CERN, the largest laboratory for particle physics worldwide is at the forefront of detector technology development for many different applications. Over recent decades, many important medical diagnostic and therapeutic techniques have been developed from CERN’s fundamental research results or from technological progresses in these areas. A short description of these technologies and their application to medicine will be given. Focus will be made on new, higher performance imaging tools with multimodal capabilities including PET. These tools introduce breakthrough technologies for novel endoscopic procedures in diagnostic and therapeutic endoscopy and in surgical oncology aiming at diagnosing more patients with earlier tumour stages and improving patient outcome and therapy, as well as reducing health costs. Technical objectives include: a very high sensitivity allowed by the endoscopic approach and the proximity of the target. A spatial resolution of 1 mm to delineate early tumours. A time resolution of 200 ps corresponding to a spatial resolution of 3 cm along the Line of Response (LOR) in a dual-head system, allowing a direct (and therefore fast) 3-dimensional reconstruction through a limited number of angular projections only, and an efficient rejection of background coming from outside of the few cubic centimetres region of interest (ROI). The presentation will also emphasize on the number of challenges that have been addressed, both technically and clinically, which have led to the development and introduction of cutting edge technologies in three technological areas: scintillator performances and production methods, light transport and photo-detectors.
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