Re. Zimmerman et al., LIMITATIONS OF DUAL-PHOTOPEAK WINDOW SCATTER CORRECTION FOR BRAIN IMAGING, The Journal of nuclear medicine, 38(12), 1997, pp. 1902-1906
A method for performing scatter corrections that would directly use th
e photopeak information and would be straightforward for use in clinic
al practice would be attractive in SPECT imaging. The dual-photopeak w
indow method may be such a method. It relates the scatter fraction to
the ratio of the lower to the total parts of a split-photopeak window,
We investigated the use of this scatter correction method on a dedica
ted brain camera. Methods: Calibration curves for the Ceraspect(TM), a
dedicated brain imaging camera, were obtained for four split-window c
ombinations using point sources in air and water. Simulations of the C
eraspect(TM) calibration curves at several energy resolution values we
re obtained using a Monte Carlo simulation of the instrument. Results:
The calibration curves, experimental and simulated, revealed an ambig
uous and unstable relationship between lower-to-total ratio and scatte
r fraction. Conclusion: The unsatisfactory calibration curves can be a
ttributed to the limited scatter produced in a brain-sized phantom dur
ing the calibration process and inherent stability problems in the cal
ibration process. The dual-photopeak window method is not usable for s
mall-field imaging systems and may even be unstable for larger-field s
ystems.