Definition of a simplified model of scatter which can be incorporated in ma
ximum likelihood reconstruction for single-photon emission tomography (SPET
) continues to be appealing; however, implementation must be efficient for
it to be clinically applicable. In this paper an efficient algorithm for sc
atter estimation is described in which the spatial scatter distribution is
implemented as a spatially invariant convolution for points of constant dep
th in tissue. The scatter estimate is weighted by a space-dependent build-u
p factor based on the measured attenuation in tissue, Monte Carlo simulatio
n of a realistic thorax phantom was used to validate this approach. Further
efficiency was introduced by estimating scatter once after a small number
of iterations using the ordered subsets expectation maximisation (OSEM) rec
onstruction algorithm. The scatter estimate was incorporated as a constant
term in subsequent iterations rather than modifying the scatter estimate ea
ch iteration. Monte Carlo simulation was used to demonstrate that the scatt
er estimate does not change significantly provided at least two iterations
OSEM reconstruction, subset size 8, is used. Complete scatter-corrected rec
onstruction of 64 projections of 40x128 pixels was achieved in 38 min using
a Sun Sparc20 computer.