Abstract : In the context of the surgical treatment of cancer, counting probes of radioactivity have been introduced in a theater bloc to assist the surgeon in real time for the excision of the radio-labeled tumors. This technique of radio-guided surgery allows to reach the precise localization and the complete excision of pathological tissues. To reinforce this surgical practice we developed a mini gamma-camera called POCI (Per-Operative Compact Imager). The objective of this work was to determine the role of this new generation of detectors to assist the surgeon in the excision of tumors and to also approach cancer research involving studies on small animals. From the instrumental point of view, the principle of detection based on the photodiode with intensified localization has been validated in a first prototype which was extended to a large field of analysis imagery without degrading the spatial performances and with miniaturizing the dimensions of the camera. The prototype of the realized camera has a 40mm diameter field of view and a total weight of 1.2kg. At 140 keV, the spatial resolution is 2.1 mm for an efficiency of 2.8 10^-4%. POCI was estimated through the sentinel node protocol in breast cancer staging according to two approaches: one based on a comparative study of the performances of detection of a probe and POCI and an other one based on a clinical evaluation in collaboration with Institute Gustave Roussy. This study has permit to establish the complementarity between the imager and the probe considering various clinical configurations. The detection performances of POCI were also estimated in mice to study the biodistribution of iodine in the thyroid and the mammary glands. All these encouraging results allows to consider the use of the detector in a wider frame of investigations clinical as well as biological.