Imaging forms an important part of nuclear medicine and a number of different imaging devices have been developed. This chapter describes the principles and technological characteristics of the main imaging devices used in nuclear medicine. The two major categories are gamma camera systems and positron emission tomography (PET) systems. The former are used to image γ rays emitted by any nuclide, while the latter exploit the directional correlation between annihilation photons emitted by positron decay. The first section of this chapter discusses the principal components of gamma cameras and how they are used to form 2-D planar images as well as 3-D tomographic images (single photon emission computed tomography (SPECT)). The second section describes related instrumentation that has been optimized for PET data acquisition. A major advance in nuclear medicine was achieved with the introduction of multi-modality imaging systems including SPECT/computed tomography (CT) and PET/CT. In these systems, the CT images can be used to provide an anatomical context for the functional nuclear medicine images and allow for attenuation compensation. The third section in this chapter provides a discussion of the principles of these devices.