Background. High resolution spatial details of the distribution of act
ivity in three dimensions is required to evaluate the localization and
dosimetric properties of radiolabelled monoclonal antibodies in tumor
s and normal tissues. Planar imaging of small animals with a resolutio
n of 5-10 mm is usually the imaging modality of choice. The authors in
vestigated high resolution single-photon emission computed tomographic
(SPECT) imaging, based on a rotating pinhole scintillation camera. Al
though the sensitivity of the pinhole collimator is low, several radio
nuclides offer suitable decay properties to perform pinhole SPECT, esp
ecially in conjunction with high activity levels used in radioimmunoth
erapy. Methods. Transverse, sagittal, and coronal sections were recons
tructed using a three-dimensional cone-beam algorithm, which is a gene
ralization of the two-dimensional fan-beam filtered backprojection alg
orithm. Before reconstruction, the pinhole projections were corrected
for the decay of the radionuclide, geometric and intrinsic efficiency
variations of the camera system, and center of rotation shift. Results
. The spatial resolution at 50 mm from the pinhole collimator with 3.3
mm aperture was 3.4 mm, and the sensitivity 7.2 c/s/mu Ci for technet
ium-99m. With the 2 mm collimator the resolution was 2.2 mm, and the s
ensitivity was 2.6 c/s/mu Ci. To show the spatial resolution in vivo,
a rat was injected with 185 MBq of technetium-99m-methylene diphosphon
ate or with 5 mCi technetium-99m-hexamethylpropylene amine oxime. The
bone structures were well delineated in the methylene diphosphonate im
age, and in the hexamethylpropylene amine oxime image, the brain was n
icely shown. For comparison a magnetic resonance image for the same se
ction was done. Conclusions. High resolution SPECT imaging with the pi
nhole collimator provides mapping of the activity in three-dimensions,
needed for more detailed biodistribution data and to perform more acc
urate dosimetry.