Some embodiments of the present invention generally relate to a common PET/SPECT/CT gantry including a central aperture. At least one x-ray source can be mounted on the common gantry in a fixed relation, wherein an x-ray beam emitted by the source is directed across the central aperture. Some embodiments can also include a plurality of x-ray scintillation detectors mounted on the common gantry in a fixed relation and directed in an opposing orientation relative to the at least one x-ray source. In some embodiments a plurality of PET/SPECT scintillation detectors is also mounted on the common gantry in a fixed relation, wherein the PET/SPECT detectors define an arc having a center in common with the central aperture.
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