Time-of-Flight (TOF) positron emission tomographs (PET) were developed
during the 1980s and early 1990s. Initial investigations into the pot
ential improvements in signal-to-noise ratios if TOF information was u
tilized were published in 1980. By 1982. two groups (Washington Univer
sity and Commissariat a I'Energie Atomique-Laboratorie d'Electronique
et de L'Informatique [CEA-LETI]) were designing and building the first
TOF tomographs. A third group at the University of Texas also designe
d and built a TOF system. These systems were optimized for high count-
rate imaging of short-lived radiotracers for applications such as card
iac blood flow, The first system put into operation for patient scans
was the Super PETT I built at Washington University by Michel Ter-Pogo
ssian and his colleagues. The Washington University group went on to d
esign two additional versions of TOF systems and the CEA-LETI group de
veloped two basic tomograph designs, As Bismuth Germanate (BGO)based s
canners were refined, it became clear that the TOF systems could not p
rovide the same high spatial resolution as offered by the newer system
s. The use of the fast scintillators required for TOF systems also res
ulted in lower intrinsic sensitivity that was only partially compensat
ed for by the effective gain in sensitivity offered by TOF image recon
struction techniques. Further development of TOF systems was suspended
in the early 1990s. With the development of new scintillators that pr
ovide more light output and are denser than those available in the 198
0s and considerably faster than EGO. there is new interest in the appl
ication of TOF techniques for future tomograph designs. Copyright (C)
1998 by W.B. Saunders Company.