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Murali RaviMedical Instrumentation

Doctoral thesis · 2020

The conception, design
and clinical realisation
of SAIGC.

A doctorate in Medical Instrumentation from Sri Sathya Sai Institute of Higher Learning, documenting the full arc of an instrument: from Monte Carlo simulation to a device used on patients.

Degree
Ph.D.
Field
Medical Instrumentation
Institution
SSSIHL
Conferred
2020
CONVENTIONAL: INDIRECTγCollimatorScintillator (NaI / LaBr₃)Light guidePhotomultiplier arrayReadout electronics~204 mmDETECTOR DEPTHSAIGC: DIRECT CONVERSIONγLEHR collimatorCZT: direct conversionASIC readoute⁻ charge~110 mmDETECTOR DEPTHWHY IT MATTERSNo light stage. No PMT depth.Room temperature · portable form factorCZT SELECTED AFTER GEANT4 / GATE MONTE CARLO COMPARISON AGAINST LaBr₃ SCINTILLATORS

Structure

Five movements.

The thesis follows the instrument: why it was needed, what it should be made of, how it was built, how it was made fast enough, and whether it worked.

01

Motivation and objectives

The clinical need for handheld Small Field of View gamma cameras that provide higher spatial resolution than traditional bulky systems, suitable for intraoperative imaging and organ-specific diagnostics. The goal: a low-cost, robust, ergonomically designed system capable of real-time diagnostic imaging.

02

Simulation and material selection

Analytical modelling using Monte Carlo simulations on the GEANT4 and GATE platforms to optimise detector geometry and material composition. Lanthanum bromide (LaBr₃) scintillators compared against cadmium zinc telluride (CZT) semiconductor alloys. CZT selected as a direct conversion element, permitting a more compact form factor.

03

Hardware design and specifications

An 88 × 88 mm central field of view over a segmented detector of 1,936 elements in a 44 × 44 matrix, each 2 mm × 2 mm, giving 2 mm intrinsic spatial resolution. Custom Low Energy High Resolution adaptors with pinhole collimator support. Fully digital list-mode acquisition on a 12-bit ADC.

04

Computational acceleration

Overcoming the computational bottleneck of iterative reconstruction. A parallel MLEM architecture on a Xilinx Virtex-7 VC709 FPGA via High-Level Synthesis achieved 288× speed-up over optimised Intel Xeon software. An Analog Devices ADSP-BF609 with Pipelined Vision Processor accelerated diagnostic calculations by 250%.

05

Clinical validation and results

Transition from laboratory assembly to a portable, medical-grade product with a dedicated clinical user interface. 100% correlation with gold-standard large field-of-view gamma cameras. Successful imaging across hyperthyroid, hypothyroid, Grave's disease, thyroiditis and thyroid cancer. Product and design patents filed.

Thesis figures

The instrument, in diagrams.

CONVENTIONAL: INDIRECTγCollimatorScintillator (NaI / LaBr₃)Light guidePhotomultiplier arrayReadout electronics~204 mmDETECTOR DEPTHSAIGC: DIRECT CONVERSIONγLEHR collimatorCZT: direct conversionASIC readoute⁻ charge~110 mmDETECTOR DEPTHWHY IT MATTERSNo light stage. No PMT depth.Room temperature · portable form factorCZT SELECTED AFTER GEANT4 / GATE MONTE CARLO COMPARISON AGAINST LaBr₃ SCINTILLATORS
01

Direct conversion detector architecture

CZT converts gamma photons straight to charge: no scintillator, no photomultiplier, no depth. This is the decision that makes the camera portable.

88 mm88 mm44 × 44MATRIX1,936ELEMENTS2 mmPITCH2 mmRESOLUTIONCOLLIMATIONLEHR adaptorLow Energy High ResolutionPinholeParathyroid & focused studies
02

System form factor

88 × 88 mm central field of view over a 44 × 44 element matrix, with interchangeable LEHR and pinhole collimation.

ACQUISITION CHAIN: ALL DIGITAL, END TO ENDγ photon140 keV incidentCZT elementDirect conversionCharge preampPer-channel12-bit ADCFull spectrumList modeEvent streamMLEMFPGA acceleratedSPECTRAL INFORMATION PRESERVED140 keVENERGY →THE CONSEQUENCEDecide the energy window after the scan.List mode records every event with its full energyvalue: so corrections and discrimination becomepost-processing choices, not acquisition commitments.
03

Fully digital acquisition chain

List-mode capture on a 12-bit ADC preserves spectral information end to end, so energy discrimination becomes a post-processing decision.

CLINICAL VALIDATION: THYROID PRESENTATIONS IMAGEDHYPERTHYROIDHYPOTHYROIDGRAVE'S DISEASETHYROIDITISTHYROID CANCERCORRELATION WITH GOLD-STANDARD LFOV GAMMA CAMERA100%CLINICALCORRELATIONBETTER IMAGE DETAIL & QUALITY10×LOWER COST THAN MARKETFIGURES REPORTED IN THE SSSIHL FACULTY RECORD AND THE DOCTORAL THESIS. ACTIVITY MAPS ARE ILLUSTRATIVE.
04

Clinical validation range

Thyroid presentations successfully imaged during trials, each correlated against gold-standard large field-of-view systems.

Research journey

What the thesis started, and where it went.

2012-2015

Foundation

Rebuilding and upgrading a planar gamma camera as project associate. Detector knowledge acquired by hand.

2016-2021

The thesis

SAIGC conceived, simulated, designed, accelerated and clinically validated. Doctorate conferred 2020.

2017-2023

Into surgery

SAIGC-Torch: dual-modality intraoperative navigation as Principal Investigator.

2025-2027

Beyond imaging

Edge AI with Analog Devices; AI/ML for optical networks with NOKIA.