Development of PET instrumentation over the past 42 years has moved fr
om simple dual-detector coincidence scanners, to proposed systems havi
ng 60,000 detectors and simultaneous coverage of 15-cm regions of the
body with spatial resolutions better than 4 mm. The principal determin
ants of positron emission tomography (PET) instrumentation advances ar
e positron range, noncollinearity of the annihilation photons, scatter
ing, random event rates, detector size, efficiency, speed and light ou
tput; capability to correct for depth of crystal interaction, attenuat
ion compensation, axial coverage, and rapid data analysis and presenta
tion. While general-purpose systems with 2-mm resolution are expected,
special purpose PET devices are being built for breast and brain tumo
r studies with resolutions from 1.7 to 5 mm.