

Segmentation was performed using the physical size and a small cylindrical volume inside the cylinder for the sphere-CF and cylinder-CF, respectively. Images were reconstructed with the 3D OS-EM algorithm incorporating attenuation, scatter and detector-response corrections. The quantification accuracy was evaluated using four different-sized spheres (15.6–65.4 ml) and a kidney model with known activity concentrations inside a cylindrical, torso and patient phantom. Recovery coefficients were obtained using the sphere-CF and cylinder-CF, yielding the sphere-RC and cylinder-RC values, respectively, for partial volume correction (PVC). The CF geometries investigated were (i) a radioactive-sphere surrounded by non-radioactive water (sphere-CF) and (ii) a cylindrical phantom uniformly filled with radioactive water (cylinder-CF). This study investigated the effect of two CF geometries and their corresponding recovery coefficients (RCs) on the quantification accuracy of 177Lu SPECT images using Monte Carlo simulations.

The CF is dependent on the selected geometry and is further affected by partial volume effects. However, no consensus has been reached on a standardised geometry. Different gamma camera calibration factor (CF) geometries have been proposed to convert SPECT data into units of activity concentration.
