The objective of this study was to develop a quantitative Anger camels
imaging approach for Ho-166 in the skeletal system of patients. A dua
l energy window method was designed to subtract the interference from
septal penetration and bremsstrahlung events in Anger camera images ac
quired with the 80 keV x-rays emitted by Ho-166. The validity of this
scatter subtraction method for Ho-166 images was demonstrated as impro
vements of the line spread function and modulation transfer function.
Camera sensitivity was found to be nearly independent of source-to-col
limator distance only for images acquired with a high-energy collimato
r. Studies in an Alderson abdominal water phantom demonstrated scatter
subtraction can provide quantitative Anger camera images of Ho-166 wi
th a scatter multiplier of k=1.0 and a correction for attenuation. Att
enuation correction factors derived from a transmission image were mea
sured for the phantom and verified with water-equivalent blocks of kno
wn thickness. Whole-body scan images of Ho-166 localized in the skelet
al system of patients were significantly improved with this simple sca
tter subtraction method, and when used to estimate the activity distri
bution within separate bone regions of the skeleton.