A new class of scintillation detector has emerged that combines columnar scintillators and CCD/CMOS sensors for high-resolution imaging. Originally developed for single-photon gamma-ray imaging, these detectors provide better than an order-of-magnitude improvement in spatial resolution compared to conventional photomultiplier tube (PMT)-based gamma cameras; sub-100 micron detector resolutions have been achieved. This work reviews the several detector configurations developed in recent years, with a specific emphasis on a type of CCD/CMOS detector developed at the Center for Gamma-Ray Imaging, which we call BazookaSPECT, that amplifies scintillation light using an image intensifier to achieve both high spatial resolution and high event-rate capability.Ongoing research into scintillator deposition techniques has led to a new form of scintillation material where crystallites are organized into columns. Similar to optical fibers, this columnar structure helps to channels scintillation light towards an exit face while restricting lateral light spread. However, because they are not perfect optical fibers, light spreads laterally and is absorbed by an amount relating to the interaction depth. Taking advantage of this phenomenon, we discuss the use of maximum-likelihood methods to estimate the 3D position and energy of gamma-ray interactions in columnar CsI(Tl)/EMCCD-based detectors.Finally, we present new imaging applications that have arisen from BazookaSPECT. These include the the development of a gamma-ray microscope using micro-coded apertures, feasibility studies for photon-counting digital mammography and eventually X-ray CT, and FastSPECT III -- a third generation small animal stationary SPECT imager. FastSPECT III system design, fabrication methods, data acquisition system, system calibration procedure, and initial tomographic reconstructions are presented.