Respiratory motion can cause artifacts in myocardial SPECT and computed tom
ography (CT). We incorporate models of respiratory mechanics into the curre
nt 4D MCAT and into the next generation spline-based MCAT phantoms. In orde
r to simulate respiratory motion in the current MCAT phantom, the geometric
solids for the diaphragm, heart, ribs, and lungs were altered through mani
pulation of parameters defining them. Affine transformations were applied t
o the control points defining the same respiratory structures in the spline
-based MCAT phantom to simulate respiratory motion. The Non-Uniform Rationa
l B-Spline (NURBS) surfaces for the lungs and body outline were constructed
in such a way as to be linked to the surrounding ribs. Expansion and contr
action of the thoracic cage then coincided with expansion and contraction o
f the lungs and body. The changes both phantoms underwent were spline-inter
polated over time to create time continuous 4D respiratory models. We then
used the geometry-based and spline-based MCAT phantoms in an initial simula
tion study of the effects of respiratory motion on myocardial SPECT. The si
mulated reconstructed images demonstrated distinct artifacts in the inferio
r region of the myocardium. We conclude that both respiratory models can be
effective tools for researching effects of respiratory motion.