Teaching a hands-on session on simultaneous Positron Emission Tomography and Magnetic Resonance image acquisition and quantification in a clinical setting

Positron Emission Tomography/Magnetic Resonance (PET/MR) imaging, is a novel imaging modality that combines the capabilities of two powerful imaging techniques in a single acquisition. This unique integration allows for simultaneous acquisition of both metabolic and structural data within a single imaging session. In this sense, PET/MR offers a comprehensive and innovative approach to medical imaging, but accompanied by its intrinsic physics and engineering complexity, involving intricate synchronization of high-performance detectors, electromagnetic shielding, and sophisticated correction algorithms, among others. In this hands-on session performed during the 6th INFIERI summer school (Madrid, Spain), we described an introduction to simultaneous PET/MR image acquisition and quantification in a real clinical to students from diverse backgrounds in physics and engineering. We first presented the fundamental aspects of PET/MR image acquisition, including the main theoretical characteristics of PET/MR physics and electronics, visiting the PET/MR facilities at Hospital Universitario HM Puerta del Sur (HM Hospitales, Móstoles, Madrid), and discussing the main PET/MR clinical and research applications. Then, we followed with a practical session on PET/MR image quantification, preparing the students to understand and solve examples on image reconstruction, multimodal data visualization, inhomogeneity correction, image registration, and attenuation correction exploiting the simplicity and usefulness of 3D Slicer.