3Dπ: Three-Dimensional Positron Imaging, A Novel Total-Body PET Scanner Using Xenon-Doped Liquid Argon Scintillator

Objective: This paper introduces a novel PET imaging methodology called 3-dimensional positron imaging (3Dπ), which integrates total-body (TB) coverage, time-of-flight (TOF) technology, ultra-low dose imaging capabilities, and ultra-fast readout electronics inspired by emerging technology from the DarkSide collaboration. Approach: The study evaluates the performance of 3Dπ using Monte Carlo simulations based on NEMA NU 2-2018 protocols. The methodology employs a homogenous, monolithic scintillator composed of liquid argon (LAr) doped with xenon (Xe) with silicon photomultipliers (SiPM) operating at cryogenic temperatures. Main results: Significant enhancements in system performance are observed, with the 3Dπ system achieving a noise equivalent count rate (NECR) of 3.2 Mcps which is approximately two times higher than uEXPLORER's peak NECR (1.5 Mcps) at 17.3 (kBq/mL). Spatial resolution measurements show an average FWHM of 2.7 mm across both axial positions. The system exhibits superior sensitivity, with values reaching 373 kcps/MBq with a line source at the center of the field of view. Additionally, 3Dπ achieves a TOF resolution of 151 ps at 5.3 kBq/mL, highlighting its potential to produce high-quality images with reduced noise levels. Significance: The study underscores the potential of 3Dπ in improving PET imaging performance, offering the potential for shorter scan times and reduced radiation exposure for patients. The Xe-doped LAr offers advantages such as fast scintillation, enhanced light yield, and cost-effectiveness. Future research will focus on optimizing system geometry and further refining reconstruction algorithms to exploit the strengths of 3Dπ for clinical applications.