Occupational stress and wellbeing: A qualitative exploration of the perspectives and experiences of migrant sonographers practising in the United Kingdom
Objective: The objective of this study was to perform a narrative review of digital Positron emission
tomography-computed tomography (PET-CT) scanners, focussing on the current development in the
technology of optimized crystal size and design, the time of flight (ToF) resolution, sensitivity, and axial
field of view (AFOV).
Key findings: It was observed that significant developments were carried out on the optimization of
scintillation crystal size which results in the improvement of spatial resolution. such developments
include the upgrade in the AFOV after the integration of SiPM technology, which results in dynamic
parametric imaging acquisition in PET and sensitivity boost. The improvement in ToF resolution and the
better ToF resolution values, which result in a boost in adequate sensitivity and signal-to-noise ratio
(SNR). Other upgrades include the use of the smallest crystal size of 2.76 � 2.76 mm, and the use of the
lowest ToF resolution of 214 ps. The use of the largest AFOV of 194 cm with the highest observed NEMA
sensitivity of 225 cps/kBq for the total body PET-CT system.
Conclusion: Digital PET-CT systems offer various advantages such as a reduction in radiation dose from
injected radiopharmaceuticals doses and the overall PET acquisition time with an improved diagnostic
certainty. This is because of the better performance of the SiPM detector. Digital PET-CT also has added
benefits of the dynamic acquisition and Patlak modeling capabilities into routine clinical practice with
the advancement in higher AFOV PET systems.
Implication: This will help the users choose the best system during the evaluation of the PET-CT for
purchase in clinical and research applications. This review will further help in teaching the latest
technology and developments in PET-CT systems
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