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Positron Emission Tomography01:29

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Positron emission tomography (PET) is a medical imaging technique involving radiopharmaceuticals — substances that emit short-lived radiation. Although the first PET scanner was introduced in 1961, it took 15 more years before radiopharmaceuticals were combined with the technique and revolutionized its potential.
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Uncertainty-aware gamma interaction localization and reconstruction in PET.

Julian Thull1,2, Jan Remennik1,2, David Schug1,2,3

  • 1Department of Physics of Molecular Imaging Systems, RWTH Aachen University, Aachen, Germany.

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|May 14, 2026
PubMed
Summary
This summary is machine-generated.

This study introduces uncertainty estimation for machine learning-based gamma interaction localization in positron emission tomography (PET) detectors. This uncertainty-aware filtering improves PET image quality by enhancing spatial resolution and enabling more reliable quantitative imaging.

Keywords:
PET image reconstructiongamma positioning calibrationuncertainty quantification

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Area of Science:

  • Medical Imaging
  • Nuclear Physics
  • Machine Learning

Background:

  • Precise gamma-ray interaction localization is crucial for high-resolution positron emission tomography (PET) imaging.
  • Existing machine learning methods for gamma interaction positioning often neglect event-level uncertainty, limiting their information utility.

Purpose of the Study:

  • To quantify event-wise positional uncertainties in gamma interaction localization using machine learning.
  • To demonstrate the utility of uncertainty estimation for improving PET image quality through filtering and weighting strategies.

Main Methods:

  • Employed multilayer perceptrons (MLPs) and convolutional neural networks (CNNs) for gamma interaction positioning in a semi-monolithic scintillation detector.
  • Trained regression models using Gaussian negative log-likelihood to estimate coordinates and positional variance, reflecting aleatoric uncertainty.
  • Integrated predicted variances into time-of-flight ordered-subsets expectation maximization (TOF-OSEM) reconstruction for event-level filtering and line of response (LOR) weighting.

Main Results:

  • Uncertainty-aware models achieved high positioning accuracy, with CNNs excelling in planar and depth-of-interaction (DOI) estimation.
  • Variance- and energy-based filtering significantly improved positioning accuracy (MAE down to 0.47 mm) and LOR precision (median distance as low as 0.98 mm).
  • Image reconstruction demonstrated improved quality, enabling visualization of 0.8 mm rods with a peak-to-valley ratio (PVR) of 1.184, alongside increased signal-to-noise ratio (SNR).

Conclusions:

  • Event-level uncertainty estimation provides a framework for effective filtering and weighting, enhancing interaction positioning and PET image quality.
  • The uncertainty-aware approach offers a new reconstruction parameter for improving image quality and supporting quantitative PET imaging, despite a trade-off with noise.
  • This method advances the field by leveraging previously unused uncertainty information for more reliable PET analyses.