Introductory Biomedical Imaging

Radionuclide Imaging Simulations

Radionuclide Imaging Simulations

Planar and tomographic nuclear imaging are emission analogs of projection radiography and computed tomography (CT), respectively. They similarly use ionizing radiation. To generate an image, a patient is administered a radiopharmaceutical comprising a radioactive substance attached to a pharmaceutical. The radiopharmaceutical preferentially localizes, by design, to a particular site in the body, which becomes a source of gamma-ray photons generated by nuclear decay events. The gamma rays escape the body, ideally without interacting with body structures, and generate an image of the distribution of the radiopharmaceutical. Nuclear imaging typically assays for disease-associated changes in function, which are manifest as altered radiopharmaceutical localization The detection of emitted, rather than transmitted, radiation is one of several key differences between nuclear and X-ray-based imaging. Common applications include monitoring the increased metabolism of glucose analogs by cancerous cells, showing sites of metastasis, and the reduced metabolism of glucose analogs in regions of the brain affected by cognitive impairment. The best-known tomographic approach is positron emission tomography (“the PET scan”). Nuclear images generally have poorer resolution, but better contrast, than X-ray images. Both planar and tomographic nuclear imaging are notable for providing functional information and are often used in conjunction with radiography to create hybrid structural/functional images.

The following simulations explore the fundamentals of radioactivity and how radioactivity is used to create both planar and tomographic images. The simulations are listed in the recommended order of performance. Each simulation includes a home page from which the simulation can be run, together with links to simulation-specific Information, Background, and Activity documents.


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Essence of Nuclear Medicine Imaging

Explore the fundamentals of radionuclide imaging, including (a) labeling a patient with a radiopharmaceutical (i.e., a pharmaceutical tagged with a radioactive element), (b) delivery of the pharmaceutical to a site of interest (e.g., a tumor) in the body, (c) detection of gamma rays emitted during radioactive decay, and (d) creation of an image from detected gamma ray counts.

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Nuclear Instability and Decay

Explore the fundamentals of radioactivity, including (a) the existence of isotopes, (b) mechanisms leading to nuclear instability (radioactivity), (c) the importance of gamma ray photons in image creation, (d) direct gamma emission by technetium-99m, (e) indirect gamma creation following positron emission by fluorine-18, and (f) direct gamma and beta emission by iodine-131.

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Resolution in Nuclear Imaging

Explore the fundamentals of resolution in radionuclide imaging, including the roles of (a) source depth, (b) collimator diameter, and (c) collimator length

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SPECT: Planar Scintigraphy and Single Photon Emission Computed Tomography

Explore the fundamentals of projection and tomographic nuclear imaging, including (a) generation of a projection (view) on a detector, (b) roles of collimation in projection creation and signal loss, (c) limitations of projection-based imaging (e.g., loss of depth information), (d) complementary anatomical information provided by projections collected at different viewing angles, and (e) generation of depth-preserving slices and 3D images using emission computed tomography (ECT)

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PET: Positron Emission Tomography

Explore the fundamentals of positron emission tomography (PET), including (a) generation of two anti-parallel gamma rays following positron emission from an unstable nucleus, (b) absence of a collimator, (c) line of response (LOR) creation along the line connecting the two detectors impacted by the anti-parallel gamma rays, and (d) the role of time-of-flight (TOF) technology in improving signal-to-noise and definition of small lesions in images (as well as reducing injected dose and scan times)

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Image Reconstruction Using Iterative Methods

Explore the mathematical basics of image reconstruction in ECT, including (a) generation of projection data for an object, (b) iterative reconstruction of the activity distribution in the object, and (c) comparison of estimated and measured projection data and use of the difference to update and improve the activity estimate.