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PET/MR: history, current state, and technology
Hongyu An1,2
1Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, 63110, United States.
Abstract:
Integrated PET/MR combines the molecular sensitivity of PET with the superior soft-tissue contrast and multiparametric capabilities of MRI, enabling simultaneous acquisition and improved spatial-temporal alignment compared with PET/CT. Since its introduction, PET/MR has evolved through major detector and system-level innovations, particularly the adoption of avalanche photodiodes and silicon photomultipliers, enabling fully integrated clinical systems. PET/MR presents unique technical challenges and opportunities. This review summarizes the historical development and current state of PET/MR systems and highlights key methodological advances, including attenuation correction, MRI-assisted motion correction, anatomically guided PET reconstruction, spatiotemporal denoising for dynamic imaging, and imaging-derived input functiontechniques. A brief discussion about clinical applications will be presented. Overall, PET/MR represents a powerful, evolving hybrid imaging platform with significant potential to advance precision medicine and quantitative imaging.
Insights
Integrated positron emission tomography/magnetic resonance imaging (PET/MR) offers advanced molecular imaging by combining PET sensitivity with MRI contrast. This review details PET/MR system evolution, technical challenges, and key methods for precision medicine.
Area of Science:
- Medical Imaging
- Hybrid Imaging Systems
- Radiochemistry and Molecular Imaging
Background:
- Positron Emission Tomography/Magnetic Resonance Imaging (PET/MR) integrates molecular sensitivity of PET with MRI's soft-tissue contrast.
- PET/MR enables simultaneous acquisition and improved spatial-temporal alignment over PET/CT.
- Technological advancements, including avalanche photodiodes and silicon photomultipliers, have led to fully integrated clinical PET/MR systems.
Purpose of the Study:
- To review the historical development and current status of PET/MR systems.
- To highlight key methodological advances in PET/MR imaging.
- To briefly discuss the clinical applications of PET/MR.
Main Methods:
- Review of historical development and system-level innovations in PET/MR technology.
- Summary of methodological advances including attenuation correction and MRI-assisted motion correction.
- Discussion of techniques for anatomically guided PET reconstruction, denoising, and imaging-derived input function (IDIF).
Main Results:
- PET/MR systems have evolved significantly with detector innovations.
- Key methods for improving PET/MR image quality and quantitative accuracy have been developed.
- PET/MR presents unique technical challenges and opportunities for advanced imaging.
Conclusions:
- PET/MR is a powerful and evolving hybrid imaging platform.
- The technology has significant potential to advance precision medicine.
- Further development holds promise for quantitative imaging applications.
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