Time-of-flight Positron Emission Tomography Scanner Research Articles

Performance evaluation of the FastIC readout ASIC with emphasis on Cherenkov emission in TOF-PET

Objective. The efficient usage of prompt photons like Cherenkov emission is of great interest for the design of the next generation, cost-effective, and ultra-high-sensitivity time-of-flight positron emission tomography (TOF-PET) scanners. With custom, high power consuming, readout electronics and fast digitization the prospect of sub-300 ps FWHM with PET-sized BGO crystals have been shown. However, these results are not scalable to a full system consisting of thousands of detector elements. Approach. To pave the way toward a full TOF-PET scanner, we examine the performance of the FastIC ASIC with Cherenkov-emitting scintillators (BGO), together with one of the most recent SiPM detector developments based on metal trenching from FBK. The FastIC is a highly configurable ASIC with 8 input channels, a power consumption of 12 mW ch−1 and excellent linearity on the energy measurement. To put the timing performance of the FastIC into perspective, comparison measurements with high-power consuming readout electronics are performed. Main results. We achieve a best CTR FWHM of 330 ps for 2 × 2 × 3 mm3 and 490 ps for 2 × 2 × 20 mm3 BGO crystals with the FastIC. In addition, using 20 mm long LSO:Ce:Ca crystals, CTR values of 129 ps FWHM have been measured with the FastIC, only slightly worse to the state-of-the-art of 95 ps obtained with discrete HF electronics. Significance. For the first time, the timing capability of BGO with a scalable ASIC has been evaluated. The findings underscore the potential of the FastIC ASIC in the development of cost-effective TOF-PET scanners with excellent timing characteristics.

Positronium Lifetime Image Reconstruction for TOF PET.

Positron emission tomography is widely used in clinical and preclinical applications. Positronium lifetime carries information about the tissue microenvironment where positrons are emitted, but such information has not been captured because of two technical challenges. One challenge is the low sensitivity in detecting triple coincidence events. This problem has been mitigated by the recent developments of PET scanners with long (1-2 m) axial field of view. The other challenge is the low spatial resolution of the positronium lifetime images formed by existing methods that is determined by the time-of-flight (TOF) resolution (200-500 ps) of existing PET scanners. This paper solves the second challenge by developing a new image reconstruction method to generate high-resolution positronium lifetime images using existing TOF PET. Simulation studies demonstrate that the proposed method can reconstruct positronium lifetime images at much better spatial resolution than the limit set by the TOF resolution of the PET scanner. The proposed method opens up the possibility of performing positronium lifetime imaging using existing TOF PET scanners. The lifetime information can be used to understand the tissue microenvironment in vivo which could facilitate the study of disease mechanism and selection of proper treatments.

Fast and memory-efficient reconstruction of sparse Poisson data in listmode with non-smooth priors with application to time-of-flight PET

Objective. Complete time of flight (TOF) sinograms of state-of-the-art TOF PET scanners have a large memory footprint. Currently, they contain ∼4 · 109 data bins which amount to ∼17 GB in 32 bit floating point precision. Moreover, their size will continue to increase with advances in the achievable detector TOF resolution and increases in the axial field of view. Using iterative algorithms to reconstruct such enormous TOF sinograms becomes increasingly challenging due to the memory requirements and the computation time needed to evaluate the forward model for every data bin. This is especially true for more advanced optimization algorithms such as the stochastic primal-dual hybrid gradient (SPDHG) algorithm which allows for the use of non-smooth priors for regularization using subsets with guaranteed convergence. SPDHG requires the storage of additional sinograms in memory, which severely limits its application to data sets from state-of-the-art TOF PET systems using conventional computing hardware. Approach. Motivated by the generally sparse nature of the TOF sinograms, we propose and analyze a new listmode (LM) extension of the SPDHG algorithm for image reconstruction of sparse data following a Poisson distribution. The new algorithm is evaluated based on realistic 2D and 3D simulationsn, and a real data set acquired on a state-of-the-art TOF PET/CT system. The performance of the newly proposed LM SPDHG algorithm is compared against the conventional sinogram SPDHG and the listmode EM-TV algorithm. Main results. We show that the speed of convergence of the proposed LM-SPDHG is equivalent the original SPDHG operating on binned data (TOF sinograms). However, we find that for a TOF PET system with 400 ps TOF resolution and 25 cm axial FOV, the proposed LM-SPDHG reduces the required memory from approximately 56 to 0.7 GB for a short dynamic frame with 107 prompt coincidences and to 12.4 GB for a long static acquisition with 5·108 prompt coincidences. Significance. In contrast to SPDHG, the reduced memory requirements of LM-SPDHG enables a pure GPU implementation on state-of-the-art GPUs—avoiding memory transfers between host and GPU—which will substantially accelerate reconstruction times. This in turn will allow the application of LM-SPDHG in routine clinical practice where short reconstruction times are crucial.

Time of Flight in Perspective: Instrumental and Computational Aspects of Time Resolution in Positron Emission Tomography.

The first time-of-flight positron emission tomography (TOF-PET) scanners were developed as early as in the 1980s. However, the poor light output and low detection efficiency of TOF-capable detectors available at the time limited any gain in image quality achieved with these TOF-PET scanners over the traditional non-TOF PET scanners. The discovery of LSO and other Lu-based scintillators revived interest in TOF-PET and led to the development of a second generation of scanners with high sensitivity and spatial resolution in the mid-2000s. The introduction of the silicon photomultiplier (SiPM) has recently yielded a third generation of TOF-PET systems with unprecedented imaging performance. Parallel to these instrumentation developments, much progress has been made in the development of image reconstruction algorithms that better utilize the additional information provided by TOF. Overall, the benefits range from a reduction in image variance (SNR increase), through allowing joint estimation of activity and attenuation, to better reconstructing data from limited angle systems. In this work, we review these developments, focusing on three broad areas: 1) timing theory and factors affecting the time resolution of a TOF-PET system; 2) utilization of TOF information for improved image reconstruction; and 3) quantification of the benefits of TOF compared to non-TOF PET. Finally, we offer a brief outlook on the TOF-PET developments anticipated in the short and longer term. Throughout this work, we aim to maintain a clinically driven perspective, treating TOF as one of multiple (and sometimes competitive) factors that can aid in the optimization of PET imaging performance.

Practical joint reconstruction of activity and attenuation with autonomous scaling for time-of-flight PET

Recent research has showed that attenuation images can be determined from emission data, jointly with activity images, up to a scaling constant when utilizing the time-of-flight (TOF) information. We aim to develop practical CT-less joint reconstruction for clinical TOF PET scanners to obtain quantitatively accurate activity and attenuation images. In this work, we present a joint reconstruction of activity and attenuation based on MLAA (maximum likelihood reconstruction of attenuation and activity) with autonomous scaling determination and joint TOF scatter estimation from TOF PET data. Our idea for scaling is to use a selected volume of interest (VOI) in a reconstructed attenuation image with known attenuation, e.g. a liver in patient imaging. First, we construct a unit attenuation medium which has a similar, though not necessarily the same, support to the imaged emission object. All detectable LORs intersecting the unit medium have an attenuation factor of e −1≈ 0.3679, i.e. the line integral of linear attenuation coefficients is one. The scaling factor can then be determined from the difference between the reconstructed attenuation image and the known attenuation within the selected VOI normalized by the unit attenuation medium. A four-step iterative joint reconstruction algorithm is developed. In each iteration, (1) first the activity is updated using TOF OSEM from TOF list-mode data; (2) then the attenuation image is updated using XMLTR—a extended MLTR from non-TOF LOR sinograms; (3) a scaling factor is determined based on the selected VOI and both activity and attenuation images are updated using the estimated scaling; and (4) scatter is estimated using TOF single scatter simulation with the jointly reconstructed activity and attenuation images. The performance of joint reconstruction is studied using simulated data from a generic whole-body clinical TOF PET scanner and a long axial FOV research PET scanner as well as 3D experimental data from the PennPET Explorer scanner. We show that the proposed joint reconstruction with proper autonomous scaling provides low bias results comparable to the reference reconstruction with known attenuation.

Consistency equations in native detector coordinates and timing calibration for time-of-flight PET

Fully 3-D time-of-flight (TOF) PET scanners offer the potential of previously unachievable image quality in clinical PET imaging. Timing calibration is critical to achieve the best possible timing resolution, to maximize the true counts and minimize the random counts. In this paper, we consider a data-driven timing calibration based on TOF data consistency. First, we derive two consistency equations for TOF data parameterized in the native detector coordinates where each line of response (LOR) is represented by the two azimuthal angles and axial coordinates of the two crystals detecting the LOR. By exploiting the consistency equations that must be satisfied by the time corrected TOF data, we derive the timing offset equations which only involve the zeroth and first moments with respect to the TOF variable. We also provide a numerical solution that unknown timing offsets can be directly estimated from the two moments by solving linear equations. The timing offsets can be determined up to a global constant which is immaterial for timing calibration. The data-driven timing calibration can be applied to data acquired with an arbitrary tracer distribution, which eliminates the need for a specialized data acquisition. We evaluate the timing calibration method with two-dimensional numerical simulations. The results show that the timing offsets can be determined with root mean square (RMS) errors of 1 ps and 15 ps from noise-free data and from noisy data with 16 million counts, respectively. Next generation TOF PET scanners have significantly improved timing resolution using silicon photomultiplier (SiPM) based detectors, which may require frequent timing calibration and close monitoring in performance compared to photomultiplier-tube based detectors. The proposed data-driven method allows the residual timing offsets be corrected automatically using clinical data sets whenever computing resources are available.

Proof-of-concept prototype time-of-flight PET system based on high-quantum-efficiency multianode PMTs.

Time-of-flight (TOF) information in positron emission tomography (PET) scanners enhances the diagnostic power of PET scans owing to the increased signal-to-noise ratio of reconstructed images. There are numerous additional benefits of TOF reconstruction, including the simultaneous estimation of activity and attenuation distributions from emission data only. Exploring further TOF gains by using TOF PET scanners is important because it can broaden the applications of PET scans and expand our understanding of TOF techniques. Herein, we present a prototype TOF PET scanner with fine-time performance that can experimentally demonstrate the benefits of TOF information. A single-ring PET system with a coincidence resolving time of 360ps and a spatial resolution of 3.1/2.2mm (filtered backprojection/ordered-subset expectation maximization) was developed. The scanner was based on advanced high-quantum-efficiency (high-QE) multianode photomultiplier tubes (PMTs). The impact of its fine-time performance was demonstrated by evaluating body phantom images reconstructed with and without TOF information. Moreover, the feasibility of the scanner as an experimental validator of TOF gains was verified by investigating the improvement of images under various conditions, such as the use of joint estimation algorithms of activity and attenuation, erroneous data correction factors (e.g., without normalization correction), and incompletely sampled data. The prototype scanner showed excellent performance, producing improved phantom images, when TOF information was employed in the reconstruction process. In addition, investigation of the TOF benefits using the phantom data in different conditions verified the usefulness of the developed system for demonstrating the practical effects of TOF reconstruction. We developed a prototype TOF PET scanner with good performance and a fine-timing resolution based on advanced high-QE multianode PMTs and demonstrated its feasibility as an experimental validator of TOF gains, suggesting its usefulness for investigating new applications of PET scans and clarifying TOF techniques in detail.

Bismuth germanate coupled to near ultraviolet silicon photomultipliers for time-of-flight PET

Bismuth germanate (BGO) was a very attractive scintillator in early-generation positron emission tomography (PET) scanners. However, the major disadvantages of BGO are lower light yield and longer rise and decay time compared to currently popular scintillators such as LSO and LYSO. This results in poorer coincidence timing resolution and it has generally been assumed that BGO is not a suitable scintillator for time-of-flight (TOF) PET applications. However, when a 511 keV photon interacts in a scintillator, a number of Cerenkov photons are produced promptly by energetic electrons released by photoelectric or Compton interactions. If these prompt photons can be captured, they could provide a better timing trigger for PET. Since BGO has a high refractive index (increasing the Cerenkov light yield) and excellent optical transparency down to 320 nm (Cerenkov light yield is higher at shorter wavelengths), we hypothesized that the coincidence timing resolution of BGO can be significantly improved by efficient detection of the Cerenkov photons. However, since the number of Cerenkov photons is far less than the number of scintillation photons, and they are more abundant in the UV and blue part of the spectrum, photosensors need to have high UV/blue sensitivity, fast temporal response, and very low noise in order to trigger on the faint Cerenkov signal. In this respect, NUV-HD silicon photomultipliers (SiPMs) (FBK, Trento, Italy) are an excellent fit for our approach. In this study, coincidence events were measured using BGO crystals coupled with NUV-HD SiPMs. The existence and influence of Cerenkov photons on the timing measurements were studied using different configurations to exploit the directionality of the Cerenkov emissions. Coincidence resolving time values (FWHM) of ~270 ps from 2 × 3 × 2 mm3 BGO crystals and ~560 ps from 3 × 3 × 20 mm3 BGO crystals were obtained. To our knowledge, these are the best coincidence resolving time values reported for BGO to date. With these values, BGO can be considered as a relevant scintillator for TOF PET scanners, especially if photodetectors with even better near UV/blue response can be developed to further improve the efficiency of Cerenkov light detection.

Fourier rebinning and consistency equations for time-of-flight PET planograms

Due to the unique geometry, dual-panel PET scanners have many advantages in dedicated breast imaging and on-board imaging applications since the compact scanners can be combined with other imaging and treatment modalities. The major challenges of dual-panel PET imaging are the limited-angle problem and data truncation, which can cause artifacts due to incomplete data sampling. The time-of-flight (TOF) information can be a promising solution to reduce these artifacts. The TOF planogram is the native data format for dual-panel TOF PET scanners, and the non-TOF planogram is the 3D extension of linogram. The TOF planograms is five-dimensional while the objects are three-dimensional, and there are two degrees of redundancy. In this paper, we derive consistency equations and Fourier-based rebinning algorithms to provide a complete understanding of the rich structure of the fully 3D TOF planograms. We first derive two consistency equations and John’s equation for 3D TOF planograms. By taking the Fourier transforms, we obtain two Fourier consistency equations (FCEs) and the Fourier–John equation (FJE), which are the duals of the consistency equations and John’s equation, respectively. We then solve the FCEs and FJE using the method of characteristics. The two degrees of entangled redundancy of the 3D TOF data can be explicitly elicited and exploited by the solutions along the characteristic curves. As the special cases of the general solutions, we obtain Fourier rebinning and consistency equations (FORCEs), and thus we obtain a complete scheme to convert among different types of PET planograms: 3D TOF, 3D non-TOF, 2D TOF and 2D non-TOF planograms. The FORCEs can be used as Fourier-based rebinning algorithms for TOF-PET data reduction, inverse rebinnings for designing fast projectors, or consistency conditions for estimating missing data. As a byproduct, we show the two consistency equations are necessary and sufficient for 3D TOF planograms. Finally, we give numerical examples of implementation of a fast 2D TOF planogram projector and Fourier-based rebinning for a 2D TOF planograms using the FORCEs to show the efficacy of the Fourier-based solutions.

Development and Performance Evaluation of a Time-of-Flight Positron Emission Tomography Detector Based on a High-Quantum-Efficiency Multi-Anode Photomultiplier Tube

We present the development and performance evaluation of time-of-flight (TOF) positron emission tomography (PET) detector modules designed for a proof-of-concept prototype of a TOF PET scanner based on the advanced high-quantum-efficiency (high-QE) multi-anode photomultiplier tube (PMT) (Hamamatsu H10966A-100 with super-bialkali photocathode) coupled with LGSO scintillation crystals (3 mm $ \times$ 3 mm $\times$ 20 mm) whose cross section is smaller than that of crystals used in current clinical scanners. Compact dedicated front-end analog electronics combined with the high packing density and large effective area of the multi-anode PMT allow a modular detector design and thus a flexible and extendible geometry of the PET system. We optimized the electrical parameters (trigger threshold level, high voltage of PMTs, and amplifier gain) to yield the best timing resolution and acquired excellent flood map quality, energy resolution, and timing resolution with the optimal setup; the average distance-to-width ratio (DWR) of crystal peaks for 40 detectors was 5.3 ${\pm}$ 1.0, and the average energy resolution and coincidence resolving time (H10966A-100 vs. H10966A-100) were 11.04 ${\pm} $ 0.80% (FWHM) and 341 ${\pm}$ 45 ps (FWHM) respectively. The detector modules developed in this study and optimized their parameters to yield the best detector performance will be useful for the future development of the next generation TOF PET scanners based on them.

Timing Calibration for Time-of-Flight PET Using Positron-Emitting Isotopes and Annihilation Targets

Adding time-of-flight (TOF) technology has been proven to improve image quality in positron emission tomography (PET). In order for TOF information to significantly reduce the statistical noise in reconstructed PET images, good timing resolution is needed across the scanner field of view (FOV). This work proposes an accurate, robust, and practical crystal-based timing calibration method using ${}^{18}{\rm F} - {\rm FDG}$ positron-emitting sources together with a spatially separated annihilation target. We calibrated a prototype Toshiba TOF PET scanner using this method and then assessed its timing resolution at different locations in the scanner FOV.

Update on time-of-flight PET imaging.

Time-of-flight (TOF) PET was initially introduced in the early days of PET. The TOF PET scanners developed in the 1980s had limited sensitivity and spatial resolution, were operated in 2-dimensional mode with septa, and used analytic image reconstruction methods. The current generation of TOF PET scanners has the highest sensitivity and spatial resolution ever achieved in commercial whole-body PET, is operated in fully-3-dimensional mode, and uses iterative reconstruction with full system modeling. Previously, it was shown that TOF provides a gain in image signal-to-noise ratio that is proportional to the square root of the object size divided by the system timing resolution. With oncologic studies being the primary application of PET, more recent work has shown that in modern TOF PET scanners there is an improved tradeoff between lesion contrast, image noise, and total imaging time, leading to a combination of improved lesion detectability, reduced scan time or injected dose, and more accurate and precise lesion uptake measurement. Because the benefit of TOF PET is also higher for heavier patients, clinical performance is more uniform over all patient sizes.

A novel method for calibration and monitoring of time synchronization of TOF-PET scanners by means of cosmic rays

Abstract All of the present methods for calibration and monitoring of time-of-flight positron emission tomography (TOF-PET) scanner detectors utilize radioactive isotopes, such as 22Na or 68Ge, which are placed or rotate inside the scanner. In this article, we describe a novel method based on the cosmic rays application to the PET calibration and monitoring methods. The concept allows to overcome many of the drawbacks of the present methods and it is well suited for newly developed TOF-PET scanners with a large longitudinal field of view. The method enables also the monitoring of the quality of the scintillator materials and in general allows for the continuous quality assurance of the PET detector performance.

Design Study of a Whole-Body PET Scanner With Improved Spatial and Timing Resolution

Current state-of-art whole-body PET scanners achieve a system spatial resolution of 4-5 mm with limited sensitivity. Since the reconstructed spatial resolution and image quality are limited by the count statistics, there has not been a significant push for developing higher resolution whole-body PET scanners. Our goal in this study is to investigate the impact of improved spatial resolution together with time-of-flight (TOF) capability on lesion uptake estimation and lesion detectability, two important tasks in whole-body oncologic studies. The broader goal of this project is the development of a new state-of-art TOF PET scanner operating within an MRI while pushing the technology in PET system design. We performed Monte Carlo simulations to test the effects of crystal size (4 mm and 2.6 mm wide crystals), TOF timing resolution (300ps and 600ps), and 2-level depth-of-interaction (DOI) capability. Spatial resolution was calculated by simulating point sources in air at multiple positions. Results show that smaller crystals produced improved resolution, while degradation of resolution due to parallax error could be reduced with a 2-level DOI detector. Lesion phantoms were simulated to measure the contrast recovery coefficient (CRC) and area under the LROC curve (ALROC) for 0.5 cm diameter lesions with 6:1 activity uptake relative to the background. Smaller crystals produce higher CRC, leading to increased ALROC values or a reduction in scan time. Improved timing resolution provides faster CRC convergence and once again leads to an increase in ALROC value or reduced scan time. Based on our choice of timing resolution and crystal size, improved timing resolution (300ps) with larger crystals (4 mm wide) has similar ALROC as smaller crystals (2.6 mm wide) with 600ps timing resolution. A 2-level DOI measurement provides some CRC and ALROC improvement for lesions further away from the center, leading to a more uniform performance within the imaging field-of-view (FOV). Given a choice between having either an improved spatial resolution, improved timing resolution, or DOI capability, improved spatial or timing resolution provide an overall higher ALROC relative to a 2-level DOI detector.

Application of a Generalized Scan Statistic Model to Evaluate TOF PET Images

Noise equivalent counts (NEC) have been used as a measure or proxy of PET image quality for many years. It has been shown to be a useful metric, for example to determine clinical patient dosage. However, NEC should be used cautiously in evaluating image quality since it is a global data quality measure that does not take into account localized effects due to spatial resolution and image reconstruction, as well as the effect of time-of-flight (TOF) imaging on resultant images. In this work, we study the use of a numerical observer that uses a generalized scan-statistic model to estimate lesion detectability with localization in a uniform background phantom, for varying activity levels and scan times. Data were acquired on a clinical whole-body TOF PET scanner. Data show that ALROC increases as a function of NEC but at high activity levels it approaches a peak value earlier than the NEC peak. Also, the ALROC for images acquired with the same NEC, but at two different activity levels and scan times, is similar. Our results show that with TOF information we can either achieve improved clinical performance for heavy patients, or reduce the scan time or injected activity while maintaining similar ALROC value as in a Non-TOF image.

Improving time resolution in time-of-flight PET

The last ten years have seen the development of the present generation of commercial time-of-flight (TOF) positron emission tomography (PET) scanners, based on LSO and LYSO scintillators and characterized by a time resolution in the 500–600 ps range. This is far from the intrinsic timing limits of such scintillators, which is in the order of 150–200 ps. Great benefits can be obtained from improved time resolution, given the direct effect of such a resolution on the image quality of TOF PET. The different contributions to the system time resolution of a TOF PET scanner are discussed, and some possible avenues for achieving better timing are presented.

Why is TOF PET reconstruction a more robust method in the presence of inconsistent data?

In order to obtain an accurate and quantitative positron emission tomography (PET) image, emission data need to be corrected for random coincidences, photon attenuation and Compton scattering of photons in the tissue, and detector efficiency response or normalization. The accuracy of these corrections strongly affects the quality of the PET image. There is evidence that time-of-flight (TOF) PET reconstruction is less sensitive than non-TOF reconstruction to inconsistencies between emission data and corrections. The purpose of this study is to analyze and discuss such experimental evidence. In this work, inconsistent correction data (inconsistent normalization, absence of scatter correction and mismatched attenuation correction) are introduced in experimental phantom data. Both TOF and non-TOF reconstructed images are analyzed to examine the effect of flawed data. The behavior of TOF reconstruction in respiratory artifacts, a very common example of inconsistency in the data, is studied in patient images. TOF reconstruction is less sensitive to mismatched attenuation correction, erroneous normalization and poorly estimated scatter correction. Such robustness depends strongly on the time resolution of the TOF PET scanner. In particular, the robustness of TOF in the presence of attenuation correction inconsistencies is discussed, using a simulation of a simple model of respiratory artifacts. We expect new generations of PET scanners, with improved time resolution, to be less and less sensitive to poor quality normalization, scatter and attenuation corrections. This not only reduces artifacts in the PET image, but also opens the way to less stringent requirements for the quality of the CT image (reducing either the equipment cost or the dose to the patient), and for the normalization protocols (simplifying or shortening the normalization procedures). Moreover, TOF reconstruction can be beneficial in multimodalities such as PET/MR, where a direct attenuation measurement is not available and attenuation correction can only be approximated.

Time Resolution for Scattered and Unscattered Coincidences in a TOF PET Scanner

Time resolution is a key parameter in the performance of a Time-of-Flight (TOF) Positron Emission Tomography (PET) scanner, and it is usually measured in the system with unscattered data and used as the width of the TOF kernel in reconstruction. In fact, the time distribution of detected coincidence events is a function of the energy of the detected photons, and true and scatter events have different time distributions. While the reconstruction TOF kernel should match the true or unscattered data, the scatter simulation used for scatter correction should match the time distribution of the scatter data. This work, using experimental measurements and Monte Carlo simulation, confirmed that the time resolution in a PET scanner is dependent on the energy of the detected photon pair. Moreover, it was observed that trues, single and multiple scatter in general have different time distributions. The full width half maximum (FWHM) of the time distribution of trues and scatter in different configurations of phantoms and energy threshold were evaluated. The width of the time distribution for scatter was observed to be much larger than for trues, particularly because of the effect of multiple scatter, if low energy thresholds are used. On the other hand, the use of high energy thresholds (for example, 435 keV) reduces the time distribution FWHM of the overall scatter and the amount of multiple scatter accepted: in that case, the single scatter simulation provides a good estimate of the experimental scatter time distribution. Moreover, at these high thresholds, the time distribution of the scatter becomes very close to that of the trues, and even using the trues time resolution for the scatter simulation will not produce a significant effect on the final image.

An Assessment of the Impact of Incorporating Time-of-Flight Information into Clinical PET/CT Imaging

The introduction of fast scintillators with good stopping power for 511-keV photons has renewed interest in time-of-flight (TOF) PET. The ability to measure the difference between the arrival times of a pair of photons originating from positron annihilation improves the image signal-to-noise ratio (SNR). The level of improvement depends upon the extent and distribution of the positron activity and the time resolution of the PET scanner. While specific estimates can be made for phantom imaging, the impact of TOF PET is more difficult to quantify in clinical situations. The results presented here quantify the benefit of TOF in a challenging phantom experiment and then assess both qualitatively and quantitatively the impact of incorporating TOF information into the reconstruction of clinical studies. A clear correlation between patient body mass index and gain in SNR was observed in this study involving 100 oncology patient studies, with a gain due to TOF ranging from 1.1 to 1.8, which is consistent with the 590-ps time resolution of the TOF PET scanner. The visual comparison of TOF and non-TOF images performed by two nuclear medicine physicians confirmed the advantages of incorporating TOF into the reconstruction, advantages that include better definition of small lesions and image details, improved uniformity, and noise reduction.

Comparison of Fast Scintillators With TOF PET Potential

The renewed interest in time-of-flight (TOF) positron emission tomography (PET) has been accompanied by new research in the development of fast scintillators, mainly halides and/or lutetium-based compounds doped with Ce or Pr. In this work we measure some intrinsic properties of these materials, such as decay time and light output, which have a direct effect on time resolution, the key performance parameter for a TOF-grade detector. In particular, we report on measurements on LSO:Ce, LuAG:Pr, LuYAP:Ce, LaBr <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">3</sub> :Ce and LaCl <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">3</sub> :Ce. The scintillators are characterized in terms of absolute light yield, decay time, energy resolution, emission and excitation spectra, and time resolution. A new figure of merit to compare scintillators based on their performance in a TOF PET scanner is introduced. This figure of merit, the TOF effective sensitivity eta , includes both interaction probability and timing characteristics.