reconstruction. The distribution in three dimensions of the emissions from the patient may be reconstructed based on the Compton sensing. The reconstruction does not need a collimator as the Compton sensing accounts for or provides the angle in incidence of the emitted photon.

The detected events are used to reconstruct the locations of the radioisotope. Compton and/or photoelectric images are generated from the detected events and corresponding line information from the events.

In act <NUM>, a person or machine (e.g., robot) removes one of the housings. When one of the detectors or associated electronics of a housing fails or is to be replaced for detecting at different energies, the housing may be removed. The other housings are left in the medical imaging system. This allows for easier repair and/or replacement of the housing and/or detectors without the cost of a greater disassembly and/or replacement of the entire Compton camera.

<FIG> are directed to an adaptive Compton camera. Using the modules of <FIG> or another Compton camera, the scatter and/or catcher layers have an adaptive geometry to optimize a figure of merit (FOM) for a given imaging situation (e.g., patient, type of examination, application, energy of radioisotope emission, size of lesion, type of lesion (e.g., hot or cold), activity concentration.

<FIG> shows one embodiment of a Compton camera for medical imaging. This medical imaging system includes a scatter layer that may have two or more configurations, such as different distances from the isocenter. This medical imaging system includes a catcher layer that may have two or more configurations, such as three different distances from the isocenter. By selecting the positions of the scatter and/or catcher layer, the adaptive configuration may be used to optimize or improve image quality (IQ) and/or sensitivity ($). The 'adaptive' scatter and/or catcher layers are positioned based on user requirements (e.g., FOM) and/or a contour of the imaged object.

The medical imaging system includes the scatter detectors <NUM>, catcher detectors <NUM>, patient bed <NUM>, a sensor <NUM>, a control processor <NUM>, a motor <NUM>, the Compton processor <NUM>, and the display <NUM>. Additional, different, or fewer components may be provided. For example, the sensor <NUM> is not provided. As another example, the Compton processor <NUM> and/or display <NUM> are not provided. The Compton processor <NUM> and the control processor <NUM> may be a same processor. In yet another example, a user interface (e.g., user input device) is provided for an operator selection of a FOM or input of a patient size.

The patient bed <NUM> supports the patient in a patient space. The bed <NUM> may be moveable, such as a robot or roller system for moving the patient into and out of the medical imaging system. The outer housing of the medical imaging system and/or scatter layer create a bore into which the patient bed <NUM> is positioned. The bore defines a patient space for imaging the patient. The bore may be of any dimension in a cross-sectional plane orthogonal to a longitudinal axis, such as <NUM>.

The scatter layer is formed from a plurality of scatter detectors <NUM>, such as using the modular system of <FIG>. Similarly, the catcher layer <NUM> is formed from a plurality of catcher detectors <NUM>. For example, forty-eight modules <NUM> provide for forty-eight pairs of scatter and catcher detectors <NUM>, <NUM> shown in <FIG>. More or fewer modules <NUM> may be used. The modules <NUM> have any arrangement, such as one or more axially spaced rings and/or partial rings or one or more sparsely distributed modules <NUM> or groups of modules. The modules <NUM> may be part of a multi-modality imaging system or for a Compton-camera only system. The scatter and catcher detectors <NUM>, <NUM> (e.g., modules <NUM>) are positioned to receive emissions from a patient on the patient bed <NUM> or otherwise in the patient space.

The sensor <NUM> is a depth camera, optical camera, infrared sensor, LIDAR, or other sensor for detecting a location of an outer surface of the patient in the patient space or on the bed <NUM>. The sensor <NUM> communicatively connects with the control processor <NUM> for sending measurements or calculated distances to the control processor <NUM>.

The sensor <NUM> may directly measure the position of the outer surface as a distance from the sensor <NUM> and/or may apply image processing to determine the position (e.g., processing an image of a projected grid). While one sensor <NUM> is shown, more than one sensor may be used to measure the patient position at an axial position (i.e., long axis of the bore or patient) of the detectors <NUM>, <NUM>. Different parts of the patient have different extents or distances away from the isocenter and/or the scatter detectors <NUM>. In one embodiment, each module <NUM> includes a distance sensor <NUM> to measure a distance from the module <NUM> and/or scatter detector <NUM> of the patient at the location of the module <NUM>. A single sensor <NUM> or fewer sensors <NUM> than modules <NUM> may be used where the sensor or sensors <NUM> determine the position of the surface of the patient at multiple locations on the patient.

The motor <NUM> is a servo, electric motor, hydraulic motor, pneumatic motor, or other motor for moving one or more of the detectors <NUM>, <NUM>. In one embodiment, one or more motors <NUM> are provided for each module <NUM> and/or for each detector <NUM>, <NUM>. The motor <NUM> electrically connects with the control processor <NUM> for control of operation of the motor <NUM> to move the detectors <NUM>, <NUM>. A position sensor, such as a sensor to determine the motor position and/or to determine a detector position, may be provided.

The motor <NUM> connects with the scatter detector <NUM>, catcher detector <NUM>, or both. The connection is through a chain, screw drive, rack and pinion (e.g., gearing) or other physical connection for translating motor movement (e.g., spinning of a shaft) to translation of the detector or detectors <NUM>, <NUM> to or away from the patient space.

<FIG> shows one embodiment of guides <NUM>. The guides <NUM> are channels, bars, pinions, racks, chain guides, or other structure for limiting or guiding the motion of the detectors <NUM>, <NUM> along radial lines extending perpendicularly from the isocenter or a longitudinal axis through the patient space. In alternative embodiments, the guides <NUM> may be along other lines, such as offset from the radial. While shown as parallel lines, the guides <NUM> may be plates, cylinders, boxes, ducts, or other shapes for guiding the motion of the detectors <NUM>, <NUM>. <FIG> shows the guides as part of two guide planes <NUM>. The guides <NUM> in the guide planes <NUM> guide movement of the modules <NUM>.

The motor <NUM> moves the detectors <NUM>, <NUM> to be closer and/or further away from the patient bed <NUM> and patient space. In one embodiment, the guides <NUM> define the inner and outer extents of the possible positions. For example, the detectors <NUM>, <NUM> may be positioned up to the ends of the guides <NUM>. Blocks or motor control may be used to limit position. In another embodiment, the guides <NUM> include a telescoping component allowing one or more of the detectors <NUM>, <NUM> to extend beyond an end of the guide <NUM>. The control processor <NUM> or physical structure may be used to limit which scatter detectors <NUM> move closer where the scatter detectors <NUM> may collide if extended at the same time.

Each detector <NUM>, <NUM> slides on a respective set of guides <NUM> in an XY plane (e.g., guide plane <NUM> orthogonal to a patient longitudinal axis and/or the isocenter of the imaging system). Each detector <NUM>, <NUM> is positioned along a z-axis (i.e., radial orthogonal to the isocenter). The scatter and catcher layers may be translated axially in other embodiments.

The guides <NUM> may be carbon or other material generally transparent to photons. The motor <NUM> is positioned behind the catcher detectors <NUM> relative to the patient space to avoid interfering with photons.

<FIG> shows the scatter detectors <NUM> as having two positions relative to the patient space. The motor <NUM> moves the scatter detector <NUM> to one of the two positions. The guides <NUM> may limit the position. Similarly, the catcher detectors <NUM> have three positions relative to the patient space. The motor <NUM> moves the catcher detectors <NUM> to one of the three positions. The guides <NUM> may limit the position. In alternative embodiments, additional positions are provided or any position along a range of the guide <NUM> may be used.

The absolute number of scattered photons is increased by reducing the distance between the scatter detector <NUM> and the imaging object, thus increasing the solid angle Ω. For smaller imaging objects, the scatter detector <NUM> may be placed closer to the isocenter. The same is not true for larger imaging objects. The sensitivity ($) of the adaptive Compton-camera is also increased by reducing the distance between the catcher detector <NUM> and the scatter detector <NUM>, thus increasing the solid angle Ω. Reducing the distance between the catcher detector <NUM> and the scatter detector <NUM> degrades image quality (IQ). Increasing the distance between the scatter detector <NUM> and the catcher detector <NUM> improves the image quality (IQ), while reducing the distance improves the sensitivity ($).

<FIG> and <FIG> show one embodiment of the adaptive Compton camera. The modules <NUM> each include a scatter detector <NUM> and a catcher detector <NUM>. The catcher detector <NUM> is at a fixed distance away from the scatter detector <NUM> within each module <NUM>. The motor <NUM> connects with and moves the module <NUM> along the guides <NUM>. The modules <NUM> are moved closer to or further away from the patient space, so the scatter detector <NUM> and the catcher detector <NUM> move together. The ring or partial ring of modules <NUM> on the gantry may be moved from an inner most position of <FIG> to an outer most position represented by the outer ring. While <FIG> and <FIG> show the modules <NUM> all moved to a same distance away from the patient space, different modules <NUM> may be moved by different amounts and/or positioned at different depths relative to the isocenter or patient space. Alternatively, all modules <NUM> are connected to the singular motor <NUM> to move a same distance. <FIG> shows an arrow over one of the modules <NUM> representing the availability to move the module <NUM> further inward or outward.

In other embodiments, the scatter detector <NUM> or catcher detector <NUM> are moveable while the other detector (<NUM>, <NUM>) does not move (i.e., is fixed in z-axis position). The scatter detector <NUM> and catcher detector <NUM> move independently of each other. The scatter and catcher detectors <NUM>, <NUM> may move within the module <NUM> and/or the modules <NUM> are moveable.

<FIG> shows one embodiment where the scatter detector <NUM> and the catcher detector <NUM> are independently moveable relative to the patient bed <NUM> or patient space. These detectors <NUM>, <NUM> may be within modules <NUM>, such as pairs of detectors <NUM>, <NUM> sharing a module housing or framework while being moveable independent of each other. Alternatively, the modules <NUM> are separated into one housing or framework for the scatter detector <NUM> and another housing or framework for the catcher detector <NUM>. In other embodiments, the scatter and catcher detectors <NUM>, <NUM> are not part of modules <NUM>, but are independently moveable to expand or contract scatter and catcher layers separately.

By providing for independent movement, the scatter detectors <NUM> may be at an inner most position allowed by the guides <NUM> and/or patient, and the catcher detectors <NUM> may be an at outer most position allowed by the guides <NUM> and/or patient.

In moving the scatter detector <NUM> to reduce a distance of the scatter detector <NUM> from the patient based on an output of the sensor <NUM>, different scatter detectors <NUM> may be at different distances from the isocenter. As shown in <FIG>, different parts of the patient are different distances from the isocenter. Each scatter detector <NUM> is positioned relative to the patient based on the surface of the patient. Alternatively, all the scatter detectors <NUM> are positioned at a same distance from the isocenter where that distance minimizes the distance of the patient to the scatter detectors <NUM>.

The catcher detectors <NUM> are all at a same distance from the isocenter, a same distance from respective scatter detectors, or at other distances. A combination of distances may be used for imaging a given patient, such as to optimize for multiple FOMs.

The control processor <NUM> is a processor, application specific integrated circuit, field programmable gate array, programmable logic controller, digital circuit, analog circuit, or combinations thereof. The control processor <NUM> controls operation of the motor <NUM>. The control processor <NUM> receives one or more inputs, such as patient position information from the sensor <NUM>, patient information (e.g., weight and height) from a user interface (e.g., user input device), and/or motor or detector position.

The control processor <NUM> is configured by hardware, firmware, and/or software to control the motor <NUM>. The control processor <NUM> controls the motor <NUM> to set a distance between the scatter detector <NUM> and the catcher detector <NUM>. The distance of the scatter detector <NUM> from the patient, patient space, or isocenter is controlled. The distance of a module <NUM> from the patient or patient space may be controlled. The control processor <NUM> causes the motor <NUM> to move the scatter detector <NUM>, catcher detector <NUM>, and/or module <NUM>.

The position of the detectors <NUM>, <NUM> adapts to a given examination. For one patient, the positions are set. For another patient, the positions are altered or different than used for the one patient. The control processor <NUM> causes the motor to alter the position or positions of the detectors <NUM>, <NUM>. Depending on the imaging application, size of the patient, position of the patient in the patient space, and/or other information, the position of the detectors <NUM>, <NUM> is set. The motor <NUM> alters the current position to the set or desired location for Compton imaging of the patient.

The position is set based on any criteria. For example, the control processor <NUM> controls the motor <NUM> to move the scatter detector <NUM> to reduce a distance of the scatter detector <NUM> from the patient and controls the motor <NUM> to move the catcher detector <NUM> to a distance from the scatter detector <NUM>.

In one embodiment, the control processor <NUM> controls the positions based on the FOM. The imaging task indicates the FOM. The position or positions may be different depending on the relative importance of various criteria, such as image quality and sensitivity. The user specifies the FOM. For example, the patient height, weight, body mass index, or other information results in a given FOM being more important. As another example, imaging technician inputs the FOM. In yet another example, a default FOM based on the imaging application or patient characteristics is used.

The control processor <NUM> determines the contour of the imaging object and/or distance of each scatter detector from the patient. The FOM is maximized accordingly. The absolute number of scattered photons is increased by reducing the distance between the scatter layer and the imaging object, thus increasing the solid angle Ω. The scatter detectors <NUM> are positioned to minimize the distance from the patient with or without any constrains, such as a maintaining a given distance for patient comfort. For smaller imaging objects, the scatter layer may be place closer to the isocenter. The same is not true for larger imaging objects. Similarly, scatter detectors <NUM> of different modules <NUM> may be positioned different distances from the isocenter but a same distance away from the patient.

The sensitivity ($) of the adaptive Compton-camera is increased by reducing the distance between the catcher layer and the scatter layer, thus increasing the solid angle Ω. Reducing the distance between the catcher layer and the scatter layer degrades image quality (IQ). By increasing the distance between the scatter layer and the catcher layer, the image quality (IQ) improves, while reducing the distance improves the sensitivity ($). In this 'adaptive' scenario, the specified FOM is used to determine the position of the catcher detector <NUM>. For example, the FOM is sensitivity, so the catcher detector <NUM> is positioned to be close to the scatter detector <NUM>, such as within <NUM>. As another example, the FOM is image quality, so the catcher detector <NUM> is positioned to be further from the scatter detector <NUM>, such as over <NUM> (e.g., <NUM>-<NUM>). The system senses the contour of the imaging object and adapts accordingly to maximize the FOM.

The FOM may be indication of a single criterion of importance. Alternatively, the FOM is a relative weighting. Intermediate positioning of the catcher detectors <NUM> from the scatter detectors <NUM> may be used based on the relative importance of sensitivity to image quality. In other embodiments, different modules <NUM> use different relative weightings or FOM to provide Compton event detection based on different relative positions of the detectors <NUM>, <NUM> by module <NUM> in the same scan of a same patient. In yet other embodiments, the relative position of the detectors <NUM>, <NUM> to each other and/or the isocenter changes over time during a same scan, resulting in detecting events with different FOM at different times.

The Compton processor <NUM> (e.g., image processor) is configured to generate a Compton image from Compton events detected from the scatter and catcher detectors <NUM>, <NUM>. The electronics of the modules <NUM> or other electronics output events detected from the detectors <NUM>, <NUM>. The location, energy, and time of the events are received by the Compton processor <NUM>. These events are paired using the location, energy, and/or time. Based on the pairing, location, and energy, an angle of incidence of the emission from the patient onto the scatter detector <NUM> is determined. The angle may be expressed probabilistically, such as a cone of incidence. Using reconstruction from many detected Compton events and the angle of incidence, a spatial distribution in patient or object space of the emissions is determined. A Compton image is rendered from the spatial distribution.

The Compton processor <NUM> is configured to perform digital collimation. Once events are paired, the angle of the scatter from the scatter detector <NUM> for a given event is determined. The relationship of energy and angle and the positions of the paired events indicates the angle of the scatter photon. Compton events may be rejected based on the angle, such as applying one or more scatter angle thresholds. The Compton image is generated from the Compton events that are not rejected. In other embodiments, digital collimation is not used.

<FIG> shows angular uncertainties in the Compton angle as a function of Compton angle. Compton events with some scatter angles may result in worse image quality. For example, the FWHM of a back projected cone is to be at a desired level, such as represented by the horizontal dashed line. The FWHM for a given Compton event is above or below the desired FWHM based on the scatter angle. For example, angles between <NUM> degrees and <NUM> degrees provide information with sufficient FWHM. <FIG> shows different scatter angles given emissions orthogonal to the scatter detector. Compton events for lesser (e.g., less than <NUM> degrees) and/or greater (e.g., greater than <NUM> degrees) scatter angles are not used (i.e., rejected by digital collimation). The remaining Compton events are used to generate the Compton image.

In one example, a CZT scatter detector <NUM> and CZT catcher detector <NUM> have a <NUM> distance between scatter and catcher layers with a <NUM> bore diameter. A PSF with FWHM < <NUM> is produced by rejecting events with Compton angle greater than ~<NUM>°. Other thresholds may be used.

Referring again to <FIG>, the display <NUM> is configured to display the Compton image. Using the non-rejected events, a Compton image with a balanced sensitivity and image quality is provided. The adaptation results in an image more diagnostically useful for a given patient and/or examination.

<FIG> is a flow chart diagram of one embodiment of a method for medical imaging with a Compton camera. The method is implemented using the adaptive Compton camera of <FIG>. Other adaptive Compton cameras able to change a position of one or more detectors used in the Compton camera may be used.

The acts are performed in the order shown or another order. Additional, different, or fewer acts may be provided. As another example, an image is not generated in act <NUM>. The image is stored for later viewing.

In act <NUM>, a sensor senses a patient. The outer surface of the patient is sensed relative to an iso-center, bed, and/or scatter detectors. The patient is sensed to allow positioning of the scatter detector or detectors within a threshold distance from the patient.

In act <NUM>, one or more detectors of a Compton camera are moved. The detector or detectors are moved towards or away from the patient. Based on a FOM, examination type, and/or other information, the detector or detectors are moved.

In one embodiment, the scatter detector or detectors are moved by a motor and control processor based on an output of the sensing of the patient. The scatter detector or detectors are moved to be within a threshold distance from an outer surface of the patient nearest to the respective scatter detector. <FIG> shows an example where some scatter detectors are closer to the isocenter than other scatter detectors based on the outer surface of the patient.

Additionally or alternatively, the catcher detector or detectors are moved by a motor and control processor. Based on the examination type, a FOM, energies of the radioisotope involved, and/or other criteria, the catcher detector or detectors are moved relative to the isocenter, patient, and/or scatter detector or detectors. For example, the scatter detectors are positioned to be a given distance from the patient. The catcher detectors are then positioned to be a distance from the scatter detectors where the distance is based on a FOM or other information.

In act <NUM>, the scatter and catcher detectors detect events. Gamma rays or photons emitted from the patient may interact with the scatter detector. These scatter events are detected. A resulting scatter photon is emitted and may interact with the catcher detector. The interaction in the catcher detector is detected.

The detected Compton events are paired. The paired Compton events are used to indicate an angle of incidence, such as a cone of probability, of the emission from the patient at the scatter detector. The Compton events may be digitally collimated based on the scatter angle.

The scatter and catcher detectors detect the events as positioned. During a scan of the patient, the detectors are maintained in the same position to detect. Alternatively, one or more detectors are moved during the same scan of the same patient.

In act <NUM>, the paired Compton events maintained after any digital collimation are used to reconstruct a spatial distribution of the emissions from the patient. The sources of the emissions are estimated using the angles of incidence, locations, and counts of the Compton events. An image may be generated from the spatial distribution, such as a three-dimensional rendering or a cross-section planar image.

Claim 1:
A Compton camera for medical imaging, the Compton camera comprising:
a patient bed (<NUM>);
a scatter detector (<NUM>);
a catcher detector (<NUM>);
a motor (<NUM>) connected with the scatter detector (<NUM>), catcher detector (<NUM>), or both the scatter detector (<NUM>) and the catcher detector (<NUM>), the motor (<NUM>) configured to move the scatter detector (<NUM>), catcher detector (<NUM>), or both the scatter detector (<NUM>) and the catcher detector (<NUM>) closer or further from the patient bed (<NUM>); and
a sensor (<NUM>) configured to sense a patient on the patient bed (<NUM>), wherein the motor (<NUM>) is configured to move the scatter detector (<NUM>) independently of the catcher detector (<NUM>) to reduce a distance of the scatter detector (<NUM>) from the patient based on an output of the sensor (<NUM>).