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Dedicated gamma cameras for specific clinical application are representing a new trend in Nuclear Medicine. They are based on Position Sensitive Photo Multiplier Tubes (PSPMT). The main intrinsic limitation of large area PSPMT (5″ diameter) is the photocathode glass window. Coupling to a planar scintillation crystal strongly affects the useful active area and the intrinsic spatial resolution. To overcome this limitation at University of Rome “La Sapienza” was developed the first 5″ diameter gamma camera consisting of a Hamamatsu R3292 PSPMT coupled to 50 × 50 YAP: Ce scintillating array. The array pixel size is 2 × 2 mm² and the overall dimension of multi-crystal is 10 × 10 × 1 cm³. Resistive chains were used to calculate the centroid. The scintillating array produces a focused light spot minimising the spread introduced by PSPMT glass window. The intrinsic spatial resolution varied between 2 and 2.7 mm …