Clinical imaging characteristics of the positron emission mammography PEM Flex Solo II

Positron emission mammography (PEM) uses two opposing gamma-ray imagers and limited-angle tomography techniques to image radiotracer distributions within the breast. Due to their smaller size and closer proximity to the source, dedicated PEM cameras can provide better spatial resolution and count sensitivity than whole-body positron emission tomographs. We performed several clinical imaging tests on a commercially available PEM camera, the PEM Flex Solo II. This system is comprised of two opposing 6 cm X 16.4 cm detectors that scan in unison to cover up to a 24 cm X 16.4 cm field of view (FOV). We measured spatial resolution, uniformity, recovery coefficients (RC), and quantification using the system clinical software. Image linearity and coefficient of variation (CV) at the edge of the FOV were also characterized. Anecdotal examples of clinical patient data are presented. Spatial resolution is 2.4 mm FWHM for image planes parallel to the detector faces; background variability is 6%; quantification and RC varied within the FOV; positioning linearity began at ∼ 13 mm from the edge of the detector housing; CV increased rapidly at the edge of the FOV due to limited sampling in these image planes.