A combined optical positron emission tomography (OPET) system is capable of both optical and PET imaging in the same setting, and it can provide information/interpretation not possible in single-mode imaging. The scintillator array here serves the dual function of coupling the optical signal from bioluminescence/fluorescence to the photodetector and also of channeling optical scintillations from the gamma rays. We report simulation results of the PET part of OPET using GATE, a Geant4 simulation package. The purpose of this investigation is the definition of the geometric parameters of the OPET tomograph. OPET is composed of six detector blocks arranged in a hexagonal ring-shaped pattern with an inner radius of 15.6 mm. Each detector consists of a two-dimensional array of 8 × 8 scintillator crystals each measuring 2 × 2 × 10 mm(3). Monte Carlo simulations were performed using the GATE software to measure absolute sensitivity, depth of interaction, and spatial resolution for two ring configurations, with and without gantry rotations, two crystal materials, and several crystal lengths. Images were reconstructed with filtered backprojection after angular interleaving and transverse one-dimensional interpolation of the sinogram. We report absolute sensitivities nearly seven times that of the prototype microPET at the center of field of view and 2.0 mm tangential and 2.3 mm radial resolutions with gantry rotations up to an 8.0 mm radial offset. These performance parameters indicate that the imaging spatial resolution and sensitivity of the OPET system will be suitable for high-resolution and high-sensitivity small-animal PET imaging.