A method of scatter compensation has been developed that incorporates
planar transmission measurements in the estimation of photopeak scatte
r in SPECT. Methods: The scatter distribution is first estimated by co
nvolving the planar projections with a monoexponential scatter functio
n. The number of scattered events that subsequently reach the detector
as a proportion of total events (i.e., scatter fraction) is then dete
rmined for each point in the projections based on narrow-beam transmis
sion values, obtained using an external source. The assumptions of the
method were tested using (TC)-T-99m and (TI)-T-201 point and line sou
rces. The quantitative and qualitative impact of transmission-dependen
t scatter correction was assessed in realistic phantom experiments sim
ulating blood-pool, lung and myocardial perfusion studies. Results: Th
e method accurately predicts the scatter distribution from Tc-99m and
(TI)-T-201 line sources in a phantom with variable density. Reconstruc
ted counts are artificially enhanced in regions of high tissue density
when scattered events are not removed from the projections prior to a
ttenuation correction. Using convolution-subtraction with a constant s
catter fraction (k = 0.4), scatter is underestimated in the heart and
overestimated in the lungs, whereas transmission-dependent scatter cor
rection enables activity to be quantified with greater than or equal t
o 95% accuracy in heart and lung regions. Conclusion: We conclude that
incorporating transmission data enables accurate scatter compensation
in objects with nonuniform density.