Dynamic SPECT (dSPECT) is an image reconstruction method capable of determi
ning three dimensional regional estimates of physiological kinetic rates wh
ile still maintaining the simple acquisition protocol of a single, slow cam
era rotation. Through the use of inequality constraints in a least squares
optimization routine, we are able to determine both the rate of tracer upta
ke and subsequent tracer washout over the acquisition time of the SPECT sca
n.
Simulations modelling different camera acquisition geometries and with vari
able dual exponential kinetic parameters and model complexity (eg, statisti
cal noise, object attenuation) were performed. It was found that kinetic pa
rameters were accurate to within 50% of the true values for the case of fas
t uptake and slow washout for a single head acquisition and improved to wit
hin 95% when acquired with a triple head camera. Experimental phantom tests
corraborated these results and are shown to have an accuracy of about 90%.
A preliminary patient study of renal dynamics has also been performed and
compared with conventional planar dynamic imaging, Results from this study
indicate that the dSPECT reconstruction method is able to determine kinetic
information with accuracy comparable to that of conventional planar dynami
c imaging methods while providing additional three dimensional time behavio
ur information.