This work presents an evaluation of a gamma camera operating in coincidence
mode. The major limitations of these cameras compared to full-ring PET are
the limited count rate and sensitivity. We evaluate the progress in count
rate performance which was made by upgrading the system with digital electr
onics. At the moment most gamma cameras use septa to reduce the number of i
ncident coincidences by limiting the axial acceptance angle. Higher count r
ates can be achieved by removing the sept, which results in a fully 3D acqu
isition. The improvement in Noise Equivalent Count rate is measured for two
different uniform phantoms. Another limitation is the non-uniform sensitiv
ity due to the varying acceptance angle, which decreases linearly from the
center towards the edges in a 180 degrees opposed dual-headed configuration
. Sensitivity and uniformity can be improved by going from a dual-headed to
a triple-headed configuration. As triple-headed coincidence imaging is not
yet available, we calculated the theoretical sensitivity profiles from geo
metrical considerations.