Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study

Abstract Background The combination of longer axial field-of-view (AFOV) and time-of-flight positron emission tomography (PET) has significantly improved system sensitivity and, as a result, image quality. This study investigates a cost-effective extended AFOV PET system design using monolithic LYSO...

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Main Authors: Maya Abi-Akl, Jens Maebe, Boris Vervenne, Othmane Bouhali, Christian Vanhove, Stefaan Vandenberghe
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:EJNMMI Physics
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Online Access:https://doi.org/10.1186/s40658-025-00766-z
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author Maya Abi-Akl
Jens Maebe
Boris Vervenne
Othmane Bouhali
Christian Vanhove
Stefaan Vandenberghe
author_facet Maya Abi-Akl
Jens Maebe
Boris Vervenne
Othmane Bouhali
Christian Vanhove
Stefaan Vandenberghe
author_sort Maya Abi-Akl
collection DOAJ
description Abstract Background The combination of longer axial field-of-view (AFOV) and time-of-flight positron emission tomography (PET) has significantly improved system sensitivity and, as a result, image quality. This study investigates a cost-effective extended AFOV PET system design using monolithic LYSO detectors with depth-of-interaction capabilities. These detectors, arranged in a vertical flat-panel geometry and positioned closer to the patient, enable superior spatial resolution while maintaining a compact and affordable system design. We simulate the performance of two flat-panel PET configurations: one with a fully populated 106 cm AFOV and another cost-efficient design featuring a reduced AFOV with axial gaps and vertical panel motion optimized for head and torso imaging. Methods Both configurations consist of two monolithic LYSO-based flat panels placed 50 cm apart. The panels are 71 cm wide, with the Long Flat Panel (L-FP) design extending to a length of 106 cm while the Sparse Medium Flat Panel (SpM-FP) design measures 60 cm in length. Monte Carlo simulations evaluated the two designs using the NEMA protocol and additional tests for a more thorough assessment. Sensitivity, spatial resolution, axial noise variability, and image quality were analyzed, and an XCAT phantom at standard dose was used to demonstrate the achievable clinical image quality. Results The SpM-FP showed 4–5 times lower sensitivity than the L-FP, requiring an acquisition time of 2–3 min to match the image quality achieved by the L-FP in 30 s. This finding is supported by the contrast-to-noise ratio of the image quality phantom and the standard deviation values obtained from the liver and lung regions of the XCAT phantom. Both configurations achieved uniform spatial resolution below 2 mm in the two directions parallel to the panels and an average of 3–3.5 mm in the direction towards the panels, with slight degradation observed away from the center of the AFOV. Additionally, the axial noise profile of the SpM-FP revealed minimal variability. Conclusions The SpM-FP design shows potential as a cost-effective system, combining the benefits of extended AFOV, superior spatial resolution and high patient throughput.
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spelling doaj-art-7c7cfc62eb1346038dd1f68d48ea855b2025-08-20T03:22:13ZengSpringerOpenEJNMMI Physics2197-73642025-05-0112111910.1186/s40658-025-00766-zPerformance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation studyMaya Abi-Akl0Jens Maebe1Boris Vervenne2Othmane Bouhali3Christian Vanhove4Stefaan Vandenberghe5Department of Electronics and Information Systems, Medical Image and Signal Processing, Ghent UniversityDepartment of Electronics and Information Systems, Medical Image and Signal Processing, Ghent UniversityDepartment of Electronics and Information Systems, Medical Image and Signal Processing, Ghent UniversityElectrical Engineering, Quantum Computing Centre, Hamad Bin Khalifa UniversityDepartment of Electronics and Information Systems, Medical Image and Signal Processing, Ghent UniversityDepartment of Electronics and Information Systems, Medical Image and Signal Processing, Ghent UniversityAbstract Background The combination of longer axial field-of-view (AFOV) and time-of-flight positron emission tomography (PET) has significantly improved system sensitivity and, as a result, image quality. This study investigates a cost-effective extended AFOV PET system design using monolithic LYSO detectors with depth-of-interaction capabilities. These detectors, arranged in a vertical flat-panel geometry and positioned closer to the patient, enable superior spatial resolution while maintaining a compact and affordable system design. We simulate the performance of two flat-panel PET configurations: one with a fully populated 106 cm AFOV and another cost-efficient design featuring a reduced AFOV with axial gaps and vertical panel motion optimized for head and torso imaging. Methods Both configurations consist of two monolithic LYSO-based flat panels placed 50 cm apart. The panels are 71 cm wide, with the Long Flat Panel (L-FP) design extending to a length of 106 cm while the Sparse Medium Flat Panel (SpM-FP) design measures 60 cm in length. Monte Carlo simulations evaluated the two designs using the NEMA protocol and additional tests for a more thorough assessment. Sensitivity, spatial resolution, axial noise variability, and image quality were analyzed, and an XCAT phantom at standard dose was used to demonstrate the achievable clinical image quality. Results The SpM-FP showed 4–5 times lower sensitivity than the L-FP, requiring an acquisition time of 2–3 min to match the image quality achieved by the L-FP in 30 s. This finding is supported by the contrast-to-noise ratio of the image quality phantom and the standard deviation values obtained from the liver and lung regions of the XCAT phantom. Both configurations achieved uniform spatial resolution below 2 mm in the two directions parallel to the panels and an average of 3–3.5 mm in the direction towards the panels, with slight degradation observed away from the center of the AFOV. Additionally, the axial noise profile of the SpM-FP revealed minimal variability. Conclusions The SpM-FP design shows potential as a cost-effective system, combining the benefits of extended AFOV, superior spatial resolution and high patient throughput.https://doi.org/10.1186/s40658-025-00766-zLong and medium axial field of view PETFlat-panel geometrySparse designMonolithic detectorSpatial resolutionNEMA performance
spellingShingle Maya Abi-Akl
Jens Maebe
Boris Vervenne
Othmane Bouhali
Christian Vanhove
Stefaan Vandenberghe
Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
EJNMMI Physics
Long and medium axial field of view PET
Flat-panel geometry
Sparse design
Monolithic detector
Spatial resolution
NEMA performance
title Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
title_full Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
title_fullStr Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
title_full_unstemmed Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
title_short Performance evaluation of a medium axial field-of-view sparse PET system based on flat panels of monolithic LYSO detectors: a simulation study
title_sort performance evaluation of a medium axial field of view sparse pet system based on flat panels of monolithic lyso detectors a simulation study
topic Long and medium axial field of view PET
Flat-panel geometry
Sparse design
Monolithic detector
Spatial resolution
NEMA performance
url https://doi.org/10.1186/s40658-025-00766-z
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