Photon quantum entanglement in the MeV regime and its application in PET imaging

First Detailed Study of the Quantum Decoherence of Entangled Gamma Photons

Constraints on the quantum decoherence of entangled γ quanta at the mega-electron-volt scale, such as those produced following positron annihilation, have remained elusive for many decades. We present the first statistically and kinematically precise experimental data for triple Compton scattering of such entangled γ. An entanglement witness (R), relating to the enhancement of the azimuthal correlation between the final scattering planes, is obtained where one of the γ underwent intermediate Compton scattering. The measured R, deconvolved from multiple scattering backgrounds, are found to exceed the classical limit for intermediate scatter angles up to ∼60° and diminish at larger angles. The data are consistent with predictions from a first quantum theory of entangled triple Compton scattering as well as a simple model based approach. The results are crucial to future study and utilization of entangled mega-electron-volt γ in fundamental physics and positron emission tomography imaging.

Engineering Nanoplatforms for Theranostics of Atherosclerotic Plaques

Atherosclerotic plaque formation is considered the primary pathological mechanism underlying atherosclerotic cardiovascular diseases, leading to severe cardiovascular events such as stroke, acute coronary syndromes, and even sudden cardiac death. Early detection and timely intervention of plaques are challenging due to the lack of typical symptoms in the initial stages. Therefore, precise early detection and intervention play a crucial role in risk stratification of atherosclerotic plaques and achieving favorable post-interventional outcomes. The continuously advancing nanoplatforms have demonstrated numerous advantages including high signal-to-noise ratio, enhanced bioavailability, and specific targeting capabilities for imaging agents and therapeutic drugs, enabling effective visualization and management of atherosclerotic plaques. Motivated by these superior properties, various noninvasive imaging modalities for early recognition of plaques in the preliminary stage of atherosclerosis are comprehensively summarized. Additionally, several therapeutic strategies are proposed to enhance the efficacy of treating atherosclerotic plaques. Finally, existing challenges and promising prospects for accelerating clinical translation of nanoplatform-based molecular imaging and therapy for atherosclerotic plaques are discussed. In conclusion, this review provides an insightful perspective on the diagnosis and therapy of atherosclerotic plaques.

Quantum error channels in high energetic photonic systems

In medical applications-such as positron emission tomography (PET)-511 keV photons that experience Compton scattering are studied. We present a consistent framework based on quantum error-correction channels-intensively studied in quantum computing-to fully describe the quantum information-theoretic content of high energetic photons undergoing Compton scattering, characterized by the Klein-Nishina formula in unoriented matter. In this way, we can predict the expected spatial distribution of two or more, pure or mixed, polarization entangled or separable photons. This framework allows us to characterize the accessible and inaccessible information for different parameter ranges. It also answers the question of how to describe successive multi-photon scattering. In addition our formalism provides a complete framework for dealing with single and all multi-partite errors that can occur in the propagation, providing the basis for modeling future dedicated experiments that will then have applications in medicine, such as reducing errors in PET imaging or exploring possibilities for quantum-based diagnostic indicators.

Application of quantum entanglement induced polarization for dual-positron and prompt gamma imaging

The intrinsic resolution of Positron Emission Tomography (PET) imaging is bound by positron range effects, wherein the radioactive decay of the imaging tracer occurs at a disjoint location from positron annihilation. Compounding this issue are the variable ranges positrons achieve, depending on tracer species (the energy they are emitted with) and the medium they travel in (bone vs soft tissue, for example) - causing the range to span more than an order of magnitude across various study scenarios (~0.19 mm to ~6.4 mm). Radioisotopes, such as Zr-89, exhibit dual emissions of positron and prompt gammas, offering an opportunity for accurate tracer positioning as prompt gammas originate from the tracer location. These multi-emission radiotracers have historically suffered from increased noise corresponding to the third gamma interfering in annihilation gamma coincidence pairing. Recent advancements, however, have brought to light the unique property of annihilation gammas having scattering kinematics distinct from random gamma pairs. These properties are born from the singular quantum entanglement state available to the gamma pair following para-positronium decay which prescribes linearly orthogonal polarization. Such coherent polarization is not shared by prompt gamma emissions, offering an opportunity for their discrimination. We present an investigation into this technique, comparing the distribution of relevant scattering kinematics of entangled annihilation gammas and corresponding prompt gammas via a Monte Carlo simulation.

Testing entanglement of annihilation photons

We present a new experimental study of the quantum entanglement of photon pairs produced in positron-electron annihilation at rest. Each annihilation photon has an energy that is five orders of magnitude higher than the energy of photons in optical experiments. It provides a unique opportunity for controlled Compton pre-scattering of initial photons before the polarization measurements. The experimental setup includes a system of Compton polarimeters to measure the angular correlations of annihilation photons in initial and thus prepared pre-scattered states. For the first time, a direct comparison of the polarization correlations of initial and pre-scattered annihilation photons has been carried out. The angular distributions of scattered in polarimeters photons turned out to be the same for both types of events. Moreover, the correlation function in the Bell's inequality is also the same for both states. We discuss the implications of our results for quantum measurement theory and for the quantum-entangled positron emission tomography.

Long-axial field-of-view PET/CT: perspectives and review of a revolutionary development in nuclear medicine based on clinical experience in over 7000 patients

Recently introduced long-axial field-of-view (LAFOV) PET/CT systems represent one of the most significant advancements in nuclear medicine since the advent of multi-modality PET/CT imaging. The higher sensitivity exhibited by such systems allow for reductions in applied activity and short duration scans. However, we consider this to be just one small part of the story: Instead, the ability to image the body in its entirety in a single FOV affords insights which standard FOV systems cannot provide. For example, we now have the ability to capture a wider dynamic range of a tracer by imaging it over multiple half-lives without detrimental image noise, to leverage lower radiopharmaceutical doses by using dual-tracer techniques and with improved quantification. The potential for quantitative dynamic whole-body imaging using abbreviated protocols potentially makes these techniques viable for routine clinical use, transforming PET-reporting from a subjective analysis of semi-quantitative maps of radiopharmaceutical uptake at a single time-point to an accurate and quantitative, non-invasive tool to determine human function and physiology and to explore organ interactions and to perform whole-body systems analysis. This article will share the insights obtained from 2 years' of clinical operation of the first Biograph Vision Quadra (Siemens Healthineers) LAFOV system. It will also survey the current state-of-the-art in PET technology. Several technologies are poised to furnish systems with even greater sensitivity and resolution than current systems, potentially with orders of magnitude higher sensitivity. Current barriers which remain to be surmounted, such as data pipelines, patient throughput and the hindrances to implementing kinetic analysis for routine patient care will also be discussed.

Preparation and quality control of a new porphyrin complex labeled with 45Ti for PET imaging

This study aims to produce and quality control of a new porphyrin complex labeled with ⁴⁵Ti for PET imaging, so at the first step, the cross-section of ⁴⁵Sc(p,n)⁴⁵Ti was investigated by TALYS-1.6 and the optimal target thickness and theoretical yield were calculated by SRIM code. The purified ⁴⁵Ti was labeled with the anticancer agent of tetrakis (pentafluorophenyl) porphyrin (TFPP). The radiochemical purity and the percentage of labeling were evaluated by radiation layer chromatography then the division coefficient of [⁴⁵Ti]-TFPP was calculated. The dual coincidence imaging system was used for imaging 1 and 2 h after injection [⁴⁵Ti]-TFPP to rats. Immediately after imaging, the mean percent injected dose per gram and specific activity of different tissues including blood, heart, lungs, stomach, liver, bone, kidney, spleen, intestine, muscle, feces, and skin were measured. The yield of ⁴⁵Ti production was measured 468 MBq/μAh and the labeling rate was observed more than 98%. The highest activity was observed in the liver (%ID/g = 2.27%, 1 h) and spleen (2.2%, 1 h), respectively, because of the high lipophilic of ⁴⁵Ti-TFPP. SPECT images showed a significant uptake of radiopharmaceuticals in the abdomen. The labeling rate of ⁴⁵Ti-TFPP was high and this compound has the potential for clinical application in different ways than PSMA, it can be joined with photodynamic therapy (Severin et al., 2015).

Study of Multi-Pixel Scintillator Detector Configurations for Measuring Polarized Gamma Radiation

When a positron annihilates, two gamma photons are created with orthogonal polarizations. It is possible to use coincidence measurements where both photons undergo Compton scattering to estimate their initial relative polarization orientation. This information is of great interest in gamma imaging systems, such as Positron Emission Tomography, where it may be used as an additional tool to distinguish true coincidence events from scatter and random background. The successful utilization of this principle critically depends on the detector’s angular and energy resolution, which determine its polarimetric performance. In this study, we use Monte Carlo simulations based on the Geant4 toolkit to model two multi-pixel detector configurations identified as prospective for the measurement of gamma-ray polarization in PET. One is based on 2 mm × 2 mm × 20 mm LYSO scintillators and the other is based on 3 mm × 3 mm × 20 mm GAGG scintillators. Each configuration has a pair of modules, each consisting of 64 crystals set up in a single 8 × 8 matrix, where both the recoil electron and the Compton-scattered photon are absorbed. We simulate positron annihilation by generating two back-to-back gamma photons of 511 keV with orthogonal polarizations. The Compton scattering is successfully identified and the modulation of the azimuthal angle difference is clearly observed. The configuration based on GAGG crystals demonstrates slightly better polarimetric performance than the one based on LYSO crystals, reflected in the more pronounced azimuthal modulation.