Positron Emission Tomography System Research Articles

Animal PET scanner with a large field of view is suitable for high-throughput scanning of rodents.

In preclinical studies, high-throughput positron emission tomography (PET) imaging, known as simultaneous multiple animal scanning, can reduce the time spent on animal experiments, the cost of PET tracers, and the risk of synthesis of PET tracers. It is well known that the image quality acquired by high-throughput imaging depends on the PET system. Herein, we investigated the influence of large field of view (FOV) PET scanner on high-throughput imaging. We investigated the influence of scanning four objects using a small animal PET scanner with a large FOV. We compared the image quality acquired by four objects scanned with the one acquired by one object scanned using phantoms and animals. We assessed the image quality with uniformity, recovery coefficient (RC), and spillover ratio (SOR), which are indicators of image noise, spatial resolution, and quantitative precision, respectively. For the phantom study, we used the NEMA NU 4-2008 image quality phantom and evaluated uniformity, RC, and SOR, and for the animal study, we used Wistar rats and evaluated the spillover in the heart and kidney. In the phantom study, four phantoms had little effect on imaging quality, especially SOR compared with that for one phantom. In the animal study as well, four rats had little effect on spillover from the heart muscle and kidney cortex compared with that for one rat. This study demonstrated that an animal PET scanner with a large FOV was suitable for high-throughput imaging. Thus, the large FOV PET scanner can support drug discovery and bridging research through rapid pharmacological and pathological evaluation.

Dual threshold input receiver FPGA-only signal digitization method for time-of-flight positron emission tomography

AbstractAs silicon photomultiplier (SiPM)-based time-of-flight (TOF) positron emission tomography (PET) becomes popular, the need for sophisticated PET data acquisition (DAQ) systems is increasing. One promising solution to this challenge is the adoption of a field-programmable gate array (FPGA)-only signal digitization method. In this paper, we propose a new approach to efficiently implement an FPGA-only digitizer. We configured the input/output (IO) port of the FPGA to function as a dual-threshold voltage comparator through the use of simple passive circuitry and heterogeneous IO standards. This configuration overcomes the limitations of existing methods by allowing different threshold voltages for adjacent IO pins, effectively reducing routing complexity and lowering manufacturing costs. An FPGA-only digitizer was implemented by integrating the dual-threshold voltage comparator and FPGA-based time-to-digital converter. By combining the dual-threshold time-over-threshold (TOT) method and curve fitting, precise energy information could be obtained. The performance of the FPGA-only digitizer was assessed using a detector setup comprising a 3 × 3 × 20 mm3 LYSO scintillation crystal and a single pixel SiPM. Using the configured evaluation setup, an energy resolution of 12.5% and a time resolution of 146 ± 9 ps were achieved for a 20 mm scintillation crystal. The dual-threshold TOT implemented using the proposed method showed consistent linearity across an energy range of 100 keV to 600 keV. The proposed method is well-suited for the development of cost-effective DAQ systems in highly integrated TOF PET systems.

Noise reduction in low-dose positron emission tomography with adaptive parameter estimation in sinogram domain

Noise reduction in low-dose positron emission tomography (PET) is a well-researched topic aimed at reducing patient radiation doses and improving diagnosis. Software-based noise reduction mainly improves the contrast between regions by reducing the variation of the acquired image. However, it should be performed under appropriate parameters to reduce discrimination. We propose a method that derives optimal noise-reduction parameters using the multi-scale structural similarity index measure and visual information fidelity, which are metrics for image quality assessment. Simulation and experimental studies demonstrated the viability of the proposed algorithm. The contrast-to-noise ratio value of the denoised reconstruction slice, which was used as the optimal parameter, increased approximately three times compared to that of the low-dose slice while preserving the resolution. The results indicate that the proposed method successfully predicted the parameters according to the noise-reduction algorithm and PET system conditions in the sinogram domain. The proposed algorithm should help prevent misdiagnosis and provide standardized medical images for clinical application by performing appropriate noise reduction.

Evaluation of monolithic crystal detector with dual-ended readout utilizing multiplexing method

Objective. Monolithic crystal detectors are increasingly being applied in positron emission tomography (PET) devices owing to their excellent depth-of-interaction (DOI) resolution capabilities and high detection efficiency. In this study, we constructed and evaluated a dual-ended readout monolithic crystal detector based on a multiplexing method. Approach. We employed two 12 × 12 silicon photomultiplier (SiPM) arrays for readout, and the signals from the 12 × 12 array were merged into 12 X and 12 Y channels using channel multiplexing. In 2D reconstruction, three methods based on the centre of gravity (COG) were compared, and the concept of thresholds was introduced. Furthermore, a light convolutional neural network (CNN) was employed for testing. To enhance depth localization resolution, we proposed a method by utilizing the mutual information from both ends of the SiPMs. The source width and collimation effect were simulated using GEANT4, and the intrinsic spatial resolution was separated from the measured values. Main results. At an operational voltage of 29 V for the SiPM, an energy resolution of approximately 12.5 % was achieved. By subtracting a 0.8 % threshold from the total energy in every channel, a 2D spatial resolution of approximately 0.90 mm full width at half maximum (FWHM) can be obtained. Furthermore, a higher level of resolution, approximately 0.80 mm FWHM, was achieved using a CNN, with some alleviation of edge effects. With the proposed DOI method, a significant 1.36 mm FWHM average DOI resolution can be achieved. Additionally, it was found that polishing and black coating on the crystal surface yielded smaller edge effects compared to a rough surface with a black coating. Significance. The introduction of a threshold in COG method and a dual-ended readout scheme can lead to excellent spatial resolution for monolithic crystal detectors, which can help to develop PET systems with both high sensitivity and high spatial resolution.

Construction and initial performance evaluation of a newly developed plant PET system

In plant research, positron emission tomography (PET) is occasionally employed for physiological studies, offering valuable insights. However, the generally high cost of PET systems and their suboptimal design for plant research pose challenges to their application in this field. To address these issues, we have developed a new PET system optimized specifically for plant research. The PET detector ring was positioned vertically to enable measurements of plants in their normal upright position. The developed plant PET system features a transaxial field of view (FOV) of approximately 12 cm and an axial FOV slightly larger than 9 cm, allowing for the imaging of relatively small-sized plants. To facilitate imaging of taller plants, the PET system can expand the axial FOV by changing the subject height using a lab jack, enabling the imaging of taller plant species. The measured spatial resolution at the central FOV was 3.3 mm FWHM, and the sensitivity was 3.7%. The timing resolution was 6.78 ns FWHM with a lower energy threshold set to 350 keV. Phantom images simulating plants were successfully measured using the developed plant PET system. We conclude that the developed plant PET system holds promise for effective plant imaging.

Evaluation of new scintillation crystals with MCDM methods for brain PET

Brain Positron Emission Tomography (PET) imaging has been increasingly important in recent decades for improved detection and staging of brain cancer and other brain illnesses. Many elements, including the choice of radiation detecting medium, contribute to the overall image quality used to characterize a PET system's performance. In our previous study, novel transparent optical scintillator crystals for brain PET system were simulated. Therefore, there is a need to evaluate these materials using advanced computational techniques. Hence, in this study, we evaluated and compared them using two Multi-Criteria Decision-Making (MCDM) techniques, namely Preference Ranking Organization Method for Enrichment Evaluations (PROMETHEE) and Visekriterijumska Optimizacija I Kompromisno Resenje (VIKOR). The crystals used in this study were strontium hafnate (SHO), gadolinium aluminum gallium garget (GAGG), gadolinium yttrium gallium aluminum garget (GYGAG), gadolinium lutetium gallium aluminum garget (GLuGAG), and lastly lutetium oxyorthosilicate (LSO) for comparison. Density, effective atomic number, energy resolution, light output, and decay time were selected as important criteria. Importance weights of each criteria were then assigned by considering the high resolution and high sensitivity detectors. With both MCDM methods, the results showed that SHO outranked the other scintillator materials followed by LSO and GLuGAG. GYGAG, and GAGG is revealed as the least favorable crystals, in agreement with the previous simulation studies. This study can be extended by including more scintillators as they become available in the future.

Image quality evaluation for a clinical organ-targeted PET camera.

A newly developed clinical organ-targeted Positron Emission Tomography (PET) system (also known as Radialis PET) is tested with a set of standardized and custom tests previously used to evaluate the performance of Positron Emission Mammography (PEM) systems. Imaging characteristics impacting standardized uptake value (SUV) and detectability of small lesions, namely spatial resolution, linearity, uniformity, and recovery coefficients, are evaluated. In-plane spatial resolution was measured as 2.3 mm ± 0.1 mm, spatial accuracy was 0.1 mm, and uniformity measured with flood field and NEMA NU-4 phantom was 11.7% and 8.3% respectively. Selected clinical images are provided as reference to the imaging capabilities under different clinical conditions such as reduced activity of 2-[fluorine-18]-fluoro-2-deoxy-D-glucose (18F-FDG) and time-delayed acquisitions. SUV measurements were performed for selected clinical acquisitions to demonstrate a capability for quantitative image assessment of different types of cancer including for invasive lobular carcinoma with comparatively low metabolic activity. Quantitative imaging performance assessment with phantoms demonstrates improved contrast recovery and spill-over ratio for this PET technology when compared to other commercial organ-dedicated PET systems with similar spatial resolution. Recovery coefficients were measured to be 0.21 for the 1 mm hot rod and up to 0.89 for the 5 mm hot rod of NEMA NU-4 Image Quality phantom. Demonstrated ability to accurately reconstruct activity in tumors as small as 5 mm suggests that the Radialis PET technology may be well suited for emerging clinical applications such as image guided assessment of response to neoadjuvant systemic treatment (NST) in lesions smaller than 2 cm. Also, our results suggest that, while spatial resolution greatly influences the partial volume effect which degrades contrast recovery, optimized count rate performance and image reconstruction workflow may improve recovery coefficients for systems with comparable spatial resolution. We emphasize that recovery coefficient should be considered as a primary performance metric when a PET system is used for accurate lesion size or radiotracer uptake assessments.

Monte Carlo simulation of two Siemens Biograph PET/CT system using GATE: Image quality performance

The utilization of Monte Carlo simulation is a highly effective method in advancing research within the field of nuclear medicine. An important software tool for simulating and modeling cutting-edge systems for Positron Emission Tomography (PET) is the Geant4 Application for Tomographic Emission (GATE). This research specifically concentrates on two Siemens PET scanners: the Siemens Biograph True point (True V) and Siemens Biograph mcT 20 excel. Our primary objective was to validate the GATE V8.2 simulation in accordance with the NEMA (National Electrical Manufacturers Association) NU 2-2018 protocol, using a parallel computing platform on a local cluster of computers. This cluster was managed by the open-source package TORQUE version 6.1.0, which is based on the original wrapper PBS.The results of this validation process for the Siemens Biograph True point (True V) scanner were highly promising. The scatter fraction (SF), peak noise equivalent count rate (NECR), and sensitivity all demonstrated a remarkable level of agreement, with deviations within 10.02%, 5.4%, and 1.57%, respectively. Additionally, the spatial resolution was found to deviate by less than 0.59 mm. Image evaluations demonstrate high-quality results for both Siemens Biograph True point (True V) and Siemens Biograph mcT 20 excel scanners, validating the GATE simulation. The study on acquisition time provides insights into optimizing computing simulation time.This research demonstrates the effectiveness of Monte Carlo simulation, facilitated by GATE, in accurately modeling advanced PET systems. The validation results affirm the reliability of GATE V8.2 in accordance with NEMA standards for the Siemens Biograph True point (True V) scanner. The high-quality images obtained from GATE-validated scanners underscore the potential of this simulation approach in advancing nuclear medicine research. Additionally, the study on acquisition time provides valuable considerations for optimizing simulation efficiency.

Internal dosimetry study of [82Rb]Cl using a long axial field-of-view PET/CT.

Long axial field-of-view (LAFOV) positron emission tomography (PET) systems allow to image all major organs with one bed position, which is particularly useful for acquiring whole-body dynamic data using short-lived radioisotopes like 82Rb. We determined the absorbed dose in target organs of three subjects (29, 40, and 57 years old) using two different methods, i.e., MIRD and voxel dosimetry. The subjects were injected with 407.0 to 419.61 MBq of [82Rb]Cl and were scanned dynamically for 7 min with a LAFOV PET/CT scanner. Using the MIRD formalism and voxel dosimetry, the absorbed dose ranged from 1.84 to 2.78 μGy/MBq (1.57 to 3.92 μGy/MBq for voxel dosimetry) for the heart wall, 2.76 to 5.73 μGy/MBq (3.22 to 5.37 μGy/MBq for voxel dosimetry) for the kidneys, and 0.94 to 1.88 μGy/MBq (0.98 to 1.92 μGy/MBq for voxel dosimetry) for the lungs. The total body effective dose lied between 0.50 and 0.76 μSv/MBq. Our study suggests that the radiation dose associated with [82Rb]Cl PET/CT can be assessed by means of dynamic LAFOV PET and that it is lower compared to literature values.

Setup and characterisation according to NEMA NU 4 of the phenoPET scanner, a PET system dedicated for plant sciences

Objective. The phenoPET system is a plant dedicated positron emission tomography (PET) scanner consisting of fully digital photo multipliers with lutetium–yttrium oxyorthosilicate crystals and located inside a custom climate chamber. Here, we present the setup of phenoPET, its data processing and image reconstruction together with its performance. Approach. The performance characterization follows the national electrical manufacturers association (NEMA) standard for small animal PET systems with a number of adoptions due to the vertical oriented bore of a PET for plant sciences. In addition temperature stability and spatial resolution with a hot rod phantom are addressed. Main results. The spatial resolution for a 22Na point source at a radial distance of 5 mm to the center of the field-of-view (FOV) is 1.45 mm, 0.82 mm and 1.88 mm with filtered back projection in radial, tangential and axial direction, respectively. A hot rod phantom with 18F gives a spatial resolution of up to 1.6 mm. The peak noise-equivalent count rates are 550 kcps @ 35.08 MBq, 308 kcps @ 33 MBq and 45 kcps @ 40.60 MBq for the mouse, rat and monkey size scatter phantoms, respectively. The scatter fractions for these phantoms are 12.63%, 22.64% and 55.90%. We observe a peak sensitivity of up to 3.6% and a total sensitivity of up to S A,tot = 2.17%. For the NEMA image quality phantom we observe a uniformity of %STD = 4.22% with ordinary Poisson maximum likelihood expectation-maximization with 52 iterations. Here, recovery coefficients of 0.12, 0.64, 0.89, 0.93 and 0.91 for 1 mm, 2 mm, 3 mm, 4 mm and 5 mm rods are obtained and spill-over ratios of 0.08 and 0.14 for the water-filled and air-filled inserts, respectively. Significance. The phenoPET and its laboratory are now in routine operation for the administration of [11C]CO2 and non-invasive measurement of transport and allocation of 11C-labelled photoassimilates in plants.

A triple-imaging-modality system for simultaneous measurements of prompt gamma photons, prompt x-rays, and induced positrons during proton beam irradiation

Objective. Prompt gamma photon, prompt x-ray, and induced positron imaging are possible methods for observing a proton beam’s shape from outside the subject. However, since these three types of images have not been measured simultaneously nor compared using the same subject, their advantages and disadvantages remain unknown for imaging beam shapes in therapy. To clarify these points, we developed a triple-imaging-modality system to simultaneously measure prompt gamma photons, prompt x-rays, and induced positrons during proton beam irradiation to a phantom. Approach. The developed triple-imaging-modality system consists of a gamma camera, an x-ray camera, and a dual-head positron emission tomography (PET) system. During 80 MeV proton beam irradiation to a polymethyl methacrylate (PMMA) phantom, imaging of prompt gamma photons was conducted by the developed gamma camera from one side of the phantom. Imaging of prompt x-rays was conducted by the developed x-ray camera from the other side. Induced positrons were measured by the developed dual-head PET system set on the upper and lower sides of the phantom. Main results. With the proposed triple-imaging-modality system, we could simultaneously image the prompt gamma photons and prompt x-rays during proton beam irradiation. Induced positron distributions could be measured after the irradiation by the PET system and the gamma camera. Among these imaging modalities, image quality was the best for the induced positrons measured by PET. The estimated ranges were actually similar to those imaged with prompt gamma photons, prompt x-rays and induced positrons measured by PET. Significance. The developed triple-imaging-modality system made possible to simultaneously measure the three different beam images. The system will contribute to increasing the data available for imaging in therapy and will contribute to better estimating the shapes or ranges of proton beam.

Insertion of synthetic lesions on patient data: a method for evaluating clinical performance differences between PET systems

BackgroundPerformance assessment of positron emission tomography (PET) scanners is crucial to guide clinical practice with efficiency. We have already introduced and experimentally evaluated a simulation method allowing the creation of a controlled ground truth for system performance assessment. In the current study, the goal was to validate the method using patient data and demonstrate its relevance to assess PET performances accuracy in clinical conditions.MethodsTwenty-four patients were recruited and sorted into two groups according to their body mass index (BMI). They were administered with a single dose of 2 MBq/kg 18F-FDG and scanned using clinical protocols consecutively on two PET systems: the Discovery-IQ (DIQ) and the Discovery-MI (DMI). For each BMI group, sixty synthetic lesions were dispatched in three subgroups and inserted at relevant anatomical locations. Insertion of synthetic lesions (ISL) was performed at the same location into the two consecutive exams. Two nuclear medicine physicians evaluated individually and blindly the images by qualitatively and semi-quantitatively reporting each detected lesion and agreed on a consensus. We assessed the inter-system detection rates of synthetic lesions and compared it to an initial estimate of at least 1.7 more targets detected on the DMI and the detection rates of natural lesions. We determined the inter-reader variability, evaluated according to the inter-observer agreement (IOA). Adequate inter-reader variability was found for IOA above 80%. Differences in standardized uptake value (SUV) metrics were also studied.ResultsIn the BMI ≤ 25 group, the relative true positive rate (RTPR) for synthetic and natural lesions was 1.79 and 1.83, respectively. In the BMI > 25 group, the RTPR for synthetic and natural lesions was 2.03 and 2.27, respectively. For each BMI group, the detection rate using ISL was consistent to our estimate and with the detection rate measured on natural lesions. IOA above 80% was verified for any scenario. SUV metrics showed a good agreement between synthetic and natural lesions.ConclusionsISL proved relevant to evaluate performance differences between PET scanners. Using these synthetically modified clinical images, we can produce a controlled ground truth in a realistic anatomical model and exploit the potential of PET scanner for clinical purposes.

A finely segmented semi-monolithic detector tailored for high-resolution PET.

Preclinical research and organ-dedicated applications use and require high (spatial-)resolution positron emission tomography (PET) detectors to visualize small structures (early) and understand biological processes at a finer level of detail. Researchers seeking to improve detector and image spatial resolution have explored various detector designs. Current commercial high-resolution systems often employ finely pixelated or monolithic scintillators, each with its limitations. We present a semi-monolithic detector, tailored for high-resolution PET applications with a spatial resolution in the range of 1mm or better, merging concepts of monolithic and pixelated crystals. The detector features LYSO slabs measuring (24×10×1)mm3, coupled to a 12×12 readout channel photosensor with 4mm pitch. The slabs are grouped in two arrays of 44 slabs each to achieve a higher optical photon density despite the fine segmentation. We employ a fan beam collimator for fast calibration to train machine-learning-based positioning models for all three dimensions, including slab identification and depth-of-interaction (DOI), utilizing gradient tree boosting (GTB). The data for all dimensions was acquired in less than 2h. Energy calculation was based on a position-dependent energy calibration. Using an analytical timing calibration, time skews were corrected for coincidence timing resolution (CTR) estimation. Leveraging machine-learning-based calibration in all three dimensions, we achieved high detector spatial resolution: down to 1.18mm full width at half maximum (FWHM) detector spatial resolution and 0.75mm mean absolute error (MAE) in the planar-monolithic direction, and 2.14mm FWHM and 1.03mm MAE for DOI at an energy window of (435-585)keV. Correct slab interaction identification in planar-segmented direction exceeded 80%, alongside an energy resolution of 12.7% and a CTR of 450ps FWHM. The introduced finely segmented, high-resolution slab detector demonstrates appealing performance characteristics suitable for high-resolution PET applications. The current benchtop-based detector calibration routine allows these detectors to be used in PET systems.

Development and evaluation of a new high-TOF-resolution all-digital brain PET system

Objective. Time-of-flight (TOF) capability and high sensitivity are essential for brain-dedicated positron emission tomography (PET) imaging, as they improve the contrast and the signal-to-noise ratio (SNR) enabling a precise localization of functional mechanisms in the different brain regions. Approach. We present a new brain PET system with transverse and axial field-of-view (FOV) of 320 mm and 255 mm, respectively. The system head is an array of 6 × 6 detection elements, each consisting of a 3.9 × 3.9 × 20 mm3 lutetium–yttrium oxyorthosilicate crystal coupled with a 3.93 × 3.93 mm2 SiPM. The SiPMs analog signals are individually digitized using the multi-voltage threshold (MVT) technology, employing a 1:1:1 coupling configuration. Main results. The brain PET system exhibits a TOF resolution of 249 ps at 5.3 kBq ml−1, an average sensitivity of 22.1 cps kBq−1, and a noise equivalent count rate (NECR) peak of 150.9 kcps at 8.36 kBq ml−1. Furthermore, the mini-Derenzo phantom study demonstrated the system’s ability to distinguish rods with a diameter of 2.0 mm. Moreover, incorporating the TOF reconstruction algorithm in an image quality phantom study optimizes the background variability, resulting in reductions ranging from 44% (37 mm) to 75% (10 mm) with comparable contrast. In the human brain imaging study, the SNR improved by a factor of 1.7 with the inclusion of TOF, increasing from 27.07 to 46.05. Time-dynamic human brain imaging was performed, showing the distinctive traits of cortex and thalamus uptake, as well as of the arterial and venous flow with 2 s per time frame. Significance. The system exhibited a good TOF capability, which is coupled with the high sensitivity and count rate performance based on the MVT digital sampling technique. The developed TOF-enabled brain PET system opens the possibility of precise kinetic brain PET imaging, towards new quantitative predictive brain diagnostics.

Neural substrates of cough control during coughing

Cough is known as a protective reflex to keep the airway free from harmful substances. Although brain activity during cough was previously examined mainly by functional magnetic resonance imaging (fMRI) with model analysis, this method does not capture real brain activity during cough. To obtain accurate measurements of brain activity during cough, we conducted whole-brain scans during different coughing tasks while correcting for head motion using a restraint-free positron emission tomography (PET) system. Twenty-four healthy right-handed males underwent multiple PET scans with [15O]H2O. Four tasks were performed during scans: “resting”; “voluntary cough (VC)”, which simply repeated spontaneous coughing; “induced cough (IC)”, where participants coughed in response to an acid stimulus in the cough‐inducing method with tartaric acid (CiTA); and “suppressed cough (SC)”, where coughing was suppressed against CiTA. The whole brain analyses of motion-corrected data revealed that VC chiefly activated the cerebellum extending to pons. In contrast, CiTA-related tasks (IC and SC) activated the higher sensory regions of the cerebral cortex and associated brain regions. The present results suggest that brain activity during simple cough is controlled chiefly by infratentorial areas, whereas manipulating cough predominantly requires the higher sensory brain regions to allow top-down control of information from the periphery.

A large field-of-view angled panel detector for the development of a plant PET system

In plant research, positron emission tomography (PET) is sometimes employed for physiological studies of plants. However, due to the generally high cost of PET systems, their application in plant research centers can be challenging. Furthermore, the configurations of commercial PET systems might not always align well with the requirements of plant research. To address these issues, we have taken the initial steps towards a solution by developing a large field-of-view (LFOV) angled panel detector intended for the development of a plant PET system. This panel detector is composed of two gadolinium orthosilicate (GSO) scintillator blocks, an angled light guide, and four flat panel photomultiplier tubes (FP-PMTs). The GSO pixel size used in the scintillator block measures 2.65 mm (radial)× 2.85 mm (axial)× 15.0 mm, arranged in a configuration of 16 (radial)× 32 (axial) to form a scintillator block with overall dimensions of 44.0 mm (radial)× 94.4 mm (axial)× 15 mm (depth). By implementing an angled light guide, the two scintillator blocks were positioned at a 22.5-degree angle, resulting in the creation of a LFOV angled panel detector. This specific angle allowed for the arrangement of 16 scintillator blocks in a hexadecagonal shape using 8 panel detectors when arranged in a circular configuration. We successfully constructed a panel detector with an approximate field-of-view of 10 cm× 10 cm and conducted a comprehensive performance evaluation. Upon irradiating the panel detector with 511 keV gamma photons, nearly all 1024 GSO pixels were accurately resolved in the position histogram, displaying minimal distortion, and exhibiting an average peak-to-valley ratio of 5.0. Additionally, the energy resolution achieved was 14% full width at half maximum (FWHM). The resulting LFOV angled panel detector holds considerable promise for the use within a cost-effective, user-friendly as well as high performance plant PET system.

PET System Technology: Theoretical Aspects and Experimental Methodology.

Positron emission tomography (PET) imaging provides unique information of the cellular and molecular pathways of disease occurring within the human body, using measurements made from outside the body, which has shown utility in a variety of studies from basic research to clinical applications. This chapter describes some of the most relevant PET system parameters that impact its imaging performance such as 3D spatial, energy, and coincidence timing resolutions and the methodology typically used to evaluate those parameters. In addition, the physical principles underlying PET imaging, PET photon detector technology, and coincidence detection are also described. As a closing remark, the future perspectives of PET imaging and its simultaneous use with anatomical imaging techniques (e.g., computed tomography [CT] and magnetic resonance imaging [MRI]) are outlined.

The properties of the positronium lifetime image reconstruction based on maximum likelihood estimation

The positronium lifetime imaging (PLI) reconstruction is a technique used in time-of-flight (TOF) positron emission tomography (PET) imaging that involves measuring the lifespan of positronium, which is a metastable electron-positron pair that arises when a PET molecule releases a positron, prior to its annihilation. We have previously developed a maximum likelihood (ML) algorithm for PLI reconstruction and demonstrated that it can generate quantitatively accurate lifetime images for a 570 ps (pico-seconds) TOF PET system. In this study, we conducted further investigations into the statistical properties of the algorithm, including the variability of the reconstruction results, the sensitivity of the algorithm to the number of acquired PLI events and its robustness to hyperparameter choices. Our findings indicate that the proposed ML method produces sufficiently stable lifetime images to enable reliable distinction of regions of interest. Moreover, the number of PLI events required to produce quantitatively accurate lifetime images is computationally plausible. These results demonstrate the potential of our ML algorithm for advancing the capabilities of TOF PET imaging.

Evaluation of the MRI compatibility of PET detectors modules for organ-specific inserts in a 3T and 7T MRI scanner.

Simultaneous positron emission tomography (PET)/magnetic resonance imaging (MRI) scanners and inserts are valuable tools for accurate diagnosis, treatment planning, and monitoring due to their complementary information. However, the integration of a PET system into an MRI scanner presents technical challenges for a distortion-free operation. We aim to develop a PET insert dedicated to breast imaging in combination with the 3T PET/MRI scanner Biograph mMR (Siemens Healthineers) as well as a brain PET insert for the 7T MRI scanner MAGNETOM Terra (Siemens Healthineers). For this development, we selected as a basis the C13500 series PET modules (Hamamatsu Photonics K.K.) as they offer an all-in-one solution with a scalable, modular design for compact integration with state-of-the-art performance. The original PET modules were not designed to be operated with an MRI scanner, therefore we implemented several modifications such as signal transmission via plastic optical fiber, radio frequency (RF) shielding of the front-end electronics, and filter for the power supply lines. In this work, we evaluated the mutual MRI compatibility between the modified PET modules and the 3T and 7T MRI scanner. We used a proof-of-concept setup with two detectors to comprehensively evaluate a potential distortion of the performance of the modified PET modules whilst exposing them to a variety of MR sequences up to the peak operation conditions of the Biograph mMR. A method using the periodicity of the sequences to identify distortions of the PET events in the phase of RF pulse transmission was introduced. Vice versa, the potential distortion of the Biograph mMR was evaluated by vendor proprietary MRI compatibility test sequences. Afterwards, these studies were extended to the MAGNETOM Terra. No distortions were introduced by gradient field switching (field strength up to 20 mT/m at a slew rate of 66.0 T/ms-1 ). However, RF pulse transmission induced a reduction of the single event rate from 33.0 kcounts/s to 32.0 kcounts/s and a degradation of the coincidence resolution time from 251 to 299ps. Further, the proposed method revealed artifacts in the energy and timing histograms. Finally, by using the front-end filters it was possible to prevent any RF pulse induced distortion of event rate, energy, or time stamps even for a 700° flip angle (45.5 μT) sequence. The evaluations to assess potential distortions of the MRI scanner showed that carefully designed RF shielding boxes for the PET modules were required to prevent distortion of the RF spectra. The increase in B0 field inhomogeneity of 0.254ppm and local changes of the B1 field of 12.5% introduced by the PET modules did not qualitatively affect the MR imaging with a spin echo and MPRAGE sequence for the Biograph mMR and the MAGNETOM Terra, respectively. Our study demonstrates the feasibility of using a modified version of the PET modules in combination with 3T and 7T MRI scanners. Building upon the encouraging MRI compatibility results from our proof-of-concept detectors, we will proceed to develop PET inserts for breast and brain imaging using these modules.

The SNR of time-of-flight positron emission tomography data for joint reconstruction of the activity and attenuation images

Objective. Measurement of the time-of-flight (TOF) difference of each coincident pair of photons increases the effective sensitivity of positron emission tomography (PET). Many authors have analyzed the benefit of TOF for quantification and hot spot detection in the reconstructed activity images. However, TOF not only improves the effective sensitivity, it also enables the joint reconstruction of the tracer concentration and attenuation images. This can be used to correct for errors in CT- or MR-derived attenuation maps, or to apply attenuation correction without the help of a second modality. This paper presents an analysis of the effect of TOF on the variance of the jointly reconstructed attenuation and (attenuation corrected) tracer concentration images. Approach. The analysis is performed for PET systems that have a distribution of possibly non-Gaussian TOF-kernels, and includes the conventional Gaussian TOF-kernel as a special case. Non-Gaussian TOF-kernels are often observed in novel detector designs, which make use of two (or more) different mechanisms to convert the incoming 511 keV photon to optical photons. The analytical result is validated with a simple 2D simulation. Main results. We show that if two different TOF-kernels are equivalent for image reconstruction with known attenuation, then they are also equivalent for joint reconstruction of the activity and the attenuation images. The variance increase in the activity, caused by also jointly reconstructing the attenuation image, vanishes when the TOF-resolution approaches perfection. Significance. These results are of interest for PET detector development and for the development of stand-alone PET systems.