Depth-of-interaction study of a dual-readout detector based on TOFPET2 application-specific integrated circuit

Calibration method of crosshair light sharing PET detector with TOF and DOI capabilities

Objective. A crosshair light sharing (CLS) PET detector as a TOF-DOI PET detector with high spatial resolution has been developed. To extend that work, a detector calibration method was developed to achieve both higher coincidence resolving time (CRT) and DOI resolution.Approach. The CLS PET detector uses a three-layer reflective material in a two-dimensional crystal array to form a loop structure within a pair of crystals, enabling a CRT of about 300 ps and acquisition of DOI from multi-pixel photon counter (MPPC) output ratios. The crystals were 1.45 × 1.45 × 15 mm3fast LGSO, and the crystal array was optically coupled to an MPPC array. It is important to reduce as many inter-crystal scattering (ICS) events as possible in advance for the accurate detector calibration. DOI information is also expected to improve the CRT because it can estimate the time delay due to the detection depth of crystals.Main results. Using crystal identification and light collection rate of the highest MPPC output reduces the number of ICS events, and CRT is improved by 26%. In addition, CRT is further improved by 13% with a linear correction of time delay as a function of energy. The DOI is ideally estimated from the output ratio of only the MPPC pairs optically coupled to the interacted crystals, which is highly accurate, but the error is large due to light leakage in actual use. The previous method, which also utilizes light leakage to calculate the output ratio, is less accurate, but the error can be reduced. Using the average of the two methods, it is possible to improve the DOI resolution by 12% while maintaining the smaller error.Significance. By applying the developed calibration method, the CLS PET detector achieves the CRT of 251 ps and the DOI resolution of 3.3 mm.

Edge effect reduction of high-resolution PET detectors using LYSO and GAGG phoswich crystals

Objective. Small-animal positron emission tomography (PET) is a powerful preclinical imaging tool in animal model studies. The spatial resolution and sensitivity of current PET scanners developed for small-animal imaging need to be improved to increase the quantitative accuracy of preclinical animal studies. This study aimed to improve the identification capability of edge scintillator crystals of a PET detector which will enable to apply a crystal array with the same cross-section area as the active area of a photodetector for improving the detection area and thus reducing or eliminating the inter-detector gaps.Approach. PET detectors using crystal arrays with mixed lutetium yttrium orthosilicate (LYSO) and gadolinium aluminum gallium garnet (GAGG) crystals were developed and evaluated. The crystal arrays consisted of 31 × 31 array of 0.49 × 0.49 × 20 mm³crystals; they were read out by two silicon photomultiplier arrays with pixel sizes of 2 × 2 mm²that were placed at both ends of the crystal arrays. The second or first outermost layer of the LYSO crystals was replaced by GAGG crystals in the two crystal arrays. The two crystal types were identified using a pulse-shape discrimination technique to provide better edge crystal identification.Main results. Using the pulse shape discrimination technique, almost all (except for a few edge) crystals were resolved in the two detectors; high sensitivity was achieved by using the scintillator array and the photodetector with the same areas and achieved high resolution by using crystals with sizes equal to 0.49 × 0.49 × 20 mm³. Energy resolutions of 19.3 ± 1.8% and 18.9 ± 1.5%, depth-of-interaction resolutions of 2.02 ± 0.17 mm and 2.04 ± 0.18 mm, and timing resolutions of 1.6 ± 0.2 ns and 1.5 ± 0.2 ns were achieved by the two detectors, respectively.Significance. In summary, novel three-dimensional high-resolution PET detectors consisting of a mixture of LYSO and GAGG crystals were developed. The detectors significantly improve the detection area with the same photodetectors and thus improve the detection efficiency.

Performance estimation for the memristor-based computing-in-memory implementation of extremely factorized network for real-time and low-power semantic segmentation

Nowadays many semantic segmentation algorithms have achieved satisfactory accuracy on von Neumann platforms (e.g., GPU), but the speed and energy consumption have not meet the high requirements of certain edge applications like autonomous driving. To tackle this issue, it is of necessity to design an efficient lightweight semantic segmentation algorithm and then implement it on emerging hardware platforms with high speed and energy efficiency. Here, we first propose an extremely factorized network (EFNet) which can learn multi-scale context information while preserving rich spatial information with reduced model complexity. Experimental results on the Cityscapes dataset show that EFNet achieves an accuracy of 68.0% mean intersection over union (mIoU) with only 0.18M parameters, at a speed of 99 frames per second (FPS) on a single RTX 3090 GPU. Then, to further improve the speed and energy efficiency, we design a memristor-based computing-in-memory (CIM) accelerator for the hardware implementation of EFNet. It is shown by the simulation in DNN+NeuroSim V2.0 that the memristor-based CIM accelerator is ∼63× (∼4.6×) smaller in area, at most ∼9.2× (∼1000×) faster, and ∼470× (∼2400×) more energy-efficient than the RTX 3090 GPU (the Jetson Nano embedded development board), although its accuracy slightly decreases by 1.7% mIoU. Therefore, the memristor-based CIM accelerator has great potential to be deployed at the edge to implement lightweight semantic segmentation models like EFNet. This study showcases an algorithm-hardware co-design to realize real-time and low-power semantic segmentation at the edge.

Comparison of arithmetic mean and energy-weighted mean flood histogram generation methods for dual-ended readout PET detectors

PURPOSE

Dual-ended readout pixelated scintillator array detectors can provide a suitable crystal resolvability and satisfactory depth of interaction (DOI), energy, and timing resolutions. Usually, the flood histogram measured by one-sided readout is depth dependent, and the flood histogram quality degrades as the distance between the interaction site and photodetector increases. Information measured by two photodetectors must be combined to obtain an improved flood histogram yielding a better PET scanner spatial resolution.

METHODS

Two flood histogram generation algorithms for dual-ended readout of pixelated scintillator array detectors were compared by theoretical calculations and experimental measurements. The first algorithm is the arithmetic mean (AM) algorithm, which assigns the same weight to the flood histograms measured by photodetectors 1 and 2. The second algorithm is the energy-weighted mean (EWM) algorithm, which assigns each flood histogram a certain weight proportional to the energy measured by the photodetector. Theoretical equations were derived to determine the quality of the flood histograms obtained with these two algorithms. Experimental measurements were performed with an 18 × 18 lutetium-yttrium oxyorthosilicate (LYSO) array with a crystal size of 0.62 × 0.62 × 20 mm³ read out by two multi-anode photomultiplier tubes at both ends. Flood histograms of the whole array and five specific depths were compared between the above two algorithms.

RESULTS

The theoretical results indicated that the flood histograms obtained with the EWM method matched those obtained with the AM method at the middle detector depth and were better at other detector depths when the distance (S) between the locations of the same crystal in the flood histograms measured by photodetectors 1 and 2 reached 0. The advantage of the EWM method decreased with increasing S value since the crystal position in the flood histogram obtained with the EWM method varies with the depth when S does not equal 0. The advantage of the EWM method decreased with increasing S value. The experimental results generally agreed with the theoretical predictions. Compared to the AM method, the EWM method provided a similar flood histogram at a depth of 10 mm but generated a better flood histogram at depths of 2 and 18 mm. Although an inverse correlation between Q (a quality factor representing the advantage of the EWM method) and S was observed, the variation in Q given the same S value was high. The average Q value at the same S still agreed with the theoretical predictions.

CONCLUSIONS

Theoretical equations were derived, and experimental measurements were performed to compare two flood histogram generation algorithms for dual-ended readout PET detectors. The results indicated that the EWM method based on inverse variance weighting theory could provide better flood histograms than those provided by the AM method. This article is protected by copyright. All rights reserved.

Development and Characterization of Modular Readout Design for Two-Panel Head-and-Neck Dedicated PET System Based on CZT Detectors

Cadmium zinc telluride (CZT) detectors are suitable for various applications due to the good energy resolution and the simple pixilation to achieve high spatial resolution. Our group is developing a two-panel head and neck dedicated positron emission tomography system based on CZT detectors. Each panel will consist of 150 CZT crystals (4×4×0.5 cm3) covering an area of 20×15 cm2 in an edge-on configuration to achieve high detector efficiency at 511 keV. In this work, we present the design and development of a full data acquisition chain that enables a low noise and compact readout for each panel. The initial results of the readout circuit were quantified using a 1 kHz square wave test pulse. The pulse amplitude was chosen to generate approximately the same amount of charges as a 511 keV photon would provide in CZT. The best-case FWHM electronic noise at 511 keV was measured to be 0.69% ± 0.16% (3.52 ± 0.81 in keV units after conversion). The FWHM electronic noise at 511 keV for a complete DAQ chain was 4.33% ± 0.30% (22.13 ± 1.53 in keV units).

Diagnostic performance of a novel high-resolution dedicated axillary PET system in the assessment of regional nodal spread of disease in early breast cancer

Background

In early breast cancer, a non-invasive method with higher sensitivity and negative predictive value (NPV) is needed to identify and recognize more indolent axillary lymph nodes (ALNs). This study aimed to assess whether a novel high-resolution dedicated ALN positron emission tomography (LymphPET) system could improve sensitivity in detecting early breast cancer (clinical N0-N1 stage).

Methods

A total of 103 patients with clinical stage T1-2N0-1M0 breast cancer were evaluated by ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) LymphPET. The maximum single-voxel PET uptake value of ALNs (maxLUV) and the tumor-to-background ratio (TBR) for fat (TBR1) and muscle (TBR2) tissue were calculated. Then, 78 patients with cN0 stage breast cancer received sentinel lymph node biopsy alone or combined with axillary lymph node dissection (ALND), and 25 patients with cN1 stage breast cancer underwent fine-needle aspiration.

Results

A total of 99 invasive breast carcinoma cases were included in this study. The diagnostic sensitivity of LymphPET was 88%, specificity was 79%, false-negative rate was 12%, the false-positive rate was 21%, positive predictive value was 75%, NPV was 90%, and accuracy was 83%. The maxLUV was superior to TBR1 and TBR2 in detecting ALNs, with 0.27 being the most optimal cutoff value.

Conclusions

The ¹⁸F-FDG LymphPET system can be used to identify and recognize more indolent ALNs of breast cancer due to greater sensitivity and a much higher NPV.

Development of dual-ended depth-of-interaction detectors using laser-induced crystals for small animal PET systems

Sensitivity and spatial resolution of positron emission tomography (PET) scanners can be improved by using thicker scintillation crystals with depth-of-interaction (DOI) encoding. Subsurface laser engraving (SSLE) can be used to segment crystals of a scintillation detector in order to fabricate a DOI detector. We previously applied SSLE to crystal bars of 3 × 3 × 20 mm³and 1.5 × 1.5 × 20 mm³and developed two dual-ended detectors with DOI segments of 3 mm and 1.5 mm, respectively. To further improve the DOI resolution, our SSLE detector design can be used with smaller pitch crystal bars, making them excellent detector candidates for small animal PET scanners with submillimetre resolution. In the present study, three small crystal bars of 1 × 1 × 20 mm³, 2 × 1 × 20 mm³, and 2 × 1 × 40 mm³were laser engraved to 12, 20 and 40 segments, respectively, by applying SSLE in their height directions. The segmented crystal bars were characterised in three prototype detector arrangements. First, the 1 × 1 × 20 mm³crystal bars were characterised in an 8 × 8 crystal array designed for DOI encoding along crystal height in a conventional small animal PET design. Second, a 4 × 8 crystal array of 2 × 1 × 20 mm³crystal bars was characterised for using the DOI information for crystal interaction positioning along the axial axis of a small animal PET scanner. Finally, the third part of the study was performed on a single 2 × 1 × 40 mm³crystal bar with 40 segments to investigate the feasibility of DOI estimation in longer crystals for application in a system with extended axial length. We evaluated the capability of segment identification and energy resolution of theses detectors. The 3D position maps of the detectors were obtained using the Anger-type calculation and the crystal identification performance was evaluated for each detector. Clear segment separation was obtained for the crystal arrays with 12 (segment pitch of 1.67 mm) and 20 (segment pitch of 1 mm) segments. Mean energy resolutions of 8.8% ± 0.4% and 9.6% ± 0.8% at 511 keV were obtained for the segments in the central regions of the 8 × 8 array with 12 segments and the 4 × 8 array with 20 segments, respectively. Clear segment identification was found to be difficult for the detector with 40 segments, especially for the segments at the middle of the crystal. Energy and interaction positioning characterisation results suggest that both prototype detectors with 12 and 20 segments are well suited for small animal PET scanners with high spatial resolution.

Evaluation of the PETsys TOFPET2 ASIC in multi-channel coincidence experiments

BACKGROUND

Aiming to measure the difference in arrival times of two coincident γ-photons with an accuracy in the order of 200ps, time-of-flight positron emission tomography systems commonly employ silicon photomultipliers (SiPMs) and high-resolution digitization electronics, application specific integrated circuits (ASICs). This work evaluates the performance of the TOFPET2 ASIC, released by PETsys Electronics S.A. in 2017, dependent on its configuration parameters in multi-channel coincidence measurements.

METHODS

SiPM arrays fabricated by different vendors (KETEK, SensL, Hamamatsu, Broadcom) were tested in combination with the ASIC. Scintillator arrays featuring different reflector designs and different configurations of the TOFPET2 ASIC software parameters were evaluated. The benchtop setup used is provided with the TOFPET2 ASIC evaluation kit by PETsys Electronics S.A.

RESULTS

Compared to existing studies featuring the TOFPET2 ASIC, multi-channel performance results dependent on a larger set of ASIC configuration parameters were obtained that have not been reported to this extend so far. The ASIC shows promising CRTs down to 219.9 ps in combination with two Hamamatsu S14161-3050-HS-08 SiPM arrays (128 channels read out, energy resolution 13.08%) and 216.1 ps in combination with two Broadcom AFBR-S4N44P643S SiPM arrays (32 channels read out, energy resolution 9.46%). The length of the trigger delay of the dark count suppression scheme has an impact on the ASIC performance and can be configured to further improve the coincidence resolution time. The integrator gain configuration has been investigated and allows an absolute improvement of the energy resolution by up to 1% at the cost of the linearity of the energy spectrum.

CONCLUSION

Measuring up to the time-of-flight performance of state-of-the-art positron emission tomography (ToF-PET) systems while providing a uniform and stable readout for multiple channels at the same time, the TOFPET2 ASIC is treated as promising candidate for the integration in future ToF-PET systems.

A thick semi-monolithic scintillator detector for clinical PET scanners

Both monolithic and semi-monolithic scintillator positron emission tomography (PET) detectors can measure the depth of interaction with single-ended readout. Usually scintillators with a thickness of 10 mm or less are used since the position resolutions of the detectors degrade as the scintillator thickness increases. In this work, the performance of a 20 mm thick long rectangular semi-monolithic scintillator PET detector was measured by using both single-ended and dual-ended readouts with silicon photomultiplier (SiPM) arrays to provide a high detection efficiency. The semi-monolithic scintillator detector consists of nine lutetium-yttrium oxyorthosilicate slices measuring 1.37 × 51.2 × 20 mm³ with erythrocyte sedimentation rate foils of 0.065 mm thickness in between the slices. The SiPM array at each end of the scintillator detector consists of 16 × 4 SiPMs with a pixel size of 3.0 × 3.0 mm² and a pitch of 3.2 mm. The 64 signals of each SiPM array are processed by using the TOFPET2 application-specific integrated circuit individually. All but the edge slices can be clearly resolved for the detectors with both single-ended and dual-ended readouts. The single-ended readout detector provides an average full width at half maximum (FWHM) Y (continuous direction) position resolution of 2.43 mm, Z (depth direction) position resolution of 4.77 mm, energy resolution of 25.7% and timing resolution of 779 ps. The dual-ended readout detector significantly improves the Y and Z position resolutions, slightly improves the energy and timing resolution at the cost of two photodetectors required for one detector module and provides an average FWHM Y position resolution of 1.97 mm, Z position resolution of 2.60 mm, energy resolution of 21.7% and timing resolution of 718 ps. The energy and timing resolution of the semi-monolithic scintillator detector in this work are worse than those of the segmented scintillator array detector and need to be further improved. The semi-monolithic scintillator detector described in this work reduces costs as compared to the traditional segmented scintillator array detector and reduces the edge effect as compared to the monolithic scintillator detector.

First imaging demonstration of a crosshair light-sharing PET detector

The crosshair light-sharing (CLS) PET detector is our original depth-of-interaction (DOI) detector, which is based on a single-ended readout scheme with quadrisected crystals comparable in size to a photo-sensor. In this work, we developed 32 CLS PET detectors, each of which consisted of a multi-pixel photon counter (MPPC) array and gadolinium fine aluminum garnet (GFAG) crystals, and we developed a benchtop prototype of a small animal size PET. Each GFAG crystal was 1.45 × 1.45 × 15 mm³. The MPPC had a surface area of 3.0 × 3.0 mm². The benchtop prototype had two detector rings of 16 detector blocks. The ring diameter and axial field-of-view were 14.2 cm and 4.9 cm, respectively. The data acquisition system used was the PETsys silicon photomultiplier readout system. The continuous DOI information was binned into three DOI layers by applying a look-up-table to a 2D position histogram. Also, energy and timing information was corrected using DOI information. After the calibration procedure, the energy resolution and the coincidence time resolution were 14.6% and 531 ps, respectively. Imaging test results of a small rod phantom obtained by an iterative reconstruction method showed clear separation of 1.6 mm rods with the help of DOI information.

A digital phoswich detector using time-over-threshold for depth of interaction in PET

We present the performance of a digital phoswich positron emission tomography (PET) detector, composed by layers of pixilated scintillator arrays, read out by solid state light detectors and an application specific integrated circuit (ASIC). We investigated the use of integrated charge from the scintillation pulses along with time-over-threshold (ToT) to determine the layer of interaction (DOI) in the scintillator. Simulations were performed to assess the effectiveness of the ToT measurements for separating the scintillator events and identifying cross-layer-crystal-scatter (CLCS) events. These simulations indicate that ToT and charge integration from such a detector provide sufficient information to determine the layer of interaction. To demonstrate this in practice, we used a pair of prototype LYSO/BGO detectors. One detector consisted of a 19 × 19 array of 7 mm long LYSO crystals (1.36 mm pitch) coupled to a 16 × 16 array of 8 mm long BGO crystals (1.63 mm pitch). The other detector was similar except the LYSO crystal pitch was 1.63 mm. These detectors were coupled to an 8 × 8 multi-pixel photon counter mounted on a PETsys TOFPET2 ASIC. This high performance ASIC provided digital readout of the integrated charge and ToT from these detectors. We present a method to separate the events from the two scintillator layers using the ToT, and also investigate the performance of this detector. All the crystals within the proposed detector were clearly resolved, and the peak to valley ratio was 11.8 ± 4.0 and 10.1 ± 2.9 for the LYSO and BGO flood images. The measured energy resolution was 9.9% ± 1.3% and 28.5% ± 5.0% respectively for the LYSO and BGO crystals in the phoswich layers. The timing resolution between the LYSO-LYSO, LYSO-BGO and BGO-BGO coincidences was 468 ps, 1.33 ns and 2.14 ns respectively. Results show ToT can be used to identify the crystal layer where events occurred and also identify and reject the majority of CLCS events between layers.

Design and performance of SIAT aPET: a uniform high-resolution small animal PET scanner using dual-ended readout detectors

In this work, a small animal PET scanner named SIAT aPET was developed using dual-ended readout depth encoding detectors to simultaneously achieve high spatial resolution and high sensitivity. The scanner consists of four detector rings with 12 detector modules per ring; the ring diameter is 111 mm and the axial field of view (FOV) is 105.6 mm. The images are reconstructed using an ordered subset expectation maximization (OSEM) algorithm. The spatial resolution of the scanner was measured by using a ²²Na point source at the center axial FOV with different radial offsets. The sensitivity of the scanner was measured at center axis of the scanner with different axial positions. The count rate performance of the system was evaluated by scanning mouse-sized and rat-sized phantoms. An ultra-micro hot-rods phantom and two mice injected with ¹⁸F-NaF and ¹⁸F-FDG were scanned on the scanner. An average depth of interaction (DOI) resolution of 1.96 mm, energy resolution of 19.1% and timing resolution of 1.20 ns were obtained for the detector. Average spatial resolutions of 0.82 mm and 1.16 mm were obtained up to a distance of 30 mm radially from the center of the FOV when reconstructing a point source in 1% and 10% warm backgrounds, respectively, using OSEM reconstruction with 16 subsets and 10 iterations. Sensitivities of 16.0% and 11.9% were achieved at center of the scanner for energy windows of 250-750 keV and 350-750 keV respectively. Peak noise equivalent count rates (NECRs) of 324 kcps and 144 kcps were obtained at an activity of 26.4 MBq for the mouse-sized and rat-sized phantoms. Rods of 1.0 mm diameter can be visually resolved from the image of the ultra-micro hot-rods phantom. The capability of the scanner was demonstrated by high quality in-vivo mouse images.

Development and initial characterization of a high-resolution PET detector module with DOI

Organ-dedicated PET scanners are becoming more prevalent because of their advantages in higher sensitivity, improved image quality, and lower cost. Detectors utilized in these scanners have finer pixel size with depth of interaction (DOI) capability. This work presents a LYSO(Ce) detector module with DOI capability which has the potential to be scaled up to a high-resolution small animal or organ-dedicated PET system. For DOI capability, a submodule with one LYSO block detector utilizing PETsys TOFPET2 application-specific integrated circuit (ASIC) was previously developed in our lab. We scaled up the submodule and optimized the configuration to allow for a compact housing of the dual-readout boards in one side of the blocks by designing a high-speed dual-readout cable to maintain the original pin-to-pin relationship between the Samtec connectors. The module size is 53.8 × 57.8 mm2. Each module has 2 × 2 LYSO blocks, each LYSO block consists of 4 × 4 LYSO units, and each LYSO unit contains a 6 × 6 array of 1 × 1 × 20 mm3 LYSO crystals. The four lateral surfaces of LYSO crystal were mechanically ground to W14, and the two end surfaces were polished. Two ends of the LYSO crystal are optically connected to SiPM for DOI measurement. Eight LYSO blocks performance including energy, timing, and DOI resolution is characterized with a single LYSO slab. The in-panel and orthogonal-panel spatial resolution of the two modules with 107.4 mm distance between each other are measured at 9 positions within the field of view (FOV) with a 22Na source. Results show that the average energy, timing, and DOI resolution of all LYSO blocks are 16.13% ± 1.01% at 511 keV, 658.03 ± 15.18 ps, and 2.62 ± 0.06 mm, respectively. The energy and timing resolution of two modules are 16.35% and 0.86 ns, respectively. The in-panel and orthogonal-panel spatial resolution of the two modules at the FOV center are 1.9 and 4.4 mm respectively.

Performance of Optical Coupling Materials in Scintillation Detectors Post Temperature Exposure

In this paper, the room-temperature performance of different optical coupling materials post temperature exposure was tested. The tested couplers included OC431A-LVP, OG0010 optical grease, BLUESIL V-788, and SAINT-GOBAIN BC-630. This was done by subjecting the whole detector with newly applied optical coupling materials to a 2-h temperature exposure-ranging from -20 to 50 °C and then by letting it return to room temperature before collecting a spectrum from a Cs-137 source. The energy resolution at 662 keV was computed as the metric for evaluating the performance. Three trials were run at each coupler-temperature combination. Our results reveal that the performance of all coupling agents do indeed change with temperature after the 2-h exposure. Over all the tested temperature trials, the energy resolution ranged from 11.4 to 14.3% for OC431A-LVP; 10.2 to 14.6% for OG0010; 10 to 13.4% for BLUESIL V-788; and 9.8 to 13.3% for SAINT-GOBAIN BC-630. OC431A-LVP had the lowest variance over the full range, while BC-630 was the most constant for temperatures above 20 °C. Ultraviolet-visible (UV-Vis) spectra experiments were also performed on isolated optical coupling materials to measure the light absorption coefficient. The results show that the temperature-induced variance in light absorption coefficient of each optical coupling materials is one of the reasons for the variance in energy resolution performance. Our findings suggest the need for further investigation into this effect and the recommendation that optical coupling materials need to be selected for the task at hand with greater scrutiny.

Design study of a dedicated head and neck cancer PET system

The tumor-involved regions of head and neck cancer (HNC) have complex anatomical structures and vital physiological roles. As a consequence, there is a need for high sensitivity and high spatial resolution dedicated HNC PET scanner. The purpose of this study is to evaluate and optimize system design that includes detecting materials and geometries. For the detecting material, two scanners with the same two-panel geometry based on CZT and LYSO were evaluated. For the system geometry, four CZT scanners with two-panel, lengthened two-panel, four-panel, and full-ring geometries were evaluated. A cylinder phantom with sphere lesions and an XCAT phantom in the head and neck region were simulated. The results showed that the sensitivity of the 40-mm thickness CZT system and the 20-mm thickness LYSO system were comparable. However, the multiple interaction photon events recovery accuracy of the CZT system was about 20% higher. The in-panel and orthogonal-panel spatial resolutions of CZT are 0.58 and 0.74 mm, while those of LYSO are 0.70 and 1.40 mm. For system geometry, the four-panel and full-ring scanners have a higher contrast recovery coefficient (CRC) and contrast-to-noise ratio (CNR) than the two-panel and lengthened two-panel scanners. However, a 5-mm lesion in the XCAT phantom was visualized within 6 min in the two-panel system.