RT Journal Article T1 Simultaneous quantitative imaging of two PET radiotracers via the detection of positron–electron annihilation and prompt gamma emissions A1 Pratt, Edwin C. A1 López-Montes, Alejandro A1 Volpe, Alessia A1 Crowley, Michael J. A1 Carter, Lukas M. A1 Mittal, Vivek A1 Pillarsetty, Nagavarakishore A1 Ponomarev, Vladimir A1 Udías Moinelo, José Manuel A1 Grimm, Jan A1 Herraiz, Joaquin L. AB In conventional positron emission tomography (PET), only one radiotracer can be imaged at a time, because all PET isotopes produce the same two 511 keV annihilation photons. Here we describe an image reconstruction method for the simultaneous in vivo imaging of two PET tracers and thereby the independent quantification of two molecular signals. This method of multiplexed PET imaging leverages the 350–700 keV range to maximize the capture of 511 keV annihilation photons and prompt γ-ray emission in the same energy window, hence eliminating the need for energy discrimination during reconstruction or for signal separation beforehand. We used multiplexed PET to track, in mice with subcutaneous tumours, the biodistributions of intravenously injected [124I]I-trametinib and 2-deoxy-2-[18F]fluoro-D-glucose, [124I]I-trametinib and its nanoparticle carrier [89Zr]Zr-ferumoxytol, and the prostate-specific membrane antigen (PSMA) and infused PSMA-targeted chimaeric antigen receptor T cells after the systemic administration of [68Ga]Ga-PSMA-11 and [124I]I. Multiplexed PET provides more information depth, gives new uses to prompt γ-ray-emitting isotopes, reduces radiation burden by omitting the need for an additional computed-tomography scan and can be implemented on preclinical and clinical systems without any modifications in hardware or image acquisition software. PB Nature Publishing Group SN 2157-846X YR 2023 FD 2023 LK https://hdl.handle.net/20.500.14352/101240 UL https://hdl.handle.net/20.500.14352/101240 LA eng NO Pratt, E.C., Lopez-Montes, A., Volpe, A. et al. Simultaneous quantitative imaging of two PET radiotracers via the detection of positron–electron annihilation and prompt gamma emissions. Nat. Biomed. Eng 7, 1028–1039 (2023). https://doi.org/10.1038/s41551-023-01060-y NO Ministerio de Ciencia e Innovación (España) NO National Institutes of Health NO Memorial Sloan Kettering Cancer Center DS Docta Complutense RD 4 abr 2025