Radioisotope imaging is used to obtain information on biochemical processes in living organisms, being a tool of increasing importance for medical diagnosis. The improvement and expansion of these techniques depend on the progress attained in several areas, such as radionuclide production, radiopharmaceuticals, radiation detectors and image reconstruction algorithms. This review paper will be concerned only with the detector technology.We will review in general terms the present status of medical radioisotope imaging instrumentation with the emphasis put on the developments of high-resolution gamma cameras and PET detector systems for scinti-mammography and animal imaging. The present trend to combine two or more modalities in a single machine in order to obtain complementary information will also be considered. r