Application of Monte Carlo Algorithms to Cardiac Imaging Reconstruction
Monte Carlo algorithms have a growing impact on nuclear medicine reconstruction processes. One ofthe main limitations of myocardial perfusion imaging (MPI) is the effective mitigation of the scattering component,which is particularly challenging in Single Photon Emission Computed Tomography (SPECT). In SPECT,no timing information can be retrieved to locate the primary source photons. Monte Carlo methods allow anevent-by-event simulation of the scattering kinematics, which can be incorporated into a model of the imagingsystem response. This approach was adopted in the late Nineties by several authors, and recently took advantageof the increased computational power made available by high-performance CPUs and GPUs. These recent developmentsenable a fast image reconstruction with improved image quality, compared to deterministic approaches.Deterministic approaches are based on energy-windowing of the detector response, and on the cumulative estimateand subtraction of the scattering component. In this paper, we review the main strategies and algorithms tocorrect the scattering effect in SPECT and focus on Monte Carlo developments, which nowadays allow the threedimensionalreconstruction of SPECT cardiac images in a few seconds.