# Exploring a promising design for the next generation time-of-flight PET detector

> **NIH NIH R01** · STANFORD UNIVERSITY · 2020 · $518,946

## Abstract

Project Summary/Abstract
We propose to study a promising candidate for the next generation time-of-flight (TOF)-positron emission
tomography (PET) annihilation photon detector. By enabling significant increases in the reconstructed
image signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR), TOF-PET has demonstrated
substantial clinical impact on the visualization and quantification of molecular signatures of cancer in
patients. In particular it has been shown to improve image quality and accuracy in count starved and
contrast limited lesion detection scenarios. The effective photon sensitivity boost provided by TOF can
also be exploited to significantly reduce injected dose to the patient and/or study duration, factors that
would make PET more practical, cost-effective, and safe for a variety of clinical cancer imaging
applications. Thus, studies that further advance the TOF-PET technique, and photon sensitivity in
general, are highly worthwhile. The key to better TOF-PET performance is to improve the annihilation
photon pair coincidence time resolution (CTR) measured between any two detection elements in the
system, which has been a focus of research for the past two decades. Current commercially available
PET systems achieve a CTR of roughly 350 to 800 ps full-width-at-half-maximum (FWHM). A goal of this
proposal is to employ a novel scintillation detection configuration in order to achieve 100 ps FWHM CTR,
without compromising other important performance parameters. This novel configuration also enables
another capability not possible with the conventional PET detector: The ability to measure the energy and
three-dimensional (3D) position of one or more annihilation photon interactions in the detector. Owing to
the fact that most incoming 511 keV photons undergo inter-crystal Compton scatter in the detectors, we
can exploit the kinematics of that process to estimate the photon angle-of-incidence. If successful, that
capability enables us to accurately position the first interaction of such multi-crystal events, but also offers
the potential to retain a high fraction of photon events that are normally rejected by a conventional PET
system, such as single (unpaired) photons, random coincidences, tissue-scatter coincidences, and
multiple (>2) photon coincidences. Since these normally-discarded events are over 10-fold more
probable than true coincidence events in a standard PET study, this 3D position sensitive detector shows
promise as another method to greatly boost photon sensitivity. If successful, this resulting substantial
photon sensitivity increase, along with the substantial image SNR enhancement possible with 100 ps
CTR would enable PET to be more sensitive, accurate, and practical for cancer imaging. In this project
we will design and develop these next-generation detectors, integrate these modules into a prototype
partial-ring PET system, and compare image quality and accuracy available with this partial-ring system
to a state...

## Key facts

- **NIH application ID:** 9918874
- **Project number:** 5R01CA214669-04
- **Recipient organization:** STANFORD UNIVERSITY
- **Principal Investigator:** CRAIG S LEVIN
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $518,946
- **Award type:** 5
- **Project period:** 2017-06-01 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9918874

## Citation

> US National Institutes of Health, RePORTER application 9918874, Exploring a promising design for the next generation time-of-flight PET detector (5R01CA214669-04). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/9918874. Licensed CC0.

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