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Roadmap Towards Quantum Entanglement Positron Emission Tomography (QE-PET)

Paweł Moskal, Shiva Abbaszadeh, Harmanjeet Singh Bilkhu, Peter Caradonna, Pragya Das, Praveen Gurunath Bharathi, Ana Marija Kožuljević, Zdenka Kuncic, Deepak Kumar, Mihael Makek, Marek Nowakowski, Siddharth Parashari, Kaustav Prasad, Gregory R. Romanchek, Sushil Sharma, Kenji Shimazoe, Ewa Stępień, Sodai Takyu, Miwako Takahashi, Mizuki Uenomachi, Ritesh Verma, Taiga Yamaya·July 13, 2026
physics.med-phQuantum Physics

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Abstract

Annihilation photons are quantum entangled in their polarization, a property that is not accessible in state-of-the-art clinical Positron Emission Tomography (PET). This roadmap describes the current status of research in the emerging field of quantum entanglement applications involving these photons for medical diagnosis. It outlines the underlying physics phenomena and the development of detector systems that can serve as a foundation for future Quantum Entanglement PET (QE-PET) scanners. These scanners will be capable of utilizing the entanglement between annihilation photons by measuring their Compton scattering on electrons. This roadmap comprises up-to-date experimental results on the study of quantum entanglement and the decoherence of annihilation photons, alongside the current theoretical understanding of these phenomena. The methods and detector technologies described herein are being developed (i) in order to enhance standard PET imaging by suppressing random coincidences in the reconstruction of annihilation site density distributions, (ii) in order to establish the degree of quantum entanglement as a diagnostic biomarker for tissue pathology and oxygenation, and (iii) in order to elaborate a method for pH imaging. Whether entanglement-based imaging and pH mapping can be successfully translated into clinical practice remains an open question and a subject of exciting ongoing research. This roadmap serves as an invitation to the scientific community to join this burgeoning field.

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