Abstract
Since the introduction of positron emission tomography (PET) in the mid-1970s, multiple attempts were made to build a scanner able to cover a large portion of the body, but none led to a clinical research system. However, many research centers remained interested in the idea, and with the help of simulation studies, the potential of total-body PET was shown. The building of a system was started only 2 years ago, and the first clinical studies were performed at UC Davis in 2019. The reason for the success of total-body PET is the increased angle coverage of the subject. The larger this angle, the more coincidences are potentially detected by the system. Studies showed that a gain in sensitivity up to a factor 40 can be obtained with this new scanner design. This allows a reduction in administered dose as well as acquisition time, paving the way for dynamic PET imaging and long-term follow-up of patients. Although the main application of PET is in oncology, other disciplines like neurology, pediatrics, and pharmaceutical (drug) development can take advantage of the increased sensitivity.
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References
Badawi RD, Shi H, Hu P, Chen S, Xu T, Price PM et al (2019) First human imaging studies with the explorer total-body PET scanner. J Nucl Med 60(3):299–303
Berg E, Liu W, Zhao Y, Dong Y, Lv X, Ding Y, et al. (2018) Physical performance of the first total-body EXPLORER PET scanner and preclinical applications with mini-EXPLORER systems [Internet]. Available from https://explorer.ucdavis.edu/sites/g/files/dgvnsk6796/files/inline-files/Berg_EXPLORER_TotalBodyPETWorkshop_wm.pdf
Cheng G, Alavi A, Lim E, Werner TJ, Del Bello CV, Akers SR (2013) Dynamic changes of FDG uptake and clearance in normal tissues. Mol Imaging Biol 15(3):345–352
Cherry SR, Jones T, Karp JS, Qi J, Moses WW, Badawi RD. Total-Body PET: Maximizing sensitivity to create new opportunities for clinical research and patient care. J Nucl Med 2017;59(1):3–12
Conti M, Bendriem B, Casey M, Eriksson L, Jakoby B, Jones WF et al (2006 Jun) Performance of a high sensitivity PET scanner based on LSO panel detectors. IEEE Trans Nucl Sci 53(3):1136–1142
Crosetto D. (2003) The 3-D Complete Body Screening (3D-CBS) features and implementation. In: IEEE Nuclear Science Symposium Conference Record, vol. 4. pp. 2415–2419
Cryan JF, O’Mahony SM (2011 Mar) The microbiome-gut-brain axis: from bowel to behavior. Neurogastroenterol Motil 23(3):187–192
Foster JA, McVey Neufeld K-A (2013 May) Gut–brain axis: how the microbiome influences anxiety and depression. Trends Neurosci 36(5):305–312
Fredriks AM, Van Buuren S, Van Heel WJM, Dijkman-Neerincx RHM, Verloove-Vanhorick SP, Wit JM (2005) Nationwide age references for sitting height, leg length, and sitting height/height ratio, and their diagnostic value for disproportionate growth disorders. Arch Dis Child 90(8):807–812
Freedenberg MI, Badawi RD, Tarantal AF, Cherry SR (2014 Feb) Performance and limitations of positron emission tomography (PET) scanners for imaging very low activity sources. Phys Med 30(1):104–110
Gureyev TE, Nesterets YI, de Hoog F, Schmalz G, Mayo SC, Mohammadi S et al (2014) Duality between noise and spatial resolution in linear systems. Opt Express 22(8):9087–9094
Habte F, Foudray AMK, Olcott PD, Levin CS (2007) Effects of system geometry and other physical factors on photon sensitivity of high-resolution positron emission tomography. Phys Med Biol 52(13):3753–3772
Karp JS, Viswanath V, Geagan MJ, Muehllehner G, Pantel AR, Parma MJ et al (2019) PennPET explorer: design and preliminary performance of a whole-body imager. J Nucl Med 61:136–143
Keyaerts M, Xavier C, Heemskerk J, Devoogdt N, Everaert H, Ackaert C et al (2016) Phase I Study of 68Ga-HER2-nanobody for PET/CT assessment of HER2 expression in breast carcinoma. J Nucl Med 57(1):27–33
Kubota K, Itoh M, Ozaki K, Ono S, Tashiro M, Yamaguchi K et al (2001) Advantage of delayed whole-body FDG-PET imaging for tumour detection. Eur J Nucl Med 28(6):696–703
Mikhaylova E, Tabacchini V, Borghi G, Mollet P, D’Hoe E, Schaart DR et al (2017 Oct) Optimization of an ultralow-dose high-resolution pediatric PET scanner design based on monolithic scintillators with dual-sided digital SiPM readout: a simulation study. Phys Med Biol 62(21):8402–8418
Nesterets YI, Gureyev TE (2015) Young’s double-slit experiment: noise-resolution duality. Opt Express 23(3):3373–3380
Phelps ME, Hoffman EJ, Mullani NA, Ter-pogossian MM (1975) Application of annihilation coincidence detection to transaxial reconstruction tomography. J Nucl Med 16(3):210–224
Poon JK, Dahlbom ML, Moses WW, Balakrishnan K, Wang W, Cherry SR et al (2012 Jul) Optimal whole-body PET scanner configurations for different volumes of LSO scintillator: a simulation study. Phys Med Biol 57(13):4077–4094
Reardon S (2019) Whole-body PET scanner produces 3D images in seconds. Nature 570(7761):285–286
Risk NCD, Collaboration F (2016) A century of trends in adult human height. elife 5:1–29
Schmall JP, Karp JS, Werner M, Surti S (2016 Jul) Parallax error in long-axial field-of-view PET scanners - a simulation study. Phys Med Biol 61(14):5443–5455
Tsui BMW, Beck RN, Doi K, Metz CE (1981) Analysis of recorded image noise in nuclear medicine. Phys Med Biol 26(5):883–902
Van Sluis J, De Jong J, Schaar J, Noordzij W, Van Snick P, Dierckx R et al (2019) Performance characteristics of the digital biograph vision PET/CT system. J Nucl Med 60(7):1031–1036
Vandenberghe S, Moskal P, Karp J (2020) State of the art in total body PET. EJNMMI Phys. (Accepted for publication)
Watanabe M, Shimizu K, Omura T, Sato N, Takahashi M, Kosugi T, et al. (2003) A high-throughput whole-body PET scanner using flat panel PS-PMTs. In: 2003 IEEE Nuclear Science Symposium Conference Record, vol. 4. pp. 2442–2446
Wai-Hoi Wong, Yuxuan Zhang, Shitao Liu, Hongdi Li, Hossain Baghaei, Ramirez R, et al. (2007) The initial design and feasibility study of an affordable high-resolution 100-cm long PET. In: 2007 IEEE Nuclear Science Symposium Conference Record. pp. 4117–4122
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Thyssen, C., Vandenberghe, S. (2021). Total-Body PET. In: Dierckx, R.A., Otte, A., de Vries, E.F., van Waarde, A., Lammertsma, A.A. (eds) PET and SPECT of Neurobiological Systems. Springer, Cham. https://doi.org/10.1007/978-3-030-53176-8_3
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