Performance Characteristics of the NeuroEXPLORER, a Next-Generation Human Brain PET/CT Imager

Performance Characteristics of the NeuroEXPLORER, a Next-Generation Human Brain PET/CT Imager

June 13, 2024 | Hongdi Li, Ramsey D. Badawi, Simon R. Cherry, Kathryn Fontaine, Liuchun He, Shannan Henry, Ansel T. Hillmer, Lingzhi Hu, Nikkita Khattar, Edwin K. Leung, Tiantian Li, Yusheng Li, Chi Liu, Peng Liu, Zhenrui Lu, Stanislaw Majewski, David Matuskey, Evan D. Morris, Tim Mulnix, Negar Omidvari, Suranjana Samanta, Aaron Selfridge, Xishan Sun, Takuya Toyonaga, Tommaso Volpi, Tianyi Zeng, Terry Jones, Jinyi Qi, and Richard E. Carson
The NeuroEXPLORER is a next-generation human brain PET/CT imager developed by Yale University, the University of California, Davis, and United Imaging Healthcare. It features high spatial resolution, high sensitivity, and a built-in 3D camera for markerless continuous motion tracking. The system has high depth-of-interaction (DOI) and time-of-flight (TOF) resolutions, along with a 52.4-cm transverse field of view (FOV) and an extended axial FOV (49.5 cm) to enhance sensitivity. The system was evaluated according to the NEMA NU 2-2018 standard, and results showed that the radial and tangential spatial resolutions (full width at half maximum) averaged 1.64, 2.06, and 2.51 mm, with axial resolutions of 2.73, 2.89, and 2.93 mm for radial offsets of 1, 10, and 20 cm, respectively. The average TOF resolution was 236 ps, and the energy resolution was 10.5%. NEMA sensitivities were 46.0 and 47.6 kcps/MBq at the center and 10-cm offset, respectively. A sensitivity of 11.8% was achieved at the FOV center. The peak noise-equivalent count rate was 1.31 Mcps at 58.0 kBq/mL, and the scatter fraction at 5.3 kBq/mL was 36.5%. The maximum count rate error at the peak noise-equivalent count rate was less than 5%. At 3 iterations, the NEMA image-quality contrast recovery coefficients varied from 74.5% (10-mm sphere) to 92.6% (37-mm sphere), and background variability ranged from 3.1% to 1.4% at a contrast of 4.0:1. An example human brain 18F-FDG image exhibited very high resolution, capturing intricate details in the cortex and subcortical structures. The NeuroEXPLORER offers high sensitivity and high spatial resolution, with its long axial length enabling high-quality spinal cord imaging and image-derived input functions from the carotid arteries. These performance enhancements will substantially broaden the range of human brain PET paradigms, protocols, and clinical research applications.The NeuroEXPLORER is a next-generation human brain PET/CT imager developed by Yale University, the University of California, Davis, and United Imaging Healthcare. It features high spatial resolution, high sensitivity, and a built-in 3D camera for markerless continuous motion tracking. The system has high depth-of-interaction (DOI) and time-of-flight (TOF) resolutions, along with a 52.4-cm transverse field of view (FOV) and an extended axial FOV (49.5 cm) to enhance sensitivity. The system was evaluated according to the NEMA NU 2-2018 standard, and results showed that the radial and tangential spatial resolutions (full width at half maximum) averaged 1.64, 2.06, and 2.51 mm, with axial resolutions of 2.73, 2.89, and 2.93 mm for radial offsets of 1, 10, and 20 cm, respectively. The average TOF resolution was 236 ps, and the energy resolution was 10.5%. NEMA sensitivities were 46.0 and 47.6 kcps/MBq at the center and 10-cm offset, respectively. A sensitivity of 11.8% was achieved at the FOV center. The peak noise-equivalent count rate was 1.31 Mcps at 58.0 kBq/mL, and the scatter fraction at 5.3 kBq/mL was 36.5%. The maximum count rate error at the peak noise-equivalent count rate was less than 5%. At 3 iterations, the NEMA image-quality contrast recovery coefficients varied from 74.5% (10-mm sphere) to 92.6% (37-mm sphere), and background variability ranged from 3.1% to 1.4% at a contrast of 4.0:1. An example human brain 18F-FDG image exhibited very high resolution, capturing intricate details in the cortex and subcortical structures. The NeuroEXPLORER offers high sensitivity and high spatial resolution, with its long axial length enabling high-quality spinal cord imaging and image-derived input functions from the carotid arteries. These performance enhancements will substantially broaden the range of human brain PET paradigms, protocols, and clinical research applications.
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[slides and audio] Performance Characteristics of the NeuroEXPLORER%2C a Next-Generation Human Brain PET%2FCT Imager