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Contents

  1. 5.1 Gas-Filled Detectors
  2. 5.1.1 General Principle of Operation
  3. 5.1.2 Voltage-Current Regions
  4. 5.1.3 Ionisation Chamber
  5. 5.1.4 Proportional Counter
  6. 5.1.5 Geiger-Müller (GM) Counter
  7. 5.1.6 Gas-Filled Detectors – Comparative Summary
  8. 5.2 Scintillation Detectors
  9. 5.2.1 General Principle of Operation
  10. 5.2.2 Inorganic Scintillation Crystals
  11. 5.2.3 Organic Scintillation Detectors (Liquid Scintillation Counter)
  12. 5.2.4 Photomultiplier Tube (PMT)
  13. 5.2.5 Silicon Photomultiplier (SiPM)
  14. 5.3 Semiconductor Detectors
  15. 5.3.1 General Principle of Operation
  16. 5.3.2 CZT (Cadmium Zinc Telluride – CdZnTe)
  17. 5.3.3 Other Semiconductor Detectors
  18. 5.4 Well Counter, Dose Calibrator, Probe Detectors
  19. 5.4.1 Well Counter
  20. 5.4.2 Dose Calibrator (Detailed)
  21. 5.4.3 Probe Detectors (Gamma Probe)
  22. 5.4.4 Thyroid Uptake Probe
  23. 5.5 Energy Spectrum and Resolution
  24. 5.5.1 The Energy Spectrum
  25. 5.5.2 Energy Resolution
  26. 5.5.3 Pulse Height Analyser (PHA)
  27. 5.5.4 Counting Statistics
  28. Key Points for the Board
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Chapter 05Basic sciencesLast reviewed: 13 Nov 2026 · What's new

Radiation Detection Systems

This chapter's English text is a draft translation (prepared with Claude and checked against a terminology glossary and automatic checks); specialist review is in progress. Please report errors with the feedback button.

Solve questions (25) →
Contents
  1. 5.1 Gas-Filled Detectors
  2. 5.1.1 General Principle of Operation
  3. 5.1.2 Voltage-Current Regions
  4. 5.1.3 Ionisation Chamber
  5. 5.1.4 Proportional Counter
  6. 5.1.5 Geiger-Müller (GM) Counter
  7. 5.1.6 Gas-Filled Detectors – Comparative Summary
  8. 5.2 Scintillation Detectors
  9. 5.2.1 General Principle of Operation
  10. 5.2.2 Inorganic Scintillation Crystals
  11. 5.2.3 Organic Scintillation Detectors (Liquid Scintillation Counter)
  12. 5.2.4 Photomultiplier Tube (PMT)
  13. 5.2.5 Silicon Photomultiplier (SiPM)
  14. 5.3 Semiconductor Detectors
  15. 5.3.1 General Principle of Operation
  16. 5.3.2 CZT (Cadmium Zinc Telluride – CdZnTe)
  17. 5.3.3 Other Semiconductor Detectors
  18. 5.4 Well Counter, Dose Calibrator, Probe Detectors
  19. 5.4.1 Well Counter
  20. 5.4.2 Dose Calibrator (Detailed)
  21. 5.4.3 Probe Detectors (Gamma Probe)
  22. 5.4.4 Thyroid Uptake Probe
  23. 5.5 Energy Spectrum and Resolution
  24. 5.5.1 The Energy Spectrum
  25. 5.5.2 Energy Resolution
  26. 5.5.3 Pulse Height Analyser (PHA)
  27. 5.5.4 Counting Statistics
  28. Key Points for the Board
Learning objectives and modules3 modules · about 2 h 35 min

Learning objectives

After this chapter you will be able to:

  • Compare the operating regions, gas amplification and uses of the ionisation chamber, proportional counter and GM counter.
  • Explain the signal chain of a scintillation detector (crystal, light, photocathode, PMT) and the properties of the main crystals.
  • Explain the direct-conversion principle of semiconductor detectors (CZT, HPGe) and their advantage in energy resolution.
  • State the principle, limits and appropriate use of the well counter, dose calibrator and probe detectors.
  • Identify the peaks in an energy spectrum (photopeak, Compton edge, backscatter, escape, sum) and explain energy resolution and the PHA window.

Modules

The chapter is divided into study modules without changing the order of the text: read, watch the animations, then answer the questions linked to those headings.

  1. Module 15.1–5.2 Gas-Filled Detectors · Scintillation Detectors1 h 5 min · 3 animations · 25 questionsAnswer the questions →
  2. Module 25.3–5.4 Semiconductor Detectors · Well Counter, Dose Calibrator, Probe Detectors40 min · 1 animation · 17 questionsAnswer the questions →
  3. Module 35.5 Energy Spectrum and Resolution · Key Points for the Board50 min · 3 animations · 12 questionsAnswer the questions →

Times are estimates: 130 words per minute, 3 min per animation, 1.5 min per question.

Tip cards (38) →

MOST FREQUENTLY ASKED IN THIS CHAPTER

✓
Ionisation chamber: NO gas amplification → current mode → energy-independent → dose calibrator, survey meter, pocket dosimeter
✓
Proportional counter: Gas amplification PRESENT (10³-10⁶) → pulse mode → CAN discriminate energy → alpha-beta discrimination, neutron detection
✓
GM counter: Maximum amplification (10⁸-10¹⁰) → pulse mode → CANNOT discriminate energy → most sensitive → longest dead time (~100-300 µs) → contamination survey
✓
Recombination → Ionisation → Proportional → Limited proportional → Geiger-Müller → Continuous discharge
✓
NaI(Tl): Gamma camera standard → highest light output among classical scintillators → energy resolution ~10% → hygroscopic → 3/8-inch thickness (for Tc-99m)
✓
BGO: Older PET crystal → highest effective Z → best stopping power → BUT slow (300 ns) → CANNOT do TOF → low light output
✓
LSO/LYSO: Modern PET standard → fast (~40 ns) → TOF-PET possible → high light output → Lu-176 background activity

5.1 Gas-Filled Detectors

5.1.1 General Principle of Operation

Gas-filled detectors are devices that convert the ionisation produced by radiation in a gas into an electrical signal.

Basic components:

•
Gas volume: Air, argon, helium, xenon or mixtures of these
•
Anode (positive electrode): Usually a thin wire (central wire)
•
Cathode (negative electrode): Cylindrical outer wall
•
Applied voltage: A DC voltage is applied between anode and cathode

Mechanism of operation:

1. Radiation enters the gas volume → ionises gas atoms 2. Ion pairs are formed (positive ion + free electron) 3. Under the electric field, electrons move towards the anode and positive ions towards the cathode 4. The charges collected at the electrodes produce an electric current/pulse 5. This signal is measured to determine the amount of radiation

Formation and collection of ion pairs in a gas-filled detector, the six operating regions by voltage, and the discharge and dead time of a Geiger-Müller counter are shown.

Continuous stream · no seeking

Key point: an ion chamber collects the charge as formed, a proportional counter multiplies it but keeps energy information, and a GM counter gives the same large pulse for every event and cannot discriminate energy.

Source: argon W = 26.4 eV per pair (ICRU); α range in argon 4.5 cm (NIST ASTAR, 1 atm), chamber cross-section 6 cm; β energy loss NIST ESTAR (1 MeV, 2.29 keV/cm); gas multiplication and GM dead time from the book. Time scales slowed and not to scale. Near the wire: Diethorn relation, for P-10 gas (90% Ar + 10% CH₄) K = 4.8×10⁴ V/cm·atm, ΔV = 23.6 V (Wolff 1974; Knoll); example wire radius 25 µm, cathode radius 3 cm.

How to use: a single click on the drawing pauses and resumes; ↑ ↓ switch the particle (α / β); in the voltage step drag on the right-hand chart to set the voltage; ← → change steps.

Speed
Test yourself:Chapter 5 · question 16
Did this animation help you understand the topic?

Figure 5.1: Principle of operation of a gas-filled detector: formation of ion pairs and their collection at the electrodes (schematic).

5.1.2 Voltage-Current Regions2 questions

The behaviour of gas-filled detectors varies with the applied voltage. As the voltage is increased, six regions are observed in turn:

1. Recombination region:

–
Voltage very low → some of the ion pairs formed recombine
–
The collected charge is less than the true ionisation → inadequate measurement
–
Not used for detectors

2. Ionisation region:

–
Voltage sufficient → all ion pairs are collected, no recombination
–
No gas amplification → the collected charge equals only the primary ionisation
–
Plateau region: Increasing the voltage does not change the signal size
–
The ionisation chamber operates in this region

3. Proportional region:

–
The voltage increases further → electrons gain enough energy → produce secondary ionisation
–
Gas amplification (multiplication) begins → Townsend avalanche
–
Amplification factor: 10³-10⁶
–
The collected charge is proportional to the primary ionisation → energy discrimination is possible
–
The proportional counter operates in this region

4. Limited proportional region:

–
Proportionality begins to break down
–
Not used for detectors (transition region)

5. Geiger-Müller (GM) region:

–
Voltage very high → even a single ionisation event produces a full avalanche
–
All pulses are the same size → energy discrimination is NOT possible
–
Very high sensitivity, but the energy information is lost
–
The GM counter operates in this region

6. Continuous discharge region:

–
Voltage excessively high → continuous discharge → the detector is damaged
–
Not used
BOARD TIP
▸
The order of the voltage regions is often asked in board exams. Mnemonic: "R-I-P-L-G-C" → Recombination – Ionisation – Proportional – Limited proportional – Geiger-Müller – Continuous discharge.
▸
"Which gas-filled detector can discriminate energy?"

→ The proportional counter (the ionisation chamber works in current mode and cannot discriminate energy). The GM counter CANNOT discriminate energy!

Formation and collection of ion pairs in a gas-filled detector, the six operating regions by voltage, and the discharge and dead time of a Geiger-Müller counter are shown.

Continuous stream · no seeking

Key point: an ion chamber collects the charge as formed, a proportional counter multiplies it but keeps energy information, and a GM counter gives the same large pulse for every event and cannot discriminate energy.

Source: argon W = 26.4 eV per pair (ICRU); α range in argon 4.5 cm (NIST ASTAR, 1 atm), chamber cross-section 6 cm; β energy loss NIST ESTAR (1 MeV, 2.29 keV/cm); gas multiplication and GM dead time from the book. Time scales slowed and not to scale. Near the wire: Diethorn relation, for P-10 gas (90% Ar + 10% CH₄) K = 4.8×10⁴ V/cm·atm, ΔV = 23.6 V (Wolff 1974; Knoll); example wire radius 25 µm, cathode radius 3 cm.

How to use: a single click on the drawing pauses and resumes; ↑ ↓ switch the particle (α / β); in the voltage step drag on the right-hand chart to set the voltage; ← → change steps.

Speed
Test yourself:Chapter 5 · question 2Chapter 5 · question 20
Did this animation help you understand the topic?

Figure 5.2: The six operating regions of gas-filled detectors according to applied voltage and the corresponding detectors (schematic).

5.1.3 Ionisation Chamber2 questions

The detector operating in the ionisation region. There is no gas amplification; it measures only the primary ionisation.

Features:

•
No gas amplification → low sensitivity → cannot count single photons
•
Operates in current mode (not pulse mode)
•
Low energy dependence → accurate measurement over a wide energy range
•
Ideal for dose rate measurement
•
Long-lived, stable, reliable

Clinical applications:

•
Dose calibrator: Measurement of radiopharmaceutical activity → the most important use in nuclear medicine
•
Pocket dosimeter (pen dosimeter): Personal dose monitoring
•
Survey meter (area monitor): Measurement of radiation fields
•
Radiotherapy: Patient dosimetry (Farmer-type ionisation chamber)

Dose calibrator – detailed information:

•
Well-type ionisation chamber filled with pressurised gas (argon or xenon)
•
The radiopharmaceutical vial/syringe is placed inside the well
•
The measured current → converted to activity (with a radionuclide-specific calibration factor)
•
A different calibration setting is needed for each radionuclide
•
Quality control: Daily, quarterly and annual tests (see Chapter 27)
BOARD TIP
▸
"With which device is radiopharmaceutical activity measured in nuclear medicine?"

→ The dose calibrator (well-type ionisation chamber).

▸
"In which voltage region does the dose calibrator operate?"

→ The ionisation region.

▸
"Is there gas amplification in a dose calibrator?"

→ NO. The dose calibrator works in current mode, not pulse mode → it cannot count single photons; it measures total activity.

5.1.4 Proportional Counter

The detector operating in the proportional region. There is gas amplification, and the collected charge is proportional to the primary ionisation.

Features:

•
Gas amplification: 10³-10⁶-fold
•
Can discriminate energy (pulse size proportional to energy)
•
Operates in pulse mode
•
More sensitive than the ionisation chamber
•
Better energy resolution than the GM counter

Clinical applications:

•
Measurement of low-energy radiation (alpha, beta, low-energy X-rays)
•
Alpha-beta discrimination (different pulse sizes)
•
Neutron detection (with BF₃ or ³He gas)
•
Contamination measurement
•
Laboratory research

5.1.5 Geiger-Müller (GM) Counter3 questions

The detector operating in the GM region. Even a single ionisation event produces a full avalanche.

Features:

•
Very high gas amplification (~10⁸-10¹⁰)
•
All pulses are the same size → energy discrimination is NOT possible
•
Very high sensitivity → detection of low activity
•
Simple, inexpensive, portable
•
Can give an audible/visual alarm

Quenching:

•
In a GM counter the detector must be ready to be triggered again after each pulse
•
Positive ions form an "ion cloud" around the anode → blocks new pulses
•
A quenching gas (halogen: Br₂, Cl₂, or organic: ethanol, ethyl acetate) solves this problem
•
Halogen quenching: Unlimited lifetime (the halogen re-forms)
•
Organic quenching: Limited lifetime (the gas is used up after ~10⁹ counts)

Dead time:

•
The time after each pulse during which the detector cannot record a new event
•
Dead time is long in a GM counter (~100-300 µs) → losses at high count rates
•
Dead time correction is needed: Ntrue = Nmeasured / (1 - Nmeasured × τ)
•
N: Count rate (cps), τ: dead time (seconds)

Clinical applications:

•
Contamination survey (most common use)
•
Area monitoring (survey meter)
•
Searching for radioactive sources
•
Patient/staff contamination checks
•
Package/consignment surveys
BOARD TIP
▸
The comparison of GM counter vs ionisation chamber vs proportional counter is a board classic. GM counter: most sensitive, CANNOT discriminate energy, longest dead time, ideal for contamination surveys. Ionisation chamber: dose calibrator, energy-independent, no gas amplification. Proportional counter: can discriminate energy, alpha-beta discrimination possible.
▸
"Which gas-filled detector has the longest dead time?"

→ The GM counter.

5.1.6 Gas-Filled Detectors – Comparative Summary

•
Ionisation chamber: No gas amplification → current mode → energy-independent → dose calibrator, survey meter
•
Proportional counter: Gas amplification present (10³-10⁶) → pulse mode → can discriminate energy → alpha-beta discrimination
•
GM counter: Maximum amplification (10⁸-10¹⁰) → pulse mode → cannot discriminate energy → most sensitive → contamination survey

5.2 Scintillation Detectors

5.2.1 General Principle of Operation

Scintillation detectors are devices that convert the light (photon) signals produced by radiation in a scintillation material into an electrical signal.

Mechanism of operation:

1. Radiation interacts with the scintillation crystal/liquid 2. Atoms/molecules in the crystal are excited 3. Excited atoms emit light photons as they return to the ground state (scintillation) 4. The light photons reach the photocathode → photoelectrons are produced 5. The photoelectrons are multiplied by a photomultiplier tube (PMT) or silicon photomultiplier (SiPM) 6. An electrical signal is produced → analysed

Ideal properties of a scintillation material:

•
High light output (high scintillation efficiency)
•
The wavelength of the emitted light must be within the sensitivity range of the PMT photocathode
•
Short decay time (fast signal → high count rate)
•
High density and high Z (effective atomic number) → good stopping power
•
Must be transparent (must not absorb its own light)
•
Linear response (amount of light proportional to energy)

5.2.2 Inorganic Scintillation Crystals11 questions

Inorganic crystals produce light through transitions between the energy bands of activator dopants in the crystal lattice.

NaI(Tl) – Thallium-doped Sodium Iodide:

•
The most widely used scintillation crystal in nuclear medicine
•
The basic detector material of the gamma camera
•
Activator: Thallium (Tl) → increases the light output

Properties of NaI(Tl):

•
Has the highest light output among the classical scintillators (BGO, LSO/LYSO, GSO) (~38 photons/keV), and therefore gives the best energy resolution. Newer crystals such as LaBr₃ are better still
•
Energy resolution: ~10% (at 140 keV, for Tc-99m)
•
Density: 3.67 g/cm³
•
Effective Z: 50
•
Decay time: ~230 ns
•
Hygroscopic → must be protected from moisture (hermetic encapsulation required)
•
Fragile → sensitive to mechanical shock
•
Wavelength of emitted light: ~415 nm (blue-violet) → suited to the PMT photocathode
•
Crystal thickness in the gamma camera: Usually 3/8 inch (~9.5 mm) → optimal for 140 keV
BOARD TIP
▸
"Which crystal is used in the gamma camera?"

→ NaI(Tl).

▸
"The most important disadvantage of NaI(Tl)?"

→ It is hygroscopic (absorbs moisture → the crystal deteriorates).

▸
"Why is the crystal thickness 3/8 inch in the gamma camera?"

→ It gives the optimal balance between sensitivity and resolution for the 140 keV photons of Tc-99m. Thick crystal → sensitivity increases but spatial resolution decreases. Thin crystal → resolution increases but sensitivity decreases.

BGO (Bismuth Germanate – Bi₄Ge₃O₁₂):

•
Older-generation PET detector material
•
Very high density (7.13 g/cm³) and high effective Z (74)
•
Excellent stopping power (for 511 keV photons)
•
Low light output (~15% of NaI)
•
Long decay time (~300 ns) → not suitable for TOF-PET
•
Not hygroscopic
•
Today largely replaced by LSO/LYSO

LSO (Lutetium Oxyorthosilicate – Lu₂SiO₅:Ce):

•
Modern PET detector material
•
High light output (~75% of NaI)
•
Short decay time (~40 ns) → suitable for TOF-PET
•
High density (7.4 g/cm³)
•
High Z (66)
•
Disadvantage: Natural radioactivity of Lu-176 → produces background activity
•
Not hygroscopic

LYSO (Lutetium Yttrium Oxyorthosilicate – Lu₁.₈Y₀.₂SiO₅:Ce):

•
An improved version of LSO
•
Properties very similar to LSO
•
Short decay time (~41 ns) → suitable for TOF-PET
•
High light output
•
The most widely used PET detector material today
•
Lu-176 background activity slightly lower than LSO

GSO (Gadolinium Oxyorthosilicate – Gd₂SiO₅:Ce):

•
PET detector material
•
Good energy resolution
•
Decay time: ~60 ns
•
Lower light output than LSO/LYSO
•
Less widely used

Properties sought in an ideal scintillator:

•
High density and atomic number → high stopping power and hence high detection efficiency
•
High light output → energy and timing resolution improve
•
Short decay time → fast signal, high count rate capability
•
The wavelength of the emitted light should match the wavelength at which the photodetector is most sensitive
•
Non-hygroscopic, easy to cut and machine, and resistant to radiation damage

Difference in scintillator design between SPECT and PET:

•
SPECT (gamma camera): Usually a continuous, single-piece slab crystal is used; as the crystal becomes thicker the light spreads over a wider area, so the intrinsic spatial resolution deteriorates
•
PET: Arrays of small crystals separated by reflector material (pixelated structure) are used; the smaller the crystals, the better the resolution, but the number of photodetector channels and the cost increase
BOARD TIP
▸
The comparison of PET detector materials is often asked in the exam. BGO: older generation, highest effective Z, best stopping power, BUT slow (300 ns) → cannot do TOF. LSO/LYSO: modern standard, fast (~40 ns) → TOF-PET possible, high light output, BUT Lu-176 background activity.
▸
"Which crystal is needed for TOF-PET?"

→ LSO or LYSO (short decay time).

▸
"Why can BGO not be used in TOF-PET?"

→ Its decay time is too long (300 ns).

5.2.3 Organic Scintillation Detectors (Liquid Scintillation Counter)2 questions

Organic scintillation materials are compounds that produce fluorescent light at the molecular level.

Liquid Scintillation Counter (LSC):

•
The radioactive sample is mixed directly into the scintillation liquid (cocktail)
•
Geometry: 4π (sample in the liquid → detection in all directions)
•
Ideal for measuring very-low-energy beta emitters

Applications:

•
H-3 (Tritium): Emax = 18.6 keV → can be measured only with LSC
•
C-14: Emax = 156 keV
•
P-32, S-35, Ca-45
•
Wipe test samples
•
Environmental samples

Quenching – an important problem in LSC:

•
Chemical quenching: Chemicals in the sample reduce light production
•
Colour quenching: Coloured samples absorb the light
•
Quench correction is needed (internal standard, channels ratio, external standard)
BOARD TIP
▸
"With which device is H-3 (tritium) activity measured?"

→ The liquid scintillation counter (LSC). The beta energy of tritium is very low (18.6 keV) → it cannot be measured with gas-filled detectors or a NaI crystal. In LSC the sample is mixed into the liquid → 4π geometry → high efficiency.

▸
"With which device are wipe test samples counted?"

→ Usually an LSC or a well counter.

5.2.4 Photomultiplier Tube (PMT)

The PMT is a vacuum tube that converts the weak light signals from the scintillation crystal into strong electrical signals.

Components and principle of operation:

1. Photocathode: Converts light photons into photoelectrons (photoelectric effect)

–
Quantum efficiency: ~20-30% (1 photoelectron for every 3-5 photons)
–
The bialkali photocathode is the most widely used type

2. Dynodes: 10-12 successive electrodes → the number of electrons increases 3-6-fold at each dynode

–
Total gain: ~10⁶-10⁷
–
An increasing voltage is applied to each dynode

3. Anode: Collects the electrons from the last dynode → an electrical signal is produced

PMT properties:

•
Very high gain (~10⁶-10⁷)
•
Fast response time (~ns)
•
Sensitive to magnetic fields → cannot be used in PET/MR
•
Large size
•
Requires a high voltage (~1000-2000 V)

A 140 keV γ photon converted to light in a NaI(Tl) crystal, to electrons at the photocathode and multiplied at the dynodes; carrier numbers and photopeak width in NaI and CZT are shown.

Continuous stream · no seeking

Key point: in a scintillation detector the energy passes through several conversions and carriers are lost at each; at 140 keV ~900 photoelectrons give ~10% resolution, CZT's ~30,000 carriers ~5–6%.

Source: book (NaI ~38 photons/keV, ~415 nm, ~230 ns; quantum efficiency 20–30%; dynode ×3–6, 10–12 dynodes; CZT 3–5 eV per carrier). Assumptions: ~70% of light reaches the photocathode, QE 25%, ×4; CZT W ≈ 4.6 eV (published value). In CZT other effects such as charge trapping also limit resolution. Micro scale: I K shell 33.17 keV, I Kα 28.6 keV (Bearden 1967); photoelectron path from the integral of the NIST ESTAR stopping power (NaI); mean free path at 28.6 keV in NaI 0.33 mm (NIST XCOM). Magnetic field: r = m·v/(e·B), ≈ 11 µm for a 100 eV electron at 3 T (~100 V between dynodes assumed); orbits are drawn enlarged.

How to use: a single click on the drawing pauses and resumes; ← → change steps; in the photocathode and dynodes step ↑ ↓ or the buttons below switch the MR field on and off.

Speed
Test yourself:Chapter 5 · question 3Chapter 5 · question 11Chapter 5 · question 19Chapter 5 · question 4
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Figure 5.3: Conversion of light into an electrical signal in the scintillation crystal and photomultiplier tube (schematic).

5.2.5 Silicon Photomultiplier (SiPM)5 questions

The SiPM is the semiconductor alternative to the PMT. It is a matrix of avalanche photodiodes (APDs).

SiPM properties:

•
Compact size
•
Insensitive to magnetic fields → used in PET/MR
•
Low voltage (~30-70 V)
•
High gain (~10⁶)
•
Fast timing resolution → suitable for TOF-PET
•
Higher dark current (noise) than the PMT
•
Temperature-sensitive

Analogue and digital SiPM:

•
The SiPM is an array of many small avalanche photodiode (APD) cells operating in Geiger mode; it provides a gain close to that of the PMT at low voltage
•
Conventional (analogue) chain: The photodetector output is first amplified and pulse-shaped, then digitised
•
Digital SiPM: The signal of each microcell (photodiode) is digitised individually → photon count and time stamp are obtained directly → coincidence time resolution (CTR) improves (a CTR of ~130 ps has been reported with digital SiPMs)
•
CTR (coincidence time resolution) is the key parameter of TOF-PET; it is determined by the combined performance of the scintillator, the photodetector and the electronic chain
•
Two ways of digitising the signal early: In CZT digitisation takes place at the level of the gamma photon, in the digital SiPM at the level of the optical photon
•
Using SiPMs instead of PMTs improves light collection and solid-angle coverage → sensitivity and count rate increase; imaging can be done with lower activity or in a shorter time
BOARD TIP
▸
"Why can PMTs not be used in PET/MR?"

→ The PMT is sensitive to magnetic fields → it cannot work in the MR magnetic field. SiPMs (or APDs) are used in PET/MR.

▸
"Advantages of the SiPM over the PMT?"

→ Compact, insensitive to magnetic fields, low voltage.

▸
"Disadvantage of the SiPM?"

→ Dark current (noise), temperature sensitivity.

5.3 Semiconductor Detectors

5.3.1 General Principle of Operation

Semiconductor detectors are solid-state detectors that convert the electron-hole pairs produced by radiation in a semiconductor material into an electrical signal.

Mechanism of operation:

1. Radiation enters the semiconductor material 2. An electron passes from the valence band to the conduction band → an electron-hole pair is formed 3. Under the applied electric field, electrons and holes move towards opposite electrodes 4. The collected charge forms an electrical signal

Advantages of semiconductor detectors:

•
The energy needed to create one ion pair is very low (~3-5 eV) → much more signal is produced than in gas detectors (~30 eV) and scintillation detectors
•
Excellent energy resolution (the best of all detector types)
•
Compact size
•
Fast response

5.3.2 CZT (Cadmium Zinc Telluride – CdZnTe)5 questions

CZT is a semiconductor detector material with increasing use in nuclear medicine.

CZT properties:

•
Operates at room temperature (no cooling needed) → practical for clinical use
•
Excellent energy resolution (~5-6%, at 140 keV) → much better than NaI(Tl) (~10%)
•
High Z (Cd: 48, Zn: 30, Te: 52) → good stopping power
•
Compact → small detector modules can be made
•
Direct conversion: Radiation → electrical signal directly (no intermediate light step)
•
Does not require a PMT

Advantages of CZT over NaI(Tl):

•
Better energy resolution → better scatter rejection
•
More compact → flexible detector geometry
•
Potential for better spatial resolution
•
Direct conversion → little signal loss

A 140 keV γ photon converted to light in a NaI(Tl) crystal, to electrons at the photocathode and multiplied at the dynodes; carrier numbers and photopeak width in NaI and CZT are shown.

Continuous stream · no seeking

Key point: in a scintillation detector the energy passes through several conversions and carriers are lost at each; at 140 keV ~900 photoelectrons give ~10% resolution, CZT's ~30,000 carriers ~5–6%.

Source: book (NaI ~38 photons/keV, ~415 nm, ~230 ns; quantum efficiency 20–30%; dynode ×3–6, 10–12 dynodes; CZT 3–5 eV per carrier). Assumptions: ~70% of light reaches the photocathode, QE 25%, ×4; CZT W ≈ 4.6 eV (published value). In CZT other effects such as charge trapping also limit resolution. Micro scale: I K shell 33.17 keV, I Kα 28.6 keV (Bearden 1967); photoelectron path from the integral of the NIST ESTAR stopping power (NaI); mean free path at 28.6 keV in NaI 0.33 mm (NIST XCOM). Magnetic field: r = m·v/(e·B), ≈ 11 µm for a 100 eV electron at 3 T (~100 V between dynodes assumed); orbits are drawn enlarged.

How to use: a single click on the drawing pauses and resumes; ← → change steps; in the photocathode and dynodes step ↑ ↓ or the buttons below switch the MR field on and off.

Speed
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Figure 5.4: Indirect conversion chain in scintillation detectors, direct conversion in CZT, and the effect on energy resolution (schematic).

Disadvantages of CZT:

•
High cost
•
Small crystal size → difficult to make large-area detectors
•
Manufacturing difficulties (growing homogeneous crystals)

Clinical applications:

•
CZT-SPECT cardiac cameras (D-SPECT, Discovery NM 530c)
•
Small field-of-view detectors
•
Portable gamma cameras
•
Intraoperative gamma probes

Dedicated cardiac CZT SPECT designs:

•
Multi-pinhole design (GE Discovery NM 530c): There are 19 stationary cameras; each pinhole focuses on only one CZT detector region → fixed multi-pinhole collimation improves resolution and no light-sharing problem arises
•
D-SPECT: Contains 9 rotating columns arranged in an arc around the heart; tungsten parallel-hole collimators with shorter and wider holes give a high solid angle and sensitivity
•
CZT converts the gamma photon directly into an electrical signal; no scintillator is needed, and energy and position accuracy increase
BOARD TIP
▸
"Which type of detector has the best energy resolution?"

→ Semiconductor detectors (CZT).

▸
"The most important advantage of CZT over NaI(Tl)?"

→ Superior energy resolution.

▸
"Why does CZT not need cooling?"

→ Thanks to its wide band gap, thermal noise is low at room temperature. Germanium (Ge) detectors, by contrast, require cooling with liquid nitrogen → their clinical use is limited.

5.3.3 Other Semiconductor Detectors

Silicon (Si) detectors:

•
Low Z (14) → suitable for low-energy radiation
•
Alpha and beta particle spectrometry
•
Widely used in high-energy physics
•
Insufficient stopping power for gamma detection

Germanium (Ge) detectors:

•
Best energy resolution (of all detectors)
•
Energy resolution: ~0.2-0.5% (at 662 keV)
•
Requires cooling with liquid nitrogen (77 K) → limited clinical use
•
The gold standard for radionuclide identification and gamma spectroscopy
•
Has no routine clinical use in nuclear medicine

5.4 Well Counter, Dose Calibrator, Probe Detectors

5.4.1 Well Counter4 questions

The well counter is a highly sensitive scintillation detector used to measure the activity of small-volume radioactive samples (blood, urine, tissue samples).

Structure:

•
The NaI(Tl) crystal is hollowed out into a cylindrical well
•
The sample is placed inside the well → almost 4π geometry
•
The PMT is optically coupled to the crystal
•
Ambient radiation is blocked by lead shielding

Features:

•
Very high geometric efficiency (~90-95%) → close to 4π
•
Detection efficiency is the product of two components: geometric efficiency (the solid angle at which the source sees the detector; depends on distance and detector size) × intrinsic efficiency (depends on crystal thickness, Z and photon energy). When the source is moved away, only the geometric efficiency falls
•
Can measure very low activities (nCi-pCi level)
•
Can discriminate energy (pulse height analysis)
•
Works in pulse mode → counts single photons
•
When the activity is high (approximately >37 kBq (1 µCi)) dead-time losses distort the count. Because the geometric efficiency falls as the sample volume increases, standards and samples should be counted in the same volume and in the same type of tube
•
Serial measurements can be made with an automatic sample changer

Clinical applications:

•
In vitro radioimmunoassay (RIA)
–
RIA (competitive): I-125-labelled antigen and the patient's antigen compete to bind a limited amount of antibody → the count is inversely proportional to the amount of antigen. IRMA (sandwich, non-competitive): labelled antibody is used in excess → the count is directly proportional to the amount of antigen and the method is more sensitive
–
Standard (calibration) curve: Standards of known concentration are run in the same matrix as the patient samples and the signal is plotted against concentration. The slope is negative in a competitive assay and positive in a sandwich assay. The curve is usually fitted with a four-parameter logistic model; a linear model misleads at the ends of the working range
–
Quality control: Control samples at low, middle and high concentrations are run in every assay, at least in duplicate; if the results fall outside the acceptance range around the expected value the run is rejected. A competitive assay is less sensitive than a sandwich assay and more affected by the serum matrix
•
Measurement of activity in blood/urine/tissue samples
•
Counting of blood samples for GFR and ERPF calculations
•
Counting of wipe test samples
•
Schilling test (B12 absorption test – historical)
•
Blood volume measurement (Cr-51-labelled erythrocytes)

Well counter vs dose calibrator – important differences:

•
Well counter: NaI(Tl) scintillation detector → pulse mode → very low activities (nCi-pCi) → in vitro samples
•
Dose calibrator: Ionisation chamber → current mode → high activities (µCi-mCi) → radiopharmaceutical doses
BOARD TIP
▸
"With which device is activity measured in in vitro blood samples?"

→ The well counter (NaI(Tl) well counter).

▸
"What is the basic difference between the well counter and the dose calibrator?"

→ Well counter: scintillation detector, pulse mode, low activity. Dose calibrator: ionisation chamber, current mode, high activity. They CANNOT be used interchangeably!

A Well counter B Dose calibrator (activity meter) PMT Sample (blood, urine) NaI(Tl) well crystal Lead shield PMT → pulse mode → PHA Scintillation detector · pulse mode · energy discrimination ~4π geometry, efficiency ~90–95% Very low activity (nCi–pCi) → in vitro samples Vial / syringe Pressurised argon Electrodes (DC voltage) 37.0 MBq Electro- meter (current → activity) Radio- nuclide setting Well-type ionisation chamber · current mode · no amplification Cannot count single photons; measures total activity High activity (µCi–mCi) → patient doses

Figure 5.5: Comparison of the structure and operating principle of the well counter and the dose calibrator (schematic).

Did this figure help you understand the topic?

5.4.2 Dose Calibrator (Detailed)5 questions

The dose calibrator is the basic device used to measure radiopharmaceutical activity in nuclear medicine. Its structure and operating principle are explained in 5.1.3; details of clinical use are given here.

Measurement principle:

•
Well-type ionisation chamber filled with pressurised gas (argon)
•
The radiopharmaceutical is placed in the well
•
Gamma rays ionise the gas → a current is produced
•
The current is converted to activity with a radionuclide-specific calibration factor
•
Result: Activity in mCi or MBq

Radionuclide selection (dial/pot setting):

•
A different calibration number is entered for each radionuclide
•
Wrong radionuclide selection → wrong activity measurement → patient dosimetry error
•
Most common source of error: Wrong radionuclide setting
•
Note on terminology: The device measures the activity of the radiopharmaceutical, not the dose to be given to the patient. The name "activity meter" is therefore preferred; "dose calibrator" is regarded as a misleading term
•
Activity meters are usually shielded cylindrical ionisation chambers; they are calibrated for the type and energy of radiation and for the measurement geometry

Geometry effects:

•
Sample volume, vial/syringe type and position → affect the measurement
•
A standard geometry should be used (same type of vial, same volume, same position)
•
The calibration geometry and the measurement geometry should be the same

Quality control tests (see Chapter 27 – detailed):

•
Daily: Constancy test → with a reference source
•
At installation + every 6 months or annually: Linearity test → over a wide activity range
•
Annual: Accuracy test → with certified reference sources
•
Geometry test: Consistency of measurement in different volumes and containers

5.4.3 Probe Detectors (Gamma Probe)3 questions

The gamma probe is a small hand-held detector used to localise radioactive tissue/lymph nodes during surgery.

Structure:

•
Small NaI(Tl), CsI(Tl), CZT or plastic scintillator detector
•
Collimation: Narrow-angle lead/tungsten sheath → directional sensitivity
•
Audible signal: A sound whose frequency rises with the count rate → guides the surgeon
•
Sterilisable sheath

Clinical applications:

•
Sentinel lymph node biopsy (SLNB): The most important use
–
Intraoperative localisation of the sentinel lymph node after injection of Tc-99m nanocolloid
–
Standard practice in breast cancer and melanoma (see Chapter 22)
•
Parathyroidectomy: Intraoperative localisation of a parathyroid adenoma labelled with Tc-99m MIBI
•
Radioguided surgery: Intraoperative detection of tumour tissue
•
Detection of residual thyroid tissue after I-131 therapy
•
The probe gives a relative quantification based on count rate; it does not measure absolute activity
•
There are also probe models that can be attached to endoscopic and robotic surgical systems

Use of the gamma probe in sentinel lymph node criteria:

•
All nodes giving a count ≥10% of that of the hottest node are removed (the 10% rule)
•
Confirmation is made by ex vivo counting
BOARD TIP
▸
"With which device is intraoperative localisation performed in sentinel lymph node biopsy?"

→ The gamma probe.

▸
"The most commonly used detector material in the gamma probe?"

→ NaI(Tl) or CZT.

▸
"Acceptance criterion for a sentinel lymph node?"

→ The 10% rule: all nodes giving ≥10% of the (ex vivo) count of the hottest node are removed (frequently used node/background thresholds for a "hot" node are also ex vivo ≥10:1, in vivo ≥3:1). Using the gamma probe together with blue dye (patent blue/isosulfan blue) increases the success rate.

5.4.4 Thyroid Uptake Probe

The thyroid uptake probe is a special scintillation detector used to measure radioactive iodine uptake by the thyroid gland.

Structure:

•
NaI(Tl) crystal (usually 2" × 2" cylindrical)
•
Flat-field collimator
•
PMT and electronics
•
Fixed distance setting (usually 20-30 cm)

Principle of operation:

•
I-131 or I-123 is given orally to the patient
•
After a set time (4-6 hours and/or 24 hours) a count is taken over the thyroid
•
A standard phantom count of the same dose is taken
•
Uptake (%) = [(Thyroid count - Background) / (Standard count - Background)] × 100

Normal values:

•
I-131 24-hour uptake: 10-30%
•
I-123 24-hour uptake: 10-30%
•
I-123 4-6-hour uptake: 6-18%

Clinical use:

•
Diagnosis and differential diagnosis of hyperthyroidism
•
Calculation of the I-131 therapy dose
•
An aid in the evaluation of thyroid nodules
•
See Chapter 13 – Thyroid Nuclear Medicine Applications

5.5 Energy Spectrum and Resolution

5.5.1 The Energy Spectrum3 questions

The energy spectrum is a graph showing the energy distribution of the events recorded by the detector. X axis: energy (keV); Y axis: counts (number of events).

Components of the gamma-ray energy spectrum:

1. Photopeak (photoelectric peak / full-energy peak):

–
Events in which the gamma photon deposits all its energy in the crystal
–
Arises from photoelectric interaction
–
Peak position = the true energy of the gamma ray
–
Photopeak for Tc-99m: 140 keV
–
Imaging is based on this peak

2. Compton edge and Compton plateau:

–
Arise from Compton scattering
–
The scattered photon escapes from the crystal → only part of the energy is deposited
–
Compton edge: Maximum energy transfer (180° scattering)
–
The energies of the Compton edge and the backscatter peak add up to the photopeak energy. In Tc-99m the Compton edge (~50 keV) lies below the ~90 keV backscatter peak; for high-energy photons (Cs-137: edge 478 keV, backscatter peak 184 keV) the edge falls between the backscatter peak and the photopeak
–
Compton plateau: The flat region below the edge (scattering at different angles)

3. Backscatter peak:

–
Entry of a photon into the crystal after 180° scattering from materials outside the crystal (collimator, lead shielding)
–
A small peak at low energy (~90 keV for Tc-99m, ~184 keV for Cs-137)

4. Lead X-ray peak:

–
Characteristic X-rays arising from the lead shielding
–
Around ~72-88 keV

5. Iodine escape peak:

–
Escape from the crystal of the characteristic iodine X-ray (~28 keV) produced after a photoelectric interaction in the NaI crystal
–
A small peak appears 28 keV below the photopeak
–
For Tc-99m: at 140 - 28 = 112 keV
–
More pronounced with low-energy radionuclides

6. Sum peak (pile-up peak):

–
Two photons reach the detector simultaneously → their energies are summed
–
Seen at high count rates
–
A peak appears at 2 times the photopeak energy
–
Pulse pile-up also broadens the photopeak and creates a tail on the high-energy side → events shift outside the window, and positioning errors (mispositioning) appear in the gamma camera
BOARD TIP
▸
The components of the energy spectrum are a board classic.
▸
"What is the peak at 112 keV in the Tc-99m spectrum?"

→ The iodine escape peak (140 - 28 = 112 keV).

▸
"What is the Compton edge?"

→ The point corresponding to the maximum energy transfer in Compton scattering (180° scattering).

▸
"When is the sum peak seen?"

→ At high count rates (pile-up).

▸
"Where does the backscatter peak come from?"

→ Photons scattered through 180° from materials outside the crystal (collimator, shielding).

The energy spectrum of photons reaching the detector builds up event by event (photopeak, Compton, backscatter, lead X-ray, escape and sum peaks); FWHM measurement and the pulse-height analyser window are shown.

Continuous stream · no seeking

Key point: the photopeak is full energy absorption; Compton, backscatter, escape and X-ray peaks are partial or secondary events. The energy window rejects photons scattered in the patient; a narrower window means less scatter but also fewer counts.

Source: Compton edge and backscatter from formula (Tc-99m 49.8 / 90.7, Cs-137 477.6 / 184.3 keV); Pb Kα₁ 74.97, Kβ₁ 84.94 keV; I K X-ray 28.6 keV; Compton angles from the Klein–Nishina distribution. NaI FWHM 10% at 140 keV (∝ 1/√E), CZT 5.5%. Event-type fractions are representative. HPGe FWHM: 0.5–1.0 keV at 122 keV (Mirion and ORTEC data sheets, 2025); 0.84 keV here. Escape peaks follow the detector's own K X-ray: I 28.6; Cd 23.2 / Te 27.5; Ge 9.9 keV (Bearden 1967).

How to use: a single click on the drawing pauses and resumes; the buttons below the drawing pick the source, the detector or the window width; ← → change steps and selections.

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Test yourself:Chapter 5 · question 7
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Figure 5.6: Components of the Tc-99m and Cs-137 gamma energy spectra in a NaI(Tl) detector (schematic).

5.5.2 Energy Resolution3 questions

Energy resolution is the ability of the detector to distinguish photons of different energies from one another.

Definition and formula:

•
Energy resolution (%) = (FWHM / E₀) × 100
•
FWHM: Full width of the photopeak at half its height (Full Width at Half Maximum)
•
E₀: Photopeak energy
•
Lower value = better resolution

Typical energy resolution values:

•
NaI(Tl): ~10% (at 140 keV) → gamma camera standard
•
CZT: ~5-6% (at 140 keV) → better than NaI
•
Ge (HPGe): ~0.2-0.5% → the best (but cooling is needed)
•
BGO: ~20% (511 keV) → worse than NaI and LSO/LYSO because of its low light output
•
LSO/LYSO: ~10-12% (at 511 keV)

Factors affecting energy resolution:

1. Statistical fluctuations: Statistical variation in the number of light photons/ion pairs produced → the most important factor

•
Because the number of light photons produced is proportional to the photon energy, %FWHM varies approximately as 1/√E; energy resolution worsens as energy falls (%FWHM: Tl-201 > Tc-99m > I-131)

2. Detector material: The lower the energy needed to create one signal unit → more signal → better statistics → better resolution

3. PMT gain variation: Fluctuations in the electron multiplication process in the PMT 4. Electronic noise: Noise in the amplifier and other electronic components 5. Crystal homogeneity: Structural defects in the crystal affect the light output

Clinical importance of energy resolution:

•
Good energy resolution → a narrow energy window can be used → scattered photons are rejected better → image contrast increases
•
Poor energy resolution → a wide energy window is needed → scattered photons are accepted → image contrast decreases
•
In dual-isotope studies (such as Tl-201 + Tc-99m) good energy resolution is critical → separation of the peaks

The energy spectrum of photons reaching the detector builds up event by event (photopeak, Compton, backscatter, lead X-ray, escape and sum peaks); FWHM measurement and the pulse-height analyser window are shown.

Continuous stream · no seeking

Key point: the photopeak is full energy absorption; Compton, backscatter, escape and X-ray peaks are partial or secondary events. The energy window rejects photons scattered in the patient; a narrower window means less scatter but also fewer counts.

Source: Compton edge and backscatter from formula (Tc-99m 49.8 / 90.7, Cs-137 477.6 / 184.3 keV); Pb Kα₁ 74.97, Kβ₁ 84.94 keV; I K X-ray 28.6 keV; Compton angles from the Klein–Nishina distribution. NaI FWHM 10% at 140 keV (∝ 1/√E), CZT 5.5%. Event-type fractions are representative. HPGe FWHM: 0.5–1.0 keV at 122 keV (Mirion and ORTEC data sheets, 2025); 0.84 keV here. Escape peaks follow the detector's own K X-ray: I 28.6; Cd 23.2 / Te 27.5; Ge 9.9 keV (Bearden 1967).

How to use: a single click on the drawing pauses and resumes; the buttons below the drawing pick the source, the detector or the window width; ← → change steps and selections.

Speed
Test yourself:Chapter 5 · question 8
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Figure 5.7: Definition of energy resolution by FWHM and comparison of NaI(Tl) and CZT photopeaks (schematic).

5.5.3 Pulse Height Analyser (PHA)3 questions

The PHA is the electronic circuit that classifies and selects the electrical pulses from the detector according to their energy values.

Principle of operation:

•
The height (amplitude) of each pulse is proportional to the energy of the photon
•
The PHA accepts pulses within the set energy range (window) and rejects those outside it

Types of PHA:

•
Single channel analyser (SCA):
–
A lower level discriminator (LLD) and an upper level discriminator (ULD) are set
–
Only pulses between these two thresholds are accepted
–
Used in the gamma camera
•
Multichannel analyser (MCA):
–
Divides the energy spectrum into many channels (typically 256-8192 channels)
–
Records the number of events in each channel → builds the full energy spectrum
–
Used for spectroscopy and radionuclide identification

Energy window setting:

•
Standard window: Photopeak ± 10% (a 20% window in total)
•
Tc-99m: 140 keV ± 10% → 126-154 keV
•
I-131: 364 keV ± 10% → 328-400 keV
•
Tl-201: a 30% window centred on 70 keV (~60-81 keV; Hg X-rays 69-83 keV) together with a second 20% window at 167 keV
•
Narrow window: Better scatter rejection → better contrast → but sensitivity decreases
•
In small-angle Compton scattering the photon loses little energy (a 140 keV photon scattered up to ~50° still falls within the 126-154 keV window) → the PHA cannot distinguish these photons. Low photon energy and poor energy resolution make scatter rejection more difficult
•
Wide window: More photons accepted → sensitivity increases → but scatter increases → contrast decreases
BOARD TIP
▸
"What is the standard energy window for Tc-99m?"

→ 140 keV ± 10% = 20% window (126-154 keV).

▸
"What happens if the energy window is narrowed?"

→ Scatter decreases and contrast increases, BUT sensitivity (counts) decreases.

▸
"What happens if the energy window is widened?"

→ Sensitivity increases, BUT scatter increases and contrast decreases. Setting the energy window is a balance between sensitivity and contrast.

The energy spectrum of photons reaching the detector builds up event by event (photopeak, Compton, backscatter, lead X-ray, escape and sum peaks); FWHM measurement and the pulse-height analyser window are shown.

Continuous stream · no seeking

Key point: the photopeak is full energy absorption; Compton, backscatter, escape and X-ray peaks are partial or secondary events. The energy window rejects photons scattered in the patient; a narrower window means less scatter but also fewer counts.

Source: Compton edge and backscatter from formula (Tc-99m 49.8 / 90.7, Cs-137 477.6 / 184.3 keV); Pb Kα₁ 74.97, Kβ₁ 84.94 keV; I K X-ray 28.6 keV; Compton angles from the Klein–Nishina distribution. NaI FWHM 10% at 140 keV (∝ 1/√E), CZT 5.5%. Event-type fractions are representative. HPGe FWHM: 0.5–1.0 keV at 122 keV (Mirion and ORTEC data sheets, 2025); 0.84 keV here. Escape peaks follow the detector's own K X-ray: I 28.6; Cd 23.2 / Te 27.5; Ge 9.9 keV (Bearden 1967).

How to use: a single click on the drawing pauses and resumes; the buttons below the drawing pick the source, the detector or the window width; ← → change steps and selections.

Speed
Test yourself:Chapter 5 · question 10Chapter 5 · question 18
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Figure 5.8: Pulse selection with the energy window in the pulse height analyser and the effect of window width (schematic).

5.5.4 Counting Statistics4 questions

Radioactive decay is a random process and follows the Poisson distribution.

Poisson distribution:

•
Mean = N (total counts)
•
Standard deviation (σ) = √N
•
Relative standard deviation = σ/N = 1/√N
•
95% confidence interval: N ± 2√N

Clinical importance:

•
More counts → lower relative standard deviation → better statistical quality
•
To increase counts: More time, more activity, a more sensitive detector
•
Image quality depends directly on counting statistics

Minimum detectable activity (MDA):

•
The lowest activity that can be significantly distinguished from the background count
•
The MDA calculation depends on the background count and the counting time

Dead time and paralysis:

•
Paralysable (extendable) system: Each event restarts the dead time → at very high count rates the count may fall to zero (paralysis)
•
Non-paralysable (non-extendable) system: Dead time constant → the count reaches a plateau but does not fall to zero
•
Gamma camera: Usually shows paralysable behaviour
•
GM counter: Shows non-paralysable behaviour
BOARD TIP
▸
"What is the standard deviation of 1 million counts?"

→ √1,000,000 = 1000.

▸
"Relative standard deviation?"

→ 1000/1,000,000 = 0.1%.

▸
"What is done to improve counting statistics?"

→ Increase the counts (a longer time or more activity).

▸
"What happens in a paralysable system at a very high count rate?"

→ The count paradoxically falls (paralysis) → a dangerous situation: a high radiation field may appear as a low count!

A Poisson: σ = √N, σ/N = 1/√N 10² 10⁴ 10⁶ 10 1 0.1 Total counts (N) Relative standard deviation (%) N = 100 → σ = 10 → 10% N = 10⁴ → σ = 100 → 1% N = 10⁶ → σ = 1000 → 0.1% B Dead time and count loss 0 1 2 3 4 5 True count rate (n·τ) 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 Observed count rate (m·τ) plateau (1/τ) Ideal (no loss) Non-paralysable (GM counter) Paralysable (gamma camera) max. 1/(eτ) paralysis: high field appears as a low count

Figure 5.9: Relative standard deviation as a function of the number of counts and dead-time losses in paralysable/non-paralysable systems.

Did this figure help you understand the topic?

Key Points for the Board

Gas-Filled Detectors – Quick Comparison

•
Ionisation chamber: NO gas amplification → current mode → energy-independent → dose calibrator, survey meter, pocket dosimeter
•
Proportional counter: Gas amplification PRESENT (10³-10⁶) → pulse mode → CAN discriminate energy → alpha-beta discrimination, neutron detection
•
GM counter: Maximum amplification (10⁸-10¹⁰) → pulse mode → CANNOT discriminate energy → most sensitive → longest dead time (~100-300 µs) → contamination survey

Order of Voltage Regions (Memorise!):

•
Recombination → Ionisation → Proportional → Limited proportional → Geiger-Müller → Continuous discharge

Scintillation Crystals – Quick Comparison

•
NaI(Tl): Gamma camera standard → highest light output among classical scintillators → energy resolution ~10% → hygroscopic → 3/8-inch thickness (for Tc-99m)
•
BGO: Older PET crystal → highest effective Z → best stopping power → BUT slow (300 ns) → CANNOT do TOF → low light output
•
LSO/LYSO: Modern PET standard → fast (~40 ns) → TOF-PET possible → high light output → Lu-176 background activity
•
CZT: Semiconductor → best energy resolution (in clinical use) → direct conversion → no PMT needed → compact → expensive
•
HPGe: Absolutely the best energy resolution → BUT cooling needed (77 K) → no clinical use

PMT vs SiPM Comparison

•
PMT: High gain (10⁶-10⁷) → SENSITIVE to magnetic fields → cannot be used in PET/MR → large size → high voltage (~1000-2000 V)
•
SiPM: High gain (10⁶) → INSENSITIVE to magnetic fields → used in PET/MR → compact → low voltage (~30-70 V) → dark current (noise) → temperature-sensitive

Device-Use Matching (Memorise!):

•
Dose calibrator → Radiopharmaceutical activity measurement (µCi-mCi)
•
Well counter → In vitro sample activity measurement (nCi-pCi)
•
GM counter → Contamination survey
•
Gamma probe → Intraoperative sentinel lymph node localisation
•
Thyroid uptake probe → Measurement of thyroid iodine uptake
•
LSC (liquid scintillation counter) → H-3, C-14 (low-energy beta emitters)
•
Proportional counter → Alpha-beta discrimination, neutron detection
•
Detection efficiency = geometric efficiency × intrinsic efficiency; increasing the distance lowers only the geometric efficiency
•
Well counter: dead-time loss at >~1 µCi; geometric efficiency falls as sample volume increases → standard and sample are counted in the same volume/tube
•
RIA (competitive): count INVERSELY proportional to antigen; IRMA (sandwich, non-competitive): count DIRECTLY proportional to antigen, more sensitive

Components of the Energy Spectrum (Memorise!)

•
Photopeak: Photoelectric interaction → all energy deposited → imaging is based on this peak
•
Compton edge/plateau: Compton scattering → partial energy deposited
•
Iodine escape peak: Photopeak – 28 keV ( 112 keV for Tc-99m)
•
Backscatter peak: 180° scattering from outside the crystal
•
Lead X-ray peak: ~72-88 keV
•
Sum peak: Pile-up → photopeak × 2 (at high count rate)
•
Compton edge + backscatter peak = photopeak energy (Tc-99m: ~50 + ~90 keV; Cs-137: 478 + 184 keV)
•
%FWHM varies as ≈ 1/√E → energy resolution worsens at low energy (Tl-201 > Tc-99m > I-131)

Energy Window Rules

•
Standard: Photopeak ± 10% = 20% window
•
Tc-99m: 126-154 keV
•
I-131: 328-400 keV
•
Tl-201: 70 keV-centred 30% window (~60-81 keV) + a 20% window at 167 keV
•
Narrow window → contrast↑, sensitivity↓
•
Wide window → sensitivity↑, contrast↓

Counting Statistics Formulas (Memorise!)

•
Standard deviation: σ = √N
•
Relative standard deviation: σ/N = 1/√N
•
95% confidence interval: N ± 2√N
•
99% confidence interval: N ± 2.58√N (±3√N ≈ 99.7%)
•
If you increase the count 4 times → the standard deviation increases 2 times → the relative standard deviation halves

Dead Time and Paralysis

•
Paralysable system: Count rate↑↑ → paradoxical fall in count (paralysis) → DANGEROUS (high radiation appears as a low count)
•
Non-paralysable system: Count rate↑↑ → plateau (the count does not rise but does not fall either)
•
Gamma camera: Paralysable
•
GM counter: Non-paralysable
•
Dead time correction formula: Ntrue = Nmeasured / (1 - Nmeasured × τ)

Scintillator and Photodetector Technology – Additional Points

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Density/Z → detection efficiency; light output → energy and timing resolution; decay time → speed
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SPECT: single-piece crystal; PET: pixelated crystal array separated by reflector
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SiPM/APD → Geiger mode; digital SiPM → each cell digitised separately → CTR ~130 ps
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Multi-pinhole CZT (19 cameras) → no light sharing; D-SPECT → 9 rotating columns, high sensitivity
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"Activity meter" instead of "dose calibrator" (the device measures activity)
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Gamma probe → relative quantification by count rate; endoscopic/robotic models available

Frequently Asked Board Questions – Quick Answer Cards

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"With which device is radiopharmaceutical activity measured?" → Dose calibrator
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"What type of detector is the dose calibrator?" → Well-type ionisation chamber (pressurised gas)
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"Is there gas amplification in the dose calibrator?" → NO
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"Gamma camera crystal?" → NaI(Tl)
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"Activator of NaI(Tl)?" → Thallium (Tl)
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"Most important disadvantage of NaI(Tl)?" → Hygroscopic
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"Crystal thickness in the gamma camera?" → 3/8 inch (~9.5 mm)
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"Modern standard crystal in PET?" → LSO/LYSO
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"Crystal for TOF-PET?" → LSO/LYSO (short decay time ~40 ns)
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"Why can BGO not do TOF?" → Decay time too long (300 ns)
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"Detector with the best energy resolution?" → HPGe (cooling needed) → CZT in clinical use
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"Photodetector in PET/MR?" → SiPM (insensitive to magnetic fields)
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"Why can PMTs not be used in PET/MR?" → Sensitive to magnetic fields
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"Gas-filled detector that cannot discriminate energy?" → GM counter
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"Device for contamination survey?" → GM counter
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"Measurement of H-3 (tritium)?" → Liquid scintillation counter (LSC)
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"Counting of in vitro blood samples?" → Well counter (NaI well counter)
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"Intraoperative localisation of the sentinel lymph node?" → Gamma probe
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"Tc-99m energy window?" → 140 keV ± 10% (20% window)
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"Iodine escape peak (Tc-99m)?" → 112 keV (140 - 28)
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"Standard deviation of 10,000 counts?" → √10,000 = 100
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"Gas-filled detector with the longest dead time?" → GM counter (~100-300 µs)
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"What happens in a paralysable system at a high count rate?" → Paradoxical fall in count (paralysis)
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"Most common source of error in the dose calibrator?" → Wrong radionuclide setting (dial setting)
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"In which mode does the dose calibrator work?" → Current mode (NOT pulse mode)
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"What type of detector is the well counter?" → NaI(Tl) scintillation detector (well-type)
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"In which mode does the well counter work?" → Pulse mode
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"Difference between the well counter and the dose calibrator?" → Well counter: scintillation, pulse mode, low activity (nCi-pCi). Dose calibrator: ionisation chamber, current mode, high activity (µCi-mCi)
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"Why is a quenching gas needed in a GM counter?" → The positive ion cloud must be quenched to prevent continuous discharge → halogen (unlimited lifetime) or organic (limited lifetime ~10⁹ counts)
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"Difference between the proportional counter and the GM counter?" → The proportional counter CAN discriminate energy (pulse size proportional to energy); the GM counter CANNOT
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"What does yellowing of a NaI(Tl) crystal mean?" → Moisture damage (the hygroscopic crystal has absorbed moisture → the crystal is degraded → must be replaced)
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"Disadvantage of LSO/LYSO?" → Natural radioactivity of Lu-176 → background activity
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"What happens if the crystal thickness in the gamma camera is increased?" → Sensitivity increases (more photons absorbed) BUT intrinsic spatial resolution decreases
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"What happens if the crystal thickness in the gamma camera is reduced?" → Intrinsic spatial resolution increases BUT sensitivity decreases (fewer photons absorbed)
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"Energy resolution formula?" → (FWHM / E₀) × 100 (%)
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"Most important factor affecting energy resolution?" → Statistical fluctuations (variation in the number of signal units produced)
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"Difference between SCA and MCA?" → SCA: Single energy window (gamma camera). MCA: multichannel full spectrum (spectroscopy, radionuclide identification)
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"With which device is a wipe test sample counted?" → Well counter or LSC (depending on the radionuclide)

Detector Materials – Table of Numerical Values (Memorise!)

The following numerical values are often asked in board exams:

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NaI(Tl): Density 3.67 g/cm³ | Zeff 50 | Decay time 230 ns | Energy resolution ~10% (140 keV)
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BGO: Density 7.13 g/cm³ | Zeff 74 | Decay time 300 ns | Energy resolution ~20% (511 keV)
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LSO: Density 7.4 g/cm³ | Zeff 66 | Decay time 40 ns | Energy resolution ~10-12% (511 keV)
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LYSO: Density 7.1 g/cm³ | Zeff 65 | Decay time 41 ns | Energy resolution ~10-12% (511 keV)
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CZT: Density 5.8 g/cm³ | Zeff ~50 | Energy resolution ~5-6% (140 keV)
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HPGe: Density 5.32 g/cm³ | Z 32 | Energy resolution ~0.2-0.5% | Cooling: 77 K (liquid nitrogen)

Energy Needed to Create One Ion Pair/Signal Unit (Memorise!)

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Gas (air): ~34 eV/ion pair
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NaI(Tl) scintillation: ~20-30 eV/light photon (effective)
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Semiconductor (Si): ~3.6 eV/electron-hole pair
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Semiconductor (Ge): ~2.96 eV/electron-hole pair
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Semiconductor (CZT): ~4.6 eV/electron-hole pair
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→ In semiconductor detectors the energy needed to create one signal unit is the lowest → the most signal is produced → the best energy resolution

Critical Comparison: Sensitivity vs Energy Resolution vs Dead Time

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Most sensitive gas-filled detector → GM counter
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Best energy resolution (overall) → HPGe
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Best energy resolution (clinical) → CZT
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Best energy resolution (gas-filled) → Proportional counter
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Longest dead time → GM counter (~100-300 µs)
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Shortest dead time → Semiconductor detectors (~ns)
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Highest light output (classical scintillators: NaI, BGO, LSO/LYSO, GSO) → NaI(Tl) (LaBr₃/CeBr₃ and CsI(Tl) are higher; see Chapter 28)
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Highest density (PET crystal) → LSO (~7.4 g/cm³)
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Highest Zeff (PET crystal) → BGO (74)
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Shortest decay time (PET crystal) → LSO/LYSO (~40 ns)

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A charged particle ionizes the gas as it passes; in argon one ion pair is formed per 26.4 eV. In the electric field electrons drift to the thin central anode wire and positive ions to the cylindrical cathode wall. Electrons are collected in µs, ions about 1000 times more slowly. A 5.49 MeV α that stops completely leaves about 2×10⁵ pairs; a 1 MeV β crossing the chamber only ~5×10² (6 cm chamber).

Ion pairs and collectionα (Am-241, 5.49 MeV)Created: 2.1×10⁵ ion pairseach dot ≈ 4.7×10³ pairselectron → anodepositive ion → cathodeElectrons are collected in µs, ions ~1000 times slower (ms)anode (+)cathode (−)
Collected charge (electrons)110²10⁴10⁶10⁸10¹⁰collected charge (electrons, log)α (Am-241, 5.49 MeV)2.1×10⁵β (1 MeV)520Collected: 0 electrons

Pick the particle below the drawing or with ↑ ↓; in step 2 you can drag on the chart to set the voltage. The small window on the left shows the region next to the wire at micro scale.

Step 1/2

Six regions by voltage

At low voltage some pairs recombine before collection. On the ionization plateau all are collected with no gain (ionization chamber, dose calibrator). At higher voltage electrons cause new ionizations in the strong field near the wire (Townsend avalanche); the charge is proportional to the initial number of pairs (proportional counter, energy discrimination). In the GM region the discharge spreads along the whole wire: α and β give pulses of the same size and energy cannot be discriminated. The window on the left shows the region next to the wire at micro scale: the field exceeds the multiplication threshold only within tens of micrometres of the wire; there the number of electrons doubles for every ~24 V they fall through (Diethorn relation for P-10 gas).

Six regions by voltageα (Am-241, 5.49 MeV)Created: 2.1×10⁵ ion pairseach dot ≈ 4.7×10³ pairs1 Recombination: some pairs recombineanode (+)cathode (−)anode wire50 µmNext to the wire (micro scale)Field below threshold here: no multiplicationP-10 gas, wire radius 25 µm (Diethorn)
Pulse size vs voltage110²10⁴10⁶10⁸10¹⁰collected charge (electrons, log)123456voltage region →

Pick the particle below the drawing or with ↑ ↓; in step 2 you can drag on the chart to set the voltage. The small window on the left shows the region next to the wire at micro scale.

Step 1/2

From γ to light

A 140 keV γ photon is absorbed in the NaI(Tl) crystal by photoelectric interaction. The energy becomes ~415 nm visible light: ~38 per keV, ~5300 light photons in all. The light spreads in all directions and reaches the photocathode by bouncing off the reflective coating; some is lost on the way. The light decays in ~230 ns. The window below shows the interaction site at micro scale: the photon ejects a K electron of iodine (photoelectron ≈ 107 keV, path ≈ 78 µm) and thallium (Tl⁺) centres along the path emit light. The 28.6 keV K X-ray of iodine is usually absorbed ~0.3 mm away; if it escapes the crystal, the iodine escape peak appears at 112 keV in the spectrum. NaI absorbs moisture (it is hygroscopic), so the crystal sits in a sealed housing.

From γ to light: NaI(Tl) crystalI50 µmInteraction site (micro scale)Sealed housing: NaI is hygroscopicPhotoelectron ≈ 107 keV: path ≈ 78 µmKα X-ray 28.6 keV absorbed ~0.3 mm awayIf it escapes, 112 keV stays: escape peakNaI(Tl) crystalphotocathodereflective coatingγ 140 keVCreated: 0 light photonsReaching photocathode: ~01 arrow ≈ 100 light photons
Light decay (~230 ns)02505007501000time (ns)light intensityτ ≈ 230 ns

In a scintillation detector the energy passes through light and photoelectron stages, with losses at each; at 140 keV only ~900 carriers remain. In CZT the γ creates electron–hole pairs directly, each needing only a few eV: ~30,000 carriers. The more carriers, the smaller the relative statistical fluctuation and the narrower the photopeak.

Indirect and direct conversionNaI(Tl) + PMTγlightphotoelectronPMT~931 carriersCZTγe⁻–hole pairssignal~3.0×10⁴ carriersFew carriers → large relative fluctuation (∝ 1/√N) → wide peak
140 keV photopeak: NaI and CZT100120140160180energy (keV)counts (FWHM: full width at half maximum)NaI(Tl) · 10%CZT · 5–6%

Each photon reaching the crystal produces a pulse whose height is proportional to the energy deposited. As events are added one by one the spectrum appears: the full-absorption photopeak, the Compton plateau and edge when the photon escapes, backscatter from material behind, lead X-rays, iodine escape and sum peaks. For Cs-137 at high energy the Compton components are much more prominent.

How is the spectrum formed?leadNaI(Tl) crystalPMTCompton scatteringphoton escaped; electron energy only: 12.8 keV
Measured energy spectrum050100150200250300energy (keV)countsCompton edgePb XbackscatterI escapephotopeaksumEvents: 2500

Even photons of the same energy give different pulse heights because of statistical fluctuations; the photopeak broadens into a Gaussian. The width is measured at half maximum (FWHM). ER = FWHM / E₀ × 100: ~10% (~14 keV) for NaI(Tl) at 140 keV, ~5–6% for CZT. A narrow peak separates better from photons scattered in the patient. The best resolution belongs to high-purity germanium (HPGe): FWHM ≈ 0.8 keV at 140 keV (~0.6%); but it needs liquid-nitrogen cooling.

Energy resolution (FWHM)100120140160180energy (keV)countshalf maximumFWHM ≈ 14.1 keVER = FWHM / E₀ × 100 ≈ 10.0%
NaI, CZT and HPGe; scatter in the patient6080100120140160180energy (keV)counts126–154 keVscattered in the patient

The PHA accepts only pulses between a lower (LLD) and upper (ULD) threshold. The standard window for Tc-99m is 20% (126–154 keV). Photons scattered in the patient have lower energy and most fall outside the window. A narrow window improves scatter rejection and contrast but lowers counts (sensitivity); a wide window does the opposite.

Pulse height analyzer (PHA)LLD 126 keVULD 154 keV××××0100200300pulse height (≈ keV)time →accepted (in window)×rejected
Counts within the window6080100120140160180energy (keV)countsIn window: 1258 counts23% of these outside the photopeak (scatter etc.)