A dedicated 3D brain PET scanner has several advantages, most notably
increased sensitivity, over a whole body scanner for neurological stud
ies. However brain scanners have higher scatter fractions, random coun
t-rates and deadtime for the same activity concentration. We have used
noise effective count-rate (NECR) analysis to compare brain scanners
of 53, 60, and 66 cm diameter with the GE ADVANCE whole body scanner (
93 cm diameter). Monte Carlo simulations of a brain-sized phantom (16
cm diameter, 13 cm length) in the ADVANCE geometry were used to develo
p a model for NECR performance, which was reconciled to results from a
decay series measurement. The model was then used to predict the perf
ormance of the brain scanner designs. The brain scanners have noise ef
fective sensitivities (the slope of the NECR curve at zero activity) a
s much as 40% higher than the body scanner. However, their NECR advant
age diminishes quickly as the activity concentration increases. The br
ain scanners' NECR equals the body scanner with about 0.7-0.8 mCi in t
he phantom; the body scanner has superior NECR performance at higher a
ctivity levels. hn imaging center concentrating on only very low activ
ity imaging tasks would find the efficiency advantage of a smaller det
ector diameter valuable, while a center performing higher activity stu
dies such as bolus water injections or 5mCi FDG injections might prefe
r the count rate performance of a whole body scanner.