Absorbed dose distribution in liquid water for a CyberKnife VSI using radiochromic EBT3 film AIP Conference Proceedings 1747, 060004 (2016) Abstract. In this work, a Monte Carlo simulation of a positron emission mammography (PEM) prototype under development at the Institute of Physics, UNAM, is presented. The simulated geometry included two parallel detector modules with a 73 mm separation. Each module consisted of 3 detector blocks, each one formed by an array of 38×38 lutetium yttrium orthosilicate crystal elements of 1.96×1.96×10 mm 3 at 2 mm pitch. An energy resolution of 26% for 511 keV photons, a 350-650 keV energy window and a 6 ns coincidence window were assumed. Image reconstruction was performed using focal plane tomography. Spatial resolution was assessed through the point spread function at different positions within the field of view (FOV). In addition, image quality was evaluated following the NEMA NU 4-2008 protocol. Different depth-of-interaction (DOI) assumptions were considered. The best spatial resolution (0.75 mm FWHM) was obtained when depth-of-interaction information was used, deteriorating drastically to 2.21 mm when DOI is unknown. The overall sensitivity of the system was 2.50%.