The goal of this research was to develop and evaluate a practical transmiss
ion scanning system for attenuation correction on a 2-head gamma camera coi
ncidence scanner. Methods: The transmission system operates in singles mode
and uses point sources of Cs-137 that emit 662-keV gamma-radiation. Each p
oint source is inserted between existing septa that are normally used to pr
ovide an approximately 2-dimensional emission acquisition geometry. The sou
rces are placed along a line parallel to the axis of rotation near the edge
of 1 camera. Data are acquired with the opposing camera. The septa provide
axial collimation for the sources so that the transmission system operates
in a 2-dimensional offset fanbeam geometry. Camera energy and spatial reso
lution were measured at 511 and 662 keV. Sensitivity was measured at 662 ke
V. The effects on axial resolution of adding supplemental collimation to th
e septa were shown. The system was calibrated and tested using a resolution
(rod) phantom and a uniformity phantom, Torso phantom data were acquired.
Patient transmission and emission scans were obtained. Postinjection transm
ission data were used to correct patient emission data. Results: The camera
resolution at postinjection counting rates was 11.7% full width at half ma
ximum (FWHM) for 662-keV gamma-rays. Intrinsic spatial resolution was 2.7 m
m (FWHM) at 662 keV, The sensitivity of the system was 280 Hz/MBq using fiv
e 74-MBq sources of 137Cs in the transmission geometry, with supplemental c
ollimation added to the septa to improve axial resolution. The transaxial r
esolution of the system was such that the smallest rods (6-mm diameter and
12-mm spacing) were well resolved in a reconstructed resolution-phantom ima
ge. The corrected patient emission scans were free of attenuation-induced a
rtifacts. Conclusion: An easily implemented transmission system for a 2-hea
d gamma camera coincidence scanner that can be used for postinjection trans
mission scanning has been developed.