Evolution of PET Detectors and Event Positioning Algorithms Using Monolithic Scintillation Crystals

The use of monolithic scintillator-based photon detectors in positron emission tomography (PET) has emerged as an attractive alternative to traditional pixelated array designs. Monolithic-based detector designs employ the scintillation light distribution (LD) shape to provide a single 3-D photon interaction position per event, enabling high spatial resolution throughout the crystal volume. Since there are no intercrystal gaps, monolithic designs provide higher intrinsic detection efficiency compared to pixelated designs. However, in order to make the monolithic detector design practical for clinical PET systems, some major drawbacks need to be addressed, such as the time-consuming and complex calibration procedures to obtain precise spatial and timing information. This article gives a historical review of monolithic-based PET detectors, a description of their main advantages and challenges, describes the state-of-the-art, including their use in current commercial system, and ends with a future prospective.