Computer aided collimation gamma (Cacao): a new approach in measuring and visualizing the distribution of X and gamma ray emitters in contaminate wounds

The treatment of contaminated wounds can be greatly improved by visualizing the distribution of the radioactivity that is present. The low sensitivity of the conventional Anger camera means that it can only be used where there is a high level of activity. Moreover, these gamma cameras cannot make full use of the recent progress made in high spatial resolution semi-conductor detectors. In order to increase sensitivity while at the same time maintaining a sufficient resolution of the reconstructed image, the principle of the Computer aided collimation gamma camera (CACAO in French) was proposed as a possible means of using gamma cameras in intern dosimetry. This principle is based on the combined use of collimators with holes that are wider- than the intrinsic resolution of the detector, circular and linear scanning movements, a detector sensitive to the source depth and a specific reconstruction algorithm. This article presents the recent developments of the CACAO system and illustrates by a theoretical and experimental study, its performances compared with the classic tomography system. We start with a general overview of the CACAO system and its reconstruction algorithm. First of all, the superiority of the CACAO system is demonstrated by a simulation ,study. Then, an experimental bench was developed using an implanted silicon pixel detector specifically designed to allow the visualization of a subject contaminated with low energy X and gamma emitters. The study presented here shows images obtained from a phantom composed of three sources of Americium 341Am. Although the comparison between the conventional and CACAO approaches were not carried out with optimal parameters, especially for CACAO, the initial results show that CACAO has an improved sensitivity and a superior resolution. Finally, the transposition of this system to the practical study of contaminated wounds is discussed. (authors)