A high-resolution time-of-flight clinical PET detection system using the PMT-quadrant-sharing technology Wai-Hoi Wong 1, Hongdi Li 2, Yuxuan Zhang 1, Rocio Ramirez 1, Hossain Baghaei1, Shaohui An2, Chao Wang2, Shitao Liu2, Yun Dong2 1 University of Texas MD Anderson Cancer Center, Houston, TX, 2 Shanghai United Imaging Healthcare Co, Shanghai, China. The PMT-Quadrant-Sharing (PQS) detector block System Design • LYSO is expensive (1/5 the price of gold) • The Objective is to get higher sensitivity per cc of LYSO • More efficient use of LYSO by increasing the axial field of view while reducing the crystal depth • GEANT4 MC simulation • But large AFOV increases PMT and electronics cost • Use PMT-quadrant-sharing reducing PMT usage by 75% for increasing AFOV cheaply • 15mm deep LYSO, 28-cm AFOV Detector Ring Design • To achieve ultrahigh resolution using large PMT to increase AFOV 2.35 x 2.35 mm pitch 38-mm PMT 16 x 16 LYSO block Achieve decoding 256 crystals per PMT usage Adapt PMT-Quad-Sharing blocks to a gapless detector-ring geometry Ring has 24 modules (3 x 7 blocks) 3 blocks in-plane and 7 blocks axial The edge blocks are half-ground to fit the quadrant-sharing PMT 27.6-cm axial FOV A detector module The “Slab-Sandwich-Slice” (SSS) Detector Production There are 4 sandwich types in this 16 x 16 block Each reflecting mask can be cut into any shape providing many degrees of freedom to optimize crystal decoding These are 15 sets of inter-slab irregular reflecting masks for a 16 x 16 array to decode 256 crystals / PMT The SSS production method is highly uniform and precise as shown in the decoding map of these 72 detector blocks We use the 5th-generation HYPER Pileup-event-recovery front-end electronics Hybrid coincidence NEMA image resolution measurement Reconstruction algorithm: FBP2D (SSRB) Pixel Size: 0.3 x 0.3 x 1.22 NEMA Resolution Expectation (mm) Measured (mm) Transaxial (1 cm) ≤2.8 mm 2.72 Axial (1 cm) ≤3.1mm 2.76 Trans Radial (10 cm) ≤3.3mm 3.36 Trans Tangential (10cm) ≤3.2mm 3.05 Axial (10cm) ≤3.6mm 2.96 PSF reconstructed image resolution (mm) FWHM 0 cm 4 cm 8 cm Mid plane P (V) 1.47 1.55 1.64 1.78 1.76 1.89 1.97 2.46 Mid plane P (H) 1.55 1.44 1.60 1.61 1.56 1.81 1.77 1.79 ¼ axis NP (V) 1.72 1.88 2.09 2.13 2.18 2.12 2.19 2.95 ¼ axis NP (H) 2.00 2.03 2.19 2.28 2.58 3.13 3.90 4.46 V: Vertical 12 cm 16 cm 20 cm 24 cm 28 cm H: Horizontal Average time-of-flight resolution 473 ps (+ 36 ps) Very fine axial sampling, slice-to-slice separation = 1.22 mm Oncology 3 minutes/bed 4 bed positions TOF + PSF PSF 2 min/bed, 2 iterations 3 min/bed, 3 iterations MIP TOF + PSF Recon SNR: TOF/PSF 2 min/bed 2 iterations = PSF 3 min/bed 3 iterations 2/3 scan time, faster recon, no loss of detectability SNR = (Signal – Background) / SDBackground See Jakoby, et al, Phys. Med. Biol. 56 Conclusions • With PMT-quadrant-sharing Detector design we have developed an ultrahigh resolution TOF PET/CT • It has a resolution of 2.8 mm using FBP (1.5 mm using PSF) • Large axial FOV 27.6 cm, ultrafine axial sampling of 1.22 mm • This large system with ultrahigh resolution uses only 576 PMT (reducing PMT and electronics cost, while increasing reliability) • It has 129,024 detectors with a TOF resolution of 473 ps These developments have been supported by: NIH-RO1- EB001038 PHS Grant NIH-RO1- EB001481 PHS Grant NIH-RO1- EB004840 PHS Grant Shanghai United Imaging Healthcare Fund