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In this simulation study, we evaluate the performance of a limited angular coverage PET system consisting of two/four fast-timing 50 ps FWHM CTR flat-panel detectors made of 5&#x2013;20 mm long pixelated lutetium oxyorthosilicate crystals. We studied image quality and count rates following the National Electrical Manufacturers Association standard, spatial resolution by imaging a Derenzo phantom and a hot rod, and investigated the sensitivity of different scanner designs. We demonstrated the possible use of such a scanner by imaging a human head and a torso of the extended cardiac-torso (XCAT) digital phantom. All the designs were compared to the reference scanner, based on Siemens Biograph Vision PET/CT scanner geometry. We show that good coincidence timing resolution (CTR) can compensate for lower detection efficiency or smaller angular coverage. Good image quality can be obtained with a simple limited-angle PET system without distortions or artefacts. Substantial degradation of the spatial resolution with increased crystal length is observed in the two-panel design due to the parallax error, but not in the four-panel design. The four-panel design simulated with a CTR of 50 ps FWHM is comparable to that of the current state-of-the-art clinical PET/CT scanner. Similar fast-timing limited-angle planar detectors could enable much less expensive total-body or single organ (dynamically selectable) imaging devices.

Multipanel Limited Angle PET System With 50 ps FWHM Coincidence Time Resolution: A Simulation Study