“…These requirements are a high detection efficiency for annihilation radiation, a fast scintillator enabling a narrow coincidence time window for the suppression of random coincidences (Enghardt et al 2005, good energy resolution for rejecting Compton-scattered photons, insensitivity against influences from the therapy beam, hardness against hadronic radiation, magnetic field resistance in the case of in-beam PET at rotating beam deliveries, and small volume due to integration reasons and in order to provide flexibility for patient positioning. The combination of crystals of LSO (cerium-doped lutetium oxyorthosilicate, Lu 2 SiO 5 :Ce 3+ ), a fast scintillator with a fluorescence decay constant of 41 ns (Melcher and Schweitzer 1992), coupled to avalanche photodiode arrays (APDA) solves, for imaging small tumours in the head-and-neck region, all the requisites mentioned (Kapusta et al 2004, Crespo et al 2004, Crespo 2005 provided that the implementation of a closed-ring tomograph, or a dual-head tomograph with small gaps, is feasible (Crespo et al 2006a). In addition, the natural background activity of LSO, amounting to approximately 240 Bq cm −3 due to the presence of the isotope 176 Lu (Huber et al 2002), in combination with the very low β +activity densities typically measured during in-beam PET (Enghardt et al 2004a), requires a coincidence time resolution equal or better than 1 ns full width at half maximum (FWHM) at the detector level (Crespo et al 2006b).…”