In this paper,we present coincidence-list-ordered sets expectation-maximiza
tion (COSEM), an algorithm for iterative image reconstruction directly from
list-mode coincidence acquisition data, The COSEM algorithm is based on th
e ordered sets EM: algorithm for binned data but has several extensions tha
t makes it suitable for rotating two planar detector tomographs. We develop
the COSEM algorithm and extend it to include analytic calculation of detec
tion probability, noise reducing iterative filtering schemes, and on-the-fl
y attenuation correction methods. me present an adaptation of COSEM to the
Varicam\VG camera and show results from clinical and phantom studies.