PET/CT and PET/MR Tomographs: Image Acquisition and Processing

Positron emission tomography or PET is a nuclear medicine imaging technique able to measure, in vivo, the local concentration of a tracer labeled with a positron (β+)-emitting radioisotope (radiotracer or radiopharmaceutical).

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PET/CT and PET/MR Tomographs: Image Acquisition and Processing Nicola Belcari, Ronald Boellaard, and Matteo Morrocchi

Contents 9.1 P  hysical Principles of PET 9.1.1  Positron Emission 9.1.2  Annihilation of the Positron

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9.2 9.2.1  9.2.2  9.2.3  9.2.4 

 adiation Detectors for PET and PET/MR R Scintillation Detectors Photomultiplier Tube The Block Detector Solid-State Photodetectors

 201  201  201  202  202

9.3 9.3.1  9.3.2  9.3.3  9.3.4  9.3.5  9.3.6 

 he PET System T Coincidence Detection Data Acquisition System Geometry of a PET System From 2D to 3D PET Spatial Resolution Issues: Physical Limitations and Technological Aspects Noise in PET Events

 203  203  203  204  204  205  206

9.4 9.4.1  9.4.2  9.4.3  9.4.4 

I mage Reconstruction and Processing with PET/CT and PET/MR Data Representation Data Correction: Normalization, Random, Scatter, and Attenuation Corrections Time-of-Flight PET Image Reconstruction

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9.5 9.5.1  9.5.2  9.5.3 

 ET/CT and PET/MR Clinical Scanners: State of the Art P Hybrid Imaging PET/CT Instrumentation PET/MR Hybrid Systems

 211  211  211  213

9.6 9.6.1  9.6.2  9.6.3 

 ET/CT and PET/MR Quantification P Technical Aspects Concerning in Particular Attenuation Correction Factors Affecting PET/CT and PET/MR Quantification Methods and Metrics for PET/CT and PET/MR Quantification

 214  214  214  215

References

Learning Objectives

• To understand the physical principles of positron emission tomography. • To build up the competence to describe the main components of radiation detectors used in PET. N. Belcari (*) · M. Morrocchi Department of Physics “E. Fermi”, University of Pisa and INFN, Pisa, Italy e-mail: [email protected] R. Boellaard Department of Radiology and Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands

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• To acquire the knowledge of the working principles of the PET system and to understand its limitations in terms of spatial resolution and noise. • To be able to understand the steps of normalization and correction of PET data and to introduce the concept of PET image reconstruction. • To become acquainted with the current state of the art in PET/CT and PET/MR imaging and to understand advantages and limitations. • To understand the concept of quantitative imaging and describe the factors affecting quantification of PET/CT and PET/MR images.

© Springer Nature Switzerland AG 2019 D. Volterrani et al. (eds.), Nuclear Medicine Textbook, https://doi.org/10.1007/978-3-319-95564-3_9

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9.1

N. Belcari et al.

Physical Principles of PET

Positron emission tomography or PET is a nuclear medicine imaging technique able to measure, in vivo, the local concentration of a tracer labeled with a positron (β+)-emitting radioisotope (radiotracer or radiopharmaceutical). Before acquiring a PET scan, the radiotracer is injected into the patient and spreads physiologically within the body. The radiotracer concentration, which provides an insight