The development of dedicated positron emission tomography scanners is an active area of research, especially aiming at the improvement of lesion detection and in support of cancer treatment and management. Recently, dedicated Positron Emission Tomography (PET) systems with different configurations for specific organs have been developed for improving detection effectiveness. Open geometries are always subject to distortion and artifacts in the reconstructed images. Therefore, the aim of this work is to determine the optimal geometry for a novel cardiac PET system that will be developed by our team, and determine the time resolution needed to achieve reasonable image quality for the chosen geometry. The proposed geometries consist of 36 modules. These modules are arranged in two sets of two plates, each one with different configurations. We performed Monte Carlo simulations with different TOF resolutions, in order to test the image quality improvement in each case. Our results show, as expected, that increasing TOF resolution reduces distortion and artifact effects. We can conclude that a TOF resolution of the order of 200 ps is needed to reduce the artifacts, to acceptable levels, generated in the simulated cardiac-PET open geometries. distortion effects in the final reconstructed images. Time of flight (TOF) information provided by the detectors plays an important role in the reduction of these non-desired effects for open PET geometries.PET detection is based on the concept of Line Of Response (LOR). When two annihilation photons simultaneously impact two different detectors within a predetermined time-window (coincidence window), we consider that an event has occurred along this LOR. If TOF information is not available, the annihilation process is equiprobable all along the LOR, as there is no time information corresponding to the gamma ray impact. When introducing TOF information, it allows for the assignment of a Gaussian probability for a region of the LOR that contains the annihilation point. The width of the Gaussian distribution, and thus the spatial uncertainty of the annihilation point along the LOR, is directly proportional to the time resolution of the detection system. TOF information provides a better estimation of the position of the annihilation process along the LOR compensating, in part, the lack of angular information produced by the open geometries, reducing artifacts in the reconstructed images, and improving the image quality [13,14].Currently, commercial TOF dedicated electronics reach time resolutions in the range of 200-400 ps [15,16] even though experimental systems have reached up to 150 ps with only two detector blocks [17][18][19].In this context, our study aims to determine the optimal geometry for a dedicated open cardiac PET device considering different TOF resolutions. We simulated different open geometries and compared them with a full ring design. As a consequence of this study, a prototype device will be developed according to the optimal configuration determined in terms of g...