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Advances in Radiotherapy &

                                                                            Nuclear Medicine




                                        ORIGINAL RESEARCH ARTICLE
                                        Combining PET and Compton imaging with

                                        edge-on CZT detectors for enhanced diagnostic
                                        capabilities



                                        Greyson Shoop*  and Shiva Abbaszadeh

                                        Department of Electrical and Computer Engineering, Baskin School of Engineering, University of
                                        California, Santa Cruz, United States of America



                                        Abstract

                                        The key metrics for positron emission tomography (PET) imaging devices include
                                        the capability to capture the maximum available amount of annihilation photon
                                        information while generating high-quality images of the radiation distribution. This
                                        capability carries clinical implications by reducing scanning time for imaging, thus
                                        reducing radiation exposure for patients. However, imaging quality is degraded by
                                        positron range effects and the non-collinearity of positron annihilation photons.
                                        Utilizing an edge-on configuration of cadmium zinc telluride (CZT) detector crystals
                                        offers a potential solution to increase PET sensitivity. The high cross-section of CZT
                                        and its capacity to detect both 511 keV annihilation gammas and high-energy
                                        prompt gammas, along with multiple photon interaction events, contribute to this
                                        increased sensitivity. In this study, we propose a dual-panel edge-on CZT detector
                                        system comprised of 4 × 4 × 0.5 cm  CZT detectors, with panel dimensions of
                                                                        3
                                        20 × 15 cm  and a thickness of 4 cm. In this study, we demonstrate the increased
                                                 2
            *Corresponding author:
            Greyson Shoop               sensitivity of our imaging system due to the detection of the Compton kinematics of
            (grshoop@ucsc.edu)          high-energy gammas originating from prompt-gamma-emitting isotopes. This was
                                        achieved using Monte Carlo simulations of a prompt-gamma-emitting isotope, As,
                                                                                                          72
            Citation: Shoop G, Abbaszadeh S.
            Combining PET and Compton   with mean positron ranges >3 mm. Our system’s dynamic energy range, capable of
            imaging with edge-on CZT    detecting gammas up to 1.2 MeV, allows it to operate in a dual-mode fashion as both
            detectors for enhanced diagnostic   a Compton camera (CC) and standard PET. By presenting reconstructions of  As,
                                                                                                          72
            capabilities. Adv Radiother Nucl
            Med. 2024;2(2):3330.        we highlight the absence of positron range effects in CC reconstructions compared
            doi: 10.36922/arnm.3330     to PET reconstructions. In addition, we evaluate the system’s increased sensitivity
            Received: March 31, 2024    resulting from its ability to detect high-energy prompt gammas.
            Accepted: May 20, 2024
                                        Keywords: Positron emission tomography/computed tomography; Compton camera;
            Published Online: June 14, 2024
                                        Positron range; Multi-isotope imaging
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,   1. Introduction
            and reproduction in any medium,
            provided the original work is   The increasing availability of radionuclides for radiopharmaceuticals has positioned
            properly cited.             targeted radionuclide therapy (TRT) as a viable option for various cancer treatments,
            Publisher’s Note: AccScience   which  has  sparked significant  interest  in  radiotheranostics,  a  field  that  combines
            Publishing remains neutral with   nuclear imaging with TRT to enable simultaneous non-invasive in vivo treatment and
            regard to jurisdictional claims in                    1-3
            published maps and institutional   visualization of cancerous tissue.  The success of radiotheranostics procedures requires
            affiliations.               high-resolution imaging and dosimetry of tracers to accurately assess the delivery, dose,


            Volume 2 Issue 2 (2024)                         1                              doi: 10.36922/arnm.3330
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