In PET, partial-volume effects cause errors in estimation of size and activity for small objects with radiopharmaceutical uptake. Recent methods for image reconstruction, compared with traditional reconstruction techniques, include algorithms for resolution recovery that result in images with higher resolution and enable quantification of size and activity of smaller objects. The purpose of this study was to evaluate a combination of 2 algorithms for volume delineation and partial-volume correction on uptake volumes smaller than 0.7 mL using image reconstruction algorithms with and without resolution recovery. Methods: Volumes of interests (VOIs) were delineated using a threshold intensity calculated as a weighted sum of tumor and background intensities. These VOIs were used for calculating correction factors by convolving a tumor mask with the system point-spread function. The methods algorithms were evaluated using a phantom constructed from 5 small different-sized balloons filled with 18 F-FDG in background activity. Six different backgrounds were used. Data were acquired using a PET/CT scanner, and the images were reconstructed using 2 iterative algorithms, one of which used a resolution recovery algorithm. Results: For the images reconstructed using the resolution recovery algorithm, the method for volume delineation resulted in VOI sizes that were correct within 1 SD for all balloons of a volume of 0.35 mL (equivalent diameter, 8.8 mm) and larger, in all backgrounds. For the images reconstructed without resolution recovery, the VOI sizes were background-dependent and generally less accurate. Correct volume delineations generally led to accurate activity estimates. Conclusion: The algorithms tested on the phantom developed for this study could, for this PET camera and these reconstruction algorithms, be used for accurate volume delineation and activity quantification of lesions 0.35 mL and larger. PETwi th 18 F-FDG is frequently used for diagnosis and staging of tumors and for therapy evaluation (1). Many methods for analyzing 18 F-FDG uptake in tumors are quantitative or semiquantitative (2), and a frequently used measure is the standardized uptake value (SUV) (3). SUV is subject to several factors affecting its reliability, such as motion artifacts, dependence on time between injection and image acquisition, and the method used for volume delineation (4). In addition to these, the relatively poor spatial resolution introduces biases, especially for small objects (5), such as small tumors and lymph nodes. This is called the partial-volume effect (PVE) (6). There is a demand for more complex algorithms for correct delineation also for larger tumors (7), and because SUV plays an important prognostic role in many cancer studies, such as non-small cell lung cancer imaging, there is a need for correct delineation and SUV calculations (8). Many studies have been performed on this subject (9-11) for varying objects and resolution. There are also extensive reviews on the subject (5,12).The spatial resolution of PE...