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Sample records for digital phase-contrast mammography

  1. Evaluation of edge effect due to phase contrast imaging for mammography.

    Science.gov (United States)

    Matsuo, Satoru; Katafuchi, Tetsuro; Tohyama, Keiko; Morishita, Junji; Yamada, Katsuhiko; Fujita, Hiroshi

    2005-08-01

    It is well-known that the edge effect produced by phase contrast imaging results in the edge enhancement of x-ray images and thereby sharpens those images. It has recently been reported that phase contrast imaging using practical x-ray tubes with small focal spots has improved image sharpness as observed in the phase contrast imaging with x-ray from synchrotron radiation or micro-focus x-ray tubes. In this study, we conducted the phase contrast imaging of a plastic fiber and plant seeds using a customized mammography equipment with a 0.1 mm focal spot, and the improvement of image sharpness was evaluated in terms of spatial frequency response of the images. We observed that the image contrast of the plastic fiber was increased by edge enhancement, and, as predicted elsewhere, spectral analysis revealed that as the spatial frequencies of the x-ray images increased, so did the sharpness gained through phase contrast imaging. Thus, phase contrast imaging using a practical molybdenum anode tube with a 0.1 mm-focal spot would benefit mammography, in which the morphological detectability of small species such as microcalcifications is of great concern. And detectability of tumor-surrounded glandular tissues in dense breast would be also improved by the phase contrast imaging.

  2. Practical digital mammography

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    Hashimoto, Beverly E. [Washington Univ., Seattle, WA (United States)]|[Virginia Mason Medical Center, VA (United States)

    2008-07-01

    This book is meant for the radiologist who is facing the challenge of organizing a digital mammographic imaging center. This text is meant to be a practical book that provides information about digital mammographic physics and equipment which will allow one to intelligently compare technologies and systems. Some of the major challenges include: large expense; rapidly changing technology, and inconsistent connectivity; and finally, need for strong information technology support. The initial conversion cost to digital mammographic imaging is relatively expensive due to the cost of digital mammography hardware, software, and storage. Virtually all other imaging modalities are being converted to purely digital storage and transfer, and the digital trend in mammography is inevitable. Technical advantages of digital mammography are described. However, the improved flexibility in image display and transfer are some of its strongest features. In conclusion, although there are increasing imaging modalities that may be used to evaluate breast disease, mammography will continue to play a key role in detecting breast cancer. To be an effective imager, the radiologist should become familiar with digital mammography and understand its role within the increasing complex structure of breast imaging techniques.

  3. Frequently Asked Questions about Digital Mammography

    Science.gov (United States)

    ... Consumer Information (MQSA) Frequently Asked Questions About Digital Mammography Share Tweet Linkedin Pin it More sharing options ... mammography exams, such as DBT? What is digital mammography? Full field digital mammography (FFDM, also known simply ...

  4. Resolution enhancement phase-contrast imaging by microsphere digital holography

    Science.gov (United States)

    Wang, Yunxin; Guo, Sha; Wang, Dayong; Lin, Qiaowen; Rong, Lu; Zhao, Jie

    2016-05-01

    Microsphere has shown the superiority of super-resolution imaging in the traditional 2D intensity microscope. Here a microsphere digital holography approach is presented to realize the resolution enhancement phase-contrast imaging. The system is designed by combining the microsphere with the image-plane digital holography. A microsphere very close to the object can increase the resolution by transforming the object wave from the higher frequency to the lower one. The resolution enhancement amplitude and phase images can be retrieved from a single hologram. The experiments are carried on the 1D and 2D gratings, and the results demonstrate that the observed resolution has been improved, meanwhile, the phase-contrast image is obtained. The proposed method can improve the transverse resolution in all directions based on a single exposure. Furthermore, this system has extended the application of the microsphere from the conventional 2D microscopic imaging to 3D phase-contrast microscopic imaging.

  5. Investigation of suitable biopsy markers for grating-based phase contrast mammography

    Science.gov (United States)

    Arboleda, C.; Wang, Z.; Forte, S.; Kubik-Huch, R. A.; Stampanoni, M.

    2017-01-01

    Phase-contrast mammography is a rising technology where, in addition to X-ray absorption, images show phase and dark-field contrast. Although the use of biopsy markers constitutes a fundamental task in breast examinations, there has not been any investigation concerning appropriate clips for this technology. We studied the suitability of three markers (Tumark, Somatex Medical Technologies; Hydromark, Mammotome; and Mammostar, Mammotome) for this modality on a laboratory source setup using a chicken breast phantom. The first two clips appeared to be innocuous, whereas Mammostar showed the potential that the non-metallic portion only could be used as a marker for this technique.

  6. Design of a sensitive grating-based phase contrast mammography prototype (Conference Presentation)

    Science.gov (United States)

    Arboleda Clavijo, Carolina; Wang, Zhentian; Köhler, Thomas; van Stevendaal, Udo; Martens, Gerhard; Bartels, Matthias; Villanueva-Perez, Pablo; Roessl, Ewald; Stampanoni, Marco

    2017-03-01

    Grating-based phase contrast mammography can help facilitate breast cancer diagnosis, as several research works have demonstrated. To translate this technique to the clinics, it has to be adapted to cover a large field of view within a limited exposure time and with a clinically acceptable radiation dose. This indicates that a straightforward approach would be to install a grating interferometer (GI) into a commercial mammography device. We developed a wave propagation based optimization method to select the most convenient GI designs in terms of phase and dark-field sensitivities for the Philips Microdose Mammography (PMM) setup. The phase sensitivity was defined as the minimum detectable breast tissue electron density gradient, whereas the dark-field sensitivity was defined as its corresponding signal-to-noise Ratio (SNR). To be able to derive sample-dependent sensitivity metrics, a visibility reduction model for breast tissue was formulated, based on previous research works on the dark-field signal and utilizing available Ultra-Small-Angle X-ray Scattering (USAXS) data and the outcomes of measurements on formalin-fixed breast tissue specimens carried out in tube-based grating interferometers. The results of this optimization indicate the optimal scenarios for each metric are different and fundamentally depend on the noise behavior of the signals and the visibility reduction trend with respect to the system autocorrelation length. In addition, since the inter-grating distance is constrained by the space available between the breast support and the detector, the best way we have to improve sensitivity is to count on a small G2 pitch.

  7. Phase-contrast enhanced mammography: A new diagnostic tool for breast imaging

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    Wang Zhentian; Thuering, Thomas; David, Christian; Roessl, Ewald; Trippel, Mafalda; Kubik-Huch, Rahel A.; Singer, Gad; Hohl, Michael K.; Hauser, Nik; Stampanoni, Marco [Swiss Light Source, Paul Scherrer Institut, 5232 Villigen (Switzerland); Laboratory for Micro and Nanotechnology, Paul Scherrer Institut, 5232 Villigen (Switzerland); Philips Technologie GmbH, Roentgenstrasse 24, 22335 Hamburg (Germany); Institute of Pathology, Kantonsspital Baden, 5404 Baden (Switzerland); Department of Radiology, Kantonsspital Baden, 5404 Baden (Switzerland); Institute of Pathology, Kantonsspital Baden, 5404 Baden (Switzerland); Department of Gynecology and Obstetrics, Interdisciplinary Breast Center Baden, Kantonsspital Baden, 5404 Baden (Switzerland); Swiss Light Source, Paul Scherrer Institut, 5232 Villigen, Switzerland and Institute for Biomedical Engineering, University and ETH Zuerich, 8092 Zuerich (Switzerland)

    2012-07-31

    Phase contrast and scattering-based X-ray imaging can potentially revolutionize the radiological approach to breast imaging by providing additional and complementary information to conventional, absorption-based methods. We investigated native, non-fixed whole breast samples using a grating interferometer with an X-ray tube-based configuration. Our approach simultaneously recorded absorption, differential phase contrast and small-angle scattering signals. The results show that this novel technique - combined with a dedicated image fusion algorithm - has the potential to deliver enhanced breast imaging with complementary information for an improved diagnostic process.

  8. Theoretical considerations for X-ray phase contrast mammography by Thomson source

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    Cedola, A. [Istituto di Fotonica e Nanotecnologie-Consiglio Nazionale delle Ricerche (IFN-CNR), via Cineto Romano 42, I-00156 Roma (Italy); INFN, Sezione di Roma1, Piazzale Aldo Moro2, 00185 Rome (Italy)], E-mail: cedola@ifn.cnr.it; Bukreeva, I.; Lagomarsino, S. [Istituto di Fotonica e Nanotecnologie-Consiglio Nazionale delle Ricerche (IFN-CNR), via Cineto Romano 42, I-00156 Roma (Italy); INFN, Sezione di Roma1, Piazzale Aldo Moro2, 00185 Rome (Italy); Petrillo, V.; Maroli, C. [Universita di Milano, Physics Department and INFN Sezione di Milano Via Celoria 16, 20133 Milano (Italy)

    2009-09-01

    The advent, in the near future, of compact X-ray sources like Thomson Back-Scattering (TBS) will allow the clinical application of advanced X-ray imaging techniques, such as phase contrast, with higher sensitivity and lower impact in terms of dose delivery. In this work, we theoretically investigated the possibility of using such sources for phase contrast imaging of micro-calcifications included in a breast tissue. In our study we analyzed the phase and amplitude distribution of the TBS source and we showed that this source can be used for phase contrast imaging since the source coherence at the sample position is sufficiently high for achieving good contrast and micrometer spatial resolution. Indeed the spatial coherence of a TBS source is closer to that of a synchrotron radiation source, and much better than that of a laboratory source. Moreover, we showed the advantages of phase imaging with respect to standard absorption imaging, in the specific case of micro-calcifications detection.

  9. Contrast-enhanced digital mammography

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    Dromain, Clarisse [Department of Radiology, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France)], E-mail: dromain@igr.fr; Balleyguier, Corinne; Adler, Ghazal [Department of Radiology, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France); Garbay, Jean Remi [Department of Surgery, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France); Delaloge, Suzette [Department of Medicine, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France)

    2009-01-15

    CEDM is a recent development of digital mammography using the intra-venous injection of an iodinated contrast agent in conjunction with a mammography examination. Two techniques have been developed to perform CEDM examinations: the temporal subtraction technique with acquisition of high-energy images before and after contrast medium injection and the dual energy technique with acquisition of a pair of low and high-energy images only after contrast medium injection. The temporal subtraction technique offered the possibility to analyze the kinetic curve of enhancement of breast lesions, similarly to breast MRI. The dual energy technique do not provide information about the kinetic of tumor enhancement but allows the acquisition of multiples views of the same breast or bilateral examination and is less sensitive to patient motion than temporal CEDM. Initial clinical experience has shown the ability of CEDM to map the distribution of neovasculature induced by cancer using mammography. Moreover, previous studies have shown a superiority of MX + CEDM, either for the assessment of the probability of malignancy than for BIRADS assessment comparing to MX alone. The potential clinical applications are the clarification of mammographically equivocal lesions, the detection of occult lesions on standard mammography, particularly in dense breast, the determination of the extent of disease, the assessment of recurrent disease and the monitoring of the response to chemotherapy. CEDM should result in a simple way to enhance the detection and the characterization of breast lesions.

  10. Update on new technologies in digital mammography

    Directory of Open Access Journals (Sweden)

    Patterson SK

    2014-08-01

    Full Text Available Stephanie K Patterson, Marilyn A Roubidoux Division of Breast Imaging, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA Abstract: Despite controversy regarding mammography's efficacy, it continues to be the most commonly used breast cancer-screening modality. With the development of digital mammography, some improved benefit has been shown in women with dense breast tissue. However, the density of breast tissue continues to limit the sensitivity of conventional mammography. We discuss the development of some derivative digital technologies, primarily digital breast tomosynthesis, and their strengths, weaknesses, and potential patient impact. Keywords: screening mammography, breast cancer, contrast media, digital breast tomosynthesis

  11. Non-invasive classification of microcalcifications with phase-contrast X-ray mammography

    Science.gov (United States)

    Wang, Zhentian; Hauser, Nik; Singer, Gad; Trippel, Mafalda; Kubik-Huch, Rahel A.; Schneider, Christof W.; Stampanoni, Marco

    2014-05-01

    Microcalcifications can be indicative in the diagnosis of early breast cancer. Here we report a non-invasive diagnostic method that may potentially distinguish between different types of microcalcifications using X-ray phase-contrast imaging. Our approach exploits the complementary nature of the absorption and small-angle scattering signals of microcalcifications, obtained simultaneously with an X-ray grating interferometer on a conventional X-ray tube. We demonstrate that the new approach has 100% sensitivity and specificity when applied to phantom data, and we provide evidence of the solidity of the technique by showing its discrimination power when applied to fixed biopsies, to non-fixed tissue specimens and to fresh, whole-breast samples. The proposed method might be further developed to improve early breast cancer diagnosis and has the potential to increase the diagnostic accuracy and reduce the number of uncomfortable breast biopsies, or, in case of widespread microcalcifications, to select the biopsy site before intervention.

  12. Photon detection efficiency of laboratory-based x-ray phase contrast imaging techniques for mammography: a Monte Carlo study

    Science.gov (United States)

    Saghamanesh, S.; Aghamiri, S. M.; Kamali-Asl, A.; Yashiro, W.

    2017-09-01

    An important challenge in real-world biomedical applications of x-ray phase contrast imaging (XPCI) techniques is the efficient use of the photon flux generated by an incoherent and polychromatic x-ray source. This efficiency can directly influence dose and exposure time and ideally should not affect the superior contrast and sensitivity of XPCI. In this paper, we present a quantitative evaluation of the photon detection efficiency of two laboratory-based XPCI methods, grating interferometry (GI) and coded-aperture (CA). We adopt a Monte Carlo approach to simulate existing prototypes of those systems, tailored for mammography applications. Our simulations were validated by means of a simple experiment performed on a CA XPCI system. Our results show that the fraction of detected photons in the standard energy range of mammography are about 1.4% and 10% for the GI and CA techniques, respectively. The simulations indicate that the design of the optical components plays an important role in the higher efficiency of CA compared to the GI method. It is shown that the use of lower absorbing materials as the substrates for GI gratings can improve its flux efficiency by up to four times. Along similar lines, we also show that an optimized and compact configuration of GI could lead to a 3.5 times higher fraction of detected counts compared to a standard and non-optimised GI implementation.

  13. Building an intranet digital mammography case library

    Science.gov (United States)

    Zhang, Hong; Lou, Shyhliang A.; Fan, Yu; Sickles, Edward A.; Huang, H. K.

    2000-05-01

    To practice mammography diagnosis effectively, radiologists expect convenient access to well-organized and authoritative mammography related information, especially when there is case in question. The purpose of this study is to build infrastructural diagnosis support by incorporating various clinical information into a digital mammography case library, and allow user to search the library based on mammographic findings. The digital mammography case library has a three- tier architecture: (1) Back-end mammography databases integrate multimedia clinical information from various operational systems, including RIS and PACS. Cases are stored in a finding index database powered by an object-relational database with finding-coded reports, which are modeled around the ACR BI-RADS (American College of Radiology, Breast Imaging Report and Data System) standard. (2) The middle-end application controllers process application logic, such as user authorization, HTTP request handling, database connection and dynamic HTML page generation. (3) Web-based user interface is developed for authorized Intranet personnel to formulate query based on radiological finding (such as mass, calcification and architectural distortion), shape and assessment, using ACR BI-RADS specified lexicon. The case library so far has 103 cases selected from over 800 digital mammography studies carried out at the Mt. Zion hospital, UCSF, during an on-going digital telemammography project. We believe that an Intranet based digital mammography case library with mammographic finding search capability facilitates continuous medical education and online decision support, by providing exemplary study to compare with case in question.

  14. Microscopy imaging and quantitative phase contrast mapping in turbid microfluidic channels by digital holography.

    Science.gov (United States)

    Paturzo, Melania; Finizio, Andrea; Memmolo, Pasquale; Puglisi, Roberto; Balduzzi, Donatella; Galli, Andrea; Ferraro, Pietro

    2012-09-07

    We show that sharp imaging and quantitative phase-contrast microcopy is possible in microfluidics in flowing turbid media by digital holography. In fact, in flowing liquids with suspended colloidal particles, clear vision is hindered and cannot be recovered by any other microscopic imaging technique. On the contrary, using digital holography, clear imaging is possible thanks to the Doppler frequency shift experienced by the photons scattered by the flowing colloidal particles, which do not contribute to the interference process, i.e. the recorded hologram. The method is illustrated and imaging results are demonstrated for pure phase objects, i.e. biological cells in microfluidic channels.

  15. Authenticity and integrity of digital mammography images.

    Science.gov (United States)

    Zhou, X Q; Huang, H K; Lou, S L

    2001-08-01

    Data security becomes more and more important in telemammography which uses a public high-speed wide area network connecting the examination site with the mammography expert center. Generally, security is characterized in terms of privacy, authenticity and integrity of digital data. Privacy is a network access issue and is not considered in this paper. We present a method, authenticity and integrity of digital mammography, here which can meet the requirements of authenticity and integrity for mammography image (IM) transmission. The authenticity and integrity for mammography (AIDM) consists of the following four modules. 1) Image preprocessing: To segment breast pixels from background and extract patient information from digital imaging and communication in medicine (DICOM) image header. 2) Image hashing: To compute an image hash value of the mammogram using the MD5 hash algorithm. 3) Data encryption: To produce a digital envelope containing the encrypted image hash value (digital signature) and corresponding patient information. 4) Data embedding: To embed the digital envelope into the image. This is done by replacing the least significant bit of a random pixel of the mammogram by one bit of the digital envelope bit stream and repeating for all bits in the bit stream. Experiments with digital IMs demonstrate the following. 1) In the expert center, only the user who knows the private key can open the digital envelope and read the patient information data and the digital signature of the mammogram transmitted from the examination site. 2) Data integrity can be verified by matching the image hash value decrypted from the digital signature with that computed from the transmitted image. 3) No visual quality degradation is detected in the embedded image compared with the original. Our preliminary results demonstrate that AIDM is an effective method for image authenticity and integrity in telemammography application.

  16. Digital mammography in breast cancer screening: Evaluation and innovation

    NARCIS (Netherlands)

    Bluekens, A.M.J.

    2015-01-01

    With all other imaging modalities in radiology being digitised and conventional mammography being ready to phase out the transition to digital mammography was inevitable. This thesis describes the performance of digital screening mammography and the consequences of implementation in a population-bas

  17. Digital Mammography with Storage Phosphors

    Science.gov (United States)

    1993-12-31

    considerations. Proc AAPM Summer School: Specification, Acceptance Testing and Quality Control of Diagnostic X-ray Imaging Equipment 1991. 95. Melles...derived from the same cases. Radiol 1983; 148:839-843. 100. Kelsey CA, Mettler FA. ROC analysis can reveal best diagnostic method. Diagnost Imag 1989; 155 ...Madison, WI, 1991. 111. AAPM Report No. 29: Equipment requirement and quality control for mammography, Ed. by M. J. Yaffe et al, Published for the

  18. Bone mineral imaging using a digital magnification mammography system

    Science.gov (United States)

    Toyofuku, Fukai; Tokumori, Kenji; Higashida, Yoshiharu; Arimura, Hidetaka; Morishita, Junji; Ohki, Masafumi

    2008-03-01

    The measurement of bone mineral content is important for diagnosis of demineralization diseases such as osteoporosis. A reliable method of obtaining bone mineral images using a digital magnification mammography system has been developed. The full-field digital phase contrast mammography (PCM) system, which has a molybdenum target of 0.1mm focal spot size, was used with 1.75 x magnification. We have performed several phantom experiments using aluminum step wedges (0.2 mm - 6.0 mm in thickness) and a bone mineral standard phantom composed of calcium carbonate and polyurethane (CaCO 3 concentration: 26.7 - 939.0 mg/cm 3) within a water or Lucite phantom. X-ray spectra on the exposure field are measured using a CdTe detector for evaluation of heel effect. From the equations of x-ray attenuation and the thickness of the subjects, quantitative images of both components were obtained. The quantitative images of the two components were obtained for different tube voltages of 24 kV to 39 kV. The relative accuracy was less than 2.5% for the entire aluminum thickness of 0.5 to 6.0 mm at 5 cm water thickness. Accuracy of bone mineral thickness was within 3.5% for 5cm water phantom. The magnified quantitative images of a hand phantom significantly increased the visibility of fine structures of bones. The digital magnification mammography system is useful not only for measurement of bone mineral content, but also high-resolution quantitative imaging of trabecular structure.

  19. Improved visualization of breast cancer features in multifocal carcinoma using phase-contrast and dark-field mammography: an ex vivo study

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    Grandl, Susanne; Sztrokay-Gaul, Aniko; Auweter, Sigrid D.; Hellerhoff, Karin [Ludwig-Maximilians-University Hospital Munich, Institute of Clinical Radiology, Munich (Germany); Scherer, Kai; Birnbacher, Lorenz; Willer, Konstantin; Chabior, Michael; Herzen, Julia; Pfeiffer, Franz [Technische Universitaet Muenchen, Department of Physics and Institute of Medical Engineering, Garching (Germany); Mayr, Doris [Ludwig-Maximilians-Universitaet Muenchen, Institute of Pathology, Munich (Germany); Bamberg, Fabian [University Hospital Tuebingen, Department of Diagnostic and Interventional Radiology, Tuebingen (Germany)

    2015-12-15

    Conventional X-ray attenuation-based contrast is inherently low for the soft-tissue components of the female breast. To overcome this limitation, we investigate the diagnostic merits arising from dark-field mammography by means of certain tumour structures enclosed within freshly dissected mastectomy samples. We performed grating-based absorption, absolute phase and dark-field mammography of three freshly dissected mastectomy samples containing bi- and multifocal carcinoma using a compact, laboratory Talbot-Lau interferometer. Preoperative in vivo imaging (digital mammography, ultrasound, MRI), postoperative histopathological analysis and ex vivo digital mammograms of all samples were acquired for the diagnostic verification of our results. In the diagnosis of multifocal tumour growth, dark-field mammography seems superior to standard breast imaging modalities, providing a better resolution of small, calcified tumour nodules, demarcation of tumour boundaries with desmoplastic stromal response and spiculated soft-tissue strands extending from an invasive ductal breast cancer. On the basis of selected cases, we demonstrate that dark-field mammography is capable of outperforming conventional mammographic imaging of tumour features in both calcified and non-calcified tumours. Presuming dose optimization, our results encourage further studies on larger patient cohorts to identify those patients that will benefit the most from this promising additional imaging modality. (orig.)

  20. Discrepancies between film and digital mammography interpretations

    Science.gov (United States)

    Malhotra, Poonam; Kallergi, Maria; Alexander, Dominik; Berman, Claudia G.; Gardner, Mary; Hersh, Marla R.; Hooper, Lisa; Kim, Jihai J.; Venugopal, Priya

    2002-04-01

    The purpose of this study was to evaluate the frequency and reasons of disagreement between film and full-field digital mammography (FFDM) interpretations observed in a prospective clinical trial performed with the GE Senographe 2000D system. The data from 643 mammography examinations comprising both digital and film mammograms were analyzed for this purpose. Reports indicated that 455 findings were identified on the digital softcopy reading and 457 findings on the standard film mammography with 408 discrepancies. Findings with discrepancies were matched and analyzed. A reason was identified and a relative conspicuity score of 0 to 10 was assigned to each finding at the time of resolution; 0 corresponded to a finding highly conspicuous on digital, 10 to a finding highly conspicuous on film, and 5 denoted equal visibility on both. After review, agreement was established between the two modalities in 73.3% of the findings; 13.5% of findings were seen better on digital and 13.2% of the findings were seen better on film. Approximately 63% of the discrepancies occurred due to variability in the reporting style of the radiologists and/or unavailability of prior films for comparison. Three cancer cases were identified in this study; two were seen on both modalities and one only on film. In conclusion, no statistically significant differences were observed between digital and film mammography, a result that despite the small size of our dataset is in agreement with previous reports. Inter-observer variability, display differences, and presentation disagreements are the main reasons for interpretation differences that are primarily identified in the classification and BIRADS assignment.

  1. Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications

    Science.gov (United States)

    Helvie, Mark A.

    2011-01-01

    Synopsis This article discusses recent developments in advanced derivative technologies associated with digital mammography. Digital breast tomosynthesis – its principles, development, and early clinical trials are reviewed. Contrast enhanced digital mammography and combined imaging systems with digital mammography and ultrasound are also discussed. Although all these methods are currently research programs, they hold promise for improving cancer detection and characterization if early results are confirmed by clinical trials. PMID:20868894

  2. Development of a Digital Control for the Phase Contrast Imaging Alignment Feedback System

    Science.gov (United States)

    Hirata, M.; Marinoni, A.; Rost, J. C.; Davis, E. M.; Porkolab, M.

    2016-10-01

    The Phase Contrast Imaging diagnostic is an internal reference interferometer that images density fluctuations on a 32-element linear detector array. Since proper operation of the system requires accurate alignment of a CO2 laser beam on a phase plate, beam motion due to vibrations of the DIII-D vessel need to be compensated up to 1 kHz. The feedback network controlling the steering mirrors currently uses a linear analog controller, but a digital controller can provide improved stability performance and flexibility. A prototype was developed using an Arduino Due, a low-cost microcontroller, to assess performance capabilities. Digital control parameters will be developed based on the measured frequency and phase response of the physical components. Finally, testing of the digital feedback system and the required revisions will be done to achieve successful performance. This upgrade to the linear analog controller is expected to be used routinely on similar diagnostics in fusion devices, especially in view of restricted access to the machine hall. Work supported in part by the US Department of Energy under DE-FG02-94ER54235, DE-FC02-04ER54698, and the Science Undergraduate Laboratory Internships Program (SULI).

  3. A method for high-energy, low-dose mammography using edge illumination x-ray phase-contrast imaging

    Science.gov (United States)

    Diemoz, Paul C.; Bravin, Alberto; Sztrókay-Gaul, Anikó; Ruat, Marie; Grandl, Susanne; Mayr, Doris; Auweter, Sigrid; Mittone, Alberto; Brun, Emmanuel; Ponchut, Cyril; Reiser, Maximilian F.; Coan, Paola; Olivo, Alessandro

    2016-12-01

    Since the breast is one of the most radiosensitive organs, mammography is arguably the area where lowering radiation dose is of the uttermost importance. Phase-based x-ray imaging methods can provide opportunities in this sense, since they do not require x-rays to be stopped in tissue for image contrast to be generated. Therefore, x-ray energy can be considerably increased compared to those usually exploited by conventional mammography. In this article we show how a novel, optimized approach can lead to considerable dose reductions. This was achieved by matching the edge-illumination phase method, which reaches very high angular sensitivity also at high x-ray energies, to an appropriate image processing algorithm and to a virtually noise-free detection technology capable of reaching almost 100% efficiency at the same energies. Importantly, while proof-of-concept was obtained at a synchrotron, the method has potential for a translation to conventional sources.

  4. Digital breast tomosynthesis versus digital mammography: a clinical performance study

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    Gennaro, Gisella; Baldan, Enrica; Bezzon, Elisabetta; Polico, Ilaria; Proietti, Alessandro; Toffoli, Aida [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Toledano, Alicia [Statistics Collaborative Inc., Washington, DC (United States); Di Maggio, Cosimo [Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); La Grassa, Manuela [Aviano Oncological Reference Center (CRO), IRCCS, Department of Radiology, Aviano (Pordenone) (Italy); Pescarini, Luigi [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); Muzzio, Pier Carlo [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Medical Diagnostic Sciences, Padua (Italy)

    2010-07-15

    To compare the clinical performance of digital breast tomosynthesis (DBT) with that of full-field digital mammography (FFDM) in a diagnostic population. The study enrolled 200 consenting women who had at least one breast lesion discovered by mammography and/or ultrasound classified as doubtful or suspicious or probably malignant. They underwent tomosynthesis in one view [mediolateral oblique (MLO)] of both breasts at a dose comparable to that of standard screen-film mammography in two views [craniocaudal (CC) and MLO]. Images were rated by six breast radiologists using the BIRADS score. Ratings were compared with the truth established according to the standard of care and a multiple-reader multiple-case (MRMC) receiver-operating characteristic (ROC) analysis was performed. Clinical performance of DBT compared with that of FFDM was evaluated in terms of the difference between areas under ROC curves (AUCs) for BIRADS scores. Overall clinical performance with DBT and FFDM for malignant versus all other cases was not significantly different (AUCs 0.851 vs 0.836, p = 0.645). The lower limit of the 95% CI or the difference between DBT and FFDM AUCs was -4.9%. Clinical performance of tomosynthesis in one view at the same total dose as standard screen-film mammography is not inferior to digital mammography in two views. (orig.)

  5. Perspectives of the digital mammography platform; Perspektiven der digitalen Mammographieplattform

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    Gruber, R.; Riedl, C.C.; Reisegger, M.; Pinker, K.; Sturm, E.; Semturs, F.; Helbich, T.H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Division fuer Molekulare und Gender-Bildgebung, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2010-11-15

    In Europe one out of every nine women suffers from breast cancer during her lifetime. Since the introduction of mammography screening programs more breast cancers are being diagnosed when they are still small and early stage cancers with a favourable prognosis. The introduction of digital mammography systems has led to a continuous reduction of breast cancer mortality especially in specific patient subgroups. Furthermore, the digital mammography platform enables the development of new, innovative breast imaging methods to increase sensitivity and decrease breast cancer mortality. This digital mammography platform includes digital breast tomosynthesis, digital contrast medium mammography and digital contrast medium breast tomosynthesis as well as fused data sets from digital mammography with ultrasound or MRI. The following article summarizes these new applications, describes the strengths of the digital platform and illustrates the potential advantages of an improved breast cancer diagnosis by digital mammography. (orig.) [German] Etwa jede neunte Frau in Europa erkrankt im Laufe ihres Lebens an Brustkrebs. Durch die Einfuehrung von Mammographiescreeningprogrammen werden immer mehr kleine Brustkarzinome in einem fruehen Stadium entdeckt. Die Einfuehrung der digitalen Mammographie erzielt insbesondere bei bestimmten Patientinnengruppen eine weitere kontinuierliche Senkung der Brustkrebsmortalitaet. Zusaetzlich ermoeglicht die digitale Mammographie die Entwicklung neuer und Fusion bereits existierender bildgebender Methoden. Zu dieser ''digitalen Mammographieplattform'' gehoeren die digitale Brusttomosynthese, die digitale Kontrastmittelmammographie und die digitale Kontrastmittel-Brusttomosynthese sowie fusionierte Datensaetze der digitalen Mammographie mit dem Ultraschall oder der MRT. Diese innovativen Techniken bieten die Moeglichkeit, die Sensitivitaet der Mammographie zu steigern und die Brustkrebsmortalitaet weiter zu senken. Der folgende

  6. Quality control in digital mammography: the noise components

    Energy Technology Data Exchange (ETDEWEB)

    Leyton, Fernando [Universidade de Tarapaca, Arica (Chile). Centro de Estudios en Ciencias Radiologicas; Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Nogueira, Maria do Socorro, E-mail: mnogue@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Duran, Maria Paz [Clinica Alemana, Santiago (Chile). Dept. de Radiologia; Dantas, Marcelino, E-mail: marcelino@inb.gov.b [Industrias Nucleares do Brasil (INB), Caldas, MG (Brazil). Unidade de Tratamento de Minerios; Ubeda, Carlos, E-mail: cubeda@uta.c [Universidade de Tarapaca, Arica (Chile). Fac. de Ciencias de la Salud

    2011-07-01

    To measure the linearity of the detector and determine the noise components (quantum, electronic and structural noise) that contributed to losing image quality and to determine the signal noise ratio (SNR) and contrast noise ratio (CNR). This paper describes the results of the implementation of a protocol for quality control in digital mammography performed in two direct digital mammography equipment (Hologic, Selenia) in Santiago of Chile. Shows the results of linearity and noise analysis of the images which establishes the main cause of noise in the image of the mammogram to ensure the quality and optimize procedures. The study evaluated two digital mammography's Selenia, Hologic (DR) from Santiago, Chile. We conducted the assessment of linearity of the detector, the signal noise ratio, contrast noise ratio and was determined the contribution of different noise components (quantum, electronics and structural noise). Used different thicknesses used in clinical practice according to the protocol for quality control in digital mammography of Spanish society of medical physics and NHSBSP Equipment Report 0604 Version 3. The Selenia mammography software was used for the analysis of images and Unfors Xi detector for measuring doses. The mammography detector has a linear performance, the CNR and SNR did not comply with the Protocol for the thicknesses of 60 and 70 mm. The main contribution of the noise corresponds to the quantum noise, therefore it is necessary to adjust and optimize the mammography system. (author)

  7. Digital mammography and their developments; Digitale Mammografie und ihre Weiterentwicklung

    Energy Technology Data Exchange (ETDEWEB)

    Wienbeck, Susanne [Universitaetsmedizin Goettingen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Fischer, Uwe [Diagnostisches Brustzentrum Goettingen (Germany)

    2015-09-15

    At the present time digital mammography is a satisfactory breast diagnostic imaging in clinical as well as screening mammography in defined age groups. Nevertheless it shows beside the application of ionizing radiation in women with dense breasts limitations in the detection of non calcification breast cancers. Tomosynthesis, digital contrast-enhanced mammography and breast-CT with or without contrast media lead to better results. Especially the application of contrast media for the visualisation of the tumor angiogenesis is invariably superior to all other non-contrast imaging modalities. However, the excellent results of breast MRI will be probably accessible with none of the new procedures.

  8. Improvement of detectability of microcalcifications by magnification digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Higashida, Yoshiharu [Kumamoto Univ. (Japan). College of Medical Science; Hatemura, Masahiro; Yoshida, Akira; Takada, Takao; Takahashi, Mutsumasa

    1998-08-01

    Our aim in this study was to evaluate the potential utility of magnification mammography with a CR system by investigating the basic imaging parameters and detectability of microcalcifications in comparison with those of conventional screen-film systems. The basic imaging parameters were evaluated by measuring scatter fraction, modulation transfer function (MTF), Wiener spectrum, and incident dose for the various magnification factors. The detection of simulated microcalcifications in radiographs of a mammographic phantom and breast specimens were evaluated subjectively and quantitatively for screen-film and CR techniques with various magnification factors. The scatter fraction of digital magnification mammography decreased with increasing magnification factor. MTF of magnification digital mammography improved with increasing magnification factor. The detectability of microcalcifications with the CR system was significantly improved by magnification technique. From the above results, it is expected that the use of magnification mammography with a CR system will improve the detectability of microcalcification. (author)

  9. Using digital inline holographic microscopy and quantitative phase contrast imaging to assess viability of cultured mammalian cells

    Science.gov (United States)

    Missan, Sergey; Hrytsenko, Olga

    2015-03-01

    Digital inline holographic microscopy was used to record holograms of mammalian cells (HEK293, B16, and E0771) in culture. The holograms have been reconstructed using Octopus software (4Deep inwater imaging) and phase shift maps were unwrapped using the FFT-based phase unwrapping algorithm. The unwrapped phase shifts were used to determine the maximum phase shifts in individual cells. Addition of 0.5 mM H2O2 to cell media produced rapid rounding of cultured cells, followed by cell membrane rupture. The cell morphology changes and cell membrane ruptures were detected in real time and were apparent in the unwrapped phase shift images. The results indicate that quantitative phase contrast imaging produced by the digital inline holographic microscope can be used for the label-free real time automated determination of cell viability and confluence in mammalian cell cultures.

  10. Digital reconstruction based on angular spectrum diffraction with the ridge of wavelet transform in holographic phase-contrast microscopy.

    Science.gov (United States)

    Weng, Jiawen; Zhong, Jiangang; Hu, Cuiying

    2008-12-22

    A numerical reconstruction technique of digital holography based on angular spectrum diffraction by means of the ridge of Gabor wavelet transform (GWT) is presented. Appling the GWT, the object wave can be reconstructed by calculating the wavelet coefficients of the hologram at the ridge of the GWT automatically even if the spectrum of the virtual image is disturbed by the other spectrum. It provides a way to eliminate the effect of the zero-order and the twin-image terms without the spatial filtering. In particular, based on the angular spectrum theory, GWT is applied to the digital holographic phase-contrast microscopy on biological specimens. The theory, the results of a simulation and an experiment of an onion specimen are shown.

  11. ROC study of screen-film mammography and storage phosphor digital mammography: analysis of nonconcordant classifications and implications for the approval of digital mammography systems

    Science.gov (United States)

    Freedman, Matthew T.; Artz, Dorothy S.; Hogge, Jacquelyn; Zuurbier, Rebecca A.; Jafroudi, Hamid; Lo, Shih-Chung B.; Mun, Seong K.

    1997-04-01

    A recently completed ROC study of digital mammography using a 100 micron pixel storage phosphor receptor showed that digital mammography and conventional screen film mammography were essentially equivalent in areas under the ROC curve. In this study, there were 24 biopsy proven breast cancer cases, 25 benign biopsy cases and 48 clinically normal breast images each with matched screen film and storage phosphor images. Fifteen of the 24 cancer cases were 10 mm or less in size. Of these 10 presented with microcalcifications as the sign of disease. Six radiologists not involved with the research program and without prior experience with digital mammography and who met qualification criteria under the Mammography Quality Standards Act of 1992 served as readers. This poster looks at the cases in which there was variance between the radiologists ROC classification system for the digital and screen film system in order to analyze case specific discrepancies that may indicate benefits or deficits of the digital system. Aspects of the ROC ratings are also analyzed including an evaluation of the different thresholds used by radiologists on the digital and screen film systems, the distribution of ROC ratings in normal and abnormal cases, the effect of using different gold standards of proof on the results and the effect of substituting an ACR BIRADS category agreement study as proposed by the FDA compared to the ROC study outcome.

  12. 数字化相位对比乳腺摄影临床应用探讨%Clinical application research of phase-contrast mammography

    Institute of Scientific and Technical Information of China (English)

    于连水; 付连英; 张合意

    2011-01-01

    Objective: To Study the characteristics and clinical application value of phase contrast mammography system (PCM). Methods: 1 173 patients from July to December in 2010 with the PCM of Japanese REJILJS Pureview M type were examined. Double side breast was examined in both MLO and CC comparably of every patient. The exposure be controlled by polycentric ionization chamber with 26-34 kV and 29-117 mAs. Results: The high guality PCM images revealed the breast skin, subcutaneous fat, mammary gland, pectoralis major, armpit organization and some other organization structures clearly. And it also had a clear image on the compact mammary gland' s microcaleifications which were 0.1 -0.2 mm. The X-ray exposure dose was low. 47 breast cancer on firmed by the surgical operation pathology. Among them, the female were 46 cases, the age was 24-88 years old, on the average was 53.13 years old, the right side were 22 cases, the left side were 26 cases, only one male was 55 years old, left side; and the benign tumor were 72 cases, all were female, the age was 19-70 years old, on the average was 40.88 years old, the right side were 41 cases, the left side were 40 cases, double side focus were 9 cases. Conclusion: The imaging features of PCM are outstanding and it provides a reliable basis for the iden -tify and diagnosis of the breast cancer.%目的:探讨相位对比乳腺钼靶成像技术特点及临床应用价值.方法:应用日本REGIUS PureView M 型相位对比乳腺成像系统,2010 年7~12 月共检查患者1 173 例,双侧乳腺对比检查,投照体位均包括侧斜位和轴位,采用多中心电离室控制全自动曝光,曝光千伏26~34 kV,毫安秒29~117 mAs.结果:双侧乳腺轴位及侧斜位对称显示,图像质量均符合乳腺摄影质量控制合格标准,乳房皮肤、皮下脂肪、乳腺、胸大肌及腋窝组织等不同组织结构均衡清晰显示,对致密型乳腺内0.1~0.2 mm 微小钙化灶显示清晰.X 线曝光剂量较低.经

  13. Issues to Consider in Converting to Digital Mammography

    Science.gov (United States)

    Pisano, Etta D.; Zuley, Margarita; Baum, Janet K.; Marques, Helga S.

    2007-01-01

    This paper will outline the reasons that many radiology practices are converting to digital mammography. In addition, we will provide basic information on the issues that must be considered in making the transformation. These include technical matters regarding image display, storage and retrieval, as well as clinical and ergonomic considerations. PMID:17888771

  14. Technology evaluation center assessment synopsis: full-field digital mammography.

    Science.gov (United States)

    Rothenberg, Barbara M; Ziegler, Kathleen M; Aronson, Naomi

    2006-08-01

    Full-field digital mammography (FFDM) is proposed as an alternative to screen-film mammography (SFM). The ability to separate and optimize the acquisition, storage, and display of images may allow greater visualization of breast cancers at equal or lower radiation doses, especially in younger women and those with denser breasts. This is a synopsis of a systematic review by the Blue Cross Blue Shield Association Technology Evaluation Center. This updated systematic review primarily incorporated the results of the ACR Imaging Network(R) Digital Mammographic Imaging Screening Trial (DMIST), which provided results on 42,760 asymptomatic women who underwent both FFDM and SFM and showed with reasonable certainty that there was no difference in the accuracy of the 2 modalities for asymptomatic women in general, with some advantages of FFDM in certain subgroups. There were no strong, new studies on the use of digital mammography compared with film mammography in a diagnostic population. However, the DMIST results indicated that tumors detected by FFDM, but not by SFM, were likely to be invasive carcinomas or medium-grade to high-grade ductal carcinoma in situ. On the basis of the suppositions that these are the cancers of greatest interest and the ones more likely to be found in a diagnostic population and that the diagnostic population may be younger on average than the screening population, it was concluded that there is sufficient evidence to support the use of FFDM for diagnostic purposes.

  15. Computer Aided Diagnosis in Digital Mammography

    Directory of Open Access Journals (Sweden)

    "H. Mirzaalian

    2005-08-01

    Full Text Available Introduction & Background: Breast cancer is a lead-ing cause of cancer deaths among women.Early de-tection is the most effective way to reduce mortality. Mammography is the best method for early detection. In order to improve the accuracy of interpretation of mammogram, Computer Aided Diagnosis (CAD sys-tems have been proposed. The main goal of this re-search is to implement one of the algorithms and techniques for the enhancement of mammogram for easier detection of abnormalities. Patients & Methods: In the presented algorithm, morphological methods are used first for removing artifacts. Then thresholding, labeling, and active con-tours methods are used to extract the breast region, which allow the search for abnormalities to be lim-ited to the region of the breast. Finally, Gaussian fil-ter and White Top Hat Transform is used for contrast enhancement of mammogram. This algorithm has been applied on 50 images from Mammography Im-age Analysis Society (MIAS. An expert radiologist then verified improvement on the processed images. Results and Conclusions: Implementing the presented algorithm causes easier and better interpretation of mammogram without increasing the number of false positive and false negative results. Because of the spe-cial shapes and statistical features of abnormal tex-tures, it is possible to apply pattern recognition and artificial intelligence techniques as an aid for diagnos-ing suspicious regions. Research on using some of these techniques to distinguish benign abnormalities from malignant ones is on the way.

  16. The promise of computer aided detection in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Roehrig, Jimmy E-mail: jimmy@enrico.r2tech.com; Castellino, Ronald A. E-mail: castellr@mskcc.org

    1999-07-01

    Computer-aided detection (CAD) is a new technology now being implemented in many clinics to reduce the false negative rate in mammography screening. A large clinical study has been completed which shows that a substantial false negative (miss) rate exists in screening mammography, a significant fraction of the missed cancers are not subtle, and CAD has high sensitivity to these missed cancers. Full field digital mammography is now coming on the scene, but has not yet been proven in clinical practice. The authors believe that full acceptance of the new digital technology depends not merely on demonstrations of 'substantial equivalence' to film-screen technology, but rather on more complete exploitation of the unique advantages of digital technology, and that CAD can play a key role. These advantages derive from CAD's ability to quickly (in near real-time) perform analytical computations on digital information that is not readily available to the radiologist until after the cost of film-processing has occurred.

  17. The Transition from Analog to Digital Mammography: Overall Considerations

    Directory of Open Access Journals (Sweden)

    A. Sardo

    2007-05-01

    Full Text Available In the last decades a continuous growth of the infor-matics process around the world has been observed: paper documents, data, images…, converted into a “digital format” allow an easier and safer manage-ment, making possible its compatibility and access to internet networking. This migration confirms the huge technology progresses made especially in the image capture ways: from photography to graphic arts, from movie to healthcare imaging, where the end user/radiologist requires, at least, a digital clinical image with a quality equivalent to the previous ana-log film image. In women’s breast imaging care mammography is acknowledged as the most effective method to detect a breast cancer at an earlier stage and it is currently the only imaging modality, which has been proven to reduce mortality in women screened from 50 to 69 years. The transition to Digital Mammography represents a challenge to decide when to change the first concern is to get the money availability to purchase a Digital Mammography system and the well-trained human resources (radiologist, technician and physicist for using it. A digital system must satisfy actual needs such as the diagnostic accuracy, dose and regulatory requirements, productivity and archive issues. The new digital modality must be integrated in a fully digital environment (PACS and the presence of CR or DR systems for general radiography could condi-tion the choice of CR or DR Digital Mammography system. The Primary goal of mammography (both analog and digital is to provide to the radiologist clinical images for confident interpretation. Certainly the confidence derives from radiologist’s experience in reading mammograms, but many other factors can increase it, for instance correct patient positioning, excellent and consistent image quality (photographic and artifacts free, easy use and interpretation aid (e.g. lens, CAD use of imaging system. However, the habit in read-ing film-images on view box

  18. Theoretical analysis of high-resolution digital mammography.

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan; Sechopoulos, Ioannis

    2006-06-21

    The performance of a high-resolution charge coupled device-based full-field digital mammography imager was analysed using a mathematical framework based on an adaptation of cascaded linear systems theory described by other investigators. This work has been conducted in order to understand the impact of various design parameters on the physical performance characteristics of the imager. Specifically, the effect of pixel size, scintillator thickness and packing density, x-ray spectra, air kerma, dark current, charge integration time, and pixel fill-factor on the frequency dependent detective quantum efficiency was studied using a charge-coupled device as a reference platform. The imaging system was modelled as a series of physical processes with gain and spatial spreading. For each stage, the signal and noise power spectra were computed and propagated through the imaging chain as inputs to subsequent stages. Good agreement between experimental and theoretical predictions was obtained for various x-ray spectral conditions that were investigated. The modulation transfer function, MTF(f) and detective quantum efficiency DQE(f) characteristics obtained in this study are encouraging and comparable to other digital mammography systems. The results of this study strongly suggest the feasibility of large area scintillator-based digital mammography imagers with pixel sizes below 100 microm.

  19. A task-based quality control metric for digital mammography

    Science.gov (United States)

    Maki Bloomquist, A. K.; Mainprize, J. G.; Mawdsley, G. E.; Yaffe, M. J.

    2014-11-01

    A reader study was conducted to tune the parameters of an observer model used to predict the detectability index (dʹ ) of test objects as a task-based quality control (QC) metric for digital mammography. A simple test phantom was imaged to measure the model parameters, namely, noise power spectrum, modulation transfer function and test-object contrast. These are then used in a non-prewhitening observer model, incorporating an eye-filter and internal noise, to predict dʹ. The model was tuned by measuring dʹ of discs in a four-alternative forced choice reader study. For each disc diameter, dʹ was used to estimate the threshold thicknesses for detectability. Data were obtained for six types of digital mammography systems using varying detector technologies and x-ray spectra. A strong correlation was found between measured and modeled values of dʹ, with Pearson correlation coefficient of 0.96. Repeated measurements from separate images of the test phantom show an average coefficient of variation in dʹ for different systems between 0.07 and 0.10. Standard deviations in the threshold thickness ranged between 0.001 and 0.017 mm. The model is robust and the results are relatively system independent, suggesting that observer model dʹ shows promise as a cross platform QC metric for digital mammography.

  20. A comparison of the performance of digital mammography systems.

    Science.gov (United States)

    Monnin, P; Gutierrez, D; Bulling, S; Guntern, D; Verdun, F R

    2007-03-01

    An objective analysis of image quality parameters was performed for six digital mammography systems. The presampled modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) for the systems were determined at different doses, for 28 kVp with a Mo/Mo or W/Al target/filter combination and 2 mm of additional aluminium filtration. The flat-panel units have higher MTF and DQE in the mid to high frequency range than standard CR systems. The highest DQE, over the whole dose range, is for the slit-scanning direct photon counting system. Dual-side read CR can overcome the inherent x-ray absorption and signal collection limitations of standard CR mammography, improving the low-frequency DQE by 40%, to the same level as full-field systems, but it does not improve the poor spatial resolution of phosphor.

  1. Development of Automatic Cluster Algorithm for Microcalcification in Digital Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Seok Yoon [Dept. of Medical Engineering, Korea University, Seoul (Korea, Republic of); Kim, Chang Soo [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Pusan (Korea, Republic of)

    2009-03-15

    Digital Mammography is an efficient imaging technique for the detection and diagnosis of breast pathological disorders. Six mammographic criteria such as number of cluster, number, size, extent and morphologic shape of microcalcification, and presence of mass, were reviewed and correlation with pathologic diagnosis were evaluated. It is very important to find breast cancer early when treatment can reduce deaths from breast cancer and breast incision. In screening breast cancer, mammography is typically used to view the internal organization. Clusterig microcalcifications on mammography represent an important feature of breast mass, especially that of intraductal carcinoma. Because microcalcification has high correlation with breast cancer, a cluster of a microcalcification can be very helpful for the clinical doctor to predict breast cancer. For this study, three steps of quantitative evaluation are proposed : DoG filter, adaptive thresholding, Expectation maximization. Through the proposed algorithm, each cluster in the distribution of microcalcification was able to measure the number calcification and length of cluster also can be used to automatically diagnose breast cancer as indicators of the primary diagnosis.

  2. Twin-beams digital holography for 3D tracking and quantitative phase-contrast microscopy in microfluidics.

    Science.gov (United States)

    Memmolo, Pasquale; Finizio, Andrea; Paturzo, Melania; Miccio, Lisa; Ferraro, Pietro

    2011-12-05

    We report on a compact twin-beam interferometer that can be adopted as a flexible diagnostic tool in microfluidic platforms with twofold functionality. The novel configuration allows 3D tracking of micro-particles and, at same time, can simultaneously furnish Quantitative Phase-contrast maps of tracked micro-objects by interference microscopy, without changing the configuration. Experimental demonstration is given on for in vitro cells in a microfluidic environment.

  3. 3D tracking and phase-contrast imaging by twin-beams digital holographic microscope in microfluidics

    Science.gov (United States)

    Miccio, L.; Memmolo, P.; Finizio, A.; Paturzo, M.; Merola, F.; Grilli, S.; Ferraro, P.

    2012-06-01

    A compact twin-beam interferometer that can be adopted as a flexible diagnostic tool in microfluidic platforms is presented. The devise has two functionalities, as explained in the follow, and can be easily integrated in microfluidic chip. The configuration allows 3D tracking of micro-particles and, at same time, furnishes Quantitative Phase-Contrast maps of tracked micro-objects by interference microscopy. Experimental demonstration of its effectiveness and compatibility with biological field is given on for in vitro cells in microfluidic environment. Nowadays, several microfluidic configuration exist and many of them are commercially available, their development is due to the possibility for manipulating droplets, handling micro and nano-objects, visualize and quantify processes occurring in small volumes and, clearly, for direct applications on lab-on-a chip devices. In microfluidic research field, optical/photonics approaches are the more suitable ones because they have various advantages as to be non-contact, full-field, non-invasive and can be packaged thanks to the development of integrable optics. Moreover, phase contrast approaches, adapted to a lab-on-a-chip configurations, give the possibility to get quantitative information with remarkable lateral and vertical resolution directly in situ without the need to dye and/or kill cells. Furthermore, numerical techniques for tracking of micro-objects needs to be developed for measuring velocity fields, trajectories patterns, motility of cancer cell and so on. Here, we present a compact holographic microscope that can ensure, by the same configuration and simultaneously, accurate 3D tracking and quantitative phase-contrast analysis. The system, simple and solid, is based on twin laser beams coming from a single laser source. Through a easy conceptual design, we show how these two different functionalities can be accomplished by the same optical setup. The working principle, the optical setup and the mathematical

  4. Dose and risk evaluation in digital mammography using computer modeling

    Energy Technology Data Exchange (ETDEWEB)

    Correa, Samanda Cristine Arruda; Souza, Edmilson Monteiro de, E-mail: scorrea@nuclear.ufrj.b, E-mail: emonteiro@nuclear.ufrj.b [Centro Universitario Estadual da Zona Oeste (CCMAT/UEZO), Rio de Janeiro, RJ (Brazil); Silva, Humberto de Oliveira, E-mail: hbetorj@gmail.co [Universidade Federal do Rio de Janeiro IF/UFRJ, RJ (Brazil). Inst. de Fisica; Silva, Ademir Xavier da; Lopes, Ricardo Tadeu; Magalhaes, Sarah Braga, E-mail: ademir@nuclear.ufrj.b, E-mail: ricardo@lin.ufrj.b, E-mail: smagalhaes@nuclear.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear

    2010-07-01

    Digital mammography has been introduced in several countries in the last years. The new technology requires new optimising methods considering for instance the increased possibility of changing the absorbed dose, mainly in modern mammographic systems that allow the operator to choose the beam quality by varying the tube voltage, and filter and target materials. In this work, the Monte Carlo code MCNPX is used in order to investigate how the average glandular dose vary with tube voltage (23-32 kV) and anode-filter combination (Mo-Mo,Mo-Rh and Rh-Rh) in digital mammographic examinations. Furthermore, the risk of breast cancer incidence attributable to mammography exams was estimated using the Biological Effects of Ionizing Radiations (BEIR) VII Committee Report. The results show that the risk of breast cancer incidence in women younger than 30 years of age tends to decrease significantly using Rh-Rh anode-filter combination and higher tube voltage. For women older than 50 years of age the variation of tube voltage, and anode-filter combination did not influence the risk values considerably. (author)

  5. Analysis of factors that affect DQE in digital mammography

    Science.gov (United States)

    Takamura, Miho; Higaki, Akiko; Kodera, Yoshie

    2005-04-01

    The international standard IEC 62220-1 about DQE measurement of digital X-ray equipment was published in 2003, but mammography systems aren"t applied to this IEC standard because the factor affect measurement is complicated. Especially, the influence to the pre-sampling MTF by edge method when X-ray beam is oblique to detector. The influence of nonuniformity of x-ray intensity by the heel effect on digital Wiener spectrum (WS) doesn"t become clear. A 0.1mm-thick tungsten edge was imaged in the position where X-ray beam was perpendicular to detector plane and in 6cm from chest wall, respectively. And the pre-sampling MTFs were obtained from these edge images. The calculation area of the digital WS within irradiation area was moved in parallel direction to X-ray tube axis, and the digital WS were calculated. The pre-sampling MTFs and the digital WS are calculated by the method based on the IEC proposal. We used MAMMOMAT3000(SIEMENS), MGU-100B(TOSHIBA), M-IV(LORAD) and Senographe DMR+(GE) as X-ray generator. Images were obtained by FCR PROFECT CS (Fujifilm medical). In all equipments and both arrangement directions of the edge test device, pre-sampling MTFs are almost the same, even if the arrangement places of the edge test device varied. In all equipments, when the calculation area was moved about 10cm, the digital WS of the anode side was higher 7.2-17.9% than those of the cathode side. It was found that the dose of anode side was lower about 20% than cathode side from the profile of an exposure image. We think that digital WS modified the nonuniformity of the dose by the heel effect is obtained by multiplying the digital WS by the compensation coefficient obtained by the dose profile, in low spatial frequency.

  6. Phase contrast image synthesis

    DEFF Research Database (Denmark)

    Glückstad, J.

    1996-01-01

    A new method is presented for synthesizing arbitrary intensity patterns based on phase contrast imaging. The concept is grounded on an extension of the Zernike phase contrast method into the domain of full range [0; 2 pi] phase modulation. By controlling the average value of the input phase...... function and by choosing appropriate phase retardation at the phase contrast filter, a pure phase to intensity imaging is accomplished. The method presented is also directly applicable in dark field image synthesis....

  7. FROST: an ASIC for digital mammography with synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Bergamaschi, A. E-mail: bergamaschi@ts.infn.it; Prest, M.; Vallazza, E.; Arfelli, F.; Dreossi, D.; Longo, R.; Olivo, A.; Pani, S.; Castelli, E

    2003-09-01

    The FRONTier RADiography (FRONTRAD) collaboration is developing a digital system for mammography at the Elettra Synchrotron Light Source in Trieste. The system is based on a silicon microstrip detector array. The ASIC FROST (FRONTRAD Read Out sySTem) was developed as a collaboration between INFN Trieste and Aurelia Microelettronica and is designed to operate in single photon counting mode. FROST provides low-noise and high-gain performances and is able to work at incident photon rates higher than 100 kHz with almost 100% efficiency. The ASIC has been tested and the first images of mammographic test objects will be shown. The acquisition time per breast image should be of about 10 s.

  8. Physical characteristics of a full-field digital mammography system

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan

    2004-11-01

    The physical performance characteristics of a flat-panel clinical full-field digital mammography (FFDM) system were investigated for a variety of mammographic X-ray spectral conditions. The system was investigated using 26 kVp: Mo/Mo, 28 kVp: Mo/Rh, and 30 kVp: Rh/Rh, with polymethyl methacrylate (PMMA) "tissue equivalent material" of thickness 20, 45, and 60 mm for each of three X-ray spectra, resulting in nine different spectral conditions. The experimental results were compared with a theoretical cascaded linear systems-based model that has been developed independently by other investigators. The FFDM imager (Senographe 2000D, GE Medical Systems, Milwaukee, WI) uses an amorphous silicon (aSi:H) photodiode (100 μm pixel) array directly coupled to a cesium iodide (CsI) scintillator. The spatial resolution of the digital mammography system was determined by measuring the presampling modulation transfer function (MTF). The noise power spectra (NPS) of the system were measured under the different mammographic X-ray spectral conditions at an exposure of approximately 10 mR to the detector from which corresponding detective quantum efficiencies (DQE) were determined. The experimental results provide additional information on the performance of the mammographic system for a broader range of experimental conditions than have been reported in the past. The flat-panel imager exhibits favorable physical quality characteristics under the conditions investigated. The experimental results were compared with theoretical estimates under various spectral conditions and demonstrated good agreement.

  9. Analysis of medical exposures in digital mammography; Analise das exposicoes medicas em mamografia digital

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, Sergio R., E-mail: oliveirasr@fiocruz.br [Escola Politecnica de Saude Joaquim Venancio (EPSJV/FIOCRUZ), Rio de Janeiro, RJ (Brazil); Mantuano, Natalia O.; Albrecht, Afonso S., E-mail: nataliamantuano@gmail.com, E-mail: afonsofismed@gmail.com [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil). Instituto de Fisica; Flor, Leonardo S., E-mail: leonardo.flor@hsvp.org.br [Hospital Sao Vicente de Paulo (HSVP), Rio de Janeiro, RJ (Brazil)

    2014-07-01

    Currently, the use of digital mammography in the early diagnosis of breast cancer is increasingly common due to the production of high definition image that allows to detect subtle changes in breast images profiles. However it is necessary to be an improvement of the technique used since some devices offer minimization parameters of entrance dose to the skin. Thus, this study seeks to examine how the qualification of technical professionals in radiology interferes with the use of the techniques applied in mammography. For this, survey was carried out in a hospital in the city of Rio de Janeiro, which evaluated the scans of 1190 patients undergoing routine mammography (It is considered routinely the 4 basic exhibitions: with 2 flow skull and 2 medium oblique side, excluding repeats and supplements) in 2013. The medical exposures analyzed obtained from a single full digital equipment, model Senographe DS were compared with three different procedures performed by professionals in mammography techniques. The images were classified according to exposure techniques available in the equipment: Standard (STD), contrast (CNT) and dose (dose), and to be selected as breast density of the patient. Comparing the variation of the radiographic technique in relation to the professional who made the exhibition, what is observed is that the professional B presented the best conduct in relation to radiological protection, because she considered breast density in the choice of technical equipment parameter. The professional A, which is newly formed, and C, which has more service time, almost did not perform variations in the pattern of exposure, even for different breast densities. Thus, we can conclude that there is a need to update the professionals so that the tools available of dose limitation and mamas variability to digital mammography are efficiently employed in the service routine and thus meet the requirements of current legislation.

  10. Digital information management: a progress report on the National Digital Mammography Archive

    Science.gov (United States)

    Beckerman, Barbara G.; Schnall, Mitchell D.

    2002-05-01

    Digital mammography creates very large images, which require new approaches to storage, retrieval, management, and security. The National Digital Mammography Archive (NDMA) project, funded by the National Library of Medicine (NLM), is developing a limited testbed that demonstrates the feasibility of a national breast imaging archive, with access to prior exams; patient information; computer aids for image processing, teaching, and testing tools; and security components to ensure confidentiality of patient information. There will be significant benefits to patients and clinicians in terms of accessible data with which to make a diagnosis and to researchers performing studies on breast cancer. Mammography was chosen for the project, because standards were already available for digital images, report formats, and structures. New standards have been created for communications protocols between devices, front- end portal and archive. NDMA is a distributed computing concept that provides for sharing and access across corporate entities. Privacy, auditing, and patient consent are all integrated into the system. Five sites, Universities of Pennsylvania, Chicago, North Carolina and Toronto, and BWXT Y12, are connected through high-speed networks to demonstrate functionality. We will review progress, including technical challenges, innovative research and development activities, standards and protocols being implemented, and potential benefits to healthcare systems.

  11. Generalized phase contrast:

    DEFF Research Database (Denmark)

    Glückstad, Jesper; Palima, Darwin

    Generalized Phase Contrast elevates the phase contrast technique not only to improve phase imaging but also to cross over and interface with diverse and seemingly disparate fields of contemporary optics and photonics. This book presents a comprehensive introduction to the Generalized Phase Contrast...... (GPC) method including an overview of the range of current and potential applications of GPC in wavefront sensing and phase imaging, structured laser illumination and image projection, optical trapping and manipulation, and optical encryption and decryption. The GPC method goes further than...... efficiency. Optimization can address practical issues, such as finding an optimal spatial filter for the chosen application, and can even enable a Reverse Phase Contrast mode where intensity patterns are converted into a phase modulation....

  12. Generalized Phase Contrast

    CERN Document Server

    Glückstad, Jesper

    2009-01-01

    Generalized Phase Contrast elevates the phase contrast technique not only to improve phase imaging but also to cross over and interface with diverse and seemingly disparate fields of contemporary optics and photonics. This book presents a comprehensive introduction to the Generalized Phase Contrast (GPC) method including an overview of the range of current and potential applications of GPC in wavefront sensing and phase imaging, structured laser illumination and image projection, optical trapping and manipulation, and optical encryption and decryption. The GPC method goes further than the restrictive assumptions of conventional Zernike phase contrast analysis and achieves an expanded range of validity beyond weak phase perturbations. The generalized analysis yields design criteria for tuning experimental parameters to achieve optimal performance in terms of accuracy, fidelity and light efficiency. Optimization can address practical issues, such as finding an optimal spatial filter for the chosen application, ...

  13. Generalized phase contrast:

    DEFF Research Database (Denmark)

    Glückstad, Jesper; Palima, Darwin

    Generalized Phase Contrast elevates the phase contrast technique not only to improve phase imaging but also to cross over and interface with diverse and seemingly disparate fields of contemporary optics and photonics. This book presents a comprehensive introduction to the Generalized Phase Contrast...... (GPC) method including an overview of the range of current and potential applications of GPC in wavefront sensing and phase imaging, structured laser illumination and image projection, optical trapping and manipulation, and optical encryption and decryption. The GPC method goes further than...... the restrictive assumptions of conventional Zernike phase contrast analysis and achieves an expanded range of validity beyond weak phase perturbations. The generalized analysis yields design criteria for tuning experimental parameters to achieve optimal performance in terms of accuracy, fidelity and light...

  14. Mammographic artifacts on full-field digital mammography.

    Science.gov (United States)

    Choi, Jae Jeong; Kim, Sung Hun; Kang, Bong Joo; Choi, Byung Gil; Song, ByungJoo; Jung, Haijo

    2014-04-01

    This study investigates the incidence of full-field digital mammographic (FFDM) artifacts with three systems at two institutions and compares the artifacts between two detector types and two grid types. A total of 4,440 direct and 4,142 indirect FFDM images were reviewed by two radiologists, and artifacts were classified as patient related, hardware related, and software processing. The overall incidence of FFDM artifacts was 3.4% (292/8,582). Patient related artifacts (motion artifacts and skin line artifacts) were the most commonly detected types (1.7%). Underexposure among hardware related artifacts and high-density artifacts among software processing artifacts also were common (0.7 and 0.5%, respectively). These artifacts, specific to digital mammography, were more common with the direct detector type and the crossed air grid type than with the indirect type and linear grid type (p artifacts on FFDM were patient related, which might be controlled by the instruction of a patient and technologist. Underexposure and high-density artifacts were more common with direct detector and crossed air type of grid.

  15. Volumetric breast density affects performance of digital screening mammography.

    Science.gov (United States)

    Wanders, Johanna O P; Holland, Katharina; Veldhuis, Wouter B; Mann, Ritse M; Pijnappel, Ruud M; Peeters, Petra H M; van Gils, Carla H; Karssemeijer, Nico

    2017-02-01

    To determine to what extent automatically measured volumetric mammographic density influences screening performance when using digital mammography (DM). We collected a consecutive series of 111,898 DM examinations (2003-2011) from one screening unit of the Dutch biennial screening program (age 50-75 years). Volumetric mammographic density was automatically assessed using Volpara. We determined screening performance measures for four density categories comparable to the American College of Radiology (ACR) breast density categories. Of all the examinations, 21.6% were categorized as density category 1 ('almost entirely fatty') and 41.5, 28.9, and 8.0% as category 2-4 ('extremely dense'), respectively. We identified 667 screen-detected and 234 interval cancers. Interval cancer rates were 0.7, 1.9, 2.9, and 4.4‰ and false positive rates were 11.2, 15.1, 18.2, and 23.8‰ for categories 1-4, respectively (both p-trend density categories: 85.7, 77.6, 69.5, and 61.0% for categories 1-4, respectively (p-trend density, automatically measured on digital mammograms, impacts screening performance measures along the same patterns as established with ACR breast density categories. Since measuring breast density fully automatically has much higher reproducibility than visual assessment, this automatic method could help with implementing density-based supplemental screening.

  16. Seamless lesion insertion in digital mammography: methodology and reader study

    Science.gov (United States)

    Pezeshk, Aria; Petrick, Nicholas; Sahiner, Berkman

    2016-03-01

    Collection of large repositories of clinical images containing verified cancer locations is costly and time consuming due to difficulties associated with both the accumulation of data and establishment of the ground truth. This problem poses a significant challenge to the development of machine learning algorithms that require large amounts of data to properly train and avoid overfitting. In this paper we expand the methods in our previous publications by making several modifications that significantly increase the speed of our insertion algorithms, thereby allowing them to be used for inserting lesions that are much larger in size. These algorithms have been incorporated into an image composition tool that we have made publicly available. This tool allows users to modify or supplement existing datasets by seamlessly inserting a real breast mass or micro-calcification cluster extracted from a source digital mammogram into a different location on another mammogram. We demonstrate examples of the performance of this tool on clinical cases taken from the University of South Florida Digital Database for Screening Mammography (DDSM). Finally, we report the results of a reader study evaluating the realism of inserted lesions compared to clinical lesions. Analysis of the radiologist scores in the study using receiver operating characteristic (ROC) methodology indicates that inserted lesions cannot be reliably distinguished from clinical lesions.

  17. Visualization of mocrocalcifications on mammographies obtained by digital fullfield mammography in comparison to conventional film-screen mammography; Visualisierung von Mikrokalzifikationen in digitaler Vollfeldmammographie im Vergleich zu konventioeller Film-Folien-Mammographie

    Energy Technology Data Exchange (ETDEWEB)

    Diekmann, S.; Heyden, H. von; Diekmann, F. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Inst. fuer Radiologie; Bick, U. [Chicago Univ., IL (United States). Dept. of Radiology

    2003-06-01

    Purpose: To evaluate the visualization of microcalcifications on mammographies obtained by full-field digital mammography (FFDM) in comparison to conventional film-screen mammography (FSM). Material and Methods: Forty-seven digital and film-screen mammographies depicting histologically proven lesions (27 benign, 20 malignant) were assessed by 4 readers. The images obtained with the different systems were comparable in terms of positioning. Maximum time interval between film-screen mammography and digital mammography was three months. Using a questionnaire, the readers evaluated the number of microcalcifications and their subjective conspicuity for FFDM (Senographe 2000D, GE Medical Systems, Milwaukee, USA) and FSM. A 7-point scale based on the BIRADS classification was used to characterize the calcifications by means of ROC analysis. Results: No statistically significant differences were seen between the two types of mammography among the readers in assessing the number of microcalcifications. The subjective conspicuity of microcalcifications was found to be significantly better for digital mammographies. The diagnosis assigned by the readers did not show significant differences between the two systems. Conclusion: Although the subjective conspicuity of microcalcifications was found to be significantly better on digital mammography compared to film-screen mammography, there was no significant advantage of digital mammography resulting from the higher contrast resolution nor a disadvantage in terms of characterization of microcalcifications resulting from the lower spacial resolution. The advantages of digital mammography (e.g. CAD-systems, archiving, dose reduction) can be used without a loss of diagnostic quality. (orig.) [German] Zielsetzung: Mit der vorliegenden Studie soll die Erkennbarkeit von Mikroverkalkungen in der digitalen Vollfeldmammographie im Vergleich zur konventionellen Film-Folien-Mammographie evaluiert werden. Darueber hinaus soll die klinische

  18. Comparison of digital screening mammography and screen-film mammography in the early detection of clinically relevant cancers: a multicenter study

    NARCIS (Netherlands)

    Bluekens, A.M.; Holland, R.; Karssemeijer, N.; Broeders, M.J.M.; Heeten, G.J. den

    2012-01-01

    Purpose: To compare screen-film mammography with digital mammography in a breast cancer screening program, with a focus on the clinical relevance of detected cancers. Materials and Methods: The study was approved by the regional medical ethics review board. Informed consent was not required. Before

  19. Medical devices; radiology devices; reclassification of full-field digital mammography system. Final rule.

    Science.gov (United States)

    2010-11-05

    The Food and Drug Administration (FDA) is announcing the reclassification of the full-field digital mammography (FFDM) system from class III (premarket approval) to class II (special controls). The device type is intended to produce planar digital x-ray images of the entire breast; this generic type of device may include digital mammography acquisition software, full-field digital image receptor, acquisition workstation, automatic exposure control, image processing and reconstruction programs, patient and equipment supports, component parts, and accessories. The special control that will apply to the device is the guidance document entitled "Class II Special Controls Guidance Document: Full-Field Digital Mammography System." FDA is reclassifying the device into class II (special controls) because general controls along with special controls will provide a reasonable assurance of safety and effectiveness of the device. Elsewhere in this issue of the Federal Register, FDA is announcing the availability of the guidance document that will serve as the special control for this device.

  20. Comparative effectiveness of combined digital mammography and tomosynthesis screening for women with dense breasts.

    Science.gov (United States)

    Lee, Christoph I; Cevik, Mucahit; Alagoz, Oguzhan; Sprague, Brian L; Tosteson, Anna N A; Miglioretti, Diana L; Kerlikowske, Karla; Stout, Natasha K; Jarvik, Jeffrey G; Ramsey, Scott D; Lehman, Constance D

    2015-03-01

    To evaluate the effectiveness of combined biennial digital mammography and tomosynthesis screening, compared with biennial digital mammography screening alone, among women with dense breasts. An established, discrete-event breast cancer simulation model was used to estimate the comparative clinical effectiveness and cost-effectiveness of biennial screening with both digital mammography and tomosynthesis versus digital mammography alone among U.S. women aged 50-74 years with dense breasts from a federal payer perspective and a lifetime horizon. Input values were estimated for test performance, costs, and health state utilities from the National Cancer Institute Breast Cancer Surveillance Consortium, Medicare reimbursement rates, and medical literature. Sensitivity analyses were performed to determine the implications of varying key model parameters, including combined screening sensitivity and specificity, transient utility decrement of diagnostic work-up, and additional cost of tomosynthesis. For the base-case analysis, the incremental cost per quality-adjusted life year gained by adding tomosynthesis to digital mammography screening was $53 893. An additional 0.5 deaths were averted and 405 false-positive findings avoided per 1000 women after 12 rounds of screening. Combined screening remained cost-effective (less than $100 000 per quality-adjusted life year gained) over a wide range of incremental improvements in test performance. Overall, cost-effectiveness was most sensitive to the additional cost of tomosynthesis. Biennial combined digital mammography and tomosynthesis screening for U.S. women aged 50-74 years with dense breasts is likely to be cost-effective if priced appropriately (up to $226 for combined examinations vs $139 for digital mammography alone) and if reported interpretive performance metrics of improved specificity with tomosynthesis are met in routine practice.

  1. Phase contrast imaging of the breast. Basic principles and steps towards clinical implementation; Phasenkontrastbildgebung der Brust. Grundlagen und Schritte zur klinischen Implementierbarkeit

    Energy Technology Data Exchange (ETDEWEB)

    Grandl, S.; Sztrokay-Gaul, A.; Auweter, S.D.; Hellerhoff, K. [Klinikum der Ludwig-Maximilians-Universitaet Muenchen, Campus Grosshadern, Institut fuer Klinische Radiologie, Muenchen (Germany)

    2014-03-15

    Breast cancer is the most common cancer and the leading cause of cancer deaths in women worldwide. Mammography is the only imaging technique approved for nationwide breast cancer screening. Digital full field mammography has improved mammographic image quality. Nevertheless, mammography has a low positive predictive value and a low sensitivity especially in mammographically dense breasts. One of the major limitations is the inherently low contrast between healthy breast parenchyma and breast cancer. Phase contrast imaging is based on the phase shift that occurs when X-rays encounter a change in refractive index between different materials. The improved soft tissue contrast makes the technology particularly promising for breast diagnostics. The studies presented here suggest that phase contrast imaging provides additional diagnostic information both using phase contrast mammography and phase contrast computed tomography (CT). This paper provides an overview of the basic principles of the phase contrast imaging and describes recent developments towards in vivo and ex vivo phase contrast imaging of the breast. (orig.) [German] Brustkrebs ist weltweit die haeufigste Tumorerkrankung und die haeufigste Krebstodesursache der Frau. Die Mammographie ist die einzige zugelassene bildgebende Methode zur Brustkrebsfrueherkennung im Rahmen flaechendeckender Screeningprogramme. Trotz Verbesserung der Bildqualitaet und der Befundungsperformance durch die Einfuehrung der digitalen Vollfeldmammographie sind der positiv-praediktive Wert und die Sensitivitaet der Mammographie insbesondere bei mammographisch dichtem Druesenkoerper eingeschraenkt. Dies ist u. a. auf die geringen Dichteunterschiede zwischen gesundem Brustdruesengewebe und intramammaeren Malignomen zurueckzufuehren. Die Phasenkontrastbildgebung macht sich die Phasenverschiebung von Roentgenstrahlen zunutze, die an Materialgrenzen mit unterschiedlichen Brechungsindizes entsteht. Die Technik bietet einen potenziell

  2. Digital mammography in a screening programme and its implications for pathology: a comparative study.

    LENUS (Irish Health Repository)

    Feeley, Linda

    2011-03-01

    Most studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.

  3. Comparative study of dose estimation in the change a conventional mammography to digital mammography; Estudio comparativo de estimacion de dosis en el cambio de un mamografo convencional a un mamografo digital

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez Vazquez, R.; Otero Martinez, C.; Soto Bua, M.; Santamarina Vazquez, F.; Carril Iglesias, S.; Lobato Busto, R.; Luna Vega, V.; Mosquera Sueiro, J.; Sqanchez Garcia, M.; Pombar Camean, M.

    2011-07-01

    Mammographic studies are now one of the most demanding radiological because of its effectiveness in detecting breast cancer early. The introduction of digital mammography has been a major advance because it has overcome some of the limitations of conventional systems. Due to the nature of the radiosensitive glandular tissue becomes very important control of the dose given to patients. In the present study is to analyze the variations in dosimetry that can exist between a conventional mammography and digital mammography.

  4. Research in digital mammography and tomosynthesis at the University of Toronto.

    Science.gov (United States)

    Yaffe, Martin J

    2014-07-01

    There have been major advances in the field of breast cancer imaging since the early 1970s, both in technological improvements and in the use of the methods of medical physics and image analysis to optimize image quality. The introduction of digital mammography in 2000 provided a marked improvement in imaging of dense breasts. In addition, it became possible to produce tomographic and functional images on modified digital mammography systems. Digital imaging also greatly facilitated the extraction of quantitative information from images. My laboratory has been fortunate in being able to participate in some of these exciting developments. I will highlight some of the areas of our research interest which include modeling of the image formation process, development of high-resolution X-ray detectors for digital mammography and investigating new methods for analyzing image quality. I will also describe our more recent work on developing new applications of digital mammography including tomosynthesis, contrast-enhanced mammography, and measurement of breast density. Finally, I will point to a new area for our research--the application of the techniques of medical imaging to making pathology more quantitative to contribute to use of biomarkers for better characterizing breast cancer and directing therapeutic decisions.

  5. Added value of one-view breast tomosynthesis combined with digital mammography according to reader experience

    Energy Technology Data Exchange (ETDEWEB)

    Thomassin-Naggara, Isabelle, E-mail: isabelle.thomassin@tnn.aphp.fr [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); INSERM, UMR970, Equipe 2, Imagerie de l’angiogenèse, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Perrot, Nicolas [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Centre Pyramides, Paris (France); Dechoux, Sophie [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Ribeiro, Carine [Centre Pyramides, Paris (France); Chopier, Jocelyne [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Bazelaire, Cedric de [APHP, Department of Radiology, Hôpital Saint Louis, 75010 Paris (France)

    2015-02-15

    Highlights: • Breast tomosynthesis improves diagnostic performance especially for radiologists with lower experience in mammography. • Adding only one-view digital breast tomosynthesis to mammography improves the cancer detection rate. • Breast tomosynthesis is mainly useful for helping radiologists to detect architectural distortion. - Abstract: Purpose: To retrospectively evaluate the added value of one-view breast tomosynthesis in adjunct with mammography to characterize breast lesions. Materials and methods: Our institutional ethics committees approved the study and granted a waiver of informed consent. One hundred fifty-five women (mean age, 51.3 years, range: 24–92 years) who systematically underwent mammography and breast tomosynthesis with subsequent percutaneous biopsy were analyzed. Four radiologists (two seniors, R1 and R2, and two juniors, R3 and R4 with 30, 10, 3 and 1 years of experience in breast imaging, respectively) independently reviewed exams in two steps: mammography alone and tomosynthesis in adjunct with mammography. The lesions in the cohort included 39.3% (61/155) cancers, 2.5% (4/155) high-risk lesions and 58.1% (90/155) benign lesions. A receiver operating characteristic (ROC) curve analysis was performed to compare the results of the two readings. Results: There was almost perfect agreement irrespective of reader experience for the reading of the mammography in adjunct with tomosynthesis, whereas agreement was poor between junior and senior readers for the reading of mammography alone. Area under the ROC (Az) values for the tomosynthesis in adjunct with mammography were significantly better than Az values for mammography alone for all readers except the most experienced, for whom only a tendency was noted. The proportion of cancers undiagnosed by mammography alone that were well diagnosed by tomosynthesis in adjunct with mammography was 6.5% (4/61), 13.1% (8/61), 27.8% (17/61) and 26.2% (16/61) for Readers 1, 2, 3 and 4

  6. Evaluation of clinical image processing algorithms used in digital mammography.

    Science.gov (United States)

    Zanca, Federica; Jacobs, Jurgen; Van Ongeval, Chantal; Claus, Filip; Celis, Valerie; Geniets, Catherine; Provost, Veerle; Pauwels, Herman; Marchal, Guy; Bosmans, Hilde

    2009-03-01

    Screening is the only proven approach to reduce the mortality of breast cancer, but significant numbers of breast cancers remain undetected even when all quality assurance guidelines are implemented. With the increasing adoption of digital mammography systems, image processing may be a key factor in the imaging chain. Although to our knowledge statistically significant effects of manufacturer-recommended image processings have not been previously demonstrated, the subjective experience of our radiologists, that the apparent image quality can vary considerably between different algorithms, motivated this study. This article addresses the impact of five such algorithms on the detection of clusters of microcalcifications. A database of unprocessed (raw) images of 200 normal digital mammograms, acquired with the Siemens Novation DR, was collected retrospectively. Realistic simulated microcalcification clusters were inserted in half of the unprocessed images. All unprocessed images were subsequently processed with five manufacturer-recommended image processing algorithms (Agfa Musica 1, IMS Raffaello Mammo 1.2, Sectra Mamea AB Sigmoid, Siemens OPVIEW v2, and Siemens OPVIEW v1). Four breast imaging radiologists were asked to locate and score the clusters in each image on a five point rating scale. The free-response data were analyzed by the jackknife free-response receiver operating characteristic (JAFROC) method and, for comparison, also with the receiver operating characteristic (ROC) method. JAFROC analysis revealed highly significant differences between the image processings (F = 8.51, p < 0.0001), suggesting that image processing strongly impacts the detectability of clusters. Siemens OPVIEW2 and Siemens OPVIEW1 yielded the highest and lowest performances, respectively. ROC analysis of the data also revealed significant differences between the processing but at lower significance (F = 3.47, p = 0.0305) than JAFROC. Both statistical analysis methods revealed that the

  7. Comparison of the diagnostic performance of digital breast tomosynthesis and magnetic resonance imaging added to digital mammography in women with known breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Won Hwa; Chang, Jung Min; Moon, Woo Kyung [Seoul National University Hospital, Department of Radiology, 101 Daehangno, Jongno-gu, Seoul (Korea, Republic of); Moon, Hyeong-Gon [Seoul National University Hospital, Department of Surgery, Seoul (Korea, Republic of); Yi, Ann [Seoul National University Hospital, Department of Radiology, Gangnan Healthcare Center, Seoul (Korea, Republic of); Koo, Hye Ryoung [Hanyang University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Gweon, Hye Mi [Yonsei University College of Medicine, Department of Radiology, Gangnam Severance Hospital, Seoul (Korea, Republic of)

    2016-06-15

    To compare the diagnostic performance of digital breast tomosynthesis (DBT) and magnetic resonance imaging (MRI) added to mammography in women with known breast cancers. Three radiologists independently reviewed image sets of 172 patients with 184 cancers; mammography alone, DBT plus mammography and MRI plus mammography, and scored for cancer probability using the Breast Imaging Reporting and Data System (BI-RADS). Jack-knife alternative free-response receiver-operating characteristic (JAFROC), which allows diagnostic performance estimation using single lesion as a statistical unit in a cancer-only population, was used. Sensitivity and positive predictive value (PPV) were compared using the McNemar and Fisher-exact tests. The JAFROC figures of merit (FOMs) was lower in DBT plus mammography (0.937) than MRI plus mammography (0.978, P = 0.0006) but higher than mammography alone (0.900, P = 0.0013). The sensitivity was lower in DBT plus mammography (88.2 %) than MRI plus mammography (97.8 %) but higher than mammography alone (78.3 %, both P < 0.0001). The PPV was significantly higher in DBT plus mammography (93.3 %) than MRI plus mammography (89.6 %, P = 0.0282). DBT provided lower diagnostic performance than MRI as an adjunctive imaging to mammography. However, DBT had higher diagnostic performance than mammography and higher PPV than MRI. (orig.)

  8. The effects of gray scale image processing on digital mammography interpretation performance.

    Science.gov (United States)

    Cole, Elodia B; Pisano, Etta D; Zeng, Donglin; Muller, Keith; Aylward, Stephen R; Park, Sungwook; Kuzmiak, Cherie; Koomen, Marcia; Pavic, Dag; Walsh, Ruth; Baker, Jay; Gimenez, Edgardo I; Freimanis, Rita

    2005-05-01

    To determine the effects of three image-processing algorithms on diagnostic accuracy of digital mammography in comparison with conventional screen-film mammography. A total of 201 cases consisting of nonprocessed soft copy versions of the digital mammograms acquired from GE, Fischer, and Trex digital mammography systems (1997-1999) and conventional screen-film mammograms of the same patients were interpreted by nine radiologists. The raw digital data were processed with each of three different image-processing algorithms creating three presentations-manufacturer's default (applied and laser printed to film by each of the manufacturers), MUSICA, and PLAHE-were presented in soft copy display. There were three radiologists per presentation. Area under the receiver operating characteristic curve for GE digital mass cases was worse than screen-film for all digital presentations. The area under the receiver operating characteristic for Trex digital mass cases was better, but only with images processed with the manufacturer's default algorithm. Sensitivity for GE digital mass cases was worse than screen film for all digital presentations. Specificity for Fischer digital calcifications cases was worse than screen film for images processed in default and PLAHE algorithms. Specificity for Trex digital calcifications cases was worse than screen film for images processed with MUSICA. Specific image-processing algorithms may be necessary for optimal presentation for interpretation based on machine and lesion type.

  9. Average glandular dose in digital mammography and breast tomosynthesis

    Energy Technology Data Exchange (ETDEWEB)

    Olgar, T. [Ankara Univ. (Turkey). Dept. of Engineering Physics; Universitaetsklinikum Leipzig AoeR (Germany). Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie; Kahn, T.; Gosch, D. [Universitaetsklinikum Leipzig AoeR (Germany). Klinik und Poliklinik fuer Diagnostische und Interventionelle Radiologie

    2012-10-15

    Purpose: To determine the average glandular dose (AGD) in digital full-field mammography (2 D imaging mode) and in breast tomosynthesis (3 D imaging mode). Materials and Methods: Using the method described by Boone, the AGD was calculated from the exposure parameters of 2247 conventional 2 D mammograms and 984 mammograms in 3 D imaging mode of 641 patients examined with the digital mammographic system Hologic Selenia Dimensions. The breast glandular tissue content was estimated by the Hologic R2 Quantra automated volumetric breast density measurement tool for each patient from right craniocaudal (RCC) and left craniocaudal (LCC) images in 2 D imaging mode. Results: The mean compressed breast thickness (CBT) was 52.7 mm for craniocaudal (CC) and 56.0 mm for mediolateral oblique (MLO) views. The mean percentage of breast glandular tissue content was 18.0 % and 17.4 % for RCC and LCC projections, respectively. The mean AGD values in 2 D imaging mode per exposure for the standard breast were 1.57 mGy and 1.66 mGy, while the mean AGD values after correction for real breast composition were 1.82 mGy and 1.94 mGy for CC and MLO views, respectively. The mean AGD values in 3 D imaging mode per exposure for the standard breast were 2.19 mGy and 2.29 mGy, while the mean AGD values after correction for the real breast composition were 2.53 mGy and 2.63 mGy for CC and MLO views, respectively. No significant relationship was found between the AGD and CBT in 2 D imaging mode and a good correlation coefficient of 0.98 in 3 D imaging mode. Conclusion: In this study the mean calculated AGD per exposure in 3 D imaging mode was on average 34 % higher than for 2 D imaging mode for patients examined with the same CBT.

  10. Impact of the Introduction of Digital Mammography in an Organized Screening Program on the Recall and Detection Rate.

    Science.gov (United States)

    Campari, Cinzia; Giorgi Rossi, Paolo; Mori, Carlo Alberto; Ravaioli, Sara; Nitrosi, Andrea; Vacondio, Rita; Mancuso, Pamela; Cattani, Antonella; Pattacini, Pierpaolo

    2016-04-01

    In 2012, the Reggio Emilia Breast Cancer Screening Program introduced digital mammography in all its facilities at the same time. The aim of this work is to analyze the impact of digital mammography introduction on the recall rate, detection rate, and positive predictive value. The program actively invites women aged 45-74 years. We included women screened in 2011, all of whom underwent film-screen mammography, and all women screened in 2012, all of whom underwent digital mammography. Double reading was used for all mammograms, with arbitration in the event of disagreement. A total of 42,240 women underwent screen-film mammography and 45,196 underwent digital mammography. The recall rate increased from 3.3 to 4.4% in the first year of digital mammography (relative recall adjusted by age and round 1.46, 95% CI = 1.37-1.56); the positivity rate for each individual reading, before arbitration, rose from 3 to 5.7%. The digital mammography recall rate decreased during 2012: after 12 months, it was similar to the recall rate with screen-film mammography. The detection rate was similar: 5.9/1000 and 5.2/1000 with screen-film and digital mammography, respectively (adjusted relative detection rate 0.95, 95% CI = 0.79-1.13). The relative detection rate for ductal carcinoma in situ remained the same. The introduction of digital mammography to our organized screening program had a negative impact on specificity, thereby increasing the recall rate. The effect was limited to the first 12 months after introduction and was attenuated by the double reading with arbitration. We did not observe any relevant effects on the detection rate.

  11. Evaluation of patient dose saving in grid-less x-ray mammography acquisition compared with full field digital mammography (FFDMG) acquisition

    DEFF Research Database (Denmark)

    Abdi, Ahmed Jibril; Mussmann, Bo Redder

    2017-01-01

    Purpose: To investigate the patient radiation dose saving of grid-less X-ray mammography acquisitions compared with conventional full-field digital X-ray mammography (FFDMG). Methods and materials: The Siemens Inspiration MAMMOMAT PRIME system with Software Based Scatter Correction (SBSC) was used...... to investigate the dose saving in grid-less acquisition compared with conventional full-field digital mammography (FFDMG) acquisitions. A Piranha 657 was used to measure the entrance exposure. The entrance exposure was directly measured on different PMMA thicknesses of 20-70mm in steps of 10mm. The PMMA block...... thicknesses were then converted to an equivalent compressed breast tissue thicknesses. The average glandular dose (AGD) is calculated. Results: Dose reduction in both the directly measured entrance exposure and the calculated AGD is between 13% and 32% in the grid-less mammography acquisition. The contrast...

  12. The TOMMY trial: a comparison of TOMosynthesis with digital MammographY in the UK NHS Breast Screening Programme--a multicentre retrospective reading study comparing the diagnostic performance of digital breast tomosynthesis and digital mammography with digital mammography alone.

    Science.gov (United States)

    Gilbert, Fiona J; Tucker, Lorraine; Gillan, Maureen Gc; Willsher, Paula; Cooke, Julie; Duncan, Karen A; Michell, Michael J; Dobson, Hilary M; Lim, Yit Yoong; Purushothaman, Hema; Strudley, Celia; Astley, Susan M; Morrish, Oliver; Young, Kenneth C; Duffy, Stephen W

    2015-01-01

    Digital breast tomosynthesis (DBT) is a three-dimensional mammography technique with the potential to improve accuracy by improving differentiation between malignant and non-malignant lesions. The objectives of the study were to compare the diagnostic accuracy of DBT in conjunction with two-dimensional (2D) mammography or synthetic 2D mammography, against standard 2D mammography and to determine if DBT improves the accuracy of detection of different types of lesions. Women (aged 47-73 years) recalled for further assessment after routine breast screening and women (aged 40-49 years) with moderate/high of risk of developing breast cancer attending annual mammography screening were recruited after giving written informed consent. All participants underwent a two-view 2D mammography of both breasts and two-view DBT imaging. Image-processing software generated a synthetic 2D mammogram from the DBT data sets. In an independent blinded retrospective study, readers reviewed (1) 2D or (2) 2D + DBT or (3) synthetic 2D + DBT images for each case without access to original screening mammograms or prior examinations. Sensitivities and specificities were calculated for each reading arm and by subgroup analyses. Data were available for 7060 subjects comprising 6020 (1158 cancers) assessment cases and 1040 (two cancers) family history screening cases. Overall sensitivity was 87% [95% confidence interval (CI) 85% to 89%] for 2D only, 89% (95% CI 87% to 91%) for 2D + DBT and 88% (95% CI 86% to 90%) for synthetic 2D + DBT. The difference in sensitivity between 2D and 2D + DBT was of borderline significance (p = 0.07) and for synthetic 2D + DBT there was no significant difference (p = 0.6). Specificity was 58% (95% CI 56% to 60%) for 2D, 69% (95% CI 67% to 71%) for 2D + DBT and 71% (95% CI 69% to 73%) for synthetic 2D + DBT. Specificity was significantly higher in both DBT reading arms for all subgroups of age, density and dominant radiological

  13. Compressive Phase Contrast Tomography

    CERN Document Server

    Maia, F R N C; Marchesini, S; Padmore, H A; Parkinson, D Y; Pien, J; Schirotzek, A; Yang, C; 10.1117/12.861946

    2010-01-01

    When x-rays penetrate soft matter, their phase changes more rapidly than their amplitude. In- terference effects visible with high brightness sources creates higher contrast, edge enhanced images. When the object is piecewise smooth (made of big blocks of a few components), such higher con- trast datasets have a sparse solution. We apply basis pursuit solvers to improve SNR, remove ring artifacts, reduce the number of views and radiation dose from phase contrast datasets collected at the Hard X-Ray Micro Tomography Beamline at the Advanced Light Source. We report a GPU code for the most computationally intensive task, the gridding and inverse gridding algorithm (non uniform sampled Fourier transform).

  14. Screen-film versus full-field digital mammography: Radiation dose and image quality in a large teaching hospital

    Directory of Open Access Journals (Sweden)

    Stantić Tomislav J.

    2013-01-01

    Full Text Available The objective of this paper is to measure the radiation dose and image quality in conventional screen-film mammography and full-field digital mammography in women referred to mammography examination. Participants underwent bilateral, two-view screen-film mammography or full-field digital mammography. The visibility of anatomical regions and overall clinical image quality was rated by experienced radiologists. Total of 387 women and 1548 mammograms were enrolled in the study. Image quality was assessed in terms of image quality score, whereas patient dose assessment was performed in terms of mean glandular dose. Average mean glandular dose for cranio-caudal projection was 1.5 mGy and 2.1 mGy in full-field digital mammography and screen-film mammography, respectively. For medio-lateral oblique projection, corresponding values were 2.3 and 2.1 mGy. Overall image quality criteria scoring was 0.82 and 0.99 for screen-film and digital systems, respectively. The scores were in the range from 0.11 to 1.0 for different anatomical structures. Overall, full-field digital mammography was superior both in terms of image quality and dose over the screen-film mammography. The results have indicated that phantom dose values can assist in setting the optimisation activities in mammography and for comparison between mammography units. To obtain accurate diagnostic information with an acceptable radiation dose to breast, it is necessary to periodically perform patient dose and image quality surveys in all mammography units.

  15. A randomised trial of screening with digital breast tomosynthesis plus conventional digital 2D mammography versus 2D mammography alone in younger higher risk women.

    Science.gov (United States)

    Maxwell, Anthony J; Michell, Michael; Lim, Yit Y; Astley, Susan M; Wilson, Mary; Hurley, Emma; Evans, D Gareth; Howell, Anthony; Iqbal, Asif; Kotre, John; Duffy, Stephen; Morris, Julie

    2017-06-30

    Digital breast tomosynthesis (DBT) has been shown to increase invasive cancer detection rates at screening compared to full field digital (2D) mammography alone, and some studies have reported a reduction in the screening recall rate. No prospective randomised studies of DBT have previously been published. This study compares recall rates with 2D mammography with and without concurrent DBT in women in their forties with a family history of breast cancer undergoing incident screening. Asymptomatic women aged 40-49 who had previously undergone mammography for an increased risk of breast cancer were recruited in two screening centres. Participants were randomised to screening with 2D mammography only at the first study screen followed a year later by screening with 2D plus DBT, or vice versa. Recall rates were compared using an intention to treat analysis. Reading performance was analysed for the larger centre. 1227 women were recruited. 1221 first screens (604 2D, 617 2D+DBT) and 1124second screens (558 2D+DBT, 566 2D) were analysed. Eleven women had screen-detected cancers: 5 after 2D, 6 after 2D+DBT. The false positive recall rates were 2.4% for 2D and 2.2% for 2D+DBT (p=0.89). There was a significantly greater reduction between rounds in the number of women with abnormal reads who were not recalled after consensus/arbitration with 2D+DBT than 2D (p=0.023). The addition of DBT to 2D mammography in incident screening did not lead to a significant reduction in recall rate. DBT may increase reader uncertainty until DBT screening experience is acquired. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Comparison between image quality in electronic zoom and geometric magnification in digital mammography.

    Science.gov (United States)

    Alkhalifah, K H; Brindhaban, A; Asbeutah, A M

    2016-10-06

    Magnification mammography is performed to enhance the visibility of small structures at the expense of relatively high radiation dose as a complementary examination to standard mammography. The introduction of post-processing capabilities and the widespread use of digital mammography has promoted some controversy in the last decade on whether similar visibility can be achieved using electronic zoom. The aim of this study is to compare the visibility of small structures in images obtained by the two techniques stated above for different exposure conditions. Images of a Fluke Biomedical Model 18-220 Mammography Accreditation Phantom were obtained using standard techniques and geometric magnification, using a digital mammography unit, with different exposure factors. Three different target/filter combinations (Mo/Mo,Mo/Rh,Rh/Rh), variable kVp (26-32), and automatic exposure control were used. Images obtained using standard technique were electronically zoomed and compared to the corresponding magnification mammograms. Comparisons were based on the visibility of structures evaluated by five senior technologist with extensive experience in mammography. Statistical analysis was performed using non-parametric tests. Visibility of structures was not affected by the kV used for a given target/filter combination for both techniques (p > 0.065). Target/filter combination of Mo/Mo provided better visibility of micro-calcification and fibers (p geometric magnification technique and Mo/Rh in the digital zoom technique. No significant differences were observed in the visibility of simulated breast masses. The overall image score was significantly higher (p geometric magnification over the digital zoom for Mo/Mo & Rh/Rh combinations. Although sufficient image quality was maintained in electronically zoomed images, geometric magnification provided better overall visualization of structures in the phantom.

  17. Contrast enhanced digital mammography: Is it useful in detecting lesions in edematous breast?

    Directory of Open Access Journals (Sweden)

    Noha Abd ElShafy ElSaid

    2015-09-01

    Conclusion: Dual-energy contrast-enhanced digital mammography is a useful technique in identification of lesions in mammographically dense edematous breasts and proved to be a useful tool in the follow-up of cases presenting by edema after conservative breast surgery and chemotherapy.

  18. Phase Contrast Imaging

    DEFF Research Database (Denmark)

    1996-01-01

    with a simple one-to-one mapping between resolution elements of a spatial phase modulator and resolution elements of the generated intensity pattern is provided. According to the invention a method is provided for synthesizing an intensity pattern with low loss of electromagnetic energy, comprising spatial...... modulation of electromagnetic radiation with a spatial phase mask for modulation of the phase of the incident eletromagnetic radiation by phasor values of individual resolution elements of the spatial phase mask, each phasor value being determined in such a way that the values of the Fourier transformed......The invention relates to a method and a system for synthesizing a prescribed intensity pattern based on phase contrast imaging that is not based on the assumption of prior art methods that the pahase shift phi is less than 1 radian. An improved method based on a simple imaging operation...

  19. FDA & digital mammography: why has FDA required full field digital mammography systems to be regulated as potentially dangerous devices for more than 10 years?

    Science.gov (United States)

    Nields, Morgan W

    2010-05-01

    Digital mammography is routinely used in the US to screen asymptomatic women for breast cancer and currently over 50% of US screening centers employ the technology. In spite of FDAs knowledge that digital mammography requires less radiation than film mammography and that its equivalence has been proven in a prospective randomized trial, the agency has failed to allow the technology market access via the 510(k) pre market clearance pathway. As a result of the restrictive Pre Market Approval process, only four suppliers have received FDA approval. The resulting lack of a competitive market has kept costs high, restricted technological innovation, and impeded product improvements as a result of PMA requirements. Meanwhile, at least twelve companies are on the market in the EU and the resulting competitive market has lowered costs and provided increased technological choice. A cultural change with new leadership occurred in the early 90's at FDA. The historical culture at the Center for Devices and Radiological Health of collaboration and education gave way to one characterized by a lack of reliance on outside scientific expertise, tolerance of decision making by unqualified reviewers, and an emphasis on enforcement and punishment. Digital mammography fell victim to this cultural change and as a result major innovations like breast CT and computer aided detection technologies are also withheld from the market. The medical device law, currently under review by the Institute of Medicine, should be amended by the Congress so that new technologies can be appropriately classified in accordance with the risk based assessment classification system detailed in Chapter V of the Federal Food, Drug, and Cosmetic Act. A panel of scientific experts chartered by the NIH or IOM should determine the classification appropriate for new technologies that have no historical regulatory framework. This would be binding on FDA. Unless the law is changed we will likely again experience

  20. Tailoring automatic exposure control toward constant detectability in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Salvagnini, Elena, E-mail: elena.salvagnini@uzleuven.be [Department of Imaging and Pathology, Medical Physics and Quality Assessment, KUL, Herestraat 49, Leuven B-3000, Belgium and SCK-CEN, Boeretang 200, Mol 2400 (Belgium); Bosmans, Hilde [Department of Imaging and Pathology, Medical Physics and Quality Assessment, KUL, Herestraat 49, Leuven B-3000, Belgium and Department of Radiology, UZ Gasthuisberg, Herestraat 49, Leuven B-3000 (Belgium); Struelens, Lara [SCK-CEN, Boeretang 200, Mol 2400 (Belgium); Marshall, Nicholas W. [Department of Radiology, UZ Gasthuisberg, Herestraat 49, Leuven B-3000 (Belgium)

    2015-07-15

    Purpose: The automatic exposure control (AEC) modes of most full field digital mammography (FFDM) systems are set up to hold pixel value (PV) constant as breast thickness changes. This paper proposes an alternative AEC mode, set up to maintain some minimum detectability level, with the ultimate goal of improving object detectability at larger breast thicknesses. Methods: The default “OPDOSE” AEC mode of a Siemens MAMMOMAT Inspiration FFDM system was assessed using poly(methyl methacrylate) (PMMA) of thickness 20, 30, 40, 50, 60, and 70 mm to find the tube voltage and anode/filter combination programmed for each thickness; these beam quality settings were used for the modified AEC mode. Detectability index (d′), in terms of a non-prewhitened model observer with eye filter, was then calculated as a function of tube current-time product (mAs) for each thickness. A modified AEC could then be designed in which detectability never fell below some minimum setting for any thickness in the operating range. In this study, the value was chosen such that the system met the achievable threshold gold thickness (T{sub t}) in the European guidelines for the 0.1 mm diameter disc (i.e., T{sub t} ≤ 1.10 μm gold). The default and modified AEC modes were compared in terms of contrast-detail performance (T{sub t}), calculated detectability (d′), signal-difference-to-noise ratio (SDNR), and mean glandular dose (MGD). The influence of a structured background on object detectability for both AEC modes was examined using a CIRS BR3D phantom. Computer-based CDMAM reading was used for the homogeneous case, while the images with the BR3D background were scored by human observers. Results: The default OPDOSE AEC mode maintained PV constant as PMMA thickness increased, leading to a reduction in SDNR for the homogeneous background 39% and d′ 37% in going from 20 to 70 mm; introduction of the structured BR3D plate changed these figures to 22% (SDNR) and 6% (d′), respectively

  1. A comparison of the performance of modern screen-film and digital mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Monnin, P [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Gutierrez, D [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Bulling, S [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Lepori, D [Department of Radiology, University Hospital Center (CHUV), CH-1011 Lausanne (Switzerland); Valley, J-F [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland); Verdun, F R [Institut Universitaire de Radiophysique Appliquee (IRA), CH-1007 Lausanne (Switzerland)

    2005-06-07

    This work compares the detector performance and image quality of the new Kodak Min-R EV mammography screen-film system with the Fuji CR Profect detector and with other current mammography screen-film systems from Agfa, Fuji and Kodak. Basic image quality parameters (MTF, NPS, NEQ and DQE) were evaluated for a 28 kV Mo/Mo (HVL = 0.646 mm Al) beam using different mAs exposure settings. Compared with other screen-film systems, the new Kodak Min-R EV detector has the highest contrast and a low intrinsic noise level, giving better NEQ and DQE results, especially at high optical density. Thus, the properties of the new mammography film approach those of a fine mammography detector, especially at low frequency range. Screen-film systems provide the best resolution. The presampling MTF of the digital detector has a value of 15% at the Nyquist frequency and, due to the spread size of the laser beam, the use of a smaller pixel size would not permit a significant improvement of the detector resolution. The dual collection reading technology increases significantly the low frequency DQE of the Fuji CR system that can at present compete with the most efficient mammography screen-film systems.

  2. Comparison of digital mammography and digital breast tomosynthesis in the detection of architectural distortion.

    Science.gov (United States)

    Dibble, Elizabeth H; Lourenco, Ana P; Baird, Grayson L; Ward, Robert C; Maynard, A Stanley; Mainiero, Martha B

    2017-07-14

    To compare interobserver variability (IOV), reader confidence, and sensitivity/specificity in detecting architectural distortion (AD) on digital mammography (DM) versus digital breast tomosynthesis (DBT). This IRB-approved, HIPAA-compliant reader study used a counterbalanced experimental design. We searched radiology reports for AD on screening mammograms from 5 March 2012-27 November 2013. Cases were consensus-reviewed. Controls were selected from demographically matched non-AD examinations. Two radiologists and two fellows blinded to outcomes independently reviewed images from two patient groups in two sessions. Readers recorded presence/absence of AD and confidence level. Agreement and differences in confidence and sensitivity/specificity between DBT versus DM and attendings versus fellows were examined using weighted Kappa and generalised mixed modeling, respectively. There were 59 AD patients and 59 controls for 1,888 observations (59 × 2 (cases and controls) × 2 breasts × 2 imaging techniques × 4 readers). For all readers, agreement improved with DBT versus DM (0.61 vs. 0.37). Confidence was higher with DBT, p = .001. DBT achieved higher sensitivity (.59 vs. .32), p .90). DBT achieved higher positive likelihood ratio values, smaller negative likelihood ratio values, and larger ROC values. DBT decreases IOV, increases confidence, and improves sensitivity while maintaining high specificity in detecting AD. • Digital breast tomosynthesis decreases interobserver variability in the detection of architectural distortion. • Digital breast tomosynthesis increases reader confidence in the detection of architectural distortion. • Digital breast tomosynthesis improves sensitivity in the detection of architectural distortion.

  3. AAPM/RSNA physics tutorial for residents: digital mammography: an overview.

    Science.gov (United States)

    Mahesh, Mahadevappa

    2004-01-01

    Recent advances in digital detector technology have paved the way to full-field digital mammography (FFDM) systems. The performance of these systems has evolved to the point where replacement of screen-film mammography (SFM) systems is becoming realistic. Despite some commonality between the two techniques, there are fundamental differences in how images are recorded, displayed, and stored. These differences necessitate an understanding of the principles of detection and the characteristics of digital images. Several approaches have been taken in the development of FFDM systems: (a) slot scanning with a scintillator and a charge-coupled device (CCD) array, (b) a flat-panel scintillator and an amorphous silicon diode array, (c) a flat-panel amorphous selenium array, (d) a tiled scintillator with fiberoptic tapers and a CCD array, and (e) photostimulable phosphor plates (computed radiography). Although the initial cost of an FFDM system is high compared with that of an SFM system, digital mammography has inherent advantages, such as wide dynamic range, reduction in recall rates, potential for reduction in radiation dose, increased patient throughput, postprocessing capability, and digital acquisition. These advantages and the rapidly occurring technologic developments will help establish FFDM as a mainstay of breast evaluation.

  4. Control and monitoring of doses to patients in a team of digital mammography; Control y seguimiento de las dosis a pacientes en un equipo de mamografia digital

    Energy Technology Data Exchange (ETDEWEB)

    Agulla Otero, M.; Torres Cabrera, R.; Hernando Gonzalez, I.

    2013-07-01

    In recent years is widespread use of imaging devices digital mammography. One of the advantages associated with this scanning is the ability to access a large amount of information contained in the headwaters of own digital images. The exploitation of this information allows the calculation of doses received by patients. This paper describes the methodology employed for this purpose and are presented the results of the control and monitoring of doses given in a digital mammography equipment. (Author)

  5. Digital mammography with multi-electrode ionization chamber

    CERN Document Server

    Groshev, V R; Nifontov, V I; Pishenuok, S M; Samsonov, A A; Shekhtman, L I; Telnov, V I

    2000-01-01

    For viewing micro-calcifications smaller than 100 mu m investigation of image formation in mammography shows that a significant dose to the patient is imperative. We propose a novel one-dimensional Multi- electrode Ionisation Chamber (MIC), with high spatial resolution, and lowered doses. In this work, first results from a prototype are presented. High spatial resolution is demonstrated working with Xe mixture at high pressure. An addition of a Gas Electron Multiplier (GEM) allowed an improvement in sensitivity up to almost single- photon level. (8 refs).

  6. Pipeline for effective denoising of digital mammography and digital breast tomosynthesis

    Science.gov (United States)

    Borges, Lucas R.; Bakic, Predrag R.; Foi, Alessandro; Maidment, Andrew D. A.; Vieira, Marcelo A. C.

    2017-03-01

    Denoising can be used as a tool to enhance image quality and enforce low radiation doses in X-ray medical imaging. The effectiveness of denoising techniques relies on the validity of the underlying noise model. In full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT), calibration steps like the detector offset and flat-fielding can affect some assumptions made by most denoising techniques. Furthermore, quantum noise found in X-ray images is signal-dependent and can only be treated by specific filters. In this work we propose a pipeline for FFDM and DBT image denoising that considers the calibration steps and simplifies the modeling of the noise statistics through variance-stabilizing transformations (VST). The performance of a state-of-the-art denoising method was tested with and without the proposed pipeline. To evaluate the method, objective metrics such as the normalized root mean square error (N-RMSE), noise power spectrum, modulation transfer function (MTF) and the frequency signal-to-noise ratio (SNR) were analyzed. Preliminary tests show that the pipeline improves denoising. When the pipeline is not used, bright pixels of the denoised image are under-filtered and dark pixels are over-smoothed due to the assumption of a signal-independent Gaussian model. The pipeline improved denoising up to 20% in terms of spatial N-RMSE and up to 15% in terms of frequency SNR. Besides improving the denoising, the pipeline does not increase signal smoothing significantly, as shown by the MTF. Thus, the proposed pipeline can be used with state-of-the-art denoising techniques to improve the quality of DBT and FFDM images.

  7. Comparison of computer-aided detection of clustered microcalcifications in digital mammography and digital breast tomosynthesis

    Science.gov (United States)

    Samala, Ravi K.; Chan, Heang-Ping; Lu, Yao; Hadjiiski, Lubomir; Wei, Jun; Helvie, Mark

    2015-03-01

    Digital breast tomosynthesis (DBT) has the potential to replace digital mammography (DM) for breast cancer screening. An effective computer-aided detection (CAD) system for microcalcification clusters (MCs) on DBT will facilitate the transition. In this study, we collected a data set with corresponding DBT and DM for the same breasts. DBT was acquired with IRB approval and informed consent using a GE GEN2 DBT prototype system. The DM acquired with a GE Essential system for the patient's clinical care was collected retrospectively from patient files. DM-based CAD (CADDM) and DBT-based CAD (CADDBT) were previously developed by our group. The major differences between the CAD systems include: (a) CADDBT uses two parallel processes whereas CADDM uses a single process for enhancing MCs and removing the structured background, (b) CADDBT has additional processing steps to reduce the false positives (FPs), including ranking of candidates of cluster seeds and cluster members and the use of adaptive CNR and size thresholds at clustering and FP reduction, (c) CADDM uses convolution neural network (CNN) and linear discriminant analysis (LDA) to differentiate true microcalcifications from FPs based on their morphological and CNN features. The performance difference is assessed by FROC analysis using test set (100 views with MCs and 74 views without MCs) independent of their respective training sets. At sensitivities of 70% and 80%, CADDBT achieved FP rates of 0.78 and 1.57 per view compared to 0.66 and 2.10 per image for the CADDM. JAFROC showed no significant difference between MC detection on DM and DBT by the two CAD systems.

  8. Impact of prior mammograms on combined reading of digital mammography and digital breast tomosynthesis.

    Science.gov (United States)

    Kim, Won Hwa; Chang, Jung Min; Koo, Hye Ryoung; Seo, Mirinae; Bae, Min Sun; Lee, Joongyub; Moon, Woo Kyung

    2017-02-01

    Background Although digital breast tomosynthesis (DBT) is an emerging technique yielding higher sensitivity and specificity compared to digital mammography (DM) alone, relative contribution of prior mammograms on the interpretation of DBT combined with DM has not been investigated. Purpose To retrospectively compare the diagnostic performances of DM, DM + DBT, and DM + DBT with prior mammograms. Material and Methods Three breast radiologists independently reviewed images of 116 patients with 24 cancers in the sequential order of DM, DM + DBT, and DM + DBT with prior mammograms using Breast Imaging Reporting and Data System (BI-RADS) assessment categories. Results The average areas under the receiver operating characteristic curve (AUC) of DM, DM + DBT, and DM + DBT with prior mammograms were 0.712, 0.777, and 0.816, respectively. Adding prior mammograms did not significantly affect the AUC of DM + DBT ( P = 0.108), whereas adding DBT significantly increased the AUC of DM ( P = 0.009). Sensitivity for DM, DM + DBT, and DM + DBT with prior mammograms was 58.3%, 69.4%, and 69.4%, and specificities were 84.1%, 85.9%, and 93.8%, respectively. Addition of DBT significantly increased the sensitivity ( P = 0.0090) of DM. Prior mammograms significantly improved the specificity of DM + DBT ( P = 0.0004), whereas adding prior mammogram did not affect sensitivity of DM + DBT ( P = 1.000). Conclusion DBT significantly increases the overall sensitivity and diagnostic performance of DM. Prior mammograms significantly increase the specificity of DM + DBT but have no significant effect on sensitivity and overall diagnostic performance.

  9. Mamografia digital: perspectiva atual e aplicações futuras Digital mammography: current view and future applications

    Directory of Open Access Journals (Sweden)

    Andréa Gonçalves de Freitas

    2006-08-01

    Full Text Available Na mamografia digital, os processos de aquisição da imagem, demonstração e armazenamento são separados, o que leva à otimização de cada uma dessas etapas. A radiação transmitida através da mama é absorvida por um detector eletrônico, em resposta fiel a uma ampla variedade de intensidades. Uma vez que esta informação é armazenada, ela pode ser demonstrada usando técnicas computadorizadas de imagem, permitindo variações de brilho e contraste e ampliação, sem a necessidade de exposições radiológicas adicionais para a paciente. Neste artigo, o estado atual da tecnologia em mamografia digital e dados sobre testes clínicos que dão suporte ao uso dessa tecnologia são revistos. Além disso, algumas aplicações potencialmente utilizáveis que estão sendo desenvolvidas com a mamografia digital são descritas.In digital mammography, imaging acquisition, display and storage processes are separated and individually optimized. Radiation transmitted through the breast is absorbed by an electronic detector with an accurate response over a wide range of intensities. Once these data are stored, they can be displayed by means of computer image-processing techniques to allow arbitrary settings of image brightness, contrast and magnification, without the need for further radiological exposure of the patient. In this article, the current state of the art in technology for digital mammography and clinical trials data supporting the use of this technology are reviewed. In addition, several potentially useful applications, currently under development with digital mammography, are described.

  10. Comparative performance of modern digital mammography systems in a large breast screening program

    Energy Technology Data Exchange (ETDEWEB)

    Yaffe, Martin J., E-mail: martin.yaffe@sri.utoronto.ca; Bloomquist, Aili K.; Hunter, David M.; Mawdsley, Gordon E. [Physical Sciences Division, Sunnybrook Research Institute, Departments of Medical Biophysics and Medical Imaging, University of Toronto, Ontario M4N 3M5 (Canada); Chiarelli, Anna M. [Prevention and Cancer Control, Cancer Care Ontario, Dalla Lana School of Public Health, University of Toronto, Ontario M4N 3M5, Canada and Ontario Breast Screening Program, Cancer Care Ontario, Toronto, Ontario M5G 1X3 (Canada); Muradali, Derek [Ontario Breast Screening Program, Cancer Care Ontario, Toronto, Ontario M5G 1X3 (Canada); Mainprize, James G. [Physical Sciences Division, Sunnybrook Research Institute, Toronto, Ontario M4N 3M5 (Canada)

    2013-12-15

    Purpose: To compare physical measures pertaining to image quality among digital mammography systems utilized in a large breast screening program. To examine qualitatively differences in these measures and differences in clinical cancer detection rates between CR and DR among sites within that program. Methods: As part of the routine quality assurance program for screening, field measurements are made of several variables considered to correlate with the diagnostic quality of medical images including: modulation transfer function, noise equivalent quanta, d′ (an index of lesion detectability) and air kerma to allow estimation of mean glandular dose. In addition, images of the mammography accreditation phantom are evaluated. Results: It was found that overall there were marked differences between the performance measures of DR and CR mammography systems. In particular, the modulation transfer functions obtained with the DR systems were found to be higher, even for larger detector element sizes. Similarly, the noise equivalent quanta, d′, and the phantom scores were higher, while the failure rates associated with low signal-to-noise ratio and high dose were lower with DR. These results were consistent with previous findings in the authors’ program that the breast cancer detection rates at sites employing CR technology were, on average, 30.6% lower than those that used DR mammography. Conclusions: While the clinical study was not large enough to allow a statistically powered system-by-system assessment of cancer detection accuracy, the physical measures expressing spatial resolution, and signal-to-noise ratio are consistent with the published finding that sites employing CR systems had lower cancer detection rates than those using DR systems for screening mammography.

  11. Exploratory survey of image quality on CR digital mammography imaging systems in Mexico.

    Science.gov (United States)

    Gaona, E; Rivera, T; Arreola, M; Franco, J; Molina, N; Alvarez, B; Azorín, C G; Casian, G

    2014-01-01

    The purpose of this study was to assess the current status of image quality and dose in computed radiographic digital mammography (CRDM) systems. Studies included CRDM systems of various models and manufacturers which dose and image quality comparisons were performed. Due to the recent rise in the use of digital radiographic systems in Mexico, CRDM systems are rapidly replacing conventional film-screen systems without any regard to quality control or image quality standards. Study was conducted in 65 mammography facilities which use CRDM systems in the Mexico City and surrounding States. The systems were tested as used clinically. This means that the dose and beam qualities were selected using the automatic beam selection and photo-timed features. All systems surveyed generate laser film hardcopies for the radiologist to read on a scope or mammographic high luminance light box. It was found that 51 of CRDM systems presented a variety of image artefacts and non-uniformities arising from inadequate acquisition and processing, as well as from the laser printer itself. Undisciplined alteration of image processing settings by the technologist was found to be a serious prevalent problem in 42 facilities. Only four of them showed an image QC program which is periodically monitored by a medical physicist. The Average Glandular Dose (AGD) in the surveyed systems was estimated to have a mean value of 2.4 mGy. To improve image quality in mammography and make more efficient screening mammographic in early detection of breast cancer is required new legislation.

  12. Breast MRI, digital mammography and breast tomosynthesis: comparison of three methods for early detection of breast cancer

    Directory of Open Access Journals (Sweden)

    Dragana Roganovic

    2015-11-01

    Full Text Available Breast cancer is the most common malignancy in women and early detection is important for its successful treatment. The aim of this study was to investigate the sensitivity and specificity of three methods for early detection of breast cancer: breast magnetic resonance imaging (MRI, digital mammography, and breast tomosynthesis in comparison to histopathology, as well as to investigate the intraindividual variability between these modalities.  We included 57 breast lesions, each detected by three diagnostic modalities: digital mammography, breast MRI, and breast tomosynthesis, and subsequently confirmed by histopathology. Breast Imaging-Reporting and Data System (BI-RADS was used for characterizing the lesions. One experienced radiologist interpreted all three diagnostic modalities. Twenty-nine of the breast lesions were malignant while 28 were benign. The sensitivity for digital mammography, breast MRI, and breast tomosynthesis, was 72.4%, 93.1%, and 100%, respectively; while the specificity was 46.4%, 60.7%, and 75%, respectively. Receiver operating characteristics (ROC curve analysis showed an overall diagnostic advantage of breast tomosynthesis over both breast MRI and digital mammography. The difference in performance between breast tomosynthesis and digital mammography was significant (p < 0.001, while the difference between breast tomosynthesis and breast MRI was not significant (p = 0.20. 

  13. Laser interstitial thermotherapy (LITT) monitoring using high-resolution digital mammography: theory and experimental studies

    Energy Technology Data Exchange (ETDEWEB)

    Minhaj, Ahmed M.; Manns, Fabrice; Salas, Nelson Jr.; Parel, Jean-Marie [Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, FL (United States) and Biomedical Optics and Laser Laboratory, Department of Biomedical Engineering, University of Miami, FL (United States)]. E-mails: aminhaj@med.miami.edu; fmanns@miami.edu; nsalas@med.miami.edu; jmparel@med.miami.edu; Milne, Peter J.; Denham, David B.; Nose, Izuru [Ophthalmic Biophysics Center, Bascom Palmer Eye Institute, University of Miami, Miami, FL (United States)]. E-mails: pmilne@rsmas.miami.edu; ddenham@med.miami.edu; inose@med.miami.edu; Damgaard-Iversen, Karsten [Fischer Imaging Corporation, Denver, CO (United States)]. E-mail: kdi@fischerimaging.de; Robinson, David S. [Center for Breast Care, St. Luke' s Hospital of Kansas City, Kansas City, MO (United States)]. E-mail: drobinson@saint-lukes.org

    2002-08-21

    Laser interstitial thermotherapy (LITT) is a minimally-invasive laser hyperthermia procedure for the treatment of localized tumours. Real-time monitoring of LITT is essential to control the extent of tumour destruction and ensure safe and effective treatments. The feasibility of using high-resolution digital x-ray mammography to monitor LITT of breast cancer was evaluated. Tissue phantoms including polyacrylamide hydrogel and cadaver porcine tissue were heated using a 980 nm diode laser delivered through optical fibres with diffusing tips. Digital images of the tissue phantoms were recorded with a high-resolution digital stereotactic breast biopsy system during heating. The recorded images were processed and analysed to detect heat-induced changes. No changes were detected during heating of the hydrogel. Pixel-by-pixel subtraction of the initial image from images taken during laser heating shows observable thermally-induced changes around the fibre during laser irradiation that correlate with the thermal denaturation zone observed by gross anatomy. These experiments demonstrate that high-resolution digital x-ray mammography can be used to detect heat-induced tissue changes during experimental LITT in fibro-fatty tissue. (author)

  14. Mammographic Artifacts on Full-Field Digital Mammography

    OpenAIRE

    Choi, Jae Jeong; Kim, Sung Hun; Kang, Bong Joo; Choi, Byung Gil; Song, ByungJoo; Jung, Haijo

    2013-01-01

    This study investigates the incidence of full-field digital mammographic (FFDM) artifacts with three systems at two institutions and compares the artifacts between two detector types and two grid types. A total of 4,440 direct and 4,142 indirect FFDM images were reviewed by two radiologists, and artifacts were classified as patient related, hardware related, and software processing. The overall incidence of FFDM artifacts was 3.4 % (292/8,582). Patient related artifacts (motion artifacts and ...

  15. X-ray light valve (XLV): a novel detectors' technology for digital mammography

    Science.gov (United States)

    Marcovici, Sorin; Sukhovatkin, Vlad; Oakham, Peter

    2014-03-01

    A novel method, based on X-ray Light Valve (XLV) technology, is proposed for making good image quality yet inexpensive flat panel detectors for digital mammography. The digital mammography markets, particularly in the developing countries, demand quality machines at substantially lower prices than the ones available today. Continuous pressure is applied on x-ray detectors' manufacturers to reduce the flat panel detectors' prices. XLV presents a unique opportunity to achieve the needed price - performance characteristics for direct conversion, x-ray detectors. The XLV based detectors combine the proven, superior, spatial resolution of a-Se with the simplicity and low cost of liquid crystals and optical scanning. The x-ray quanta absorbed by a 200 μm a-Se produce electron - hole pairs that move under an electric field to the top and bottom of a-Se layer. This 2D charge distribution creates at the interface with the liquid crystals a continuous (analog) charge image corresponding to the impinging radiation's information. Under the influence of local electrical charges next to them, the liquid crystals twist proportionally to the charges and vary their light reflectivity. A scanning light source illuminates the liquid crystals while an associated, pixilated photo-detector, having a 42 μm pixel size, captures the light reflected by the liquid crystals and converts it in16 bit words that are transmitted to the machine for image processing and display. The paper will describe a novel XLV, 25 cm x 30 cm, flat panel detector structure and its underlying physics as well as its preliminary performance measured on several engineering prototypes. In particular, the paper will present the results of measuring XLV detectors' DQE, MTF, dynamic range, low contrast resolution and dynamic behavior. Finally, the paper will introduce the new, low cost, XLV detector based, digital mammography machine under development at XLV Diagnostics Inc.

  16. Teaching syllabus for radiological aspects of breast cancer screening with digital mammography.

    Science.gov (United States)

    Van Ongeval, Chantal; Van Steen, André; Bosmans, Hilde

    2008-01-01

    The purpose of this study is to discuss the content of our new accreditation programme for radiologists' reading digital mammograms in a screening setting and to report our first experience with the new course. The course consisted of a theoretical part, given by the medical physicist, and a practical part given by the radiologist. The practical session is closely linked with the theoretical part and a reading session. The material is fully digital and can be presented on different platforms. In practice, the need for parallel soft-copy reading sessions on high-end workstations limits the number of participants. A high level of interactivity was noted between teacher and participant, with a thorough discussion of different digital mammography systems during a single teaching course. The main challenge for the teacher turned out to be the collection of representative material and the continuous updating of the material: new systems, processing techniques and artefacts need to be included regularly.

  17. Interobserver Variability in the Interpretation of Microcalcifications in Digital Magnification Mammographies

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Su Jin [National Health Insurance Corporation Ilsan Hospital, Goyang (Korea, Republic of); Kim, Min Jung; Kim, Eun Kyung; Son, Eun Ju; Youk, Ji Hyun; Kwak, Jin Young; Choi, Seon Hyeong [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    2010-08-15

    To analyze the interobserver variability of radiologists in their description and final assessment categories of microcalcifications in digital magnification mammographies. From 2005 to 2006, five radiologists analyzed 66 lesion microcalcifications in 65 patients on digital magnification mammographies using a blind method and including 40 benign and 26 malignant lesions. Each observer evaluated the microcalfication morphology, distribution, and BIRADS category. Using the kappa value, the degree of interobserver agreement was calculated and the rate of malignancy was assessed. The mean kappa value for microcalcification morphology was 0.19, which was considered to be moderate agreement for the microcalcification distribution (k: 0.54). The overall rate of malignancy was 39% for microcalcification morphology and distribution. Among them, amorphous microcalcifications showed the lowest rate of malignancy (17%). The mean kappa value for the final assessment categories of BI-RADS was 0.29 and the mean rate of malignancy was 39%. Although there was slight interobserver variability, according to each of the descriptors, the general interobserver agreement in interpretation of microcalcification on digital magnification mammogram was slight to moderate. To improve interobserver agreement for the interpretation of microcalcifications, proper image quality control, standardization of criteria, and proper training of radiologists are needed

  18. Digital mammography in the radio-dense and complex pattern breast

    Science.gov (United States)

    Freedman, Matthew T.; Steller Artz, Dorothy E.; Jafroudi, Hamid; Hogge, Jacquelyn; Zuurbier, Rebecca A.; Lin, Jyh-Shyan; Katial, Raj; Mun, Seong K.

    1996-04-01

    The sensitivity of mammography for the detection of breast cancer is decreased in the radiodense breast. Storage phosphor digital radiographic systems have a wider latitude of exposure than conventional mammographic screen film systems. By using low resolution histogram equalization one can produce a mammographic image of the breast that retains the high frequency information that defines the edges of microcalcifications, architectural distortion and some masses but which, at the same time, allows one to look through into regions of increased breast radiodensity and identify microcalcifications within them. This paper demonstrates the effect of this special form of image processing.

  19. A multiparametric automatic method to monitor long-term reproducibility in digital mammography: results from a regional screening programme.

    Science.gov (United States)

    Gennaro, G; Ballaminut, A; Contento, G

    2017-09-01

    This study aims to illustrate a multiparametric automatic method for monitoring long-term reproducibility of digital mammography systems, and its application on a large scale. Twenty-five digital mammography systems employed within a regional screening programme were controlled weekly using the same type of phantom, whose images were analysed by an automatic software tool. To assess system reproducibility levels, 15 image quality indices (IQIs) were extracted and compared with the corresponding indices previously determined by a baseline procedure. The coefficients of variation (COVs) of the IQIs were used to assess the overall variability. A total of 2553 phantom images were collected from the 25 digital mammography systems from March 2013 to December 2014. Most of the systems showed excellent image quality reproducibility over the surveillance interval, with mean variability below 5%. Variability of each IQI was 5%, with the exception of one index associated with the smallest phantom objects (0.25 mm), which was below 10%. The method applied for reproducibility tests-multi-detail phantoms, cloud automatic software tool to measure multiple image quality indices and statistical process control-was proven to be effective and applicable on a large scale and to any type of digital mammography system. • Reproducibility of mammography image quality should be monitored by appropriate quality controls. • Use of automatic software tools allows image quality evaluation by multiple indices. • System reproducibility can be assessed comparing current index value with baseline data. • Overall system reproducibility of modern digital mammography systems is excellent. • The method proposed and applied is cost-effective and easily scalable.

  20. Does Reader Performance with Digital Breast Tomosynthesis Vary according to Experience with Two-dimensional Mammography?

    Science.gov (United States)

    Tucker, Lorraine; Gilbert, Fiona J; Astley, Susan M; Dibden, Amanda; Seth, Archana; Morel, Juliet; Bundred, Sara; Litherland, Janet; Klassen, Herman; Lip, Gerald; Purushothaman, Hema; Dobson, Hilary M; McClure, Linda; Skippage, Philippa; Stoner, Katherine; Kissin, Caroline; Beetles, Ursula; Lim, Yit Yoong; Hurley, Emma; Goligher, Jane; Rahim, Rumana; Gagliardi, Tanja J; Suaris, Tamara; Duffy, Stephen W

    2017-05-01

    Purpose To assess whether individual reader performance with digital breast tomosynthesis (DBT) and two-dimensional (2D) mammography varies with number of years of experience or volume of 2D mammograms read. Materials and Methods After written informed consent was obtained, 8869 women (age range, 29-85 years; mean age, 56 years) were recruited into the TOMMY trial (A Comparison of Tomosynthesis with Digital Mammography in the UK National Health Service Breast Screening Program), an ethically approved, multicenter, multireader, retrospective reading study, between July 2011 and March 2013. Each case was read prospectively for clinical assessment and to establish ground truth. A retrospective reading data set of 7060 cases was created and randomly allocated for independent blinded review of (a) 2D mammograms, (b) DBT images and 2D mammograms, and (c) synthetic 2D mammograms and DBT images, without access to previous examinations. Readers (19 radiologists, three advanced practitioner radiographers, and two breast clinicians) who had 3-25 (median, 10) years of experience in the U.K. National Health Service Breast Screening Program and read 5000-13 000 (median, 8000) cases per annum were included in this study. Specificity was analyzed according to reader type and years and volume of experience, and then both specificity and sensitivity were analyzed by matched inference. The median duration of experience (10 years) was used as the cutoff point for comparison of reader performance. Results Specificity improved with the addition of DBT for all readers. This was significant for all staff groups (56% vs 68% and 49% vs 67% [P readers and was significantly higher for those with less than 10 years of experience (91% vs 86%; P = .03) and those with total mammographic experience of fewer than 80 000 cases (88% vs 86%; P = .03). Conclusion The addition of DBT to conventional 2D screening mammography improved specificity for all readers, but the gain in sensitivity was greater

  1. Impact of full field digital mammography on the classification and mammographic characteristics of interval breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Knox, Mark, E-mail: marktknox@gmail.com; O’Brien, Angela, E-mail: angelaobrien@doctors.org.uk; Szabó, Endre, E-mail: endrebacsi@freemail.hu; Smith, Clare S., E-mail: csmith@mater.ie; Fenlon, Helen M., E-mail: helen.fenlon@cancerscreening.ie; McNicholas, Michelle M., E-mail: michelle.mcnicholas@cancerscreening.ie; Flanagan, Fidelma L., E-mail: fidelma.flanagan@cancerscreening.ie

    2015-06-15

    Highlights: • Digital mammography has changed the presentation of interval breast cancer. • Less interval breast cancers are associated with microcalcifications following FFDM. • Interval breast cancer audit remains a key feature of any breast screening program. - Abstract: Objective: Full field digital mammography (FFDM) is increasingly replacing screen film mammography (SFM) in breast screening programs. Interval breast cancers are an issue in all screening programs and the purpose of our study is to assess the impact of FFDM on the classification of interval breast cancers at independent blind review and to compare the mammographic features of interval cancers at FFDM and SFM. Materials and methods: This study included 138 cases of interval breast cancer, 76 following an FFDM screening examination and 62 following screening with SFM. The prior screening mammogram was assessed by each of five consultant breast radiologists who were blinded to the site of subsequent cancer. Subsequent review of the diagnostic mammogram was performed and cases were classified as missed, minimal signs, occult or true interval. Mammographic features of the interval cancer at diagnosis and any abnormality identified on the prior screening mammogram were recorded. Results: The percentages of cancers classified as missed at FFDM and SFM did not differ significantly, 10.5% (8 of 76) at FFDM and 8.1% (5 of 62) at SFM (p = .77). There were significantly less interval cancers presenting as microcalcifications (alone or in association with another abnormality) following screening with FFDM, 16% (12 of 76) than following a SFM examination, 32% (20 of 62) (p = .02). Conclusion: Interval breast cancers continue to pose a problem at FFDM. The switch to FFDM has changed the mammographic presentation of interval breast cancer, with less interval cancers presenting in association with microcalcifications.

  2. Low energy mammogram obtained in contrast-enhanced digital mammography (CEDM) is comparable to routine full-field digital mammography (FFDM)

    Energy Technology Data Exchange (ETDEWEB)

    Francescone, Mark A., E-mail: maf2184@columbia.edu [Columbia University Medical Center, ColumbiaDoctors Midtown, 51 West 51st Street, Suite 300, New York, NY 10019 (United States); Jochelson, Maxine S., E-mail: jochelsm@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Dershaw, D. David, E-mail: dershawd@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Sung, Janice S., E-mail: sungj@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Hughes, Mary C., E-mail: hughesm@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Zheng, Junting, E-mail: zhengj@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Moskowitz, Chaya, E-mail: moskowc1@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States); Morris, Elizabeth A., E-mail: morrise@mskcc.org [Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065 (United States)

    2014-08-15

    Purpose: Contrast enhanced digital mammography (CEDM) uses low energy and high energy exposures to produce a subtracted contrast image. It is currently performed with a standard full-field digital mammogram (FFDM). The purpose is to determine if the low energy image performed after intravenous iodine injection can replace the standard FFDM. Methods: And Materials: In an IRB approved HIPAA compatible study, low-energy CEDM images of 170 breasts in 88 women (ages 26–75; mean 50.3) undergoing evaluation for elevated risk or newly diagnosed breast cancer were compared to standard digital mammograms performed within 6 months. Technical parameters including posterior nipple line (PNL) distance, compression thickness, and compression force on the MLO projection were compared. Mammographic findings were compared qualitatively and quantitatively. Mixed linear regression using generalized estimating equation (GEE) method was performed. Intraclass correlation coefficients (ICC) with 95% confidence interval (95%CI) were estimated to assess agreement. Results: No statistical difference was found in the technical parameters compression thickness, PNL distance, compression force (p-values: 0.767, 0.947, 0.089). No difference was found in the measured size of mammographic findings (p-values 0.982–0.988). Grouped calcifications had a mean size/extent of 2.1 cm (SD 0.6) in the low-energy contrast images, and a mean size/extent of 2.2 cm (SD 0.6) in the standard digital mammogram images. Masses had a mean size of 1.8 cm (SD 0.2) in both groups. Calcifications were equally visible on both CEDM and FFDM. Conclusion: Low energy CEDM images are equivalent to standard FFDM despite the presence of intravenous iodinated contrast. Low energy CEDM images may be used for interpretation in place of the FFDM, thereby reducing patient dose.

  3. Digital mammography screening: sensitivity of the programme dependent on breast density.

    Science.gov (United States)

    Weigel, Stefanie; Heindel, W; Heidrich, J; Hense, H-W; Heidinger, O

    2017-07-01

    To analyse the impact of breast density on the sensitivity of a population-based digital mammography screening programme (SP) as key evaluation parameter. 25,576 examinations were prospectively stratified from ACR category 1 to 4 for increments of 25 % density during independent double reading. SP was calculated as number of screen-detected cancers divided by the sum of screen-detected plus interval cancers (24-months period) per ACR category, related to the first reading (a), second reading (b) and highest stratification if discrepant (c). Chi-square tests were used for comparison. Overall sensitivity of the programme was 79.9 %. SP in ACR 4 (a: 50 %, b: 50 %, c: 50 %) was significantly lower than in ACR 3 (a: 72.9 %, b: 79.4 %, c: 80.7 %, p density classified as ACR 4 SP is significantly reduced compared to all other ACR categories. • Overall sensitivity of a population-based digital mammography screening programme (SP) was 79.9 %. • In women with ACR 1, 2, or 3, SP ranged between 72.9 %-100 %. • ACR 4 was rare in participants (<7 %) and SP was only 50 %. • SP in ACR 4 differed significantly from ACR 3 (p < 0.001).

  4. Effect of image quality on calcification detection in digital mammography.

    Science.gov (United States)

    Warren, Lucy M; Mackenzie, Alistair; Cooke, Julie; Given-Wilson, Rosalind M; Wallis, Matthew G; Chakraborty, Dev P; Dance, David R; Bosmans, Hilde; Young, Kenneth C

    2012-06-01

    This study aims to investigate if microcalcification detection varies significantly when mammographic images are acquired using different image qualities, including: different detectors, dose levels, and different image processing algorithms. An additional aim was to determine how the standard European method of measuring image quality using threshold gold thickness measured with a CDMAM phantom and the associated limits in current EU guidelines relate to calcification detection. One hundred and sixty two normal breast images were acquired on an amorphous selenium direct digital (DR) system. Microcalcification clusters extracted from magnified images of slices of mastectomies were electronically inserted into half of the images. The calcification clusters had a subtle appearance. All images were adjusted using a validated mathematical method to simulate the appearance of images from a computed radiography (CR) imaging system at the same dose, from both systems at half this dose, and from the DR system at quarter this dose. The original 162 images were processed with both Hologic and Agfa (Musica-2) image processing. All other image qualities were processed with Agfa (Musica-2) image processing only. Seven experienced observers marked and rated any identified suspicious regions. Free response operating characteristic (FROC) and ROC analyses were performed on the data. The lesion sensitivity at a nonlesion localization fraction (NLF) of 0.1 was also calculated. Images of the CDMAM mammographic test phantom were acquired using the automatic setting on the DR system. These images were modified to the additional image qualities used in the observer study. The images were analyzed using automated software. In order to assess the relationship between threshold gold thickness and calcification detection a power law was fitted to the data. There was a significant reduction in calcification detection using CR compared with DR: the alternative FROC (AFROC) area decreased from

  5. Experience with the European quality assurance guidelines for digital mammography systems in a national screening programme.

    Science.gov (United States)

    McCullagh, J; Keavey, E; Egan, G; Phelan, N

    2013-02-01

    The transition to a fully digital breast screening programme, utilising three different full-field digital mammography (FFDM) systems has presented many challenges to the implementation of the European guidelines for physico-technical quality assurance (QA) testing. An analysis of the QA results collected from the FFDM systems in the screening programme over a 2-y period indicates that the three different systems have similar QA performances. Generally, the same tests were failed by all systems and failure rates were low. The findings provide some assurance that the QA guidelines are being correctly implemented. They also suggest that there is more scope for the development of the relevance of the guidelines with respect to modern FFDM systems. This study has also shown that a summary review of the QA data can be achieved by simple organisation of the QA data storage and by automation of data query and retrieval using commonly available software.

  6. Image quality assessment in digital mammography: part I. Technical characterization of the systems.

    Science.gov (United States)

    Marshall, N W; Monnin, P; Bosmans, H; Bochud, F O; Verdun, F R

    2011-07-21

    In many European countries, image quality for digital x-ray systems used in screening mammography is currently specified using a threshold-detail detectability method. This is a two-part study that proposes an alternative method based on calculated detectability for a model observer: the first part of the work presents a characterization of the systems. Eleven digital mammography systems were included in the study; four computed radiography (CR) systems, and a group of seven digital radiography (DR) detectors, composed of three amorphous selenium-based detectors, three caesium iodide scintillator systems and a silicon wafer-based photon counting system. The technical parameters assessed included the system response curve, detector uniformity error, pre-sampling modulation transfer function (MTF), normalized noise power spectrum (NNPS) and detective quantum efficiency (DQE). Approximate quantum noise limited exposure range was examined using a separation of noise sources based upon standard deviation. Noise separation showed that electronic noise was the dominant noise at low detector air kerma for three systems; the remaining systems showed quantum noise limited behaviour between 12.5 and 380 µGy. Greater variation in detector MTF was found for the DR group compared to the CR systems; MTF at 5 mm(-1) varied from 0.08 to 0.23 for the CR detectors against a range of 0.16-0.64 for the DR units. The needle CR detector had a higher MTF, lower NNPS and higher DQE at 5 mm(-1) than the powder CR phosphors. DQE at 5 mm(-1) ranged from 0.02 to 0.20 for the CR systems, while DQE at 5 mm(-1) for the DR group ranged from 0.04 to 0.41, indicating higher DQE for the DR detectors and needle CR system than for the powder CR phosphor systems. The technical evaluation section of the study showed that the digital mammography systems were well set up and exhibiting typical performance for the detector technology employed in the respective systems.

  7. Initial Image Quality and Clinical Experience with New CR Digital Mammography System: A Phantom and Clinical Study

    Science.gov (United States)

    Gaona, Enrique; Alfonso, Beatriz Y. Álvarez; Castellanos, Gustavo Casian; Enríquez, Jesús Gabriel Franco

    2008-08-01

    The goal of the study was to evaluate the first CR digital mammography system (® Konica-Minolta) in Mexico in clinical routine for cancer detection in a screening population and to determine if high resolution CR digital imaging is equivalent to state-of-the-art screen-film imaging. The mammograms were evaluated by two observers with cytological or histological confirmation for BIRADS 3, 4 and 5. Contrast, exposure and artifacts of the images were evaluated. Different details like skin, retromamillary space and parenchymal structures were judged. The detectability of microcalcifications and lesions were compared and correlated to histology. The difference in sensitivity of CR Mammography (CRM) and Screen Film Mammography (SFM) was not statistically significant. However, CRM had a significantly lower recall rate, and the lesion detection was equal or superior to conventional images. There is no significant difference in the number of microcalcifications and highly suspicious calcifications were equally detected on both film-screen and digital images. Different anatomical regions were better detectable in digital than in conventional mammography.

  8. Determination of mass attenuation coefficients for threshold contrast evaluation in digital mammography

    Science.gov (United States)

    Hummel, Johann; Semturs, Friedrich; Menhart, Susanne; Figl, Michael

    2010-04-01

    According to the 'European protocol for the quality control of the physical and technical aspects of mammography screening' (EPQC) image quality digital mammography units has to be evaluated at different breast thicknesses. At the standard thickness of 50 mm polymethyl methacrylate (PMMA) image quality is determined by the analysis of CDMAM contrast detail phantom images where threshold contrasts are calculated for different gold disc diameters. To extend these results to other breast thicknesses contrast-to-noise ratios (CNR) and threshold contrast (TC) visibilities have to be calculated for all required thicknesses. To calculate the latter the mass attenuation coefficient (MAC) of gold has to be known for all possible beam qualities in the tube voltage range between 26 and 32 kV. In this paper we first determined the threshold contrast visibility using the CDMAM phantom with the same beam quality at different current-time products (mAs). We can derive from Rose theory that CNR • CT • α = const, where α is the diameter of the gold cylinder. From this the corresponding attenuation coefficients can be calculated. This procedure was repeated for four different beam qualities (Mo/Mo 27kV, Rh/Rh 29kV, Rh/Rh 31 kV, and W/Rh 29 kV)). Next, we measured the aluminium half value layer (HVL) of all x-ray spectra relevant for mammography. Using a first order Taylor expansion of MAC as a function of HVL, all other desired MAC can be calculated. The MAC as a function of the HVL was derived to MAChvl = -286.97 * hvl+186.03 with R2 = 0.997, where MAChvl indicates the MAC for all specific x-ray spectrum defined by its aluminium half value layer. Based on this function all necessary MACs needed for quality assurance (QA) were calculated. The results were in good agreement with the data found in the protocol.

  9. Experience in reading digital images may decrease observer accuracy in mammography

    Science.gov (United States)

    Rawashdeh, Mohammad A.; Lewis, Sarah J.; Lee, Warwick; Mello-Thoms, Claudia; Reed, Warren M.; McEntee, Mark; Tapia, Kriscia; Brennan, Patrick C.

    2015-03-01

    Rationale and Objectives: To identify parameters linked to higher levels of performance in screening mammography. In particular we explored whether experience in reading digital cases enhances radiologists' performance. Methods: A total of 60 cases were presented to the readers, of which 20 contained cancers and 40 showed no abnormality. Each case comprised of four images and 129 breast readers participated in the study. Each reader was asked to identify and locate any malignancies using a 1-5 confidence scale. All images were displayed using 5MP monitors, supported by radiology workstations with full image manipulation capabilities. A jack-knife free-response receiver operating characteristic, figure of merit (JAFROC, FOM) methodology was employed to assess reader performance. Details were obtained from each reader regarding their experience, qualifications and breast reading activities. Spearman and Mann Whitney U techniques were used for statistical analysis. Results: Higher performance was positively related to numbers of years professionally qualified (r= 0.18; P<0.05), number of years reading breast images (r= 0.24; P<0.01), number of mammography images read per year (r= 0.28; P<0.001) and number of hours reading mammographic images per week (r= 0.19; P<0.04). Unexpectedly, higher performance was inversely linked to previous experience with digital images (r= - 0.17; p<0.05) and further analysis, demonstrated that this finding was due to changes in specificity. Conclusion: This study suggests suggestion that readers with experience in digital images reporting may exhibit a reduced ability to correctly identify normal appearances requires further investigation. Higher performance is linked to number of cases read per year.

  10. SAPHIRE: A New Flat-Panel Digital Mammography Detector With Avalanche Photoconductor and High-Resolution Field Emitter Readout

    Science.gov (United States)

    2006-06-01

    AD_________________ Award Number: W81XWH-04-1-0554 TITLE: SAPHIRE : A New Flat-Panel Digital... SAPHIRE : A New Flat-Panel Digital Mammography Detector with Avalanche Photoconductor and High-Resolution Field Emitter Readout 5b. GRANT NUMBER w81xwh-04...CsI), and form a charge image that is read out by a high-resolution field emitter array (FEA). We call the proposed detector SAPHIRE (Scintillator

  11. Transition from film to digital mammography: Impact for breast cancer screening through the national breast and cervical cancer early detection program

    NARCIS (Netherlands)

    N.T. van Ravesteyn (Nicolien); L. Van Lier (Lisanne); C.B. Schechter (Clyde); D.U. Ekwueme (Donatus U.); J. Royalty (Janet); J.W. Miller (Jacqueline W.); A.M. Near (Aimee); K.A. Cronin (Kathleen); E.A.M. Heijnsdijk (Eveline); J.S. Mandelblatt (Jeanne); H.J. de Koning (Harry)

    2015-01-01

    textabstractIntroduction The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides mammograms and diagnostic services for low-income, uninsured women aged 40-64 years. Mammography facilities within the NBCCEDP gradually shifted from plain-film to digital mammography. The pur

  12. The potential use of ultra-low radiation dose images in digital mammography--a clinical proof-of-concept study in craniocaudal views

    NARCIS (Netherlands)

    Bluekens, A.M.; Veldkamp, W.J.H.; Schuur, K.H.; Karssemeijer, N.; Broeders, M.J.; Heeten, GJ. den

    2015-01-01

    OBJECTIVE: To estimate the potential of low-dose images in digital mammography by analysing the effect of substantial dose reduction in craniocaudal (CC) views on clinical performance. METHODS: At routine mammography, additional CC views were obtained with about 10% of the standard dose. Five

  13. Automatic Detection of Microcalcifications in a Digital Mammography Using Artificial Intelligence Techniques

    Directory of Open Access Journals (Sweden)

    Carlos A. Madrigal-González

    2013-11-01

    Full Text Available Breast cancer is one of the cancers that has a higher mortality rate among women and early detection increases the possibilities of cure, so its early detection is one of the best treatments for this serious disease. Microcalcifications are a type of lesion in the breast and its presence is highly correlated with the presence of cancer. In this paper we present a method for automatic detection of microcalcifications using digital image processing using a Gaussian filtering approach, which can enhance the contrast between microcalcifications and normal tissue present in a mammography, then apply a local thresholding algorithm witch allow the identification of suspicious microcalcifications. The classifier used to determine the degree of benign or malignant microcalcifications is the K-Nearest Neighbours (KNN and the validation of the results was done using ROC curves.

  14. SIMULATING LOCAL DENSE AREAS USING PMMA TO ASSESS AUTOMATIC EXPOSURE CONTROL IN DIGITAL MAMMOGRAPHY.

    Science.gov (United States)

    Bouwman, R W; Binst, J; Dance, D R; Young, K C; Broeders, M J M; den Heeten, G J; Veldkamp, W J H; Bosmans, H; van Engen, R E

    2016-06-01

    Current digital mammography (DM) X-ray systems are equipped with advanced automatic exposure control (AEC) systems, which determine the exposure factors depending on breast composition. In the supplement of the European guidelines for quality assurance in breast cancer screening and diagnosis, a phantom-based test is included to evaluate the AEC response to local dense areas in terms of signal-to-noise ratio (SNR). This study evaluates the proposed test in terms of SNR and dose for four DM systems. The glandular fraction represented by the local dense area was assessed by analytic calculations. It was found that the proposed test simulates adipose to fully glandular breast compositions in attenuation. The doses associated with the phantoms were found to match well with the patient dose distribution. In conclusion, after some small adaptations, the test is valuable for the assessment of the AEC performance in terms of both SNR and dose.

  15. Blurred digital mammography images: an analysis of technical recall and observer detection performance.

    Science.gov (United States)

    Ma, Wang Kei; Borgen, Rita; Kelly, Judith; Millington, Sara; Hilton, Beverley; Aspin, Rob; Lança, Carla; Hogg, Peter

    2017-03-01

    Blurred images in full-field digital mammography are a problem in the UK Breast Screening Programme. Technical recalls may be due to blurring not being seen on lower resolution monitors used for review. This study assesses the visual detection of blurring on a 2.3-MP monitor and a 5-MP report grade monitor and proposes an observer standard for the visual detection of blurring on a 5-MP reporting grade monitor. 28 observers assessed 120 images for blurring; 20 images had no blurring present, whereas 100 images had blurring imposed through mathematical simulation at 0.2, 0.4, 0.6, 0.8 and 1.0 mm levels of motion. Technical recall rate for both monitors and angular size at each level of motion were calculated. χ(2) tests were used to test whether significant differences in blurring detection existed between 2.3- and 5-MP monitors. The technical recall rate for 2.3- and 5-MP monitors are 20.3% and 9.1%, respectively. The angular size for 0.2- to 1-mm motion varied from 55 to 275 arc s. The minimum amount of motion for visual detection of blurring in this study is 0.4 mm. For 0.2-mm simulated motion, there was no significant difference [χ(2) (1, N = 1095) = 1.61, p = 0.20] in blurring detection between the 2.3- and 5-MP monitors. According to this study, monitors ≤2.3 MP are not suitable for technical review of full-field digital mammography images for the detection of blur. Advances in knowledge: This research proposes the first observer standard for the visual detection of blurring.

  16. The effect of image processing on the detection of cancers in digital mammography.

    Science.gov (United States)

    Warren, Lucy M; Given-Wilson, Rosalind M; Wallis, Matthew G; Cooke, Julie; Halling-Brown, Mark D; Mackenzie, Alistair; Chakraborty, Dev P; Bosmans, Hilde; Dance, David R; Young, Kenneth C

    2014-08-01

    OBJECTIVE. The objective of our study was to investigate the effect of image processing on the detection of cancers in digital mammography images. MATERIALS AND METHODS. Two hundred seventy pairs of breast images (both breasts, one view) were collected from eight systems using Hologic amorphous selenium detectors: 80 image pairs showed breasts containing subtle malignant masses; 30 image pairs, biopsy-proven benign lesions; 80 image pairs, simulated calcification clusters; and 80 image pairs, no cancer (normal). The 270 image pairs were processed with three types of image processing: standard (full enhancement), low contrast (intermediate enhancement), and pseudo-film-screen (no enhancement). Seven experienced observers inspected the images, locating and rating regions they suspected to be cancer for likelihood of malignancy. The results were analyzed using a jackknife-alternative free-response receiver operating characteristic (JAFROC) analysis. RESULTS. The detection of calcification clusters was significantly affected by the type of image processing: The JAFROC figure of merit (FOM) decreased from 0.65 with standard image processing to 0.63 with low-contrast image processing (p = 0.04) and from 0.65 with standard image processing to 0.61 with film-screen image processing (p = 0.0005). The detection of noncalcification cancers was not significantly different among the image-processing types investigated (p > 0.40). CONCLUSION. These results suggest that image processing has a significant impact on the detection of calcification clusters in digital mammography. For the three image-processing versions and the system investigated, standard image processing was optimal for the detection of calcification clusters. The effect on cancer detection should be considered when selecting the type of image processing in the future.

  17. Digital magnification mammography with matched incident exposure: physical imaging properties and detectability of simulated microcalcifications.

    Science.gov (United States)

    Tanaka, Nobukazu; Naka, Kentaro; Fukushima, Hiroko; Morishita, Junji; Toyofuku, Fukai; Ohki, Masafumi; Higashida, Yoshiharu

    2011-07-01

    Our purpose was to evaluate the usefulness of digital magnification mammography with matched incident exposure by investigating the physical imaging properties and doing an observer performance test. A computed radiography system and a mammographic unit were used in this study. Contact and magnification radiographies of 1.2-1.8 in combination with focal spot sizes of 0.1 mm without grid and 0.3 mm with grid were performed. Physical imaging properties, namely, scatter fraction, total modulation transfer function (MTF) including the presampled MTF and the MTF of focal spot size, and Wiener spectrum (WS), were measured. Detail visibility was evaluated by use of free-response receiver operating characteristic analysis of the detectability of simulated microcalcifications. Scatter fractions decreased considerably as the magnification factor increased without grid technique. In the grid technique, scatter fractions for all magnification techniques were comparable. The total MTFs of magnification techniques with a focal spot size of 0.1 mm improved significantly compared with the conventional contact technique. However, the improvement of the total MTFs of magnification techniques with the combination of 0.3 mm focal spot size was small. The WSs degraded with an increase of the magnification factor compared with the contact technique due to the maintained exposure incident on the object. The observer performance test indicated that the 1.8 magnification technique with the 0.1 mm focal spot size provided higher detectability than did the contact technique. Digital magnification mammography under the same incident exposure conditions improved the detectability of microcalcifications.

  18. The Generalised Phase Contrast Method

    DEFF Research Database (Denmark)

    Glückstad, Jesper

    . Optimal conditions for visibility, peak irradiance and accuracy are derived and shown to be perfectly in line with empirical results from the literature. New graphic methods for advanced analysis purposes are demonstrated supporting these conclusions as well as providing new tools for innovative filter...... designs and parameter settings. Finally, a number of original applications facilitated by the parallel light-beam encoding of the Generalised Phase Contrast method are briefly outlined. These include among others, wavefront sensing and generation, advanced usercontrolled optical micro......-manipulation, optical phase-only encryption/decryption and fully integrated micro-optical implementations....

  19. [Influence of Detector Radiation Damage on CR Mammography Quality Control].

    Science.gov (United States)

    Moriwaki, Atsumi; Ishii, Mie; Terazono, Shiho; Arao, Keiko; Ishii, Rie; Sanada, Taizo; Yoshida, Akira

    2016-05-01

    Recently, radiation damage to the detector apparatus employed in computed radiography (CR) mammography has become problematic. The CR system and the imaging plate (IP) applied to quality control (QC) program were also used in clinical mammography in our hospital, and the IP to which radiation damage has occurred was used for approximately 5 years (approximately 13,000 exposures). We considered using previously acquired QC image data, which is stored in a server, to investigate the influence of radiation damage to an IP. The mammography unit employed in this study was a phase contrast mammography (PCM) Mermaid (KONICA MINOLTA) system. The QC image was made newly, and it was output in the film, and thereafter the optical density of the step-phantom image was measured. An input (digital value)-output (optical density) conversion curve was plotted using the obtained data. The digital values were then converted to optical density values using a reference optical density vs. digital value curve. When a high radiation dose was applied directly, radiation damage occurred at a position on the IP where no object was present. Daily QC for mammography is conducted using an American College of Radiology (ACR) accreditation phantom and acrylic disc, and an environmental background density measurement is performed as one of the management indexes. In this study, the radiation damage sustained by the acrylic disc was shown to differ from that of the background. Thus, it was revealed that QC results are influenced by radiation damage.

  20. Mobile measurement setup according to IEC 62220-1-2 for DQE determination on digital mammography systems

    Science.gov (United States)

    Greiter, Matthias B.; Hoeschen, Christoph

    2010-04-01

    The international standard IEC 62220-1-2 defines the measurement procedure for determination of the detective quantum efficiency (DQE) of digital x-ray imaging devices used in mammography. A mobile setup complying to this standard and adaptable to most current systems was constructed in the Helmholtz Zentrum München to allow for an objective technical comparison of current full field digital mammography units employed in mammography screening in Germany. This article demonstrates the setup's capabilities with a focus on the measurement uncertainties of all quantities contributing to DQE measurements. Evaluation of uncertainties encompasses results from measurements on a Sectra Microdose Mammography in clinical use, as well as on a prototype of a Fujifilm Amulet system at various radiation qualities. Both systems have a high spatial resolution of 50 μm × 50 μm. The modulation transfer function (MTF), noise power spectrum (NPS) and DQE of the Sectra MDM are presented in comparison to results previously published by other authors.

  1. The Impact of Acquisition Dose on Quantitative Breast Density Estimation with Digital Mammography: Results from ACRIN PA 4006.

    Science.gov (United States)

    Chen, Lin; Ray, Shonket; Keller, Brad M; Pertuz, Said; McDonald, Elizabeth S; Conant, Emily F; Kontos, Despina

    2016-09-01

    Purpose To investigate the impact of radiation dose on breast density estimation in digital mammography. Materials and Methods With institutional review board approval and Health Insurance Portability and Accountability Act compliance under waiver of consent, a cohort of women from the American College of Radiology Imaging Network Pennsylvania 4006 trial was retrospectively analyzed. All patients underwent breast screening with a combination of dose protocols, including standard full-field digital mammography, low-dose digital mammography, and digital breast tomosynthesis. A total of 5832 images from 486 women were analyzed with previously validated, fully automated software for quantitative estimation of density. Clinical Breast Imaging Reporting and Data System (BI-RADS) density assessment results were also available from the trial reports. The influence of image acquisition radiation dose on quantitative breast density estimation was investigated with analysis of variance and linear regression. Pairwise comparisons of density estimations at different dose levels were performed with Student t test. Agreement of estimation was evaluated with quartile-weighted Cohen kappa values and Bland-Altman limits of agreement. Results Radiation dose of image acquisition did not significantly affect quantitative density measurements (analysis of variance, P = .37 to P = .75), with percent density demonstrating a high overall correlation between protocols (r = 0.88-0.95; weighted κ = 0.83-0.90). However, differences in breast percent density (1.04% and 3.84%, P digital mammography are not substantially affected by variations in radiation dose; thus, the use of low-dose techniques for the purpose of density estimation may be feasible. (©) RSNA, 2016 Online supplemental material is available for this article.

  2. Diagnostic accuracy of digital mammography versus tomosynthesis: effect of radiologists' experience

    Science.gov (United States)

    Zanca, F.; Wallis, M.; Moa, E.; Leifland, K.; Danielsson, M.; Oyen, R.; Bosmans, H.

    2012-02-01

    Purpose: To investigate whether readers' experience affects performance in a study comparing 2D digital mammography (2D) with 2-view (CC and MLO) or 1-view (MLO) tomosynthesis. Materials and Methods: One-hundred-thirty 2D cases were collected from screening assessment and referral clinics; 64 of the cases had verified abnormalities and the remaining were confirmed normal. Two-view tomosynthesis images were obtained from the same patients. Ten accredited readers (5 with >= 10 years experience in mammography and 5 with time. Results: No significant difference was reached between 2D and 2-view tomosynthesis for experienced readers (pvalue= 0.25); for less experienced readers the p-value was significant (0.03). No significant difference was found between 2D and 1-view tomosynthesis, independent of readers' experience. RR for benign cases decreased for tomosynthesis (for booth 1- and 2-view), independent of experience. Average reading time per case was 79 s (range 65- 91 s) and 134 s (range 119-158 s) for experienced readers; 56 s (range 46-67 s) and 115s (range 97-142 s) for nonexperienced, for 2D and 2-view tomosynthesis respectively. Reading time was 74 s (range 43-98 s) and 99 s (range 73- 117 s) for experienced readers; 74 s (range 62-85 s) and 94 s (range 82-137 s) for non-experienced, for 2D and 1-view tomosynthesis respectively. Conclusions: For experienced readers, there is no evidence of improved diagnostic accuracy when using 2-view or 1- view tomosynthesis, while less experienced readers perform better with 2-view tomosynthesis than 2D images. Tomosynthesis reduces the number of recall of benign cases, without hindering cancer detection.

  3. Computer-aided detection of breast carcinoma in standard mammographic projections with digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Destounis, Stamatia [Elizabeth Wende Breast Care, LLC, Rochester, NY (United States); University of Rochester, School of Medicine and Dentistry, Rochester, NY (United States); Hanson, Sarah; Morgan, Renee; Murphy, Philip; Somerville, Patricia; Seifert, Posy; Andolina, Valerie; Arieno, Andrea; Skolny, Melissa; Logan-Young, Wende [Elizabeth Wende Breast Care, LLC, Rochester, NY (United States)

    2009-06-15

    A retrospective evaluation of the ability of computer-aided detection (CAD) ability to identify breast carcinoma in standard mammographic projections. Forty-five biopsy proven lesions in 44 patients imaged digitally with CAD applied at examination were reviewed. Forty-four screening BIRADS {sup registered} category 1 digital mammography examinations were randomly identified to serve as a comparative normal/control population. Data included patient age; BIRADS {sup registered} breast density; lesion type, size, and visibility; number, type, and location of CAD marks per image; CAD ability to mark lesions; needle core and surgical pathologic correlation. The CAD lesion/case sensitivity of 87% (n=39), image sensitivity of 69% (n=31) for mediolateral oblique view and 78% (n=35) for the craniocaudal view was found. The average false positive rate in 44 normal screening cases was 2.0 (range 1-8). The 2.0 figure is based on 88 reported false positive CAD marks in 44 normal screening exams: 98% (n=44) lesions proceeded to excision; initial pathology upgraded at surgical excision from in situ to invasive disease in 24% (n=9) lesions. CAD demonstrated potential to detect mammographically visible cancers in standard projections for all lesion types. (orig.)

  4. Image-quality performance of an a-Si H-based X-ray imaging system for digital mammography

    CERN Document Server

    Darambara, D G; Speller, R D

    2002-01-01

    We have been investigating the potential of large area active matrix flat-panel a-Si : H imaging arrays for full-field digital X-ray mammography. To optimise the overall performance of such an imaging system under mammographic conditions, four different Gd sub 2 O sub 2 S : Tb phosphor screens (i.e. Lanex Fast-Back, Regular, Fine and MinR-2000) were employed and our full-field detector was integrated with the Feinfocus DIMA (Direct Magnification) PLUS MII mammographic unit. The spatial resolution and the image noise of the digital detector were measured and the X-ray imaging performance of the whole system was also evaluated with two mammographic phantoms. It was deduced from the results of this study that Regular screen offers the best compromise between sensitivity and spatial resolution and exhibits better overall image-quality performance than that of a conventional mammography system.

  5. Radiologists' preferences for digital mammographic display. The International Digital Mammography Development Group.

    Science.gov (United States)

    Pisano, E D; Cole, E B; Major, S; Zong, S; Hemminger, B M; Muller, K E; Johnston, R E; Walsh, R; Conant, E; Fajardo, L L; Feig, S A; Nishikawa, R M; Yaffe, M J; Williams, M B; Aylward, S R

    2000-09-01

    To determine the preferences of radiologists among eight different image processing algorithms applied to digital mammograms obtained for screening and diagnostic imaging tasks. Twenty-eight images representing histologically proved masses or calcifications were obtained by using three clinically available digital mammographic units. Images were processed and printed on film by using manual intensity windowing, histogram-based intensity windowing, mixture model intensity windowing, peripheral equalization, multiscale image contrast amplification (MUSICA), contrast-limited adaptive histogram equalization, Trex processing, and unsharp masking. Twelve radiologists compared the processed digital images with screen-film mammograms obtained in the same patient for breast cancer screening and breast lesion diagnosis. For the screening task, screen-film mammograms were preferred to all digital presentations, but the acceptability of images processed with Trex and MUSICA algorithms were not significantly different. All printed digital images were preferred to screen-film radiographs in the diagnosis of masses; mammograms processed with unsharp masking were significantly preferred. For the diagnosis of calcifications, no processed digital mammogram was preferred to screen-film mammograms. When digital mammograms were preferred to screen-film mammograms, radiologists selected different digital processing algorithms for each of three mammographic reading tasks and for different lesion types. Soft-copy display will eventually allow radiologists to select among these options more easily.

  6. Full breast digital mammography with an amorphous silicon-based flat panel detector: Physical characteristics of a clinical prototype

    OpenAIRE

    2000-01-01

    The physical characteristics of a clinical prototype amorphous silicon-based flat panel imager for full-breast digital mammography have been investigated. The imager employs a thin thallium doped CsI scintillator on an amorphous silicon matrix of detector elements with a pixel pitch of 100 μm. Objective criteria such as modulation transfer function (MTF), noise power spectrum, detective quantum efficiency (DQE), and noise equivalent quanta were employed for this evaluation. The presampling MT...

  7. Breast Imaging Reporting and Data System (BI-RADS) breast composition descriptors: Automated measurement development for full field digital mammography

    OpenAIRE

    Fowler, E. E.; Sellers, T.A.; Lu, B.; Heine, J.J.

    2013-01-01

    Purpose: The Breast Imaging Reporting and Data System (BI-RADS) breast composition descriptors are used for standardized mammographic reporting and are assessed visually. This reporting is clinically relevant because breast composition can impact mammographic sensitivity and is a breast cancer risk factor. New techniques are presented and evaluated for generating automated BI-RADS breast composition descriptors using both raw and calibrated full field digital mammography (FFDM) image data.

  8. Differences in radiological patterns, tumour characteristics and diagnostic precision between digital mammography and screen-film mammography in four breast cancer screening programmes in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Domingo, Laia; Sala, Maria [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Universitat Autonoma de Barcelona (UAB), EHEA Doctoral Program in Public Health. Department of Pediatrics, Obstetrics and Gynecology, Preventive Medicine and Public Health, Barcelona (Spain); Romero, Anabel; Belvis, Francesc; Macia, Francesc; Castells, Xavier [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Sanchez, Mar [Government of Cantabria, General Directorate of Public Health, Department of Health, Santander (Spain); Ferrer, Joana [Radiology Unit. Hospital Santa Caterina, Girona (Spain); Salas, Dolores; Ibanez, Josefa [General Directorate Public Health and Centre for Public Health Research (CSISP), Valencia (Spain); Vega, Alfonso [Hospital Universitario Marques de Valdecilla, Radiology Unit, Santander (Spain); Ferrer, Francesc [Hospital del Mar, Radiology and Nuclear Medicine Service, Barcelona (Spain); Laso, M.S. [Breast Cancer Screening Unit Burjassot, Valencia (Spain)

    2011-09-15

    To compare tumour characteristics between cancers detected with screen-film mammography (SFM) and digital mammography (DM) and to evaluate changes in positive predictive values (PPVs) for further assessments, for invasive procedures and for distinct radiological patterns in recalled women. 242,838 screening mammograms (171,191 SFM and 71,647 DM) from 103,613 women aged 45-69 years, performed in four population-based breast cancer screening programmes in Spain, were included. The tumour characteristics and PPVs of each group were compared. Radiological patterns (masses, calcifications, distortions and asymmetries) among recalled women were described and PPVs were evaluated. The percentages of ductal carcinoma in situ (DCIS) were higher in DM than in SFM both in the first [18.5% vs. 15.8%(p = 0.580)] and in successive screenings [23.2% vs. 15.7%(p = 0.115)]. PPVs for masses, asymmetries and calcifications were higher in DM, being statistically significant in masses (5.3% vs. 3.9%; proportion ratio: 1.37 95%CI: 1.08-1.72). Among cancers detected by calcifications, the percentage of DCIS was higher in DM (60.3% vs. 46.4%, p = 0.060). PPVs were higher when DM was used, both for further assessments and for invasive procedures, with similar cancer detection rates and no statistically significant differences in tumour characteristics. The greatest improvements in PPVs were found for masses. (orig.)

  9. A novel approach to background subtraction in contrast-enhanced dual-energy digital mammography with commercially available mammography devices: Polychromaticity correction.

    Science.gov (United States)

    Contillo, Adriano; Di Domenico, Giovanni; Cardarelli, Paolo; Gambaccini, Mauro; Taibi, Angelo

    2015-11-01

    Contrast-enhanced digital mammography is an image subtraction technique that is able to improve the detectability of lesions in dense breasts. One of the main sources of error, when the technique is performed by means of commercial mammography devices, is represented by the intrinsic polychromaticity of the x-ray beams. The aim of the work is to propose an iterative procedure, which only assumes the knowledge of a small set of universal quantities, to take into account the polychromaticity and correct the subtraction results accordingly. In order to verify the procedure, it has been applied to an analytical simulation of a target containing a contrast medium and to actual radiographs of a breast phantom containing cavities filled with a solution of the same medium. The reconstructed densities of contrast medium were compared, showing very good agreement between the theoretical predictions and the experimental results already after the first iteration. Furthermore, the convergence of the iterative procedure was studied, showing that only a small number of iterations is necessary to reach limiting values. The proposed procedure represents an efficient solution to the polychromaticity issue, qualifying therefore as a viable alternative to inverse-map functions.

  10. A novel approach to background subtraction in contrast-enhanced dual-energy digital mammography with commercially available mammography devices: Polychromaticity correction

    Energy Technology Data Exchange (ETDEWEB)

    Contillo, Adriano, E-mail: contillo@fe.infn.it; Di Domenico, Giovanni; Cardarelli, Paolo; Gambaccini, Mauro; Taibi, Angelo [Dipartimento di Fisica e Scienze della Terra, Università degli Studi di Ferrara, Via Saragat 1, Ferrara I-44122 (Italy)

    2015-11-15

    Purpose: Contrast-enhanced digital mammography is an image subtraction technique that is able to improve the detectability of lesions in dense breasts. One of the main sources of error, when the technique is performed by means of commercial mammography devices, is represented by the intrinsic polychromaticity of the x-ray beams. The aim of the work is to propose an iterative procedure, which only assumes the knowledge of a small set of universal quantities, to take into account the polychromaticity and correct the subtraction results accordingly. Methods: In order to verify the procedure, it has been applied to an analytical simulation of a target containing a contrast medium and to actual radiographs of a breast phantom containing cavities filled with a solution of the same medium. Results: The reconstructed densities of contrast medium were compared, showing very good agreement between the theoretical predictions and the experimental results already after the first iteration. Furthermore, the convergence of the iterative procedure was studied, showing that only a small number of iterations is necessary to reach limiting values. Conclusions: The proposed procedure represents an efficient solution to the polychromaticity issue, qualifying therefore as a viable alternative to inverse-map functions.

  11. Physical and psychophysical characterization of a novel clinical system for digital mammography.

    Science.gov (United States)

    Rivetti, Stefano; Lanconelli, Nico; Bertolini, Marco; Borasi, Giovanni; Golinelli, Paola; Acchiappati, Domenico; Gallo, Ennio

    2009-11-01

    In recent years, many approaches have been investigated on the development of full-field digital mammography detectors and implemented in practical clinical systems. Some of the most promising techniques are based on flat panel detectors, which, depending on the mechanism involved in the x-ray detection, can be grouped into direct and indirect flat panels. Direct detectors display a better spatial resolution due to the direct conversion of x rays into electron-hole pairs, which do not need an intermediate production of visible light. In these detectors the readout is usually achieved through arrays of thin film transistors (TFTs). However, TFT readout tends to display noise characteristics worse than those from indirect detectors. To address this problem, a novel clinical system for digital mammography has been recently marketed based on direct-conversion detector and optical readout. This unit, named AMULET and manufactured by FUJIFILM, is based on a dual layer of amorphous selenium that acts both as a converter of x rays (first layer) and as an optical switch for the readout of signals (second layer) powered by a line light source. The optical readout is expected to improve the noise characteristics of the detector. The aim is to obtain images with high resolution and low noise, thanks to the combination of optical switching technology and direct conversion with amorphous selenium. In this article, the authors present a characterization of an AMULET system. The characterization was achieved in terms of physical figures as modulation transfer function (MTF), noise power spectra (NPS), detective quantum efficiency (DQE), and contrast-detail analysis. The clinical unit was tested by exposing it to two different beams: 28 kV Mo/Mo (namely, RQA-M2) and 28 kV W/Rh (namely, W/Rh). MTF values of the system are slightly worse than those recorded from other direct-conversion flat panels but still within the range of those from indirect flat panels: The MTF values of the

  12. Physical and psychophysical characterization of a novel clinical system for digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Rivetti, Stefano; Lanconelli, Nico; Bertolini, Marco; Borasi, Giovanni; Golinelli, Paola; Acchiappati, Domenico; Gallo, Ennio [Department of Physics, Alma Mater Studiorum, University of Bologna, Bologna 40127 (Italy) and Struttura Complessa di Fisica, Sanitaria ' ' Azienda USL di Modena' ' , Modena 41100 (Italy); Department of Physics, Alma Mater Studiorum, University of Bologna, Bologna 40127 (Italy); Arcispedale Santa Maria Nuova, Reggio Emilia 42123 (Italy); Struttura Complessa di Fisica, Sanitaria ' ' Azienda USL di Modena' ' , Modena 41100 (Italy); Department of Radiology, Azienda Ospedaliera Universitaria Policlinico di Modena, Modena 41100 (Italy)

    2009-11-15

    Purpose: In recent years, many approaches have been investigated on the development of full-field digital mammography detectors and implemented in practical clinical systems. Some of the most promising techniques are based on flat panel detectors, which, depending on the mechanism involved in the x-ray detection, can be grouped into direct and indirect flat panels. Direct detectors display a better spatial resolution due to the direct conversion of x rays into electron-hole pairs, which do not need an intermediate production of visible light. In these detectors the readout is usually achieved through arrays of thin film transistors (TFTs). However, TFT readout tends to display noise characteristics worse than those from indirect detectors. To address this problem, a novel clinical system for digital mammography has been recently marketed based on direct-conversion detector and optical readout. This unit, named AMULET and manufactured by FUJIFILM, is based on a dual layer of amorphous selenium that acts both as a converter of x rays (first layer) and as an optical switch for the readout of signals (second layer) powered by a line light source. The optical readout is expected to improve the noise characteristics of the detector. The aim is to obtain images with high resolution and low noise, thanks to the combination of optical switching technology and direct conversion with amorphous selenium. In this article, the authors present a characterization of an AMULET system. Methods: The characterization was achieved in terms of physical figures as modulation transfer function (MTF), noise power spectra (NPS), detective quantum efficiency (DQE), and contrast-detail analysis. The clinical unit was tested by exposing it to two different beams: 28 kV Mo/Mo (namely, RQA-M2) and 28 kV W/Rh (namely, W/Rh). Results: MTF values of the system are slightly worse than those recorded from other direct-conversion flat panels but still within the range of those from indirect flat

  13. Automated Breast Density Computation in Digital Mammography and Digital Breast Tomosynthesis: Influence on Mean Glandular Dose and BIRADS Density Categorization.

    Science.gov (United States)

    Castillo-García, Maria; Chevalier, Margarita; Garayoa, Julia; Rodriguez-Ruiz, Alejandro; García-Pinto, Diego; Valverde, Julio

    2017-07-01

    The study aimed to compare the breast density estimates from two algorithms on full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT) and to analyze the clinical implications. We selected 561 FFDM and DBT examinations from patients without breast pathologies. Two versions of a commercial software (Quantra 2D and Quantra 3D) calculated the volumetric breast density automatically in FFDM and DBT, respectively. Other parameters such as area breast density and total breast volume were evaluated. We compared the results from both algorithms using the Mann-Whitney U non-parametric test and the Spearman's rank coefficient for data correlation analysis. Mean glandular dose (MGD) was calculated following the methodology proposed by Dance et al. Measurements with both algorithms are well correlated (r ≥ 0.77). However, there are statistically significant differences between the medians (P BIRADS (Breast Imaging-Reporting and Data System) b and c categories, respectively. There are no significant differences between the MGD calculated using the breast density from each algorithm. DBT delivers higher MGD than FFDM, with a lower difference (5%) for breasts in the BIRADS d category. MGD is, on average, 6% higher than values obtained with the breast glandularity proposed by Dance et al. Breast density measurements from both algorithms lead to equivalent BIRADS classification and MGD values, hence showing no difference in clinical outcomes. The median MGD values of FFDM and DBT examinations are similar for dense breasts (BIRADS d category). Published by Elsevier Inc.

  14. Validation of a modified PENELOPE Monte Carlo code for applications in digital and dual-energy mammography

    Science.gov (United States)

    Del Lama, L. S.; Cunha, D. M.; Poletti, M. E.

    2017-08-01

    The presence and morphology of microcalcification clusters are the main point to provide early indications of breast carcinomas. However, the visualization of those structures may be jeopardized due to overlapping tissues even for digital mammography systems. Although digital mammography is the current standard for breast cancer diagnosis, further improvements should be achieved in order to address some of those physical limitations. One possible solution for such issues is the application of the dual-energy technique (DE), which is able to highlight specific lesions or cancel out the tissue background. In this sense, this work aimed to evaluate several quantities of interest in radiation applications and compare those values with works present in the literature to validate a modified PENELOPE code for digital mammography applications. For instance, the scatter-to-primary ratio (SPR), the scatter fraction (SF) and the normalized mean glandular dose (DgN) were evaluated by simulations and the resulting values were compared to those found in earlier studies. Our results present a good correlation for the evaluated quantities, showing agreement equal or better than 5% for the scatter and dosimetric-related quantities when compared to the literature. Finally, a DE imaging chain was simulated and the visualization of microcalcifications was investigated.

  15. The simulation of 3D mass models in 2D digital mammography and breast tomosynthesis

    Energy Technology Data Exchange (ETDEWEB)

    Shaheen, Eman, E-mail: eman.shaheen@uzleuven.be; De Keyzer, Frederik; Bosmans, Hilde; Ongeval, Chantal Van [Department of Radiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven (Belgium); Dance, David R.; Young, Kenneth C. [National Coordinating Centre for the Physics of Mammography, Royal Surrey County Hospital, Guildford GU2 7XX, United Kingdom and Department of Physics, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford GU2 7XH (United Kingdom)

    2014-08-15

    Purpose: This work proposes a new method of building 3D breast mass models with different morphological shapes and describes the validation of the realism of their appearance after simulation into 2D digital mammograms and breast tomosynthesis images. Methods: Twenty-five contrast enhanced MRI breast lesions were collected and each mass was manually segmented in the three orthogonal views: sagittal, coronal, and transversal. The segmented models were combined, resampled to have isotropic voxel sizes, triangularly meshed, and scaled to different sizes. These masses were referred to as nonspiculated masses and were then used as nuclei onto which spicules were grown with an iterative branching algorithm forming a total of 30 spiculated masses. These 55 mass models were projected into 2D projection images to obtain mammograms after image processing and into tomographic sequences of projection images, which were then reconstructed to form 3D tomosynthesis datasets. The realism of the appearance of these mass models was assessed by five radiologists via receiver operating characteristic (ROC) analysis when compared to 54 real masses. All lesions were also given a breast imaging reporting and data system (BIRADS) score. The data sets of 2D mammography and tomosynthesis were read separately. The Kendall's coefficient of concordance was used for the interrater observer agreement assessment for the BIRADS scores per modality. Further paired analysis, using the Wilcoxon signed rank test, of the BIRADS assessment between 2D and tomosynthesis was separately performed for the real masses and for the simulated masses. Results: The area under the ROC curves, averaged over all observers, was 0.54 (95% confidence interval [0.50, 0.66]) for the 2D study, and 0.67 (95% confidence interval [0.55, 0.79]) for the tomosynthesis study. According to the BIRADS scores, the nonspiculated and the spiculated masses varied in their degrees of malignancy from normal (BIRADS 1) to highly

  16. The simulation of 3D mass models in 2D digital mammography and breast tomosynthesis.

    Science.gov (United States)

    Shaheen, Eman; De Keyzer, Frederik; Bosmans, Hilde; Dance, David R; Young, Kenneth C; Van Ongeval, Chantal

    2014-08-01

    This work proposes a new method of building 3D breast mass models with different morphological shapes and describes the validation of the realism of their appearance after simulation into 2D digital mammograms and breast tomosynthesis images. Twenty-five contrast enhanced MRI breast lesions were collected and each mass was manually segmented in the three orthogonal views: sagittal, coronal, and transversal. The segmented models were combined, resampled to have isotropic voxel sizes, triangularly meshed, and scaled to different sizes. These masses were referred to as nonspiculated masses and were then used as nuclei onto which spicules were grown with an iterative branching algorithm forming a total of 30 spiculated masses. These 55 mass models were projected into 2D projection images to obtain mammograms after image processing and into tomographic sequences of projection images, which were then reconstructed to form 3D tomosynthesis datasets. The realism of the appearance of these mass models was assessed by five radiologists via receiver operating characteristic (ROC) analysis when compared to 54 real masses. All lesions were also given a breast imaging reporting and data system (BIRADS) score. The data sets of 2D mammography and tomosynthesis were read separately. The Kendall's coefficient of concordance was used for the interrater observer agreement assessment for the BIRADS scores per modality. Further paired analysis, using the Wilcoxon signed rank test, of the BIRADS assessment between 2D and tomosynthesis was separately performed for the real masses and for the simulated masses. The area under the ROC curves, averaged over all observers, was 0.54 (95% confidence interval [0.50, 0.66]) for the 2D study, and 0.67 (95% confidence interval [0.55, 0.79]) for the tomosynthesis study. According to the BIRADS scores, the nonspiculated and the spiculated masses varied in their degrees of malignancy from normal (BIRADS 1) to highly suggestive for malignancy (BIRADS 5

  17. Direct conversion Si and CdZnTe detectors for digital mammography

    CERN Document Server

    Yin Shi Shi; Maeding, D; Mainprize, J; Mawdsley, G; Yaffe, M J; Gordon, E E; Hamilton, W J

    2000-01-01

    Hybrid pixel detector arrays that convert X-rays directly into charge signals are under development at NOVA for application to digital mammography. This technology also has wide application possibilities in other fields of radiology or in industrial imaging, nondestructive evaluation (NDE) and nondestructive inspection (NDI). These detectors have potentially superior properties compared to either emulsion-based film-screen systems which has nonlinear response to X-rays, or phosphor-based detectors in which there is an intermediate step of X-ray to light photon conversion (Feig and Yaffe, Radiol. Clinics North America 33 (1995) 1205-1230). Potential advantages of direct conversion detectors are high quantum efficiencies (QE) of 98% or higher (for 0.3 mm thick CdZnTe detector with 20 keV X-rays), improved contrast, high sensitivity and low intrinsic noise. These factors are expected to contribute to high detective quantum efficiency (DQE). The prototype hybrid pixel detector developed has 50x50 mu m pixel size,...

  18. The influence of scattered photons on the accurate determination of microcalcification thickness in digital mammography

    CERN Document Server

    Grabskii, V; Grabski, Varlen; Brandan, Maria-Ester

    2004-01-01

    Our interest has been to study the effect that scattered radiation has on contrast, signal-to-noise ratio and thickness reconstruction in digital mammographies. Using the GEANT code we have performed Monte-Carlo simulations of 25 kVp Mo/Mo photons, through a breast phantom which contains a 0.2-1.0 mm thick microcalcifications incident on a 20x106 $mm^{2}$ pixelized detector. The data have been analyzed assuming 6 different shapes of the incident beam: a 0.2x0.2 $mm^{2}$ ``narrow'' beam, 4 different 20 mm long scanning beams of various widths, and a 20x100 $mm^{2}$ beam with no scatter reduction mechanisms (NSR) . Since the image of a point depends on scattered photons which passed up to 2 cm away from the object (for 4 cm thick phantom), we identify the background definition as a main source of systematic uncertainty in the image quality analysis. We propose the use of two dimensional functions (a polynomial for the background and Gaussians for the signal) for total photon transmission description. Our main r...

  19. Shape determination of microcalcifications in simulated digital mammography images with varying pixel size

    Science.gov (United States)

    Ruschin, Mark; Bath, Magnus; Hemdal, Bengt; Tingberg, Anders

    2005-04-01

    The purpose of this work was to study how the pixel size of digital detectors can affect shape determination of microcalcifications in mammography. Screen-film mammograms containing microcalcifications clinically proven to be indicative of malignancy were digitised at 100 lines/mm using a high-resolution Tango drum scanner. Forty microcalcifications were selected to cover an appropriate range of sizes, shapes and contrasts typically found of malignant cases. Based on the measured MTF and NPS of the combined screen-film and scanner system, these digitised images were filtered to simulate images acquired with a square sampling pixel size of 10 μm x 10 μm and a fill factor of one. To simulate images acquired with larger pixel sizes, these finely sampled images were re-binned to yield a range of effective pixel sizes from 20 μm up to 140 μm. An alternative forced-choice (AFC) observer experiment was conducted with eleven observers for this set of digitised microcalcifications to determine how pixel size affects the ability to discriminate shape. It was found that observer score increased with decreasing pixel size down to 60 μm (p<0.01), at which point no significant advantage was obtained by using smaller pixel sizes due to the excessive relative noise-per-pixel. The relative gain in shape discrimination ability at smaller pixel sizes was larger for microcalcifications that were smaller than 500 μm and circular.

  20. Parenchymal texture analysis in digital mammography: robust texture feature identification and equivalence across devices.

    Science.gov (United States)

    Keller, Brad M; Oustimov, Andrew; Wang, Yan; Chen, Jinbo; Acciavatti, Raymond J; Zheng, Yuanjie; Ray, Shonket; Gee, James C; Maidment, Andrew D A; Kontos, Despina

    2015-04-01

    An analytical framework is presented for evaluating the equivalence of parenchymal texture features across different full-field digital mammography (FFDM) systems using a physical breast phantom. Phantom images (FOR PROCESSING) are acquired from three FFDM systems using their automated exposure control setting. A panel of texture features, including gray-level histogram, co-occurrence, run length, and structural descriptors, are extracted. To identify features that are robust across imaging systems, a series of equivalence tests are performed on the feature distributions, in which the extent of their intersystem variation is compared to their intrasystem variation via the Hodges-Lehmann test statistic. Overall, histogram and structural features tend to be most robust across all systems, and certain features, such as edge enhancement, tend to be more robust to intergenerational differences between detectors of a single vendor than to intervendor differences. Texture features extracted from larger regions of interest (i.e., [Formula: see text]) and with a larger offset length (i.e., [Formula: see text]), when applicable, also appear to be more robust across imaging systems. This framework and observations from our experiments may benefit applications utilizing mammographic texture analysis on images acquired in multivendor settings, such as in multicenter studies of computer-aided detection and breast cancer risk assessment.

  1. Comparison of tissue equalization, and premium view post-processing methods in full field digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Chen Baoying, E-mail: chenby128@yahoo.co [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Wang Wei; Huang Jin; Zhao Ming; Cui Guangbin [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Xu Jing [Cell Engineering Research Centre and Department of Cell Biology, State Key Laboratory of Cancer Biology, Fourth Military Medical University, Changle West Road 169, 710032 Xi' an, Shaanxi (China); Guo Wei; Du Pang; Li Pei [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Yu Jun, E-mail: pclamper@163.co [Department of Preclinical Experiment Center, Fourth Military Medical University, Changle West Road 169, 710032 Xi' an, Shaanxi (China)

    2010-10-15

    Objective: To retrospectively evaluate the diagnostic abilities of 2 post-processing methods provided by GE Senographe DS system, tissue equalization (TE) and premium view (PV) in full field digital mammography (FFDM). Materials and methods: In accordance with the ethical standards of the World Medical Association, this study was approved by regional ethics committee and signed informed patient consents were obtained. We retrospectively reviewed digital mammograms from 101 women (mean age, 47 years; range, 23-81 years) in the modes of TE and PV, respectively. Three radiologists, fully blinded to the post-processing methods, all patient clinical information and histologic results, read images by using objective image interpretation criteria for diagnostic information end points such as lesion border delineation, definition of disease extent, visualization of internal and surrounding morphologic features of the lesions. Also, overall diagnostic impression in terms of lesion conspicuity, detectability and diagnostic confidence was assessed. Between-group comparisons were performed with Wilcoxon signed rank test. Results: Readers 1, 2, and 3 demonstrated significant overall better impression of PV in 29, 27, and 24 patients, compared with that for TE in 12, 13, and 11 patients, respectively (p < 0.05). Significant (p < 0.05) better impression of PV was also demonstrated for diagnostic information end points. Importantly, PV proved to be more sensitive than TE while detecting malignant lesions in dense breast rather than benign lesions and malignancy in non-dense breast (p < 0.01). Conclusion: PV compared with TE provides marked better diagnostic information in FFDM, particularly for patients with malignancy in dense breast.

  2. Characterization of invisible breast cancers in digital mammography and tomosynthesis: radio-pathological correlation.

    Science.gov (United States)

    Aguilar Angulo, P M; Romero Castellano, C; Ruiz Martín, J; Sánchez-Camacho González-Carrato, M P; Cruz Hernández, L M

    2017-09-21

    To review the radio-pathologic features of symptomatic breast cancers not detected at digital mammography (DM) and digital breast tomosynthesis (DBT). Retrospective analysis of 169 lesions from symptomatic patients with breast cancer that were studied with DM, DBT, ultrasound (US) and magnetic resonance (MR). We identified occult lesions (true false negatives) in DM and DBT. Clinical data, density, US and MR findings were analyzed as well as histopathological results. We identified seven occult lesions in DM and DBT. 57% (4/7) of the lesions were identified in high-density breasts (type c and d), and the rest of them in breasts of density type b. Six carcinomas were identified at US and MR (BI-RADS 4 masses); the remaining lesion was only identified at MR. The tumor size was larger than 3cm at MRI in 57% of the lesions. All tumors were ductal infiltrating carcinomas, six of them with high stromal proportion. According to molecular classification, we found only one triple-negative breast cancer, the other lesions were luminal-type. We analyzed the tumor margins of two resected carcinomas that were not treated with neoadjuvant chemotherapy, both lesions presented margins that displaced the adjacent parenchyma without infiltrating it. Occult breast carcinomas in DM and DBT accounted for 4% of lesions detected in patients with symptoms. They were mostly masses, all of them presented the diagnosis of infiltrating ductal carcinoma (with predominance of the luminal immunophenotype) and were detected in breasts of density type b, c and d. Copyright © 2017 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  3. Pathologic Outcomes of Architectural Distortion on Digital 2D Versus Tomosynthesis Mammography.

    Science.gov (United States)

    Bahl, Manisha; Lamb, Leslie R; Lehman, Constance D

    2017-08-23

    The purpose of this study is to compare the risk of malignancy associated with architectural distortion detected on 2D digital mammography (DM) versus digital breast tomosynthesis (DBT). We performed a retrospective review of architectural distortion cases recommended for biopsy from September 2007 to February 2011, the period before DBT integration (hereafter known as the DM group), and from January 2013 to June 2016, the period after DBT integration (hereafter known as the DBT group). Medical records were reviewed for imaging findings and pathology results. Architectural distortion was more commonly detected in the DBT group than the DM group (0.14% [274/202,438 examinations] vs 0.07% [121/166,661 examinations]; p < 0.001). The positive predictive value of architectural distortion for malignancy was significantly lower in the DBT group than the DM group (50.7% [139/274 cases] vs 73.6% [89/121 cases]; p < 0.001). Radial scar was the most common nonmalignant finding in both groups, but it was more common in the DBT group (33.2% [91/274] vs 11.6% [14/121]; p < 0.001). In the DBT group, architectural distortion without correlative findings on ultrasound was less likely to represent malignancy than was architectural distortion with correlative findings on ultrasound (29.2% [31/106] vs 66.5% [105/158]; p < 0.001). Architectural distortion is more commonly detected on DBT than DM and is less likely to represent malignancy on DBT. Architectural distortion on DBT is less likely to represent malignancy if there is no sonographic correlate; however, biopsy is warranted even in the absence of a sonographic correlate, given the nearly 30% risk of malignancy in this setting.

  4. Free software for performing physical analysis of systems for digital radiography and mammography

    Energy Technology Data Exchange (ETDEWEB)

    Donini, Bruno; Lanconelli, Nico, E-mail: nico.lanconelli@unibo.it [Alma Mater Studiorum, Department of Physics and Astronomy, University of Bologna, Bologna 40127 (Italy); Rivetti, Stefano [Fisica Medica, Ospedale di Sassuolo S.p.A., Sassuolo 41049 (Italy); Bertolini, Marco [Medical Physics Unit, Azienda Ospedaliera ASMN, Istituto di Ricovero e Cura a Carattere Scientifico, Reggio Emilia 42123 (Italy)

    2014-05-15

    Purpose: In this paper, the authors present a free software for assisting users in achieving the physical characterization of x-ray digital systems and image quality checks. Methods: The program was developed as a plugin of a well-known public-domain suite ImageJ. The software can assist users in calculating various physical parameters such as the response curve (also termed signal transfer property), modulation transfer function (MTF), noise power spectra (NPS), and detective quantum efficiency (DQE). It also includes the computation of some image quality checks: defective pixel analysis, uniformity, dark analysis, and lag. Results: The software was made available in 2009 and has been used during the last couple of years by many users who gave us valuable feedback for improving its usability. It was tested for achieving the physical characterization of several clinical systems for digital radiography and mammography. Various published papers made use of the outcomes of the plugin. Conclusions: This software is potentially beneficial to a variety of users: physicists working in hospitals, staff working in radiological departments, such as medical physicists, physicians, engineers. The plugin, together with a brief user manual, are freely available and can be found online ( http://www.medphys.it/downloads.htm ). With our plugin users can estimate all three most important parameters used for physical characterization (MTF, NPS, and also DQE). The plugin can run on any operating system equipped with ImageJ suite. The authors validated the software by comparing MTF and NPS curves on a common set of images with those obtained with other dedicated programs, achieving a very good agreement.

  5. Evaluation of the weekly quality control of a digital mammography machine; Evaluacion del control de calidad semanal de un mamografo digital

    Energy Technology Data Exchange (ETDEWEB)

    Angulo Pain, E.; Ramos Caballero, L. J.; Urena Llinares, A.; Iborra Oquendo, M. A.; Quinones Rodriguez, L. A.; Castro Ramirez, I.; Gonzalez Aquino, P.; Aguirre Huelga, M. J.

    2013-07-01

    In the new edition of the PCCRD (2011) has been established as weekly quality control testing for digital mammography equipment the analysis of artifacts from the team and defective items in the DR, the constancy of the functioning of the CAE, the accuracy of the thickness determined by the compression system, constancy in the uniformity and quality of the image. The objective of the study is to evaluate data collected during the first year of operation of the equipment. (Author)

  6. Monte Carlo derivation of filtered tungsten anode X-ray spectra for dose computation in digital mammography*

    Science.gov (United States)

    Paixão, Lucas; Oliveira, Bruno Beraldo; Viloria, Carolina; de Oliveira, Marcio Alves; Teixeira, Maria Helena Araújo; Nogueira, Maria do Socorro

    2015-01-01

    Objective Derive filtered tungsten X-ray spectra used in digital mammography systems by means of Monte Carlo simulations. Materials and Methods Filtered spectra for rhodium filter were obtained for tube potentials between 26 and 32 kV. The half-value layer (HVL) of simulated filtered spectra were compared with those obtained experimentally with a solid state detector Unfors model 8202031-H Xi R/F & MAM Detector Platinum and 8201023-C Xi Base unit Platinum Plus w mAs in a Hologic Selenia Dimensions system using a direct radiography mode. Results Calculated HVL values showed good agreement as compared with those obtained experimentally. The greatest relative difference between the Monte Carlo calculated HVL values and experimental HVL values was 4%. Conclusion The results show that the filtered tungsten anode X-ray spectra and the EGSnrc Monte Carlo code can be used for mean glandular dose determination in mammography. PMID:26811553

  7. Grid-Based Fourier Transform Phase Contrast Imaging

    Science.gov (United States)

    Tahir, Sajjad

    Low contrast in x-ray attenuation imaging between different materials of low electron density is a limitation of traditional x-ray radiography. Phase contrast imaging offers the potential to improve the contrast between such materials, but due to the requirements on the spatial coherence of the x-ray beam, practical implementation of such systems with tabletop (i.e. non-synchrotron) sources has been limited. One recently developed phase imaging technique employs multiple fine-pitched gratings. However, the strict manufacturing tolerances and precise alignment requirements have limited the widespread adoption of grating-based techniques. In this work, we have investigated a technique recently demonstrated by Bennett et al. that utilizes a single grid of much coarser pitch. Our system consisted of a low power 100 microm spot Mo source, a CCD with 22 microm pixel pitch, and either a focused mammography linear grid or a stainless steel woven mesh. Phase is extracted from a single image by windowing and comparing data localized about harmonics of the grid in the Fourier domain. A Matlab code was written to perform the image processing. For the first time, the effects on the diffraction phase contrast and scattering amplitude images of varying grid types and periods, and of varying the window function type used to separate the harmonics, and the window widths, were investigated. Using the wire mesh, derivatives of the phase along two orthogonal directions were obtained and new methods investigated to form improved phase contrast images.

  8. Mesh-based phase contrast Fourier transform imaging

    Science.gov (United States)

    Tahir, Sajjad; Bashir, Sajid; MacDonald, C. A.; Petruccelli, Jonathan C.

    2017-04-01

    Traditional x-ray radiography is limited by low attenuation contrast in materials of low electron density. Phase contrast imaging offers the potential to improve the contrast between such materials, but due to the requirements on the spatial coherence of the x-ray beam, practical implementation of such systems with tabletop (i.e. non-synchrotron) sources has been limited. One phase imaging technique employs multiple fine-pitched gratings. However, the strict manufacturing tolerances and precise alignment requirements have limited the widespread adoption of grating-based techniques. In this work, we have investigated a recently developed technique that utilizes a single grid of much coarser pitch. Our system consisted of a low power 100 μm spot Mo source, a CCD with 22 μm pixel pitch, and either a focused mammography linear grid or a stainless steel woven mesh. Phase is extracted from a single image by windowing and comparing data localized about harmonics of the mesh in the Fourier domain. The effects on the diffraction phase contrast and scattering amplitude images of varying grid types and periods, and of varying the width of the window function used to separate the harmonics were investigated. Using the wire mesh, derivatives of the phase along two orthogonal directions were obtained and combined to form improved phase contrast images.

  9. Anatomical noise in contrast-enhanced digital mammography. Part II. Dual-energy imaging

    Energy Technology Data Exchange (ETDEWEB)

    Hill, Melissa L.; Yaffe, Martin J. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada and Department of Medical Biophysics, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Mainprize, James G. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Carton, Ann-Katherine; Saab-Puong, Sylvie; Iordache, Răzvan; Muller, Serge [GE Healthcare, 283 rue de la Minière, Buc 78530 (France); Jong, Roberta A. [Breast Imaging, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Dromain, Clarisse [Department of Radiology, Institut Gustave Roussy, 39 rue Camille Desmoulin, Villejuif 94805 (France)

    2013-08-15

    Purpose: Dual-energy (DE) contrast-enhanced digital mammography (CEDM) uses an iodinated contrast agent in combination with digital mammography (DM) to evaluate lesions on the basis of tumor angiogenesis. In DE imaging, low-energy (LE) and high-energy (HE) images are acquired after contrast administration and their logarithms are subtracted to cancel the appearance of normal breast tissue. Often there is incomplete signal cancellation in the subtracted images, creating a background “clutter” that can impair lesion detection. This is the second component of a two-part report on anatomical noise in CEDM. In Part I the authors characterized the anatomical noise for single-energy (SE) temporal subtraction CEDM by a power law, with model parameters α and β. In this work the authors quantify the anatomical noise in DE CEDM clinical images and compare this with the noise in SE CEDM. The influence on the anatomical noise of the presence of iodine in the breast, the timing of imaging postcontrast administration, and the x-ray energy used for acquisition are each evaluated.Methods: The power law parameters, α and β, were measured from unprocessed LE and HE images and from DE subtracted images to quantify the anatomical noise. A total of 98 DE CEDM cases acquired in a previous clinical pilot study were assessed. Conventional DM images from 75 of the women were evaluated for comparison with DE CEDM. The influence of the imaging technique on anatomical noise was determined from an analysis of differences between the power law parameters as measured in DM, LE, HE, and DE subtracted images for each subject.Results: In DE CEDM, weighted image subtraction lowers β to about 1.1 from 3.2 and 3.1 in LE and HE unprocessed images, respectively. The presence of iodine has a small but significant effect in LE images, reducing β by about 0.07 compared to DM, with α unchanged. Increasing the x-ray energy, from that typical in DM to a HE beam, significantly decreases α by about 2

  10. Physical characteristics of GE Senographe Essential and DS digital mammography detectors.

    Science.gov (United States)

    Ghetti, Caterina; Borrini, Adriano; Ortenzia, Ornella; Rossi, Raffaella; Ordóñez, Pedro L

    2008-02-01

    The purpose of this study was to investigate physical characteristics of two full field digital mammography (FFDM) systems (GE Senographe Essential and DS). Both are indirect conversion (x ray to light) alpha-Si flat panels coupled with a CsI(Tl) scintillator. The examined systems have the same pixel size (100 microm) but a different field of view: a conventional size 23 x 19.2 cm2 and a large field 24 X 30.7 cm2, specifically designed to image large breasts. In the GE Senographe Essential model relevant improvements in flat panel design were implemented and new deposition tools for metal, alpha-Si, and CsI(Tl) were introduced by GE. These changes in detector design are expected to be beneficial for advanced applications such as breast tomosynthesis. The presampling modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) were measured for a wide range of exposure (25-240 microGy) with a RQA-M2 technique (28 kVp with a Mo/Mo target/filter combination and 2 mm of additional aluminum filtration). At 1, 2, and at 4 lp/mm MTF is equal to 0.9, 0.76, and 0.46 for the conventional field detector and to 0.85, 0.59, and 0.24 for the large field detector. The latter detector exhibits an improved NNPS due to a lower electronic noise and a better DQE that reaches 60%. In addition a contrast-detail analysis was performed with CDMAM 3.4 phantom and CDCOM software: GE Senographe DS showed statistically significant poorer detection ability in comparison with the GE Senographe Essential. These results could have been expected, at least qualitatively, considering the relative DQE of the two systems.

  11. Computer-aided detection of breast carcinoma in standard mammographic projections with digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Destounis, S.; Hanson, S. [Elizabeth Wende Breast Clinic, Rochester (United States)

    2007-06-15

    This study was conducted to retrospectively evaluate a computer-aided detection system's ability to detect breast carcinoma in multiple standard mammographic projections. Forty-five lesions in 44 patients imaged with digital mammography (Selenia {sup registered}, Hologic, Bedford, MA; Senographe {sup registered}, GE, Milwaukee, WI) and had computer-aided detection (CAD, Image-checker {sup registered} V 8.3.15, Hologic/R2, Santa Clara, CA) applied at the time of examination were identified for review; all were subsequently recommended to biopsy where cancer was revealed. These lesions were determined by the study Radiologist to be visible in both standard mammographic images (mediolateral oblique, MLO; craniocaudal, CC). For each patient, case data included patient age, tissue density, lesion type, BIRADS {sup registered} assessment, lesion size, lesion visibility-visible on MLO and/or CC view, ability of CAD to correctly mark the cancerous lesion, number of CAD marks per image, needle core biopsy results and surgical pathologic correlation. For this study cohort. CAD lesion/case sensitivity of 87% (n = 39) was found and image sensitivity was found to be 69% (n = 31) for MLO view and 78% (n = 35) for the CC view. For the study cohort, cases presented with a median of four marks per cases (range 0-13). Eighty-four percent (n = 38) of lesions proceeded to excision; initial needle biopsy pathology was upgraded at surgical excision from in situ disease to invasive for 24% (n = 9) lesions. CAD has demonstrated the potential to detect mammographically visible cancers in multiple standard mammographic projections in all categories of lesions in this study cohort. (orig.)

  12. Digital mammography--DQE versus optimized image quality in clinical environment: an on site study

    Science.gov (United States)

    Oberhofer, Nadia; Fracchetti, Alessandro; Springeth, Margareth; Moroder, Ehrenfried

    2010-04-01

    The intrinsic quality of the detection system of 7 different digital mammography units (5 direct radiography DR; 2 computed radiography CR), expressed by DQE, has been compared with their image quality/dose performances in clinical use. DQE measurements followed IEC 62220-1-2 using a tungsten test object for MTF determination. For image quality assessment two different methods have been applied: 1) measurement of contrast to noise ratio (CNR) according to the European guidelines and 2) contrast-detail (CD) evaluation. The latter was carried out with the phantom CDMAM ver. 3.4 and the commercial software CDMAM Analyser ver. 1.1 (both Artinis) for automated image analysis. The overall image quality index IQFinv proposed by the software has been validated. Correspondence between the two methods has been shown figuring out a linear correlation between CNR and IQFinv. All systems were optimized with respect to image quality and average glandular dose (AGD) within the constraints of automatic exposure control (AEC). For each equipment, a good image quality level was defined by means of CD analysis, and the corresponding CNR value considered as target value. The goal was to achieve for different PMMA-phantom thicknesses constant image quality, that means the CNR target value, at minimum dose. All DR systems exhibited higher DQE and significantly better image quality compared to CR systems. Generally switching, where available, to a target/filter combination with an x-ray spectrum of higher mean energy permitted dose savings at equal image quality. However, several systems did not allow to modify the AEC in order to apply optimal radiographic technique in clinical use. The best ratio image quality/dose was achieved by a unit with a-Se detector and W anode only recently available on the market.

  13. Characterization of the effects of the FineView algorithm for full field digital mammography

    Science.gov (United States)

    Urbanczyk, H.; McDonagh, E.; Marshall, N. W.; Castellano, I.

    2012-04-01

    The aim of this study was to characterize the effect of an image processing algorithm (FineView) on both quantitative image quality parameters and the threshold contrast detail response of the GE Senographe DS full-field digital mammography system. The system was characterized using signal transfer property, pre-sampling modulation transfer function (MTF), normalized noise power spectrum (NNPS) and detective quantum efficiency (DQE) of the system. An algorithmic modulation transfer function (MTFa) was calculated from images acquired at a reduced detector air kerma (DAK) and with the FineView algorithm enabled. Two sets of beam conditions were used: Mo/Mo/28 kV and Rh/Rh/29 kV, both with 2 mm added Al filtration at the x-ray tube. Images were acquired with and without FineView at four DAK levels from 14 to 378 µGy. The threshold contrast detail response was assessed using the CDMAM contrast-detail test object which was imaged under standard clinical conditions with and without FineView at three DAK levels from 24 to 243 µGy. The images were scored by both human observers and by automated scoring software. Results indicated an improvement of up to 125% at 5 mm-1 in MTFa when FineView was activated, particularly at high DAK levels. A corresponding increase of up to 425% at 5 mm-1 was also seen in the NNPS, again with the same DAK dependence. FineView did not influence DQE, an indication that the signal to noise ratio transfer of the system remained unchanged. FineView did not affect the threshold contrast detectability of the system, a result that is consistent with the DQE results.

  14. Detection of microcalcification clusters by 2D-mammography and narrow and wide angle digital breast tomosynthesis

    Science.gov (United States)

    Hadjipanteli, Andria; Elangovan, Premkumar; Looney, Padraig T.; Mackenzie, Alistair; Wells, Kevin; Dance, David R.; Young, Kenneth C.

    2016-03-01

    The aim of this study was to compare the detection of microcalcification clusters by human observers in breast images using 2D-mammography and narrow (15°/15 projections) and wide (50°/25 projections) angle digital breast tomosynthesis (DBT). Simulated microcalcification clusters with a range of microcalcification diameters (125 μm-275 μm) were inserted into 6 cm thick simulated compressed breasts. Breast images were produced with and without inserted microcalcification clusters using a set of image modelling tools, which were developed to represent clinical imaging by mammography and tomosynthesis. Commercially available software was used for image processing and image reconstruction. The images were then used in a series of 4-alternative forced choice (4AFC) human observer experiments conducted for signal detection with the microcalcification clusters as targets. The minimum detectable calcification diameter was found for each imaging modality: (i) 2D-mammography: 164+/-5 μm (ii) narrow angle DBT: 210+/-5 μm, (iii) wide angle DBT: 255+/-4 μm. A statistically significant difference was found between the minimum detectable calcification diameters that can be detected by the three imaging modalities. Furthermore, it was found that there was not a statistically significant difference between the results of the five observers that participated in this study. In conclusion, this study presents a method that quantifies the threshold diameter required for microcalcification detection, using high resolution, realistic images with observers, for the comparison of DBT geometries with 2D-mammography. 2Dmammography can visualise smaller detail diameter than both DBT imaging modalities and narrow-angle DBT can visualise a smaller detail diameter than wide-angle DBT.

  15. A feasibility study of projection-based energy weighting based on a photon-counting detector in contrast-enhanced digital subtraction mammography: A simulation study

    Science.gov (United States)

    Choi, Sunghoon; Lee, Seungwan; Choi, Yu-Na; Kim, Hee-Joung

    2014-06-01

    Contrast media, such as iodine and gadolinium, are generally used in digital subtraction mammography to enhance the contrast between target and background materials. In digital subtraction mammography, where one image (with contrast medium) is subtracted from another (anatomical background) to facilitate visualization of the tumor structure, tumors can be more easily distinguished after the injection of a contrast medium. In order to have more an effective method to increase the contrast-to-noise ratio (CNR), we applied a projection-based energy-weighting method. The purpose of this study is to demonstrate the feasibility of using the projection-based energy-weighting method in digital subtraction mammography. Unlike some other previous studies, we applied the projection-based energy-weighting method to more practical mammography conditions by using the Monte Carlo method to simulate four different iodine solutions embedded in a breast phantom comprised of 50% adipose and 50% glandular tissues. We also considered an optimal tube voltage and anode/filter combination in digital iodine contrast media mammography in order to maximize the figure-of-merit (FOM). The simulated source energy was from 20 to 45 keV to prevent electronic noise and include the k-edge energy of iodine (33.2 keV). The results showed that the projection-based energy-weighting improved the CNR by factors of 1.05-1.86 compared to the conventionally integrated images. Consequently, the CNR of digital subtraction mammography images can be improved by using projection-based energy-weighting with photon-counting detectors.

  16. Design and image-quality performance of high resolution CMOS-based X-ray imaging detectors for digital mammography

    Science.gov (United States)

    Cha, B. K.; Kim, J. Y.; Kim, Y. J.; Yun, S.; Cho, G.; Kim, H. K.; Seo, C.-W.; Jeon, S.; Huh, Y.

    2012-04-01

    In digital X-ray imaging systems, X-ray imaging detectors based on scintillating screens with electronic devices such as charge-coupled devices (CCDs), thin-film transistors (TFT), complementary metal oxide semiconductor (CMOS) flat panel imagers have been introduced for general radiography, dental, mammography and non-destructive testing (NDT) applications. Recently, a large-area CMOS active-pixel sensor (APS) in combination with scintillation films has been widely used in a variety of digital X-ray imaging applications. We employed a scintillator-based CMOS APS image sensor for high-resolution mammography. In this work, both powder-type Gd2O2S:Tb and a columnar structured CsI:Tl scintillation screens with various thicknesses were fabricated and used as materials to convert X-ray into visible light. These scintillating screens were directly coupled to a CMOS flat panel imager with a 25 × 50 mm2 active area and a 48 μm pixel pitch for high spatial resolution acquisition. We used a W/Al mammographic X-ray source with a 30 kVp energy condition. The imaging characterization of the X-ray detector was measured and analyzed in terms of linearity in incident X-ray dose, modulation transfer function (MTF), noise-power spectrum (NPS) and detective quantum efficiency (DQE).

  17. Effect of image processing version on detection of non-calcification cancers in 2D digital mammography imaging

    Science.gov (United States)

    Warren, L. M.; Cooke, J.; Given-Wilson, R. M.; Wallis, M. G.; Halling-Brown, M.; Mackenzie, A.; Chakraborty, D. P.; Bosmans, H.; Dance, D. R.; Young, K. C.

    2013-03-01

    Image processing (IP) is the last step in the digital mammography imaging chain before interpretation by a radiologist. Each manufacturer has their own IP algorithm(s) and the appearance of an image after IP can vary greatly depending upon the algorithm and version used. It is unclear whether these differences can affect cancer detection. This work investigates the effect of IP on the detection of non-calcification cancers by expert observers. Digital mammography images for 190 patients were collected from two screening sites using Hologic amorphous selenium detectors. Eighty of these cases contained non-calcification cancers. The images were processed using three versions of IP from Hologic - default (full enhancement), low contrast (intermediate enhancement) and pseudo screen-film (no enhancement). Seven experienced observers inspected the images and marked the location of regions suspected to be non-calcification cancers assigning a score for likelihood of malignancy. This data was analysed using JAFROC analysis. The observers also scored the clinical interpretation of the entire case using the BSBR classification scale. This was analysed using ROC analysis. The breast density in the region surrounding each cancer and the number of times each cancer was detected were calculated. IP did not have a significant effect on the radiologists' judgment of the likelihood of malignancy of individual lesions or their clinical interpretation of the entire case. No correlation was found between number of times each cancer was detected and the density of breast tissue surrounding that cancer.

  18. Projection-based energy weighting on photon-counting X-ray images in digital subtraction mammography: a feasibility study

    Science.gov (United States)

    Choi, Sung-Hoon; Lee, Seung-Wan; Choi, Yu-Na; Lee, Young-Jin; Kim, Hee-Joung

    2014-03-01

    In digital subtraction mammography where subtracts the one image (with contrast medium) from the other (anatomical background) for observing the tumor structure, tumors which include more blood vessels than normal tissue could be distinguished through the enhancement of contrast-to-noise ratio (CNR). In order to improve CNR, we adopted projection-based energy weighting for iodine solutions with four different concentrations embedded in a breast phantom (50% adipose and 50% glandular tissues). In this study, a Monte Carlo simulation was used to simulate a 40 mm thickness breast phantom, which has 15 and 30 mg/cm3 iodine solutions with two different thicknesses, and an energy resolving photon-counting system. The input energy spectrum was simulated in a range of 20 to 45 keV in order to reject electronic noise and include k-edge energy of iodine (33.2 keV). The results showed that the projection-based energy weighting improved the CNR by factors of 1.05-1.86 compared to the conventional integrating images. Consequently, the CNR of images from the digital subtraction mammography could be improved by the projection-based energy weighting with photon-counting detectors.

  19. 全数字化乳腺平板摄影技术探讨%Research of Examination Technique of Digital Mammography Using Digital Flat Panel Detector System

    Institute of Scientific and Technical Information of China (English)

    许静; 袁彩云; 徐莉

    2011-01-01

    目的:探讨数字化乳腺摄影规范的操作方法,以优化乳腺图像质量,从而提高乳腺病变的检出率和诊断的正确率.方法:回顾性分析4 000例患者的数字化乳腺摄影的图像,对每一个摄影位置的摆位方法进行主观评价,对相应图像质量进行分级,进行相关性总结分析.结果:15 420幅所摄图像中,规范操作获得的Ⅰ级片15 012幅,占97.35%;因患者配合问题、不规范操作、设备引起的图像质量下降等问题导致的Ⅱ级片达376幅,占2.44%:需重新拍摄有32次,占0.21%.结论:在全数字化乳腺摄影中,高质量乳腺片的获得需规范的摄影投照方法、定期的设备质量图像校正.%Objective To research the normative operation method of digital mammography for optimizing image quality, so as to improve the diagnostic accuracy of pathological changes. Methods Four thousand cases of mammography images were analyzed retrospectively. Each radiography operation method was evaluated in image quality classification. The relationship between mammography operation and image quality was analyzed. Results There were 15,012 images classified as class I, which accounted for 97.35% among all 15,420 images, and 376 images(2.44%) were class II, which were caused by patient's bad cooperation, abnormal operation of technician and other causes of equipment problem. Thirty two images (0.21%) needed re-operation of mammography due to severely low image quality. Conclusion For acquisition of high quality of mammography images, normative mammography operation and periodical equipment image quality calibration are essential.[Chinese Medical Equipment Journal.2011,32( 12): 112-113

  20. Detector evaluation of a prototype amorphous selenium-based full field digital mammography system

    Science.gov (United States)

    Jesneck, Jonathan L.; Saunders, Robert S.; Samei, Ehsan; Xia, Jessie Q.; Lo, Joseph Y.

    2005-04-01

    This study evaluated the physical performance of a selenium-based direct full-field digital mammography prototype detector (Siemens Mammomat NovationDR), including the pixel value vs. exposure linearity, the modulation transfer function (MTF), the normalized noise power spectrum (NNPS), and the detective quantum efficiency (DQE). The current detector is the same model which received an approvable letter from FDA for release to the US market. The results of the current prototype are compared to those of an earlier prototype. Two IEC standard beam qualities (RQA-M2: Mo/Mo, 28 kVp, 2 mm Al; RQA-M4: Mo/Mo, 35 kVp, 2 mm Al) and two additional beam qualities (MW2: W/Rh, 28 kVp, 2 mm Al; MW4: W/Rh, 35 kVp, 2 mm Al) were investigated. To calculate the modulation transfer function (MTF), a 0.1 mm Pt-Ir edge was imaged at each beam quality. Detector pixel values responded linearly against exposure values (R2 0.999). As before, above 6 cycles/mm Mo/Mo MTF was slightly higher along the chest-nipple axis compared to the left-right axis. MTF was comparable to the previously reported prototype, with slightly reduced resolution. The DQE peaks ranged from 0.71 for 3.31 μC/kg (12.83 mR) to 0.4 for 0.48 μC/kg (1.86 mR) at 1.75 cycles/mm for Mo/Mo at 28 kVp. The DQE range for W/Rh at 28 kVP was 0.81 at 2.03 μC/kg (7.87 mR) to 0.50 at 0.50 μC/kg (1.94 mR) at 1 cycle/mm. NNPS tended to increase with greater exposures, while all exposures had a significant low-frequency component. Bloom and detector edge artifacts observed previously were no longer present in this prototype. The new detector shows marked noise improvement, with slightly reduced resolution. There remain artifacts due to imperfect gain calibration, but at a reduced magnitude compared to a prototype detector.

  1. Should processed or raw image data be used in mammographic image quality analyses? A comparative study of three full-field digital mammography systems.

    Science.gov (United States)

    Borg, Mark; Badr, Ishmail; Royle, Gary

    2015-01-01

    The purpose of this study is to compare a number of measured image quality parameters using processed and unprocessed or raw images in two full-field direct digital units and one computed radiography mammography system. This study shows that the difference between raw and processed image data is system specific. The results have shown that there are no significant differences between raw and processed data in the mean threshold contrast values using the contrast-detail mammography phantom in all the systems investigated; however, these results cannot be generalised to all available systems. Notable differences were noted in contrast-to-noise ratios and in other tests including: response function, modulation transfer function , noise equivalent quanta, normalised noise power spectra and detective quantum efficiency as specified in IEC 62220-1-2. Consequently, the authors strongly recommend the use of raw data for all image quality analyses in digital mammography.

  2. Phase contrast imaging of cochlear soft tissue.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, S.; Hwang, M.; Rau, C.; Fishman, A.; Lee, W.; Richter, C. (X-Ray Science Division); (Northwestern Univ.); (Diamond Light Source, Ltd.)

    2011-01-01

    A noninvasive technique to image soft tissue could expedite diagnosis and disease management in the auditory system. We propose inline phase contrast imaging with hard X-rays as a novel method that overcomes the limitations of conventional absorption radiography for imaging soft tissue. In this study, phase contrast imaging of mouse cochleae was performed at the Argonne National Laboratory Advanced Photon Source. The phase contrast tomographic reconstructions show soft tissue structures of the cochlea, including the inner pillar cells, the inner spiral sulcus, the tectorial membrane, the basilar membrane, and the Reissner's membrane. The results suggest that phase contrast X-ray imaging and tomographic techniques hold promise to noninvasively image cochlear structures at an unprecedented cellular level.

  3. Use of different simulators to quality evaluation of image quality in digital mammography; Utilizacao de diferentes simuladores na avaliacao da qualidade da imagem em mamografia digital

    Energy Technology Data Exchange (ETDEWEB)

    Pereira, Leslie S.; Coutinho, Celia M.C., E-mail: leslie@ird.gov.br, E-mail: celia@ird.gov.br [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Magalhaes, Luis A.G.; Almeida, Carlos Eduardo de, E-mail: luisalexandregm@hotmail.com, E-mail: cea71@yahoo.com.br [Universidade do Estado do Rio de Janeiro (LCR/UERJ), Rio de Janeiro, RJ (Brazil). Laboratorio de Ciencias Radiologicas

    2013-11-01

    In this study, the digital images were acquired with different exposure simulators to evaluate the quality of the image, noting the tumor mass detection, microcalcification fiber and representing regions of interest during mammography. The technical parameters of exposure depends on the thickness and composition of the breast, thus affecting the dose and image quality. The simulators were used: ACR, SBP 1054, BREAST PHANTOM CIRS and for evaluation of image quality, as well as measures kerma incident on the entrance surface (Ki) and calculating the mean glandular dose (MGD)

  4. 数字化乳腺X线对乳腺癌的诊断价值%Analysis of Breast Cancer Signs with Digital Mammography

    Institute of Scientific and Technical Information of China (English)

    李晓波; 张建梅; 陈孝柏

    2013-01-01

    目的分析数字化乳腺X线对乳腺癌的影像诊断价值。方法回顾260例经手术病理证实的乳腺癌的数字化乳腺 X线征象。结果数字化乳腺X线对肿块、恶性钙化、皮肤增厚、乳头内陷、局部腺体结构紊乱等征象有助于乳腺癌的诊断。结论数字化乳腺X线对乳腺癌诊断有着重要意义。%Objective To analyse the signs of breast cancer with digital mammography.Methods Digital mammography date of 260 cases of breast cancer confirmed by operation and pathology were analyzed.Results Digital mammography is very valuable to a diagnosis of breast cancer with al signs (mass,malignant calcification,skin thickening,nipple retraction,local breast structure disorder).Conclusion Digital mammography is very important to breast cancer diagnosis.

  5. [First experiments for the detection of simulated mammographic lesions: digital full field mammography with a new detector with a double plate of pure selenium].

    Science.gov (United States)

    Schulz-Wendtland, R; Hermann, K-P; Wenkel, E; Adamietz, B; Lell, M; Anders, K; Uder, M

    2011-02-01

    The article describes an experimental phantom study of a system for digital full field mammography with a new digital detector with a double plate of pure selenium. The experiments were carried out with the new full field digital mammography system Amulet from FujiFilm. This system has a new detector (18×24 cm(2)) on the basis of highly purified amorphous selenium (a-Se) with a pixel size of 50 µm. The x-rays are converted into electric signals in the first plate which are read into the second plate with the help of an optical switch and demonstrated in the form of an image. In this way a better pixel size/volume and signal-to-noise ratio should be achieved. The object of the investigation was the Wisconsin Mammographic Random Phantom, Model 152 A (Technical Performance Mo/Mo, 28 kV, 100 mAs). Five investigators with different experiences in mammography each received three images on a monitor with different random positions of the simulated lesions in the phantom for assessment. The detection rates were compared under the same conditions with the results of two other full field digital mammography systems. The median detection rate for all images and investigators for the new doubled plated a-Se detector with optical switch was 98.7%. For both other systems with a-Si or and a-Se detectors the detection rate was 89.8% or 97.3%, respectively. There were no significant differences in the detection rate of the simulated breast lesions for all three systems considering the interobserver and intraobserver variation. The first phantom study for the detection of simulated breast lesions with the new full field digital mammography system Amulet demonstrates equivalent results with the other systems used in the clinical routine. The trend towards superiority of the new system has to be confirmed in further clinical studies.

  6. Design of linear anti-scatter grid geometry with optimum performance for screen-film and digital mammography systems.

    Science.gov (United States)

    Khodajou-Chokami, H; Sohrabpour, M

    2015-08-01

    A detailed 3D Monte Carlo simulation of the grid geometrical parameters in screen-film mammography (SFM) and digital mammography (DM) systems has been performed. A combination of IEC 60627:2013 international standard conditions and other more clinically relevant parameters were used for this simulation. Accuracy of our results has been benchmarked with previously published data and good agreement has been obtained. Calculations in a wide range of linear anti-scatter grid geometries have been carried out. The evaluated parameters for the SFM system were the Bucky factor (BF) and contrast improvement factor (CIF) and for the DM system it was signal difference-to-noise ratio improvement factor (SIF). The CIF parameter was chosen to be nearly the same as the commercial grade, the BF and SIF were significantly improved compared to commercial grids in use today. Our optimized grid parameters for the SFM system were lead strip thickness d = 12 µm, grid ratio r = 5 and strip density N = 65 lines/cm. And for the DM system these parameters were d = 5 µm, r = 3 and N = 100 lines/cm. Both optimized grid sets have thinner d and higher N compared to the commercial grids.

  7. Breast cancer detection and classification in digital mammography based on Non-Subsampled Contourlet Transform (NSCT) and Super Resolution.

    Science.gov (United States)

    Pak, Fatemeh; Kanan, Hamidreza Rashidy; Alikhassi, Afsaneh

    2015-11-01

    Breast cancer is one of the most perilous diseases among women. Breast screening is a method of detecting breast cancer at a very early stage which can reduce the mortality rate. Mammography is a standard method for the early diagnosis of breast cancer. In this paper, a new algorithm is proposed for breast cancer detection and classification in digital mammography based on Non-Subsampled Contourlet Transform (NSCT) and Super Resolution (SR). The presented algorithm includes three main parts including pre-processing, feature extraction and classification. In the pre-processing stage, after determining the region of interest (ROI) by an automatic technique, the quality of image is improved using NSCT and SR algorithm. In the feature extraction part, several features of the image components are extracted and skewness of each feature is calculated. Finally, AdaBoost algorithm is used to classify and determine the probability of benign and malign disease. The obtained results on Mammographic Image Analysis Society (MIAS) database indicate the significant performance and superiority of the proposed method in comparison with the state of the art approaches. According to the obtained results, the proposed technique achieves 91.43% and 6.42% as a mean accuracy and FPR, respectively.

  8. The report of the investigation concerning the image quality and dose of digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Takeshita, Masanori [Osaka Prefectural Center for Adult Diseases (Japan); Kuma, Koji [Kagoshima Municipal Hospital (Japan); Takekawa, Naoya [Osaka Kosei-Nenkin Hospital (Japan); Tanaka, Isamu [Hakuaikai Hospital, Fukuoka (Japan); Tanaka, Atsushi [Osaka Police Hospital (Japan); Hatada, Toshikazu [Kitakyushu Municipal Medical Center, Fukuoka (Japan); Higashida, Yoshiharu [Kyushu Univ., Fukuoka (Japan). Faculty of Medicine

    2002-11-01

    For the sake of good quality control (QC) of mammography by computed radiography (CR) using the imaging plate (IP), the investigation in the title was conducted on 43 and 47 facilities in Kyushu and Kinki areas, respectively. Those facilities were using Fuji CR system of 6 kinds of CR apparatus and 3 sorts of IP. Experimental equipments were QC phantoms of RMI-156 and 165, fluoro-glass dosimeter GD 403 and mdh dosimeter for mammography, which were previously sent to the facilities. Data concerning the mean dose of mammary gland, concentration of the phantom center, and contrast and particle characteristics of images were sent back to the working investigators and analyzed in this report. Comparison of the CR method with the film method was presented. (K.H.)

  9. Replacing single-view mediolateral oblique (MLO) digital mammography (DM) with synthesized mammography (SM) with digital breast tomosynthesis (DBT) images: Comparison of the diagnostic performance and radiation dose with two-view DM with or without MLO-DBT.

    Science.gov (United States)

    Kang, Hyo-Jin; Chang, Jung Min; Lee, Joongyub; Song, Sung Eun; Shin, Sung Ui; Kim, Won Hwa; Bae, Min Sun; Moon, Woo Kyung

    2016-11-01

    To evaluate the diagnostic performance and radiation dose of single view cranio-caudal (CC) digital mammography (DM) plus mediolateral oblique (MLO) digital breast tomosynthesis (DBT) combined with synthesized mammography (SM) in comparison with two-view DM with or without DBT. This study was approved by our institutional review board, and informed consent was obtained from 130 women. Paired two-view DM and single MLO-DBT with SM images were acquired, and four independent retrospective reading sessions of different combinations of DM, SM and DBT were performed for the presence of malignant tumors using jackknife alternative free-response receiver operator curve (JAFROC) methods. The diagnostic performances and average glandular dose (AGD) were compared between different combinations of DM, SM and DBT. Of 159 lesions in 130 patients, 27 were malignant. When using MLO-DBT with SM instead of MLO-DM, a significantly higher sensitivity (P=0.016) and specificity (P=0.012) were noted than with two-view DM, and comparable figure of merit (FOM), sensitivity, and specificity to two-view DM with DBT were noted. The mean AGD of CC-DM plus MLO-DBT with SM was 5.78mGy±1.06 per patient, which was significantly lower than that with two-view DM with MLO-DBT (8.45mGy±1.32; P <0.001) and slightly higher than that with two-view DM (5.30mGy±0.63). The combined use of CC-DM plus MLO-DBT with SM showed higher sensitivity and specificity to two-view DM with a smaller AGD increment and comparable diagnostic performance to that of two-view DM with MLO-DBT with a significantly lower mean AGD. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Evaluation of average glandular dose in digital and conventional systems of the mammography; Avaliacao da dose glandular media em sistemas digitais e convencionais de mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Xavier, Aline C.S.; Barros, Vinicius S.M.; Khoury, Hellen J., E-mail: alinecx90@gmail.com, E-mail: vsmdbarros@gmail.com, E-mail: hjkhoury@gmail.com [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. de Energia Nuclear; Mello, Francisca A. de, E-mail: francissamello@yahoo.com.br [Hospital das Clinicas do Recife (HCR/UFPE), PE (Brazil)

    2014-07-01

    Mammography is currently the most effective method of diagnosis and detection of breast pathologies. The main interest in this kid of exam comes from the high incidence rate of breast cancer and necessity of high quality images for accurate diagnosis. Digital mammography systems have several advantages compared to conventional systems, however the use of digital imaging systems is not always integrated to an image acquisition protocol. Therefore, it is questionable if digital systems truly reduce the dose received by the patient, because many times is introduced in the clinics without optimization of the image acquisition protocols. The aim of this study is to estimate the value of incident air Kerma and average glandular dose (AGD) in patients undergoing conventional and digital mammography systems in Recife. This study was conducted with 650 patients in three hospitals. The value of incident air Kerma was estimated from the measurement of the yield of equipment and irradiation parameters used for each patient. From these results and using the methodology proposed by Dance et al. the value of the average glandular dose was calculated. The results obtained show that the lowest value of AGD was found with conventional screen-film system, indicating that the parameters for image acquisition with digital systems are not optimized. It was also observed that the institutions with digital systems use lower breast compression values than the conventional. (author)

  11. Quantitative breast tissue characterization using grating-based x-ray phase-contrast imaging

    Science.gov (United States)

    Willner, M.; Herzen, J.; Grandl, S.; Auweter, S.; Mayr, D.; Hipp, A.; Chabior, M.; Sarapata, A.; Achterhold, K.; Zanette, I.; Weitkamp, T.; Sztrókay, A.; Hellerhoff, K.; Reiser, M.; Pfeiffer, F.

    2014-04-01

    X-ray phase-contrast imaging has received growing interest in recent years due to its high capability in visualizing soft tissue. Breast imaging became the focus of particular attention as it is considered the most promising candidate for a first clinical application of this contrast modality. In this study, we investigate quantitative breast tissue characterization using grating-based phase-contrast computed tomography (CT) at conventional polychromatic x-ray sources. Different breast specimens have been scanned at a laboratory phase-contrast imaging setup and were correlated to histopathology. Ascertained tumor types include phylloides tumor, fibroadenoma and infiltrating lobular carcinoma. Identified tissue types comprising adipose, fibroglandular and tumor tissue have been analyzed in terms of phase-contrast Hounsfield units and are compared to high-quality, high-resolution data obtained with monochromatic synchrotron radiation, as well as calculated values based on tabulated tissue properties. The results give a good impression of the method’s prospects and limitations for potential tumor detection and the associated demands on such a phase-contrast breast CT system. Furthermore, the evaluated quantitative tissue values serve as a reference for simulations and the design of dedicated phantoms for phase-contrast mammography.

  12. Generalised phase contrast: microscopy, manipulation and more

    DEFF Research Database (Denmark)

    Palima, Darwin; Glückstad, Jesper

    2010-01-01

    Generalised phase contrast (GPC) not only leads to more accurate phase imaging beyond thin biological samples, but serves as an enabling framework in developing tools over a wide spectrum of contemporary applications in optics and photonics, including optical trapping and micromanipulation, optic...... phase cryptography, light-efficient image projection and parallel laser beam shaping for optical landscapes. In this review, we discuss the fundamental ideas behind generalised phase contrast and present a survey of its exciting applications.......Generalised phase contrast (GPC) not only leads to more accurate phase imaging beyond thin biological samples, but serves as an enabling framework in developing tools over a wide spectrum of contemporary applications in optics and photonics, including optical trapping and micromanipulation, optical...

  13. X-ray phase-contrast methods

    Energy Technology Data Exchange (ETDEWEB)

    Lider, V. V., E-mail: lider@ns.crys.ras.ru; Kovalchuk, M. V. [Russian Academy of Sciences, Shubnikov Institute of Crystallography (Russian Federation)

    2013-11-15

    This review is devoted to a comparative description of the methods for forming X-ray phase-contrast images of weakly absorbing (phase) objects. These include the crystal interferometer method, the Talbot interferometer method, diffraction-enhanced X-ray imaging, and the in-line method. The potential of their practical application in various fields of science and technology is discussed. The publications on the development and optimization of X-ray phase-contrast methods and the experimental study of phase objects are analyzed.

  14. Evaluation of automatic exposure control performance in full-field digital mammography systems using contrast-detail analysis

    Science.gov (United States)

    Suarez Castellanos, Ivan M.; Kaczmarek, Richard; Brunner, Claudia C.; de Las Heras, Hugo; Liu, Haimo; Chakrabarti, Kish

    2012-03-01

    Full Field Digital Mammography (FFDM) is increasingly replacing screen-film systems for screening and diagnosis of breast abnormalities. All FFDM systems are equipped with an Automatic Exposure Control (AEC) which automatically selects technique factors to optimize dose and image quality. It is therefore crucial that AEC performance is properly adjusted and optimized to different breast thicknesses. In this work, we studied the AEC performance of three widely used FFDM systems using the CDMAM and QUART mam/digi phantoms. We used the CDMAM phantom to generate Contrast-Detail (C-D) curves for each AEC mode available in the FFDM systems under study for phantoms with equivalent X-Ray attenuation properties as 3.2 cm, 6 cm and 7.5 cm thick breasts. Generated C-D curves were compared with ideal C-D curves constructed using a metric referred to as the k-factor which is the product of the thickness and the diameter of the smallest correctly identified disks in the CDMAM phantom. Previous observer studies have indicated that k-factor values of 60 to 80 μm2 are particularly useful in demonstrating the threshold for object detectability for detectors used in digital mammography systems. The QUART mam/digi phantom was used to calculate contrast-to-noise ratio (CNR) values at different phantom thicknesses. The results of the C-D analysis and CNR measurements were used to determine limiting CNR values intended to provide a threshold for proper image quality assessment. The results of the Contrast-Detail analysis show that for two of the three evaluated FFDM systems, at higher phantom thicknesses, low contrast signal detectability gets worse. This agrees with the results obtained with the QUART mam/digi phantom, where CNR decreases below determined limiting CNR values.

  15. The effect of system geometry and dose on the threshold detectable calcification diameter in 2D-mammography and digital breast tomosynthesis

    Science.gov (United States)

    Hadjipanteli, Andria; Elangovan, Premkumar; Mackenzie, Alistair; Looney, Padraig T.; Wells, Kevin; Dance, David R.; Young, Kenneth C.

    2017-02-01

    Digital breast tomosynthesis (DBT) is under consideration to replace or to be used in combination with 2D-mammography in breast screening. The aim of this study was the comparison of the detection of microcalcification clusters by human observers in simulated breast images using 2D-mammography, narrow angle (15°/15 projections) and wide angle (50°/25 projections) DBT. The effects of the cluster height in the breast and the dose to the breast on calcification detection were also tested. Simulated images of 6 cm thick compressed breasts were produced with and without microcalcification clusters inserted, using a set of image modelling tools for 2D-mammography and DBT. Image processing and reconstruction were performed using commercial software. A series of 4-alternative forced choice (4AFC) experiments was conducted for signal detection with the microcalcification clusters as targets. Threshold detectable calcification diameter was found for each imaging modality with standard dose: 2D-mammography: 2D-mammography (165  ±  9 µm), narrow angle DBT (211  ±  11 µm) and wide angle DBT (257  ±  14 µm). Statistically significant differences were found when using different doses, but different geometries had a greater effect. No differences were found between the threshold detectable calcification diameters at different heights in the breast. Calcification clusters may have a lower detectability using DBT than 2D imaging.

  16. Phase contrast imaging of Bose condensed clouds

    NARCIS (Netherlands)

    Meppelink, R; Rozendaal, R.A.; Koller, S.B.; Vogels, J.M.; van der Straten, P.

    2010-01-01

    Phase contrast imaging is used to observe Bose-Einstein condensates (BECs) at finite temperature in situ. The imaging technique is used to accurately derive the absolute phase shift of a probe laser beam due to both the condensate and the thermal cloud. The accuracy of the method is enhanced by usin

  17. Iterative Reconstruction for Differential Phase Contrast Imaging

    NARCIS (Netherlands)

    Koehler, T.; Brendel, B.; Roessl, E.

    2011-01-01

    Purpose: The purpose of this work is to combine two areas of active research in tomographic x-ray imaging. The first one is the use of iterative reconstruction techniques. The second one is differential phase contrast imaging (DPCI). Method: We derive an SPS type maximum likelihood (ML) reconstructi

  18. Acceptance testing in digital systens of mammography. Protocols applicability; Pruebas de aceptacion en equipos digitales de mamografia. Aplicabilidad de protocolos

    Energy Technology Data Exchange (ETDEWEB)

    Bermudez, R.; Espana, M.L.; Garcia Castanon, P.; Gomez Barrado, A.; Rodriguez Martin, G.; Fernandez Bedoya, B.

    2011-07-01

    Acceptance testing of mammographic imaging systems technical is the first approach in order to guarantee that mammograms will be achieved with the minimun radiation dose compatible with an image quality sutiable for diagnose purposes. The aim of this study is to assess the practical applicability of different protocols in acceptance test of digital mammographyc systems. This study has been carried out on the results of ltyhe acceptance tests of five flat panel digital mammographic systems. Parameters established in the systems technical specifications and those evaluated in the consulted protocols were tested. Due to the fact that the legislation oin our country does not demand to consider a specific protocol, the results obtained were also compared considering different existing protocols. Results show discrepancies between manufacturers limiting values and those established in the protocols. Some parameters, such as the authomatic exposure control compensation and the detector noise, were found out to meet or not the limiting value, depending on the selected protocol. From our results we could suggest, that protocols from manufacturers should be adapted to acknowledged documents on acceptance testing in digital mammography. They buyer representative could even specify the protocol to be followed during the acceptance tests. (Author). 25 refs.

  19. Acceptance testing in digital systems of mammography. Protocols applicability; Pruebas de aceptacion en equipos digitales de mamografia. Aplicabilidad de protocolos

    Energy Technology Data Exchange (ETDEWEB)

    Bermudez, R.; Espana, M.L.; Garcia Castanon, P.; Gomez Barrado, A.; Rodriguez Martin, G.; Fernandez Bedoya, B.

    2011-07-01

    Acceptance testing of mammographic imaging systems technical is the first approach in order to guarantee that mammograms will be achieved with the minimum radiation dose compatible with an image quality suitable for diagnose purposes. The aim of this study is to assess the practical applicability of different protocols in acceptance test of digital mammographic systems. This study has been carried out on the results of the acceptance tests of five flat panel digital mammographic systems. Parameters established in the systems technical specifications and those evaluated in the consulted protocols were tested. Due to the fact that the legislation in our country does not demand to consider a specific protocol, the results obtained were also compared considering different existing protocols. Results show discrepancies between manufacturers limiting values and those established in the protocols. Some parameters, such as the automatic exposure control compensation and the detector noise, were found out to meet or not the limiting value, depending on the selected protocol. From our results we could suggest, that protocols from manufacturers should be adapted to acknowledged documents on acceptance testing in digital mammography. They buyer representative could even specify the protocol to be followed during the acceptance tests. (Author). 25 refs.

  20. X-ray phase-contrast tomosynthesis for improved breast tissue discrimination

    Energy Technology Data Exchange (ETDEWEB)

    Schleede, Simone, E-mail: Schleede@tum.de [Department of Physics and Institute of Medical Engineering, Technische Universität München, James-Franck-Strasse 1, 85748 Garching (Germany); Bech, Martin, E-mail: martin.bech@tum.de [Department of Physics and Institute of Medical Engineering, Technische Universität München, James-Franck-Strasse 1, 85748 Garching (Germany); Medical Radiation Physics, Lund University, 22185 Lund (Sweden); Grandl, Susanne, E-mail: Susanne.Grandl@med.uni-muenchen.de [Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistr. 15, 81377 München (Germany); Sztrókay, Aniko, E-mail: Aniko.Sztrokay@med.uni-muenchen.de [Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Marchioninistr. 15, 81377 München (Germany); Herzen, Julia, E-mail: julia.herzen@hzg.de [Institute of Materials Research, Helmholtz-Zentrum Geesthacht, Max-Planck-Strasse 1, 21502 Geesthacht (Germany); Mayr, Doris, E-mail: doris.mayr@med.uni-muenchen.de [Institute of Pathology, Ludwig-Maximilians-Universität München, Thalkirchner Str. 36, 80337 Munich (Germany); Stockmar, Marco, E-mail: marco.stockmar@ph.tum.de [Department of Physics and Institute of Medical Engineering, Technische Universität München, James-Franck-Strasse 1, 85748 Garching (Germany); Potdevin, Guillaume, E-mail: potdevinguillaume@gmail.com [Department of Physics and Institute of Medical Engineering, Technische Universität München, James-Franck-Strasse 1, 85748 Garching (Germany); and others

    2014-03-15

    Purpose: Attenuation-based tomosynthesis has proven to successfully resolve the glandular tissue overlap present in mammography. However, the ability of tomosynthesis to differentiate tumorous and glandular tissue remains limited, due to the small differences in X-ray attenuation in breast tissue. One possibility to overcome this limitation and to further increase the diagnostic value of tomosynthesis exams, is the application of recently developed grating-based phase-contrast methods, which provide complementary information on the phase shift and the local scattering power of the sample. In this study, we report on first phase-contrast breast tomosynthesis results of a mastectomy sample slice with an invasive ductal carcinoma. Material and methods: A slice of a mastectomy sample with histologically proven invasive ductal cancer was imaged at the synchrotron radiation source ESRF (Grenoble, France). We used a two-grating interferometer setup at the ninth fractional Talbot distance and with an X-ray energy of 23 keV. In grating interferometry absorption, differential phase, and scattering images are recorded simultaneously. The tomosynthesis scan comprises 61 projections. Multimodal tomosynthesis results were reconstructed using a standard filtered back-projection approach. Our findings are supported by a comparison of tomographic views to histopathology. Results: Phase-contrast tomosynthesis combines the advantage of improved soft-tissue discrimination in phase-contrast imaging with the ability of tomosynthesis to provide a third dimension so that improved feature visibility is not hampered by superposition artifacts. Our results indicate superior diagnostic value due to the depth resolution supplied in tomosynthesis imaging; a region of necrotic tissue that is obscured in a projection image can clearly be depicted in one single tomosynthesis slice. Compared to absorption tomosynthesis alone, soft tissue contrast is significantly enhanced in phase-contrast

  1. Digital breast tomosynthesis versus mammography and breast ultrasound: a multireader performance study

    Energy Technology Data Exchange (ETDEWEB)

    Thibault, Fabienne; Malhaire, Caroline; Tardivon, Anne [Department of Radiology, Paris Cedex 05 (France); Dromain, Clarisse; Balleyguier, Corinne S. [Institut de cancerologie Gustave-Roussy, Department of Radiology, Villejuif (France); Breucq, Catherine [Universitair Ziekenhuis-VUB, Department of Radiology, Bruxelles (Belgium); Steyaert, Luc [Department of Radiology, Brugge (Belgium); Baldan, Enrica [Veneto Institute of Oncology (IOV)-IRCCS, Department of Radiology, Padua (Italy); Drevon, Harir [Numerus Ltd, Lyon (France)

    2013-09-15

    To compare the diagnostic performance of single-view breast tomosynthesis (BT) with that of dual-view mammography (MX); to assess the benefit of adding the craniocaudal (CC) mammographic view to BT, and of adding BT to MX plus breast ultrasound, considered to be the reference work-up. One hundred and fifty-five consenting patients with unresolved mammographic and/or ultrasound findings or breast symptoms underwent conventional work-up plus mediolateral oblique-view BT of the affected breast. The final study set in 130 patients resulted in 55 malignant and 76 benign and normal cases. Seven breast radiologists rated the cases through five sequential techniques using a BIRADS-based scale: MX, MX + ultrasound, MX + ultrasound + BT, BT, BT + MX(CC). Multireader, multicase receiver operating characteristic (ROC) analysis was performed and performance of the techniques was assessed from the areas under ROC curves. The performance of BT and of BT + MX(CC) was tested versus MX; the performance of MX + ultrasound + BT tested versus MX + ultrasound. Tomosynthesis was found to be non-inferior to mammography. BT + MX(CC) did not appear to be superior to MX, and MX + ultrasound + BT not superior to MX + ultrasound. Overall, none of the five techniques tested outperformed the others. Further clinical studies are needed to clarify the role of BT as a substitute for traditional work-up in the diagnostic environment. (orig.)

  2. Monte Carlo derivation of filtered tungsten anode X-ray spectra for dose computation in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Paixao, L.; Oliveira, B. B.; Nogueira, M. do S. [Centro de Desenvolvimento da Tecnologia Nuclear, Post-graduation in Science and Technology of Radiations, Minerals and Materials, Pte. Antonio Carlos 6.627, Pampulha, 31270-901 Belo Horizonte (Brazil); Viloria, C. [UFMG, Departamento de Engenharia Nuclear, Post-graduation in Nuclear Sciences and Techniques, Pte. Antonio Carlos 6.627, Pampulha, 31270-901 Belo Horizonte (Brazil); Alves de O, M. [UFMG, Department of Anatomy and Imaging, Prof. Alfredo Balena 190, 30130-100 Belo Horizonte (Brazil); Araujo T, M. H., E-mail: lpr@cdtn.br [Dr Maria Helena Araujo Teixeira Clinic, Guajajaras 40, 30180-100 Belo Horizonte (Brazil)

    2014-08-15

    It is widely accepted that the mean glandular dose (D{sub G}) for the glandular tissue is the more useful magnitude for characterizing the breast cancer risk. The procedure to estimate the D{sub G}, for being difficult to measure it directly in the breast, it is to make the use of conversion factors that relate incident air kerma (K{sub i}) at this dose. Generally, the conversion factors vary with the x-ray spectrum half-value layer and the breast composition and thickness. Several authors through computer simulations have calculated such factors by the Monte Carlo (Mc) method. Many spectral models for D{sub G} computer simulations purposes are available in the diagnostic range. One of the models available generates unfiltered spectra. In this work, the Monte Carlo EGSnrc code package with the C++ class library (eg spp) was employed to derive filtered tungsten x-ray spectra used in digital mammography systems. Filtered spectra for rhodium and aluminium filters were obtained for tube potentials between 26 and 32 kV. The half-value layer of simulated filtered spectra were compared with those obtained experimentally with a solid state detector Unfors model 8202031-H Xi R/F and Mam Detector Platinum and 8201023-C Xi Base unit Platinum Plus w m As in a Hologic Selenia Dimensions system using a Direct Radiography mode. Calculated half-value layer values showed good agreement compared to those obtained experimentally. These results show that the filtered tungsten anode x-ray spectra and the EGSnrc Mc code can be used for D{sub G} determination in mammography. (Author)

  3. Phase-contrast X-ray CT

    Energy Technology Data Exchange (ETDEWEB)

    Momose, Atsushi [Hitachi Ltd., Hatoyama, Saitama (Japan). Advanced Research Lab.

    1996-08-01

    X-ray transmission imaging that creates image contrast from the distribution of the X-ray absorption coefficient is not sensitive to materials consisting of light elements such as hydrogen, carbon, nitrogen, and oxygen. On the other hand, the X-ray phase shift caused by the light elements is substantial enough to be detected even when absorption is almost zero. Hence, phase-contrast X-ray imaging is a promising technique for observing the structure inside biological soft tissues without the need for staining and without serious radiation exposure. Using fringe scanning X-ray interferometry, the X-ray phase shift caused by an object was measured. Three-dimensional image reconstruction of cancerous tissues using the measured phase shifts was enabled under tomographic configuration phase-contrast X-ray computed tomography (CT). (author)

  4. Reconstruction methods for phase-contrast tomography

    Energy Technology Data Exchange (ETDEWEB)

    Raven, C.

    1997-02-01

    Phase contrast imaging with coherent x-rays can be distinguished in outline imaging and holography, depending on the wavelength {lambda}, the object size d and the object-to-detector distance r. When r << d{sup 2}{lambda}, phase contrast occurs only in regions where the refractive index fastly changes, i.e. at interfaces and edges in the sample. With increasing object-to-detector distance we come in the area of holographic imaging. The image contrast outside the shadow region of the object is due to interference of the direct, undiffracted beam and a beam diffracted by the object, or, in terms of holography, the interference of a reference wave with the object wave. Both, outline imaging and holography, offer the possibility to obtain three dimensional information of the sample in conjunction with a tomographic technique. But the data treatment and the kind of information one can obtain from the reconstruction is different.

  5. First epidemiological analysis of breast cancer incidence and tumor characteristics after implementation of population-based digital mammography screening

    Energy Technology Data Exchange (ETDEWEB)

    Weigel, Stefanie; Heindel, Walter [Inst. fuer Klinische Radiologie und Referenzzentrum Mammographie Muenster, Universitaetsklinikum Muenster (Germany); Batzler, W.U. [Epidemiologisches Krebsregister, NRW (Germany); Decker, T. [Gerhard-Domagk-Inst. fuer Pathologie und Brust-Screening-Referenzpathologie, Universitaetsklinikum Muenster (Germany); Hense, H.W. [Inst. fuer Epidemiologie und Sozialmedizin, Univ. Muenster (Germany)

    2009-12-15

    Purpose: to epidemiologically evaluate the impact of digital mammography screening on incidence rates and tumor characteristics for breast cancer. Materials and methods: the first German digital screening units in the clinical routine were evaluated during the implementation period by using data from the cancer registry to compare the incidence rate of breast cancers and prognostic characteristics. 74% of women aged 50-69 within the region of Muenster/Coesfeld/Warendorf were invited between 10/2005 and 12/2007 for initial screening; 55% participated (n = 35961). Results: in 2002-2004 the average breast cancer incidence rate (per 100000) was 297.9. During the implementation of screening, the rate rose to 532.9 in 2007. Of the 349 cancers detected with screening, 76% (265/349) were invasive compared to 90% (546/608) of cases not detected with screening during the same period. 37% (97/265) of cancers detected in the screening program had a diameter of {<=} 10 mm and 75% (198/265) were node-negative compared to 15% (79/546) and 64% (322/503), respectively, in cancers detected outside the screening program. The distribution of invasive tumor size (pT categories) and the nodal status differed with statistical significance between cancers detected in and outside the program (p = 0.005 and p = 0.004, respectively). (orig.)

  6. Association between body mass index and breast density using digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Mi Young [Dept. of Diagnostic Radiology, Dankook University Hospital, Cheonan (Korea, Republic of); Kim, Hwa Sun [Dept. of Radiological Technology, Ansan University, Ansan (Korea, Republic of)

    2014-12-15

    It is well known that low body mass index and younger age are associated with high breast density. Mammographic dense breast has been reported both as a cause of false-negative findings on mammography and as an indicator of increased breast cancer risk. The purpose of this study was to evaluate the association between breast density and body mass index. Furthermore, we considered proper screening method of breast cancer in Korean women. The study was performed on 496 women who underwent health checkup in a university hospital. Age and body mass index were negatively associated with breast density respectively. In postmenopausal women, age and body mass index showed statistically significant association with breast density. Therefore, we should consider sensitive additional method for breast cancer screening especially in younger age and underweight women.

  7. OBJECTIVE QUALITY ASSESSMENT OF IMAGE ENHANCEMENT METHODS IN DIGITAL MAMMOGRAPHY-A COMPARATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Sheba K.U

    2016-08-01

    Full Text Available Mammography is the primary and most reliable technique for detection of breast cancer. Mammograms are examined for the presence of malignant masses and indirect signs of malignancy such as micro calcifications, architectural distortion and bilateral asymmetry. However, Mammograms are X-ray images taken with low radiation dosage which results in low contrast, noisy images. Also, malignancies in dense breast are difficult to detect due to opaque uniform background in mammograms. Hence, techniques for improving visual screening of mammograms are essential. Image enhancement techniques are used to improve the visual quality of the images. This paper presents the comparative study of different preprocessing techniques used for enhancement of mammograms in mini-MIAS data base. Performance of the image enhancement techniques is evaluated using objective image quality assessment techniques. They include simple statistical error metrics like PSNR and human visual system (HVS feature based metrics such as SSIM, NCC, UIQI, and Discrete Entropy

  8. [Comparison of dignity determination of mammographic microcalcification with two systems for digital full-field mammography with different detector resolution: a retrospective clinical study].

    Science.gov (United States)

    Schulz-Wendtland, R; Hermann, K-P; Adamietz, B; Meier-Meitinger, M; Wenkel, E; Lell, M; Anders, K; Uder, M

    2011-02-01

    The aim of this retrospective clinical study was to compare the diagnostic accuracy of the novel 50 µm FFDM (full-field digital mammography) system (DR) with an established 70 µm system (DR) in the differential diagnosis between benign and malignant clusters of microcalcification (n=50) (BI-RADS™ classification 4/5) and to assess the possible incremental value of the 50 µm pixel-pitch on specificity. From March 2009 to September 2009, 50 patients underwent full-field digital mammography (FFDM) (detector resolution 70 µm) (Novation, Siemens, Erlangen, Germany). As there were suspicious signs of microcalcification classified with BI-RADS™ 4/5 after diagnosis and preoperative wire localization, control images were made with the new FFDM system (detector: resolution 50 µm) (Amulet, Fujifilm, Tokyo, Japan) with the same exposure parameters. The diagnosis was determined after the operation by five radiologists with different experience in digital mammography from randomly distributed mediolateral views (monitor reading) whose results were correlated with the final histology of all lesions. Histopathology revealed 19 benign and 31 malignant lesions in 50 patients after open biopsy. The results of the five readers showed a higher sensitivity of the new FFDM system (80.0%) in the ability to recognize malignant microcalcification in comparison to the established system (74.8%). The specificity (75.8 versus 71.6%) was slightly higher for the new system but these results were not statistically significant (p<0.001). Considering the diagnostic accuracy, the new system (detector: resolution 50 µm) was also slightly superior to the well-known system (detector: resolution 70 µm) (80.1% versus 76.4%). Our study has shown that the new full-field digital mammography system using the novel detector compared with the already established FFDM system with respect to the assessment of microcalcification is at least equivalent.

  9. 全数字化乳腺点压摄影诊断致密型乳腺中乳腺癌%Digital spot mammography for breast cancer in dense breasts

    Institute of Scientific and Technical Information of China (English)

    杜牧; 曹满瑞; 赵弘; 张方璟; 朱志军

    2011-01-01

    目的 探讨数字化乳腺点压摄影对致密型乳腺的乳腺癌的诊断价值.方法 对68例致密型乳腺的乳腺癌患者经全数字化乳腺X线检查常规检查(首尾位及内外斜位)后,对触诊异常区域加摄无放大点压摄影,分别分析常规摄影和点压摄影的影像表现并进行对比.结果 点压摄影在肿块显示、毛刺显示方面明显优于常规摄影.两种方法对钙化的显示率无显著差别,但在显示钙化数量、大小、形态及密度等具体特征方面,压点摄影优于常规摄影.4例常规摄影显示乳腺结构扭曲的患者,点压摄影可见小肿块;5例常规摄影显示乳腺局灶性不对称患者,点压摄影均可见肿块.点压摄影的诊断准确率(86.76%)高于常规摄影(63.24%),漏诊及误诊率(4.41%)低于常规摄影(14.70%).结论 常规乳腺摄影结合点压摄影能够明显提高致密型乳腺的乳腺癌的诊断准确率.%Objective To observe the diagnostic value of digital spot mammography for breast cancer in dense breasts.Methods Sixty-eight patients with breast cancer in dense breasts proved pathologicaly were enrolled. After conventional digital mammography (including craniocaudal view and midiolateral oblique view) were conducted for every patient, digital spot mammography without magnification were performed in the suspected area. The image findings of both digital spot mammography and conventional mammography were analyzed and compared. Results Digital spot mammography was superior to conventional mammography in showing the margin and spiculated features of masses. There was no significant difference in showing calcification of tumors, whereas digital spot mammography was superior to conventional mammography in showing the specific features of calcification like quantity, size, shape and density. Masses were found with digital spot mammography in 4 cases of architectural distortion and 5 cases of focal asymmetric density on conventional mammography

  10. Compressed sensing for phase contrast CT

    Energy Technology Data Exchange (ETDEWEB)

    Gaass, Thomas; Potdevin, Guillaume; Noeel, Peter B.; Tapfer, Arne; Willner, Marian; Herzen, Julia; Bech, Martin; Pfeiffer, Franz; Haase, Axel [Zentralinstitut fuer Medizintechnik, Technische Universitaet Muenchen, Garching (Germany); Department of Physics, Technische Universitaet Muenchen, Garching (Germany); Department of Radiology, Technische Universitaet Muenchen, Munich (Germany)

    2012-07-31

    Modern x-ray techniques opened the possibility to retrieve phase information. Phase-contrast computed tomography (PCCT) has the potential to significantly improve soft tissue contrast. Radiation dose, however, continues to be an issue when moving from bench to bedside. Dose reduction in this work is achieved by sparsely acquiring PCCT data. To compensate for appearing aliasing artifacts we introduce a compressed sensing (CS) reconstruction framework. We present the feasibility of CS on PCCT with numerical as well as measured phantom data. The results proof that CS compensates for under-sampling artifacts and maintains the superior soft tissue contrast and detail visibility in the reconstructed images.

  11. Compressed sensing for phase contrast CT

    Science.gov (United States)

    Gaass, Thomas; Potdevin, Guillaume; Noël, Peter B.; Tapfer, Arne; Willner, Marian; Herzen, Julia; Bech, Martin; Pfeiffer, Franz; Haase, Axel

    2012-07-01

    Modern x-ray techniques opened the possibility to retrieve phase information. Phase-contrast computed tomography (PCCT) has the potential to significantly improve soft tissue contrast. Radiation dose, however, continues to be an issue when moving from bench to bedside. Dose reduction in this work is achieved by sparsely acquiring PCCT data. To compensate for appearing aliasing artifacts we introduce a compressed sensing (CS) reconstruction framework. We present the feasibility of CS on PCCT with numerical as well as measured phantom data. The results proof that CS compensates for under-sampling artifacts and maintains the superior soft tissue contrast and detail visibility in the reconstructed images.

  12. Laser projection using generalized phase contrast

    DEFF Research Database (Denmark)

    Glückstad, Jesper; Palima, Darwin; Rodrigo, Peter John

    2007-01-01

    We demonstrate experimental laser projection of a gray-level photographic image with 74% light efficiency using the generalized phase contrast (GPC) method. In contrast with a previously proposed technique [Alonzo et al., New J. Phys. 9, 132 (2007)], a new approach to image construction via GPC...... is introduced. An arbitrary phase shift filter eliminates the need for high-frequency modulation and conjugate phase encoding. This lowers device performance requirements and allows practical implementation with currently available dynamic spatial light modulators. (c) 2007 Optical Society of America....

  13. Phase-contrast X-ray CT

    Energy Technology Data Exchange (ETDEWEB)

    Momose, Atsushi [Hitachi Ltd., Saitama (Japan). Advanced Research Laboratory; Takeda, Tohoru; Itai, Yuji

    1995-12-01

    Phase-contrast X-ray computed tomography (CT) enabling the observation of biological soft tissues without contrast enhancement has been developed. The X-ray phase shift caused by an object is measured and input to a standard CT reconstruction algorithm. A thousand times increase in the image sensitivity to soft tissues is achieved compared with the conventional CT using absorption contrast. This is because the X-ray phase shift cross section of light elements is about a thousand times larger than the absorption cross section. The phase shift is detected using an X-ray interferometer and computer analyses of interference patterns. Experiments were performed using a synchrotron X-ray source. Excellent image sensitivity is demonstrated in the observation of cancerous rabbit liver. The CT images distinguish cancer lesion from normal liver tissue and, moreover, visualize the pathological condition in the lesion. Although the X-ray energy employed and the present observation area size are not suitable for medical applications as they are, phase-contrast X-ray CT is promising for investigating the internal structure of soft tissue which is almost transparent for X-rays. The high sensitivity also provides the advantage of reducing X-ray doses. (author).

  14. Full breast digital mammography with an amorphous silicon-based flat panel detector: physical characteristics of a clinical prototype.

    Science.gov (United States)

    Vedantham, S; Karellas, A; Suryanarayanan, S; Albagli, D; Han, S; Tkaczyk, E J; Landberg, C E; Opsahl-Ong, B; Granfors, P R; Levis, I; D'Orsi, C J; Hendrick, R E

    2000-03-01

    The physical characteristics of a clinical prototype amorphous silicon-based flat panel imager for full-breast digital mammography have been investigated. The imager employs a thin thallium doped CsI scintillator on an amorphous silicon matrix of detector elements with a pixel pitch of 100 microm. Objective criteria such as modulation transfer function (MTF), noise power spectrum, detective quantum efficiency (DQE), and noise equivalent quanta were employed for this evaluation. The presampling MTF was found to be 0.73, 0.42, and 0.28 at 2, 4, and 5 cycles/mm, respectively. The measured DQE of the current prototype utilizing a 28 kVp, Mo-Mo spectrum beam hardened with 4.5 cm Lucite is approximately 55% at close to zero spatial frequency at an exposure of 32.8 mR, and decreases to approximately 40% at a low exposure of 1.3 mR. Detector element nonuniformity and electronic gain variations were not significant after appropriate calibration and software corrections. The response of the imager was linear and did not exhibit signal saturation under tested exposure conditions.

  15. Combined use of fine needle aspiration cytology and full field digital mammography in preoperative assessment of breast masses

    Institute of Scientific and Technical Information of China (English)

    Yanan Zhang; Junsheng Li; Zhenling Ji; Wenhao Tang

    2008-01-01

    Objective: To evaluate the accuracy of these two methods and focus on the analysis and management of the false-negative cases.Methods: Results of full field digital mammography (FFDM) and fine needle aspiration cytology (FNAC)were obtained and analyzed from a consecutive of 102 women with palpable breast masses, results were correlated with the histopathological findings.Results: Of the 102 cases, malignancy was confirmed in 43 cases (42.16%) by final pathological examination, the sensitivity and specificity of cancer detection with FNA cytology was 90.7% (39/43) and 89.8% (53/59), respectively, the whole accuracy was 90.2% (92/102), with a positive predictive value of 86.7% (39/45) and a negative predictive value of 93.0% (53/57).FFDM gave a sensitivity of 88.4% (38/43), specificity of 83.1% (49/59), and whole accuracy 85.3% (87/102), the positive predictive value and negative predictive value was 79.2% (38/48) and 90.7% (49/54), respectively.All the FNAC-negative cancer cases were suggestive of malignancy by FFDM findings, however, the benign cases which presentas equivocal finding by FNA cytology, could not be ruled out the presence of malignancy.Conclusion: FNAC and FFDM both are accurate, effective and economical diagnostic modalities, combined use of these two methods can reduced the misdiagnosis rate of breast masses.

  16. Estimating breast thickness for dual-energy subtraction in contrast-enhanced digital mammography using calibration phantoms

    Science.gov (United States)

    Lau, Kristen C.; Kwon, Young Joon; Aziz, Moez Karim; Acciavatti, Raymond J.; Maidment, Andrew D. A.

    2016-04-01

    Dual-energy contrast-enhanced digital mammography (DE CE-DM) uses an iodinated contrast agent to image the perfusion and vasculature of the breast. DE images are obtained by a weighted logarithmic subtraction of the high-energy (HE) and low-energy (LE) image pairs. We hypothesized that the optimal DE subtraction weighting factor is thickness-dependent, and developed a method for determining breast tissue composition and thickness in DE CE-DM. Phantoms were constructed using uniform blocks of 100% glandular-equivalent and 100% adipose-equivalent material. The thickness of the phantoms ranged from 3 to 8 cm, in 1 cm increments. For a given thickness, the glandular-adipose composition of the phantom was varied using different combinations of blocks. The logarithmic LE and logarithmic HE signal intensities were measured; they decrease linearly with increasing glandularity for a given thickness. The signals decrease with increasing phantom thickness and the x-ray signal decreases linearly with thickness for a given glandularity. As the thickness increases, the attenuation difference per additional glandular block decreases, indicating beam hardening. From the calibration mapping, we have demonstrated that we can predict percent glandular tissue and thickness when given two distinct signal intensities. Our results facilitate the subtraction of tissue at the boundaries of the breast, and aid in discriminating between contrast agent uptake in glandular tissue and subtraction artifacts.

  17. Diagnostic performance of digital breast tomosynthesis with a wide scan angle compared to full-field digital mammography for the detection and characterization of microcalcifications.

    Science.gov (United States)

    Clauser, Paola; Nagl, Georg; Helbich, Thomas H; Pinker-Domenig, Katja; Weber, Michael; Kapetas, Panagiotis; Bernathova, Maria; Baltzer, Pascal A T

    2016-12-01

    To assess the diagnostic performance of digital breast tomosynthesis (DBT), with a wide scan-angle, compared to full-field digital mammography (FFDM), for the detection and characterization of microcalcifications. IRB approval was obtained for this retrospective study. We selected 150 FFDM and DBT (50 benign and 50 malignant histologically verified microcalcifications, 50 cases classified as BI-RADS 1). Four radiologists evaluated, in separate sessions and blinded to patients' history and histology, the presence of microcalcifications. Cases with microcalcifications were assessed for visibility, characteristics, and grade of suspicion using BI-RADS categories. Detection rate and diagnostic performance were calculated. Visibility, lesions' characteristics and reading time were analysed. Detection rate and visibility were good for both FFDM and DBT, without intra-reader differences (P=0.510). Inter-reader differences were detected (PReading time for DBT was almost twice that for FFDM (44 and 25s, respectively). Wide scan-angle DBT enabled the detection and characterization of microcalcifications with no significant differences from FFDM. Inter-reader variability was seen. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. Testing of full-field digital mammography%全数字化乳腺X线设备检测方法

    Institute of Scientific and Technical Information of China (English)

    陈强; 倪萍; 蔡华

    2015-01-01

    Objective To test the key indexes of full-field digital mammography to keep it in good condition.Methods The testing was carried out based on clinical experiences and GBZ 186—2007 Mammography Quality Control Testing Specification.Results The testing items and indexes were proposed to facilitate the staff to check and operate the machine.Conclusion Clinical safety of full-field digital mammography and image quality are both enhanced greatly.%目的:通过对全数字化乳腺X线设备主要参数进行检测,从而保证设备性能良好.方法:依据GBZ 186—2007《乳腺X射线摄影质量控制检测规范》并结合临床实际制定检测方法,对全数字化乳腺X线设备性能进行评估.结果:提供了详细的检测项目和结果,使操作人员能更好地检测和使用设备.结论:该检测方法为全数字化乳腺X线设备临床使用安全及影像质量提供了必要保障.

  19. An observer study for a computer-aided reading protocol (CARP) in the screening environment for digital mammography.

    Science.gov (United States)

    Moin, Paymann; Deshpande, Ruchi; Sayre, Jim; Messer, Ellen; Gupte, Sangeeta; Romsdahl, Harlan; Hasegawa, Akira; Liu, Brent J

    2011-11-01

    The aims of this study were to investigate improving work flow efficiency by shortening the reading time of digital mammograms using a computer-aided reading protocol (CARP) in the screening environment and to increase detection sensitivity using CARP, compared to the current protocol, commonly referred to as the quadrant view (QV). A total of 200 cases were selected for a receiver-operating characteristic (ROC) study to evaluate two image display work flows, CARP and QV, in the screening environment. A Web-based tool was developed for scoring, reporting, and statistical analysis. Cases were scored for and stratified by difficulty. A total of six radiologists of differing levels of training ranging from dedicated mammographers to senior radiology residents participated. Each was timed while interpreting the 200 cases in groups of 50, first using QV and then, after a washout period, using CARP. The data were analyzed using ROC and κ analysis. Interpretation times were also assessed. Using QV, readers' average area under the ROC curve was 0.68 (range, 0.54-0.73). Using CARP, readers' average area under the ROC curve was 0.71 (range, 0.66-0.75). There was no statistically significant difference in reader performance using either work flow. However, there was a statistically significant reduction in the average interpretation time of negative cases from 64.7 seconds using QV to 58.8 seconds using CARP. CARP determines the display order of regions of interest depending on computer-aided detection findings. This is a variation of traditional computer-aided detection for digital mammography that has the potential to reduce interpretation times of studies with negative findings without significantly affecting sensitivity, thus allowing improved work flow efficiency in the screening environment, in which, in most settings, the majority of cases are negative. Copyright © 2011 AUR. Published by Elsevier Inc. All rights reserved.

  20. Comparison of breast tissue measurements using magnetic resonance imaging, digital mammography and a mathematical algorithm

    Science.gov (United States)

    Lu, Lee-Jane W.; Nishino, Thomas K.; Johnson, Raleigh F.; Nayeem, Fatima; Brunder, Donald G.; Ju, Hyunsu; Leonard, Morton H., Jr.; Grady, James J.; Khamapirad, Tuenchit

    2012-11-01

    Women with mostly mammographically dense fibroglandular tissue (breast density, BD) have a four- to six-fold increased risk for breast cancer compared to women with little BD. BD is most frequently estimated from two-dimensional (2D) views of mammograms by a histogram segmentation approach (HSM) and more recently by a mathematical algorithm consisting of mammographic imaging parameters (MATH). Two non-invasive clinical magnetic resonance imaging (MRI) protocols: 3D gradient-echo (3DGRE) and short tau inversion recovery (STIR) were modified for 3D volumetric reconstruction of the breast for measuring fatty and fibroglandular tissue volumes by a Gaussian-distribution curve-fitting algorithm. Replicate breast exams (N = 2 to 7 replicates in six women) by 3DGRE and STIR were highly reproducible for all tissue-volume estimates (coefficients of variation tissue, (2) 0.72-0.82, 0.64-0.96, and 0.77-0.91, for glandular volume, (3) 0.87-0.98, 0.94-1.07, and 0.89-0.99, for fat volume, and (4) 0.89-0.98, 0.94-1.00, and 0.89-0.98, for total breast volume. For all values estimated, the correlation was stronger for comparisons between the two MRI than between each MRI versus mammography, and between each MRI versus MATH data than between each MRI versus HSM data. All ICC values were >0.75 indicating that all four methods were reliable for measuring BD and that the mathematical algorithm and the two complimentary non-invasive MRI protocols could objectively and reliably estimate different types of breast tissues.

  1. Simulated intensity profiles for cylindrical objects in magnification mammography: the effect of the spectrum

    Energy Technology Data Exchange (ETDEWEB)

    Palma-Alejandro, Karla-Denaly; Brandan, Maria-Ester, E-mail: brandan@fisica.unam.mx [Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF (Mexico); Valdeolivas, Alberto; Chevalier, Margarita; Guibelalde, Eduardo [Facultad de Medicina, Universidad Complutense de Madrid (Spain); Alieva, Tatiana [Facultad de Ciencias Fisicas, Universidad Complutense de Madrid (Spain)

    2011-12-15

    We present a user-friendly Matlab simulation interface tool to predict intensity profiles for magnified X-ray images of weakly attenuating cylindrical objects, including phase effects. Based on a previous monoenergetic formalism, we now consider polyenergetic X-ray beams and we study the effect of the spectral description on the predicted phase contrast. It was found that, for weakly attenuating objects with diameters <{approx}1 mm, detailed resolution in the spectrum description is not necessary. Simulations are compared with images of cylindrical objects, which were obtained under conditions found in a commercial digital mammography system. The magnification images of phantom plastic fibers show weak, however visible, edge enhancement due to phase contrast. The polyenergetic simulations provide an improved description of the data with respect to the effective energy monoenergetic assumption. (author)

  2. Holo-GPC: Holographic Generalized Phase Contrast

    DEFF Research Database (Denmark)

    Bañas, Andrew; Glückstad, Jesper

    2017-01-01

    Light shaping methods based on spatial phase-only modulation can be classified depending on whether they distribute multiple beams or shape the individual beams. Diffractive optics or holography can be classified as the former, as it spatially distributes a plurality of focal spots over a working...... volume. On the other hand, Generalized Phase Contrast (GPC) forms beams with well-defined lateral shapes and could be classified as the latter. To certain extents, GPC and holography can also perform both beam distribution and beam shaping. But despite the overlap in beam distribution and beam shaping...... of GPC in forming well-defined speckle-free shapes that can be distributed over an extended 3D volume through holographic means. The combined strengths of the two photon-efficient phase-only light shaping modalities open new possibilities for contemporary laser sculpting applications....

  3. Minimally-destructive Partial Phase Contrast Imaging

    CERN Document Server

    Wigley, Paul; Hardman, Kyle; Sooriyabandara, Mahasen; Perumbil, Manju; Close, John; Robins, Nicholas; Kuhn, Carlos

    2016-01-01

    This paper presents a minimally-destructive imaging technique based on a combination of phase contrast and Faraday rotation imaging used to continuously observe a condensate of 85 Rb. We demonstrate that the technique is capable of imaging a small sample of only 10 4 atoms up to 100 times with negligible decreases in atom number and no observable heating. At approximately 1GHz detuning, the SNR remains at approximately 7 for all 100 images, with a 22ms TOF absorption image confirming the survival of the condensate. The splitting of the magnetic sublevels of this species at such fields show non-trivial selection rules. We present experimental data outlining particular allowed transitions in this regime.

  4. Vowel identification by amplitude and phase contrast.

    Science.gov (United States)

    Molis, Michelle R; Diedesch, Anna; Gallun, Frederick; Leek, Marjorie R

    2013-02-01

    Vowel identification is largely dependent on listeners' access to the frequency of two or three peaks in the amplitude spectrum. Earlier work has demonstrated that, whereas normal-hearing listeners can identify harmonic complexes with vowel-like spectral shapes even with very little amplitude contrast between "formant" components and remaining harmonic components, listeners with hearing loss require greater amplitude differences. This is likely the result of the poor frequency resolution that often accompanies hearing loss. Here, we describe an additional acoustic dimension for emphasizing formant versus non-formant harmonics that may supplement amplitude contrast information. The purpose of this study was to determine whether listeners were able to identify "vowel-like" sounds using temporal (component phase) contrast, which may be less affected by cochlear loss than spectral cues, and whether overall identification improves when congruent temporal and spectral information are provided together. Five normal-hearing and five hearing-impaired listeners identified three vowels over many presentations. Harmonics representing formant peaks were varied in amplitude, phase, or a combination of both. In addition to requiring less amplitude contrast, normal-hearing listeners could accurately identify the sounds with less phase contrast than required by people with hearing loss. However, both normal-hearing and hearing-impaired groups demonstrated the ability to identify vowel-like sounds based solely on component phase shifts, with no amplitude contrast information, and they also showed improved performance when congruent phase and amplitude cues were combined. For nearly all listeners, the combination of spectral and temporal information improved identification in comparison to either dimension alone.

  5. X-ray induced formation of γ-H2AX foci after full-field digital mammography and digital breast-tomosynthesis.

    Directory of Open Access Journals (Sweden)

    Siegfried A Schwab

    Full Text Available PURPOSE: To determine in-vivo formation of x-ray induced γ-H2AX foci in systemic blood lymphocytes of patients undergoing full-field digital mammography (FFDM and to estimate foci after FFDM and digital breast-tomosynthesis (DBT using a biological phantom model. MATERIALS AND METHODS: The study complies with the Declaration of Helsinki and was performed following approval by the ethic committee of the University of Erlangen-Nuremberg. Written informed consent was obtained from every patient. For in-vivo tests, systemic blood lymphocytes were obtained from 20 patients before and after FFDM. In order to compare in-vivo post-exposure with pre-exposure foci levels, the Wilcoxon matched pairs test was used. For in-vitro experiments, isolated blood lymphocytes from healthy volunteers were irradiated at skin and glandular level of a porcine breast using FFDM and DBT. Cells were stained against the phosphorylated histone variant γ-H2AX, and foci representing distinct DNA damages were quantified. RESULTS: Median in-vivo foci level/cell was 0.086 (range 0.067-0.116 before and 0.094 (0.076-0.126 after FFDM (p = 0.0004. In the in-vitro model, the median x-ray induced foci level/cell after FFDM was 0.120 (range 0.086-0.140 at skin level and 0.035 (range 0.030-0.050 at glandular level. After DBT, the median x-ray induced foci level/cell was 0.061 (range 0.040-0.081 at skin level and 0.015 (range 0.006-0.020 at glandular level. CONCLUSION: In patients, mammography induces a slight but significant increase of γ-H2AX foci in systemic blood lymphocytes. The introduced biological phantom model is suitable for the estimation of x-ray induced DNA damages in breast tissue in different breast imaging techniques.

  6. Performance of computer-aided detection applied to full-field digital mammography in detection of breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Sadaf, Arifa, E-mail: arifa.sadaf@gmail.com [Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ontario, M5G 1X5 (Canada); Crystal, Pavel, E-mail: pavel.crystal@utoronto.ca [Department of Medical Imaging, Mount Sinai Hospital, Toronto, Ontario, M5G 1X5 (Canada); Scaranelo, Anabel, E-mail: anabel.scaranelo@uhn.on.ca [Department of Medical Imaging, Princess Margaret Hospital, 610 University Avenue, Rm 3-922, Toronto, Ontario, M5G 2M9 (Canada); Helbich, Thomas, E-mail: thomas.helbich@meduniwien.ac.at [Medical University Vienna - General Hospital Vienna, Waehringer Guertel 18-20, Floor 7F, 1090 Vienna (Austria)

    2011-03-15

    Objective: The aim of this retrospective study was to evaluate performance of computer-aided detection (CAD) with full-field digital mammography (FFDM) in detection of breast cancers. Materials and Methods: CAD was retrospectively applied to standard mammographic views of 127 cases with biopsy proven breast cancers detected with FFDM (Senographe 2000, GE Medical Systems). CAD sensitivity was assessed in total group of 127 cases and for subgroups based on breast density, mammographic lesion type, mammographic lesion size, histopathology and mode of presentation. Results: Overall CAD sensitivity was 91% (115 of 127 cases). There were no statistical differences (p > 0.1) in CAD detection of cancers in dense breasts 90% (53/59) versus non-dense breasts 91% (62/68). There was statistical difference (p < 0.05) in CAD detection of cancers that appeared mammographically as microcalcifications only versus other mammographic manifestations. CAD detected 100% (44/44) of cancers manifesting as microcalcifications, 89% (47/53) as no-calcified masses or asymmetries, 88% (14/16) as masses with associated calcifications, and 71% (10/14) as architectural distortions. CAD sensitivity for cancers 1-10 mm was 84% (38/45); 11-20 mm 93% (55/59); and >20 mm 97% (22/23). Conclusion: CAD applied to FFDM showed 100% sensitivity in identifying cancers manifesting as microcalcifications only and high sensitivity 86% (71/83) for other mammographic appearances of cancer. Sensitivity is influenced by lesion size. CAD in FFDM is an adjunct helping radiologist in early detection of breast cancers.

  7. Assessment of value of digital mammography on the diagnosis of breast cancer%钼靶摄影诊断乳腺癌的价值

    Institute of Scientific and Technical Information of China (English)

    艾勇; 熊艾平; 文黎

    2014-01-01

    Objective To analyze the radiological signs of breast cancer and evaluate the value of mammography on the diagnosis of breast cancer. Methods The mammography X-ray findings of 27 cases of breast cancer confirmed by pathology were retrospectively analyzed. Results Among the 27 ca-ses,there were mass in 25 cases,calcifications in 9 cases,local infiltration in 1 cases. Conclusions Digital mammography can more clearly show the signs of breast cancer,and plays an important role in the diagnosis of breast cancer.%目的:明确乳腺癌的钼靶摄影征象,评价钼靶在早期乳腺癌诊断中的价值。方法对27例经手术和病理证实的乳腺癌的钼靶 X 线征象进行回顾性分析。结果27例乳腺癌的钼靶 X 线征像,局限性肿块25例,恶性钙化9例,局部浸润1例。结论数字化钼靶乳腺摄影显示乳腺癌的征象更加清晰,对乳腺癌早期诊断能够起到重要作用。

  8. Monitoring stem cells in phase contrast imaging

    Science.gov (United States)

    Lam, K. P.; Dempsey, K. P.; Collins, D. J.; Richardson, J. B.

    2016-04-01

    Understanding the mechanisms behind the proliferation of Mesenchymal Stem cells (MSCs) can offer a greater insight into the behaviour of these cells throughout their life cycles. Traditional methods of determining the rate of MSC differentiation rely on population based studies over an extended time period. However, such methods can be inadequate as they are unable to track cells as they interact; for example, in autologous cell therapies for osteoarthritis, the development of biological assays that could predict in vivo functional activity and biological action are particularly challenging. Here further research is required to determine non-histochemical biomarkers which provide correlations between cell survival and predictive functional outcome. This paper proposes using a (previously developed) advanced texture-based analysis algorithm to facilitate in vitro cells tracking using time-lapsed microscopy. The technique was adopted to monitor stem cells in the context of unlabelled, phase contrast imaging, with the goal of examining the cell to cell interactions in both monoculture and co-culture systems. The results obtained are analysed using established exploratory procedures developed for time series data and compared with the typical fluorescent-based approach of cell labelling. A review of the progress and the lessons learned are also presented.

  9. Digital Mammography Diagnosis of Breast Fibroadenoma%乳腺纤维腺瘤的数字化钼靶X线诊断

    Institute of Scientific and Technical Information of China (English)

    张玥玥; 朱正庭; 袁富红; 郑玲

    2011-01-01

    Objective To investigate the diagnostic value of the digital mammography in the breast (ibroadenoma. Methods 37 cases with the breast fibroadenoma confirmed by operation and pathology underwent the digital mammography, the clinical and X-ray signs were analyzed retrospectively. Results The border of the mass was well-defined in 46 masses, partly well-outlined in 4 and ill-defined in 2; the lesions appeared moderate dense and there were calcifications in 5; the shape of the mass appeared round or oval (44/52), lobular (6/50) and irregular (2/52). Conclusion The digital mammography has very important value in diagnosing and differentiating in the breast fibroadenoma. [Chinese Medical Equipment Journal, 2011,32(10):74-75]%目的:探讨数字化钼靶X线检查在乳腺纤维腺瘤诊断中的价值.方法:搜集37例行数字化钼靶X线检查并经手术及病理证实的乳腺纤维腺瘤患者资料,对其临床特点及X线征象进行回顾性分析.结果:X线显示46个病灶边界清楚锐利,4个边界部分清晰,2个边界不清;所有病灶均为中等密度,5个显示有钙化;病灶形态为圆形、类圆形共44个,分叶状6个,不规则形2个.结论:数字化钼靶X线检查对乳腺良性病变的诊断、鉴别诊断具有重要价值.

  10. Impact on the recall rate of digital breast tomosynthesis as an adjunct to digital mammography in the screening setting. A double reading experience and review of the literature.

    Science.gov (United States)

    Carbonaro, Luca A; Di Leo, Giovanni; Clauser, Paola; Trimboli, Rubina M; Verardi, Nicola; Fedeli, Maria P; Girometti, Rossano; Tafà, Alfredo; Bruscoli, Paola; Saguatti, Gianni; Bazzocchi, Massimo; Sardanelli, Francesco

    2016-04-01

    To estimate the impact on recall rate (RR) of digital breast tomosynthesis (DBT) associated with digital mammography (DM+DBT), compared to DM alone, evaluate the impact of double reading (DR) and review the literature. Ethics committees approved this multicenter study. Patients gave informed consent. Women recalled from population-based screening reading were included. Reference standard was histology and/or ≥ 1 year follow up. Negative multiple assessment was considered for patients lost at follow up. Two blinded readers (R1, R2) evaluated first DM and subsequently DM+DBT. RR, sensitivity, specificity, accuracy, positive and negative predictive values (PPV, NPV), were calculated for R1, R2, and DR. Cohen κ and χ(2) were used for R1-R2 agreement and RR related to breast density. We included 280 cases (41 malignancies, 66 benign lesions, and 173 negative examinations). The RR reduction was 43% (R1), 58% (R2), 43% (DR). Sensitivity, specificity, accuracy, PPV and NPV were: 93%, 67%, 71%, 33%, 98% for R1; 88%, 73%, 75%, 36%, 97% for R2; 98%, 55%, 61%, 27%, 99% for DR. The agreement was higher for DM+DBT (κ=0.459 versus κ=0.234). Reduction in RR was independent from breast density (p=0.992). DBT was confirmed to reduce RR, as shown by 13 of 15 previous studies (reported reduction 6-82%, median 31%). This reduction is confirmed when using DR. DBT allows an increased inter-reader agreement. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Increase in perceived case suspiciousness due to local contrast optimisation in digital screening mammography

    Energy Technology Data Exchange (ETDEWEB)

    Visser, Roelant; Schuur, Klaas H. [National Expert and Training Centre for Breast Cancer Screening, P.O. Box 6873, Nijmegen (Netherlands); Veldkamp, Wouter J.H.; Bun, Petra A.M. [National Expert and Training Centre for Breast Cancer Screening, P.O. Box 6873, Nijmegen (Netherlands); Leiden University Medical Center, Department of Radiology, Leiden (Netherlands); Beijerinck, David; Deurenberg, Jan J.M. [Centre/Mid-West, Utrecht (Netherlands); Imhof-Tas, Mechli W.; Snoeren, Miranda M.; Karssemeijer, Nico [Radboud University Nijmegen Medical Centre, Department of Radiology, Nijmegen (Netherlands); Heeten, Gerard J. den [National Expert and Training Centre for Breast Cancer Screening, P.O. Box 6873, Nijmegen (Netherlands); Academical Medical Center Amsterdam, Department of Radiology, Amsterdam (Netherlands); Broeders, Mireille J.M. [National Expert and Training Centre for Breast Cancer Screening, P.O. Box 6873, Nijmegen (Netherlands); Radboud University Nijmegen Medical Centre, Department of Epidemiology, Biostatistics and HTA, Nijmegen (Netherlands)

    2012-04-15

    To determine the influence of local contrast optimisation on diagnostic accuracy and perceived suspiciousness of digital screening mammograms. Data were collected from a screening region in the Netherlands and consisted of 263 digital screening cases (153 recalled,110 normal). Each case was available twice, once processed with a tissue equalisation (TE) algorithm and once with local contrast optimisation (PV). All cases had digitised previous mammograms. For both algorithms, the probability of malignancy of each finding was scored independently by six screening radiologists. Perceived case suspiciousness was defined as the highest probability of malignancy of all findings of a radiologist within a case. Differences in diagnostic accuracy of the processing algorithms were analysed by comparing the areas under the receiver operating characteristic curves (A{sub z}). Differences in perceived case suspiciousness were analysed using sign tests. There was no significant difference in A{sub z} (TE: 0.909, PV 0.917, P = 0.46). For all radiologists, perceived case suspiciousness using PV was higher than using TE more often than vice versa (ratio: 1.14-2.12). This was significant (P <0.0083) for four radiologists. Optimisation of local contrast by image processing may increase perceived case suspiciousness, while diagnostic accuracy may remain similar. (orig.)

  12. Surgical biopsy is still necessary for BI-RADS 4 calcifications found on digital mammography that are technically too faint for stereotactic core biopsy.

    Science.gov (United States)

    Jeffries, Deborah O; Neal, Colleen H; Noroozian, Mitra; Joe, Annette I; Pinsky, Renee W; Goodsitt, Mitchell M; Helvie, Mark A

    2015-12-01

    The purpose of this study was to evaluate the outcome of faint BI-RADS 4 calcifications detected with digital mammography that were not amenable to stereotactic core biopsy due to suboptimal visualization. Following Institutional Review Board approval, a HIPAA compliant retrospective search identified 665 wire-localized surgical excisions of calcifications in 606 patients between 2007 and 2010. We included all patients that had surgical excision for initial diagnostic biopsy due to poor calcification visualization, whose current imaging was entirely digital and performed at our institution and who did not have a diagnosis of breast cancer within the prior 2 years. The final study population consisted of 20 wire-localized surgical biopsies in 19 patients performed instead of stereotactic core biopsy due to poor visibility of faint calcifications. Of the 20 biopsies, 4 (20% confidence intervals 2, 38%) were malignant, 5 (25%) showed atypia and 11 (55%) were benign. Of the malignant cases, two were invasive ductal carcinoma (2 and 1.5 mm), one was intermediate grade DCIS and one was low-grade DCIS. Malignant calcifications ranged from 3 to 12 mm. The breast density was scattered in 6/19 (32%), heterogeneously dense in 11/19 (58%) and extremely dense in 2/19 (10%). Digital mammography-detected faint calcifications that were not amenable to stereotactic biopsy due to suboptimal visualization had a risk of malignancy of 20%. While infrequent, these calcifications should continue to be considered suspicious and surgical biopsy recommended.

  13. [Follow-up of surgical biopsies in microcalcifications of the breast. Comparative analysis of patients submitted to mammography and digitalization of mammographic images].

    Science.gov (United States)

    Rulli, A; Cirocchi, R; Vento, A R; Naninato, P; Zanetti, A; Carli, L

    1997-01-01

    Improvements in the techniques of preoperative needle localization of nonpalpable breast lesions that have been detected at mammography, coupled with surgical biopsy of smaller volumes of breast tissue and the use of local anesthesia have produced a more aggressive attitude toward early biopsy of lesions that are suspected of malignancy. The authors report the follow-up in 92 cases, who underwent breast biopsy for microcalcifications with no palpable lesions. In 46 women the presence of microcalcifications was evaluated through a computerized instrument which allows digitalization of the image.

  14. Design and application of a structured phantom for detection performance comparison between breast tomosynthesis and digital mammography

    Science.gov (United States)

    Cockmartin, L.; Marshall, N. W.; Zhang, G.; Lemmens, K.; Shaheen, E.; Van Ongeval, C.; Fredenberg, E.; Dance, D. R.; Salvagnini, E.; Michielsen, K.; Bosmans, H.

    2017-02-01

    This paper introduces and applies a structured phantom with inserted target objects for the comparison of detection performance of digital breast tomosynthesis (DBT) against 2D full field digital mammography (FFDM). The phantom consists of a 48 mm thick breast-shaped polymethyl methacrylate (PMMA) container filled with water and PMMA spheres of different diameters. Three-dimensionally (3D) printed spiculated masses (diameter range: 3.8-9.7 mm) and non-spiculated masses (1.6-6.2 mm) along with microcalcifications (90-250 µm) were inserted as targets. Reproducibility of the phantom application was studied on a single system using 30 acquisitions. Next, the phantom was evaluated on five different combined FFDM & DBT systems and target detection was compared for FFDM and DBT modes. Ten phantom images in both FFDM and DBT modes were acquired on these 5 systems using automatic exposure control. Five readers evaluated target detectability. Images were read with the four-alternative forced-choice (4-AFC) paradigm, with always one segment including a target and 3 normal background segments. The percentage of correct responses (PC) was assessed based on 10 trials of each reader for each object type, size and imaging modality. Additionally, detection threshold diameters at 62.5 PC were assessed via non-linear regression fitting of the psychometric curve. The reproducibility study showed no significant differences in PC values. Evaluation of target detection in FFDM showed that microcalcification detection thresholds ranged between 110 and 118 µm and were similar compared to the detection in DBT (range of 106-158 µm). In DBT, detection of both mass types increased significantly (p  =  0.0001 and p  =  0.0002 for non-spiculated and spiculated masses respectively) compared to FFDM, achieving almost 100% detection for all spiculated mass diameters. In conclusion, a structured phantom with inserted targets was able to show evidence for detectability

  15. A Medipix2-based imaging system for digital mammography with silicon pixel detectors

    CERN Document Server

    Bisogni, M G; Fantacci, M E; Mettivier, G; Montesi, M C; Novelli, M; Quattrocchi, M; Rosso, V; Russo, P; Stefanini, A

    2004-01-01

    In this paper we present the first tests of a digital imaging system based on a silicon pixel detector bump-bonded to an integrated circuit operating in single photon counting mode. The X-rays sensor is a 300 mu m thick silicon, 14 by 14 mm/sup 2/, upon which a matrix of 256 * 256 pixels has been built. The read-out chip, named MEDIPIX2, has been developed at CERN within the MEDIPIX2 Collaboration and it is composed by a matrix of 256 * 256 cells, 55 * 55 mu m/sup 2/. The spatial resolution properties of the system have been assessed by measuring the square wave resolution function (SWRF) and first images of a standard mammographic phantom were acquired using a radiographic tube in the clinical irradiation condition. (5 refs).

  16. Computation of realistic virtual phantom images for an objective lesion detectability assessment in digital mammography.

    Science.gov (United States)

    Perez-Ponce, Hector; Daul, Christian; Wolf, Didier; Noel, Alain

    2011-12-01

    Image quality assessment is required for an optimal use of mammographic units. On the one hand, there are objective image quality assessment methods based on the measurement of technical parameters such as modulation transfer function (MTF), noise power spectrum (NPS) or detection quantum efficiency (DQE) describing performances of digital detectors. These parameters are, however, without direct relationship with lesion detectability in clinical practice. On the other hand, there are image quality assessment methods involving time consuming procedures, but presenting a direct relationship with lesion detectability. This contribution describes an X-ray source/digital detector model leading to the simulation of virtual contrast-detail phantom (CDMAM) images. The virtual image computation method requires the acquisition of only few real images and allows for an objective image quality assessment presenting a direct relationship with lesion detectability. The transfer function of the proposed model takes as input physical parameters (MTF* and noise) measured under clinical conditions on mammographic units. As presented in this contribution, MTF* is a modified MTF taking into account the effects due to X-ray scatter in the breast and magnification. Results obtained with the structural similarity index prove that the simulated images are quite realistic in terms of contrast and noise. Tests using contrast detail curves highlight the fact that the simulated and real images lead to very similar data quality in terms of lesion detectability. Finally, various statistical tests show that quality factors computed for both the simulated images and the real images are very close for the two data sets.

  17. Analysis of computer-aided detection techniques and signal characteristics for clustered microcalcifications on digital mammography and digital breast tomosynthesis

    Science.gov (United States)

    Samala, Ravi K.; Chan, Heang-Ping; Hadjiiski, Lubomir M.; Helvie, Mark A.

    2016-10-01

    With IRB approval, digital breast tomosynthesis (DBT) images of human subjects were collected using a GE GEN2 DBT prototype system. Corresponding digital mammograms (DMs) of the same subjects were collected retrospectively from patient files. The data set contained a total of 237 views of DBT and equal number of DM views from 120 human subjects, each included 163 views with microcalcification clusters (MCs) and 74 views without MCs. The data set was separated into training and independent test sets. The pre-processing, object prescreening and segmentation, false positive reduction and clustering strategies for MC detection by three computer-aided detection (CADe) systems designed for DM, DBT, and a planar projection image generated from DBT were analyzed. Receiver operating characteristic (ROC) curves based on features extracted from microcalcifications and free-response ROC (FROC) curves based on scores from MCs were used to quantify the performance of the systems. Jackknife FROC (JAFROC) and non-parametric analysis methods were used to determine the statistical difference between the FROC curves. The difference between the CADDM and CADDBT systems when the false positive rate was estimated from cases without MCs did not reach statistical significance. The study indicates that the large search space in DBT may not be a limiting factor for CADe to achieve similar performance as that observed in DM.

  18. A Comparative Study on Digital Mammography and Ultrasonography in Diagnosis of Breast Ductal Carcinoma%乳腺导管内癌数字化摄影与超声诊断的对比研究

    Institute of Scientific and Technical Information of China (English)

    徐向红; 赵玉年; 王慧华

    2012-01-01

    Objective To investigate the value of digital mammography and ultrasonography in diagnosis of breast ductal carcinoma. Methods 53 cases of ductal carcinoma were retrospectively analyzed. The digital mammography and ultrasonography were performed in all cases. The diagnosis of digital mammography and ultrasonography was divided into probably malignant, indeterminate , probably benign, and negative. According to surgical and histopathological outcomes, a comparative study on the value of digital mammo-graphy and ultrasonography was performed. Results There are 36 cases and 33 cases of probably malignant ,4 cases and 5 cases of indeterminate,7 cases and 10 cases of of probably benign,6 cases and 5 cases of negative diagnosed by digital mammography and ultrasonography respectively. The accuracy of digital mammography and ultrasonography were 67. 9%( 36/53 ) and 62. 3% ( 33/53 ) respectively. The accuracy of digital mammography associated with ultrasonography was 88. 7%( 47/53 ). Conclusion Digital mammography and ultrasonography are valuable in the diagnosis of breast ductal carcinoma. The diagnostic accuracycan be improved by the combination of the two methods.%目的 探讨数字化摄影与超声检查对乳腺导管内癌的诊断价值.方法 回顾性分析53例乳腺导管内癌病例,所有病例都接受了数字化摄影及超声检查.数字化摄影和超声诊断分为可能恶性、性质待定、可能良性和阴性.对照手术和病理组织学检查结果,比较数字化摄影和超声检查的价值.结果 数字化摄影和超声分别诊断可能恶性36例和33例,性质待定4例和5例,可能良性7例和10例,阴性6例和5例.数字化摄影和超声诊断的准确性分别是67.9%(36/53)和62.3%(33/53).数字化摄影结合超声诊断的准确性是88.7%(47/53).结论 数字化摄影和超声诊断可用于乳腺导管内癌的诊断,联合应用可提高诊断的准确性.

  19. A novel deep learning-based approach to high accuracy breast density estimation in digital mammography

    Science.gov (United States)

    Ahn, Chul Kyun; Heo, Changyong; Jin, Heongmin; Kim, Jong Hyo

    2017-03-01

    Mammographic breast density is a well-established marker for breast cancer risk. However, accurate measurement of dense tissue is a difficult task due to faint contrast and significant variations in background fatty tissue. This study presents a novel method for automated mammographic density estimation based on Convolutional Neural Network (CNN). A total of 397 full-field digital mammograms were selected from Seoul National University Hospital. Among them, 297 mammograms were randomly selected as a training set and the rest 100 mammograms were used for a test set. We designed a CNN architecture suitable to learn the imaging characteristic from a multitudes of sub-images and classify them into dense and fatty tissues. To train the CNN, not only local statistics but also global statistics extracted from an image set were used. The image set was composed of original mammogram and eigen-image which was able to capture the X-ray characteristics in despite of the fact that CNN is well known to effectively extract features on original image. The 100 test images which was not used in training the CNN was used to validate the performance. The correlation coefficient between the breast estimates by the CNN and those by the expert's manual measurement was 0.96. Our study demonstrated the feasibility of incorporating the deep learning technology into radiology practice, especially for breast density estimation. The proposed method has a potential to be used as an automated and quantitative assessment tool for mammographic breast density in routine practice.

  20. Digital mammography: a weak continuity texture representation for detection of microcalcifications

    Science.gov (United States)

    Caputo, Barbara; Gigante, Giovanni E.

    2001-07-01

    This paper proposes a Weak Continuity Texture Representation (WCTR) method for detecting clustered microcalcifications in digitized mammograms. This technique is compared with other texture-analysis methods (Co-occurrence Matrices, Gabor Energy Mask, and Wavelet Filter). The WCTR is a new method for texture representation, based on the characterization of textures using statistics of their coarseness. Form edge maps, obtained by a weak membrane at different noise levels, density values are computed which are representative of the texture coarseness. We chose six different noise levels; each texture class is then represented by six edge-density values. Textural features extracted using the four methods are used to discriminate between positive ROI's containing clustered microcalcifications and negative ROI's containing normal tissue; a three-layer backpropagation neural network is employed as a classifier. A ROC analysis is used to evaluate the classification performance. From an original database of 151 ROIs two different combinations of training and testing sets are used: 50/70 training cases and 101/81 testing cases. The best performance is obtained with the WCTR method in both cases (92% and 93% respectively). These results show the effectiveness of WCTR for the detection of microcalcifications in mammographic images.

  1. The effect of magnification on the image quality and the radiation dose in X-ray digital mammography: a Monte Carlo simulation study

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Yu-Na; Kim, Hee-Joung; Park, Hye-Suk; Lee, Chang-Lae; Cho, Hyo-Min; Lee, Seung-Wan; Ryu, Hyun-Ju [Yonsei University, Wonju (Korea, Republic of)

    2010-09-15

    There have been many efforts to advance the technology of X-ray digital mammography in order to enhance the early detection of breast pathology. The purpose of this study was to evaluate image quality and the radiation dose after magnifying X-ray digital mammography using the Geant4 Application for Tomographic Emission (GATE). In this study, we simulated a Monte Carlo model of an X-ray digital mammographic system, and we present a technique for magnification and discuss how it affects the image quality. The simulated X-ray digital mammographic system with GATE consists of an X-ray source, a compression paddle, a supporting plate, and an imaging plate (IP) of computed radiography (CR). The degree of magnification ranged from 1.0 to 2.0. We designed a semi-cylindrical phantom with a thickness of 45-mm and a radius of 50-mm in order to evaluate the image quality after magnification. The phantom was made of poly methyl methacrylate (PMMA) and contained four spherical specks with diameters of 750, 500, 250, and 100-{mu}m to simulate microcalcifications. The simulation studies were performed with an X-ray energy spectrum calculated using the spectrum processor SRS-78. A combination of a molybdenum anode and a molybdenum filter (Mo/Mo) was used for the mammographic X-ray tubes. The effects of the degree of magnification were investigated in terms of both the contrast-to-noise ratio (CNR) and the average glandular dose (AGD). The results show that the CNR increased as the degree of magnification increased and decreased as breast glandularity increased. The AGD showed only a minor increase with magnification. Based on the results, magnification of mammographic images can be used to obtain high image quality with an increased CNR. Our X-ray digital mammographic system model with GATE may be used as a basis for future studies on X-ray imaging characteristics.

  2. Breast screening using 2D-mammography or integrating digital breast tomosynthesis (3D-mammography) for single-reading or double-reading--evidence to guide future screening strategies.

    Science.gov (United States)

    Houssami, Nehmat; Macaskill, Petra; Bernardi, Daniela; Caumo, Francesca; Pellegrini, Marco; Brunelli, Silvia; Tuttobene, Paola; Bricolo, Paola; Fantò, Carmine; Valentini, Marvi; Ciatto, Stefano

    2014-07-01

    We compared detection measures for breast screening strategies comprising single-reading or double-reading using standard 2D-mammography or 2D/3D-mammography, based on the 'screening with tomosynthesis or standard mammography' (STORM) trial. STORM prospectively examined screen-reading in two sequential phases, 2D-mammography alone and integrated 2D/3D-mammography, in asymptomatic women participating in Trento and Verona (Northern Italy) population-based screening services. Outcomes were ascertained from assessment and/or excision histology or follow-up. For each screen-reading strategy we calculated the number of detected and non-detected (including interval) cancers, cancer detection rates (CDRs), false positive recall (FPR) measures and incremental CDR relative to a comparator strategy. We estimated the false:true positive (FP:TP) ratio and sensitivity of each mammography screening strategy. Paired binary data were compared using McNemar's test. Amongst 7292 screening participants, there were 65 (including six interval) breast cancers; estimated first-year interval cancer rate was 0.82/1000 screens (95% confidence interval (CI): 0.30-1.79/1000). For single-reading, 35 cancers were detected at both 2D and 2D/3D-mammography, 20 cancers were detected only with 2D/3D-mammography compared with none at 2D-mammography alone (preading, 39 cancers were detected at 2D-mammography and 2D/3D-mammography, 20 were detected only with 2D/3D-mammography compared with none detected at 2D-mammography alone (preading. Incremental CDR attributable to double-reading (versus single-reading) of 0.55/1000 screens (95% CI: -0.02-1.4) was evident for 2D-mammography and for 2D/3D-mammography. Estimated FP:TP ratios showed that 2D/3D-mammography screening strategies had more favourable FP to TP trade-off and higher sensitivity, applying single-reading or double-reading, relative to 2D-mammography screening. The evidence we report warrants rethinking of breast screening strategies and should

  3. Detective quantum efficiency measured as a function of energy for two full-field digital mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Marshall, N W [Clinical Physics CAU, Barts and The London NHS Trust, St Bartholomew' s Hospital, London, EC1A 6BE (United Kingdom)], E-mail: Nick.Marshall@bartsandthelondon.nhs.uk

    2009-05-07

    This paper presents detective quantum efficiency (DQE) data measured for a range of x-ray beam qualities for two full-field digital mammography (FFDM) systems: a caesium iodide (CsI) detector-based unit and a system designed around an amorphous selenium (a-Se) x-ray detector. Four beam qualities were studied for each system, covering mean energies from 17.8 keV to 23.4 keV for the CsI system and 17.8 keV to 24.7 keV for the a-Se unit. These were set using 2, 4, 6 and 7 cm polymethylmethacralate (PMMA) and typical tube voltage and target/filter combinations selected by the automatic exposure control (AEC) program used clinically on these systems. Normalized noise power spectra (NNPS) were calculated from flood images acquired at these beam qualities for a target detector air kerma of 100 {mu}Gy. Modulation transfer function (MTF) data were acquired at 28 kV and Mo/Mo target/filter setting. The DQE was then calculated from the MTF and NNPS results. For comparison, the quantum detective efficiency (QDE) and energy absorption efficiency (EAE) were calculated from tabulated narrow beam spectral data. With regard to detector response, some energy dependence was noted for pixel value plotted against air kerma at the detector. This amounted to a change in the gradient of the detector response of approximately 15% and 30% per keV for the CsI- and a-Se-based systems, respectively. For the DQE results, a reduction in DQE(0) of 22% was found for the CsI-based unit as beam quality changed from 25 kV Mo/Mo and 2 cm PMMA to 32 kV Rh/Rh and 7 cm PMMA. For the a-Se system, a change in beam quality from 25 kV Mo/Mo and 2 cm PMMA to 34 kV Mo/Rh and 7 cm PMMA led to a reduction in DQE(0) of 8%. Comparing measured data with simple calculations, a reduction in x-ray quantum detection efficiency of 27% was expected for the CsI-based system, while a reduction of 11% was predicted for the a-Se system.

  4. Detective quantum efficiency measured as a function of energy for two full-field digital mammography systems.

    Science.gov (United States)

    Marshall, N W

    2009-05-07

    This paper presents detective quantum efficiency (DQE) data measured for a range of x-ray beam qualities for two full-field digital mammography (FFDM) systems: a caesium iodide (CsI) detector-based unit and a system designed around an amorphous selenium (a-Se) x-ray detector. Four beam qualities were studied for each system, covering mean energies from 17.8 keV to 23.4 keV for the CsI system and 17.8 keV to 24.7 keV for the a-Se unit. These were set using 2, 4, 6 and 7 cm polymethylmethacralate (PMMA) and typical tube voltage and target/filter combinations selected by the automatic exposure control (AEC) program used clinically on these systems. Normalized noise power spectra (NNPS) were calculated from flood images acquired at these beam qualities for a target detector air kerma of 100 microGy. Modulation transfer function (MTF) data were acquired at 28 kV and Mo/Mo target/filter setting. The DQE was then calculated from the MTF and NNPS results. For comparison, the quantum detective efficiency (QDE) and energy absorption efficiency (EAE) were calculated from tabulated narrow beam spectral data. With regard to detector response, some energy dependence was noted for pixel value plotted against air kerma at the detector. This amounted to a change in the gradient of the detector response of approximately 15% and 30% per keV for the CsI- and a-Se-based systems, respectively. For the DQE results, a reduction in DQE(0) of 22% was found for the CsI-based unit as beam quality changed from 25 kV Mo/Mo and 2 cm PMMA to 32 kV Rh/Rh and 7 cm PMMA. For the a-Se system, a change in beam quality from 25 kV Mo/Mo and 2 cm PMMA to 34 kV Mo/Rh and 7 cm PMMA led to a reduction in DQE(0) of 8%. Comparing measured data with simple calculations, a reduction in x-ray quantum detection efficiency of 27% was expected for the CsI-based system, while a reduction of 11% was predicted for the a-Se system.

  5. Mammography Facilities

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mammography Facility Database is updated periodically based on information received from the four FDA-approved accreditation bodies: the American College of...

  6. Towards standardization of x-ray beam filters in digital mammography and digital breast tomosynthesis: Monte Carlo simulations and analytical modelling

    Science.gov (United States)

    Shrestha, Suman; Vedantham, Srinivasan; Karellas, Andrew

    2017-03-01

    In digital breast tomosynthesis and digital mammography, the x-ray beam filter material and thickness vary between systems. Replacing K-edge filters with Al was investigated with the intent to reduce exposure duration and to simplify system design. Tungsten target x-ray spectra were simulated with K-edge filters (50 µm Rh; 50 µm Ag) and Al filters of varying thickness. Monte Carlo simulations were conducted to quantify the x-ray scatter from various filters alone, scatter-to-primary ratio (SPR) with compressed breasts, and to determine the radiation dose to the breast. These data were used to analytically compute the signal-difference-to-noise ratio (SDNR) at unit (1 mGy) mean glandular dose (MGD) for W/Rh and W/Ag spectra. At SDNR matched between K-edge and Al filtered spectra, the reductions in exposure duration and MGD were quantified for three strategies: (i) fixed Al thickness and matched tube potential in kilovolts (kV); (ii) fixed Al thickness and varying the kV to match the half-value layer (HVL) between Al and K-edge filtered spectra; and, (iii) matched kV and varying the Al thickness to match the HVL between Al and K-edge filtered spectra. Monte Carlo simulations indicate that the SPR with and without the breast were not different between Al and K-edge filters. Modelling for fixed Al thickness (700 µm) and kV matched to K-edge filtered spectra, identical SDNR was achieved with 37-57% reduction in exposure duration and with 2-20% reduction in MGD, depending on breast thickness. Modelling for fixed Al thickness (700 µm) and HVL matched by increasing the kV over (0,4) range, identical SDNR was achieved with 62-65% decrease in exposure duration and with 2-24% reduction in MGD, depending on breast thickness. For kV and HVL matched to K-edge filtered spectra by varying Al filter thickness over (700, 880) µm range, identical SDNR was achieved with 23-56% reduction in exposure duration and 2-20% reduction in MGD, depending on breast thickness. These

  7. MRI结合数字化钼靶诊断乳腺癌的临床研究%Clinical study of digital mammography,contrast-enhanced MRI as well as their combination in the diagnosis of breast cancer

    Institute of Scientific and Technical Information of China (English)

    Fang Ye; Mengsu Zeng; Fuhua Yan; Wei Feng; Meiling Zhou; Renchen Li; Wenfang Chen

    2008-01-01

    Objective:To compare the effectiveness of digital mammography and MRI in the detection and diagnosis of breast cancer and to assess the value of these modalities as well as the combination of the two.Methods:Sixty-seven patients with surgery and pathology proved breast lesion (malignant,n=32; benign,n=46) underwent digital mammography and MRI,the pulse sequences included T1WI,T2Wl,diffuse weighted imaging (DWI),and dynamic contrast-enhanced MRI before surgery.Of the results of these two modalities,all lesions were classified into 5 groups according to BI-RADS classification,and the imaging findings were correlated to histopathology.The sensitivity and specificity of each modality as well as the combination of the two were calculated.Results:Of these 78 breasts lesions,The sensitivity was 78.13%% (25/32) for digital mammography and 93.75% (30/32) for MRI (P>0.05).The specificity was 73.91%% (34/46) and 89.13% (41/46) accordingly (P<0.05),both of them showed statistical difference.The sensitivity and specificity was 98.63% and 97.16% respectively as these two modalities were used in combination.Conclusion:Digital mammography in combination with MRI is helpful in the diagnosis of breast cancer,the sensitivity and specificity was enhanced when compared to that of single modality.

  8. Blinded double reading yields a higher programme sensitivity than non-blinded double reading at digital screening mammography: a prospected population based study in the south of The Netherlands

    NARCIS (Netherlands)

    Klompenhouwer, E.G.; Voogd, A.C.; Heeten, GJ. den; Strobbe, L.J.A.; Haan, A.F.J. de; Wauters, C.A.; Broeders, M.J.; Duijm, L.E.M.

    2015-01-01

    PURPOSE: To prospectively determine the screening mammography outcome at blinded and non-blinded double reading in a biennial population based screening programme in the south of the Netherlands. METHODS: We included a consecutive series of 87,487 digital screening mammograms, obtained between July

  9. Cancer screening with digital mammography for women at average risk for breast cancer, magnetic resonance imaging (MRI) for women at high risk: an evidence-based analysis.

    Science.gov (United States)

    2010-01-01

    The purpose of this review is to determine the effectiveness of 2 separate modalities, digital mammography (DM) and magnetic resonance imaging (MRI), relative to film mammography (FM), in the screening of women asymptomatic for breast cancer. A third analysis assesses the effectiveness and safety of the combination of MRI plus mammography (MRI plus FM) in screening of women at high risk. An economic analysis was also conducted. How does the sensitivity and specificity of DM compare to FM?How does the sensitivity and specificity of MRI compare to FM?How do the recall rates compare among these screening modalities, and what effect might this have on radiation exposure? What are the risks associated with radiation exposure?How does the sensitivity and specificity of the combination of MRI plus FM compare to either MRI or FM alone?What are the economic considerations? The effectiveness of FM with respect to breast cancer mortality in the screening of asymptomatic average- risk women over the age of 50 has been established. However, based on a Medical Advisory Secretariat review completed in March 2006, screening is not recommended for women between the ages of 40 and 49 years. Guidelines published by the Canadian Task Force on Preventive Care recommend mammography screening every 1 to 2 years for women aged 50 years and over, hence, the inclusion of such women in organized breast cancer screening programs. In addition to the uncertainty of the effectiveness of mammography screening from the age of 40 years, there is concern over the risks associated with mammographic screening for the 10 years between the ages of 40 and 49 years. The lack of effectiveness of mammography screening starting at the age of 40 years (with respect to breast cancer mortality) is based on the assumption that the ability to detect cancer decreases with increased breast tissue density. As breast density is highest in the premenopausal years (approximately 23% of postmenopausal and 53% of

  10. Prospective trial comparing full-field digital mammography (FFDM) versus combined FFDM and tomosynthesis in a population-based screening programme using independent double reading with arbitration.

    Science.gov (United States)

    Skaane, Per; Bandos, Andriy I; Gullien, Randi; Eben, Ellen B; Ekseth, Ulrika; Haakenaasen, Unni; Izadi, Mina; Jebsen, Ingvild N; Jahr, Gunnar; Krager, Mona; Hofvind, Solveig

    2013-08-01

    To compare double readings when interpreting full field digital mammography (2D) and tomosynthesis (3D) during mammographic screening. A prospective, Ethical Committee approved screening study is underway. During the first year 12,621 consenting women underwent both 2D and 3D imaging. Each examination was independently interpreted by four radiologists under four reading modes: Arm A-2D; Arm B-2D + CAD; Arm C-2D + 3D; Arm D-synthesised 2D + 3D. Examinations with a positive score by at least one reader were discussed at an arbitration meeting before a final management decision. Paired double reading of 2D (Arm A + B) and 2D + 3D (Arm C + D) were analysed. Performance measures were compared using generalised linear mixed models, accounting for inter-reader performance heterogeneity (P reading radiologists detected 27 additional invasive cancers (P reading of 2D + 3D significantly improves the cancer detection rate in mammography screening. • Tomosynthesis-based screening was successfully implemented in a large prospective screening trial. • Double reading of tomosynthesis-based examinations significantly reduced false-positive interpretations. • Double reading of tomosynthesis significantly increased the detection of invasive cancers.

  11. Development of a methodology for automated assessment of the quality of digitized images in mammography; Desenvolvimento de metodologia para avaliacao automatizada da qualidade de imagens digitalizadas em mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Santana, Priscila do Carmo

    2010-07-01

    The process of evaluating the quality of radiographic images in general, and mammography in particular, can be much more accurate, practical and fast with the help of computer analysis tools. The purpose of this study is to develop a computational methodology to automate the process of assessing the quality of mammography images through techniques of digital imaging processing (PDI), using an existing image processing environment (ImageJ). With the application of PDI techniques was possible to extract geometric and radiometric characteristics of the images evaluated. The evaluated parameters include spatial resolution, high-contrast detail, low contrast threshold, linear detail of low contrast, tumor masses, contrast ratio and background optical density. The results obtained by this method were compared with the results presented in the visual evaluations performed by the Health Surveillance of Minas Gerais. Through this comparison was possible to demonstrate that the automated methodology is presented as a promising alternative for the reduction or elimination of existing subjectivity in the visual assessment methodology currently in use. (author)

  12. Breast Imaging Reporting and Data System (BI-RADS) breast composition descriptors: Automated measurement development for full field digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, E. E.; Sellers, T. A.; Lu, B. [Department of Cancer Epidemiology, Division of Population Sciences, H. Lee Moffitt Cancer Center, Tampa, Florida 33612 (United States); Heine, J. J. [Department of Cancer Imaging and Metabolism, H. Lee Moffitt Cancer Center, Tampa, Florida 33612 (United States)

    2013-11-15

    Purpose: The Breast Imaging Reporting and Data System (BI-RADS) breast composition descriptors are used for standardized mammographic reporting and are assessed visually. This reporting is clinically relevant because breast composition can impact mammographic sensitivity and is a breast cancer risk factor. New techniques are presented and evaluated for generating automated BI-RADS breast composition descriptors using both raw and calibrated full field digital mammography (FFDM) image data.Methods: A matched case-control dataset with FFDM images was used to develop three automated measures for the BI-RADS breast composition descriptors. Histograms of each calibrated mammogram in the percent glandular (pg) representation were processed to create the new BR{sub pg} measure. Two previously validated measures of breast density derived from calibrated and raw mammograms were converted to the new BR{sub vc} and BR{sub vr} measures, respectively. These three measures were compared with the radiologist-reported BI-RADS compositions assessments from the patient records. The authors used two optimization strategies with differential evolution to create these measures: method-1 used breast cancer status; and method-2 matched the reported BI-RADS descriptors. Weighted kappa (κ) analysis was used to assess the agreement between the new measures and the reported measures. Each measure's association with breast cancer was evaluated with odds ratios (ORs) adjusted for body mass index, breast area, and menopausal status. ORs were estimated as per unit increase with 95% confidence intervals.Results: The three BI-RADS measures generated by method-1 had κ between 0.25–0.34. These measures were significantly associated with breast cancer status in the adjusted models: (a) OR = 1.87 (1.34, 2.59) for BR{sub pg}; (b) OR = 1.93 (1.36, 2.74) for BR{sub vc}; and (c) OR = 1.37 (1.05, 1.80) for BR{sub vr}. The measures generated by method-2 had κ between 0.42–0.45. Two of these

  13. CADx Mammography

    Science.gov (United States)

    Costaridou, Lena

    Although a wide variety of Computer-Aided Diagnosis (CADx) schemes have been proposed across breast imaging modalities, and especially in mammography, research is still ongoing to meet the high performance CADx requirements. In this chapter, methodological contributions to CADx in mammography and adjunct breast imaging modalities are reviewed, as they play a major role in early detection, diagnosis and clinical management of breast cancer. At first, basic terms and definitions are provided. Then, emphasis is given to lesion content derivation, both anatomical and functional, considering only quantitative image features of micro-calcification clusters and masses across modalities. Additionally, two CADx application examples are provided. The first example investigates the effect of segmentation accuracy on micro-calcification cluster morphology derivation in X-ray mammography. The second one demonstrates the efficiency of texture analysis in quantification of enhancement kinetics, related to vascular heterogeneity, for mass classification in dynamic contrast-enhanced magnetic resonance imaging.

  14. Fourier domain image fusion for differential X-ray phase-contrast breast imaging.

    Science.gov (United States)

    Coello, Eduardo; Sperl, Jonathan I; Bequé, Dirk; Benz, Tobias; Scherer, Kai; Herzen, Julia; Sztrókay-Gaul, Anikó; Hellerhoff, Karin; Pfeiffer, Franz; Cozzini, Cristina; Grandl, Susanne

    2017-04-01

    X-Ray Phase-Contrast (XPC) imaging is a novel technology with a great potential for applications in clinical practice, with breast imaging being of special interest. This work introduces an intuitive methodology to combine and visualize relevant diagnostic features, present in the X-ray attenuation, phase shift and scattering information retrieved in XPC imaging, using a Fourier domain fusion algorithm. The method allows to present complementary information from the three acquired signals in one single image, minimizing the noise component and maintaining visual similarity to a conventional X-ray image, but with noticeable enhancement in diagnostic features, details and resolution. Radiologists experienced in mammography applied the image fusion method to XPC measurements of mastectomy samples and evaluated the feature content of each input and the fused image. This assessment validated that the combination of all the relevant diagnostic features, contained in the XPC images, was present in the fused image as well.

  15. Procedure for the standardized measure of the detective quantum efficiency in digital mammography; Procedimiento para la medida estandarizada de la Eficiencia Cuantica de Deteccion en un mamografo digital

    Energy Technology Data Exchange (ETDEWEB)

    Rodriguez Martin, G.; Garcia Castano, P.; Bermudez Luna, R.; Fernandez Bedoya, V.; Espana Lopez, M. L.; Miquelez Alonso, S.

    2011-07-01

    The objective of this work is to develop a simple guide for determining the DQE, according to the CEI, in those having mammography flat panel detectors, and highlight the main difficulties that may be in the process of the standardized measurement.

  16. Adaptive optimisation of a generalised phase contrast beam shaping system

    Science.gov (United States)

    Kenny, F.; Choi, F. S.; Glückstad, J.; Booth, M. J.

    2015-05-01

    The generalised phase contrast (GPC) method provides versatile and efficient light shaping for a range of applications. We have implemented a generalised phase contrast system that used two passes on a single spatial light modulator (SLM). Both the pupil phase distribution and the phase contrast filter were generated by the SLM. This provided extra flexibility and control over the parameters of the system including the phase step magnitude, shape, radius and position of the filter. A feedback method for the on-line optimisation of these properties was also developed. Using feedback from images of the generated light field, it was possible to dynamically adjust the phase filter parameters to provide optimum contrast.

  17. Acoustically modulated x-ray phase contrast imaging.

    Science.gov (United States)

    Hamilton, Theron J; Bailat, Claude J; Rose-Petruck, Christoph; Diebold, Gerald J

    2004-11-07

    We report the use of ultrasonic radiation pressure with phase contrast x-ray imaging to give an image proportional to the space derivative of a conventional phase contrast image in the direction of propagation of an ultrasonic beam. Intense ultrasound is used to exert forces on objects within a body giving displacements of the order of tens to hundreds of microns. Subtraction of images made with and without the ultrasound field gives an image that removes low spatial frequency features and highlights high frequency features. The method acts as an acoustic 'contrast agent' for phase contrast x-ray imaging, which in soft tissue acts to highlight small density changes.

  18. Applying the European protocol for the quality control of the physical and technical aspects of mammography screening threshold contrast visibility assessment to digital systems

    Science.gov (United States)

    Van Metter, Richard; Heath, Michael; Fletcher-Heath, Lynn

    2006-03-01

    The need to assure the image quality of digital systems for mammography screening applications is now widely recognized. One approach is embodied in Part B of the European Protocol for the Quality Control of the Physical and Technical Aspects of Mammography Screening (EPQCM), which prescribes criteria for several interconnected image quality metrics. The focus of this study is on the "threshold contrast visibility" (TCV) protocol (section 2.4.1 of the EPQCM), in which human observers score images of a CDMAM or similar 4-AFC phantom. This section of the EPQCM currently omits many critical experimental details, which must be gleaned from ancillary documents. Given these, the purpose of this study is to quantify the effects of several remaining experimental variables, including phantom design, and the methods used for scoring and analysis, on the measured results. Preliminary studies of two CDMAM version 3.4 (CDMAM 3.4) phantoms have revealed a 17% difference in TCV when averaged over all target diameters from 0.1 to 2.0 mm. This indicates phantom variability may affect results at some sites. More importantly, we have shown that the current CDMAM phantom design, methods for scoring, and analysis, substantially limit the ability to measure system performance accurately and precisely. An improved phantom design has been shown to avoid these limitations. Viewing environment and presentation context affect the performance and efficiency of visual scoring of phantom images. An automated display tool has been developed that isolates individual 4-AFC targets of CDMAM phantom images, automatically optimizes window/level, and automatically records observers' scores. While not substantially changing TCV, the tool has increased scoring efficiency while mitigating several of the limitations associated with unassisted visual scoring. For example, learning bias and navigational issues are completely avoided. Ultimately, software-based ideal observer scoring will likely prove to be

  19. Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom

    Directory of Open Access Journals (Sweden)

    Kathrin Barbara Krug

    2011-01-01

    Full Text Available Objective. To compare the detection of microcalcifications on mammograms of an anthropomorphic breast phantom acquired by a direct digital flat-panel detector mammography system (FPM versus a stereotactic breast biopsy system utilizing CCD (charge-coupled device technology with either a 1024 or 512 acquisition matrix (1024 CCD and 512 CCD. Materials and Methods. Randomly distributed silica beads (diameter 100–1400 m and anthropomorphic scatter bodies were applied to 48 transparent films. The test specimens were radiographed on a direct digital FPM and by the indirect 1024 CCD and 512 CCD techniques. Four radiologists rated the monitor-displayed images independently of each other in random order. Results. The rate of correct positive readings for the “number of detectable microcalcifications” for silica beads of 100–199 m in diameter was 54.2%, 50.0% and 45.8% by FPM, 1024 CCD and 512 CCD, respectively. The inter-rater variability was most pronounced for silica beads of 100–199 m in diameter. The greatest agreement with the gold standard was observed for beads >400 m in diameter across all methods. Conclusion. Stereotactic spot images taken by 1024 matrix CCD technique are diagnostically equivalent to direct digital flat-panel mammograms for visualizing simulated microcalcifications >400 m in diameter.

  20. Minimal invasive biopsy results of 'uncertain malignant potential' in digital mammography screening. High prevalence but also high predictive value for malignancy

    Energy Technology Data Exchange (ETDEWEB)

    Weigel, S.; Heindel, W. [Universitaetsklinikum Muenster (Germany). Inst. fuer Klinische Radiologie; Universitaetsklinikum Muenster (Germany). Referenzzentrum Mammographie; Decker, T. [Dietrich Bonhoeffer Klinikum, Neubrandenburg (Germany). Inst. fuer Pathologie; Universitaetsklinikum Muenster (Germany). Referenzzentrum Mammographie; Korsching, E. [Universitaetsklinikum Muenster (Germany). Inst. fuer Bioinformatik; Biesheuvel, C.; Woestmann, A.; Boecker, W. [Universitaetsklinikum Muenster (Germany). Referenzzentrum Mammographie; Hungermann, D. [Universitaetsklinikum Muenster (Germany). Gerhard-Domagk-Inst. fuer Pathologie; Roterberg, K.; Tio, J. [Universitaetsklinikum Muenster (Germany). Klinik und Poliklinik fuer Frauenheilkunde und Geburtshilfe, Bereich Senologie

    2011-08-15

    Purpose: To evaluate the rate, the histological spectrum and the positive predictive value (PPV) for malignancy of minimally invasive biopsies with 'uncertain malignant potential (B3)' in digital mammography screening. Methods and Materials: Consecutive data of 37 178 participants of one digital unit of the German screening program were included. Results: The B 3 rate was 15.1 % (148/979). The frequencies of lesion subtypes were as follows: atypical epithelial proliferation of ductal type (AEPDT) 35.1 % (52/148), radial scar (RS) 28.4 % (42/148), papillary lesions (PAP) 20.3 % (30/148), lobular carcinoma in situ 8.8 % (13/148), flat epithelial atypia 5.4 % (8/148), and mucocele-like lesions 2.0 % (3/148). The PPV for malignancy in surgical excisions was overall 0.28 (25/91); in detail 0.40 (19/47) for AEPDT, 0.20 (5/25) for RS, 0.08 (1/12) for PAP. Conclusion: Despite a higher B 3 rate of minimally invasive biopsies with 'uncertain malignant potential' in digital screening, the benign surgical biopsy rate is not disproportionally increased compared with analog screening programs. Together with defined management protocols, this results in an increased cancer detection rate per screening participant with surgical excision. (orig.)

  1. Phase contrast image guidance for synchrotron microbeam radiotherapy

    Science.gov (United States)

    Pelliccia, Daniele; Crosbie, Jeffrey C.; Larkin, Kieran G.

    2016-08-01

    Recent image guidance developments for preclinical synchrotron microbeam radiotherapy represent a necessary step for future clinical translation of the technique. Image quality can be further improved using x-ray phase contrast, which is readily available at synchrotron facilities. We here describe a methodology for phase contrast image guidance at the Imaging and Medical Beamline at the Australian Synchrotron. Differential phase contrast is measured alongside conventional attenuation and used to improve the image quality. Post-processing based on the inverse Riesz transform is employed on the measured data to obtain noticeably sharper images. The procedure is extremely well suited for applications such as image guidance which require both visual assessment and sample alignment based on semi automatic image registration. Moreover, our approach can be combined with all other differential phase contrast imaging techniques, in all cases where a quantitative evaluation of the refractive index is not required.

  2. Phase-contrast MRI and applications in congenital heart disease

    Energy Technology Data Exchange (ETDEWEB)

    Goldberg, A., E-mail: adgoldberg@geisinger.edu [Department of Radiology, Geisinger Health System, Danville, PA (United States); Jha, S. [Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (United States)

    2012-05-15

    A review of phase-contrast magnetic resonance imaging techniques, with specific application to congenital heart disease, is presented. Theory, pitfalls, advantages, and specific examples of multiple, well-described congenital heart disease presentations are discussed.

  3. Table-top phase-contrast imaging employing photon-counting detectors towards mammographic applications

    Science.gov (United States)

    Palma, K. D.; Pichotka, M.; Hasn, S.; Granja, C.

    2017-02-01

    In mammography the difficult task to detect microcalcifications (≈ 100 μm) and low contrast structures in the breast has been a topic of interest from its beginnings. The possibility to improve the image quality requires the effort to employ novel X-ray imaging techniques, such as phase-contrast, and high resolution detectors. Phase-contrast techniques are promising tools for medical diagnosis because they provide additional and complementary information to traditional absorption-based X-ray imaging methods. In this work a Hamamatsu microfocus X-ray source with tungsten anode and a photon counting detector (Timepix operated in Medipix mode) was used. A significant improvement in the detection of phase-effects using Medipix detector was observed in comparison to an standard flat-panel detector. An optimization of geometrical parameters reveals the dependency on the X-ray propagation path and the small angle deviation. The quantification of these effects was achieved taking into account the image noise, contrast, spatial resolution of the phase-enhancement, absorbed dose, and energy dependence.

  4. Prospective trial comparing full-field digital mammography (FFDM) versus combined FFDM and tomosynthesis in a population-based screening programme using independent double reading with arbitration

    Energy Technology Data Exchange (ETDEWEB)

    Skaane, Per [Oslo University Hospital, University of Oslo, Department of Radiology, Oslo (Norway); Oslo University Hospital Ullevaal, Department of Radiology, Breast Imaging Center, Oslo (Norway); Bandos, Andriy I. [University of Pittsburgh, Department of Biostatistics, Pittsburgh (United States); Gullien, Randi; Eben, Ellen B.; Haakenaasen, Unni; Izadi, Mina; Jebsen, Ingvild N.; Jahr, Gunnar; Krager, Mona [Department of Radiology, Oslo University Hospital, Oslo (Norway); Ekseth, Ulrika [Curato Roentgen Institute, Oslo (Norway); Hofvind, Solveig [The Cancer Registry, Institute of Population-based Cancer Research, Oslo (Norway)

    2013-08-15

    To compare double readings when interpreting full field digital mammography (2D) and tomosynthesis (3D) during mammographic screening. A prospective, Ethical Committee approved screening study is underway. During the first year 12,621 consenting women underwent both 2D and 3D imaging. Each examination was independently interpreted by four radiologists under four reading modes: Arm A - 2D; Arm B - 2D + CAD; Arm C - 2D + 3D; Arm D - synthesised 2D + 3D. Examinations with a positive score by at least one reader were discussed at an arbitration meeting before a final management decision. Paired double reading of 2D (Arm A + B) and 2D + 3D (Arm C + D) were analysed. Performance measures were compared using generalised linear mixed models, accounting for inter-reader performance heterogeneity (P < 0.05). Pre-arbitration false-positive scores were 10.3 % (1,286/12,501) and 8.5 % (1,057/12,501) for 2D and 2D + 3D, respectively (P < 0.001). Recall rates were 2.9 % (365/12,621) and 3.7 % (463/12,621), respectively (P = 0.005). Cancer detection was 7.1 (90/12,621) and 9.4 (119/12,621) per 1,000 examinations, respectively (30 % increase, P < 0.001); positive predictive values (detected cancer patients per 100 recalls) were 24.7 % and 25.5 %, respectively (P = 0.97). Using 2D + 3D, double-reading radiologists detected 27 additional invasive cancers (P < 0.001). Double reading of 2D + 3D significantly improves the cancer detection rate in mammography screening. (orig.)

  5. Full-field digital mammography: Is the apparent increased detection of microcalcification leading to over-investigation and over-diagnosis?

    Science.gov (United States)

    Porter, Alan J; Evans, Elizabeth B; Erzetich, Lisa M

    2017-08-01

    Modern full-field digital mammography (FFDM) appears to have increased the detection of breast microcalcification. This retrospective study aimed to assess whether this is associated with over-investigation and possible over-diagnosis of breast pathology of lesser significance. Three 2-year periods were studied, in which different mammographic technologies were used exclusively viz., classical screen-film mammography (SFM) in 2003-04, computed radiography (CR) in 2009-10 and FFDM in 2012-13. The study was limited to women in whom biopsy was done for indeterminate, suspicious or malignant (ISM) calcification as the only mammographic abnormality. Between the first and the third time periods, the use of core biopsies and vacuum-assisted biopsies (VABs) for 'ISM calcification only' increased from 0. 6% to 1.4% of all mammograms, and biopsies with malignant results increased from 0.18% to 0.33% of all mammograms. VAB became the preferred technique for biopsy over the study period. The proportion of cores and VABs with a malignant result did not change significantly over the three time periods (24-28%), nor did the proportion of invasive cancers, ductal carcinoma in situ (DCIS) (60-63%) or atypia on subsequent excision. The proportion of DCIS which was of high grade was greatest in the FFDM era (69%). Less than 9% of DCIS were of low grade in all three time periods. Despite increased numbers of biopsies being performed, there was no increase in findings of breast pathology of lesser significance. Improved technology (FFDM and VAB) allows immediate biopsy of small clusters of indeterminate microcalcification, rather than using mammographic surveillance, and this study found no evidence that this has been associated with over-investigation or over-diagnosis. © 2017 The Royal Australian and New Zealand College of Radiologists.

  6. Mammography; Mamma

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, U.; Baum, F. [Diagnostisches Brustzentrum, Goettingen (Germany)

    2007-07-01

    The book covers the stat-of-the art of mammographic diagnostics. The first chapter on the diagnostic methods, i.e. sonography and mammography, includes a short definition of the specific methods, technical device descriptions, information on radiation exposure and radiation protection, quality criteria and data analysis methods. The other chapters contain a variety of demonstrating images on the respective topics: definitions and indications, benign changes, evaluation criteria and borderline findings, mammal carcinomas, other malignomas, post-traumatic lesions, and prosthetics.

  7. Quality control testing and evaluation for digital mammography%数字乳腺摄影系统的质量控制检测与评价

    Institute of Scientific and Technical Information of China (English)

    徐辉; 宛然; 郭丽; 王建超; 岳保荣

    2010-01-01

    目的 对3套数字乳腺摄影系统进行质量控制检测与评价.方法 应用欧洲乳腺癌普查和诊断质量控制导则中推荐的方法,结合国内乳腺摄影评价标准,对3套数字乳腺摄影系统进行X线发生器性能质量控制检测与评价;分别应用直接数字化X线摄影技术(DR)、相位对比乳腺摄影(PCM)和计算机X线摄影技术(CR)系统在4个厚度下(30、40、50及60 mm)对乳腺专用对比度细节检测模体(CDMAM 3.4)进行AEC曝光成像,计算与评价每一厚度下的平均腺体剂量(AGD)和影像质量因子(IQF).结果 DR和CR的x线机性能检测符合现有标准;等效PMMA厚度分别为30、40、50、60 mm时,DR系统的AGD分别为1.20、1.42、1.75、2.20 mGy;PCM系统AGD分别是0.82、1.19、1.33、1.70 mGy;CR系统AGD为0.59、0.88、1.47、2.19 mGy.在相应的模体厚度下,DR系统的IQF值为21.36、21.57、27.25和30.58;PCM和CR系统的IQF值分别为28.02、29.10、35.90、41.24和39.78、39.30、43.85、48.08.结论 GBZ 186-2007标准不适用于PCM系统X线机性能部分性能的评价.本研究的3套系统自动曝光下平均腺体剂量均符合欧洲标准.在国内检测规范欠缺的情况下,可参考国际标准或指南对数字乳腺系统进行常规监测.%Objective To carry out the quality control testing and evaluation for three digital mammography systems.Methods The performance of three digital mammography systems was assessed by applying methods recommended in the European guidelines for quality assurance in breast cancer screening and diagnosis and Chinese specification for testing of quality control in X-ray mammography.The performance of X-ray generator of three digital mammography systems were tested and evaluated.CDMAM 3.4 phantom with four different thickness(30,40,50,60 mm) were exposured in DR,PCM,and CR system,respectively.The average glandular dose (AGD) value was measured and image quality figure (IQF) analysis was performed in each thickness

  8. Spectral phase-contrast CT using the LAMBDA detector

    Energy Technology Data Exchange (ETDEWEB)

    Ehn, Sebastian; Epple, Michael; Potdevin, Guillaume; Renker, Dieter; Pfeiffer, Franz [Chair of Biomedical Physics, TU Muenchen (Germany); Pennicard, David; Smoljanin, Sergej; Lange, Sabine; Graafsma, Heinz [DESY, Hamburg (Germany)

    2013-07-01

    X-ray phase-contrast techniques offer significantly improved soft-tissue contrast compared to absorption-based measurements commonly used in clinical radiology. Grating-based phase contrast methods have proven to be fully compatible to standard laboratory X-ray sources and are currently being used in preclinical research. However, the imaging quality in this method is strongly energy-dependent, which may result in poor signal to noise ratios when using beams with broad energy spectra. One can overcome this disadvantage using energy sensitive detectors like the Medipix3, only taking into account the energies where the SNR is at a maximum. Thereby, an improvement to image quality and a reduction in radiation dose may be reached. This presentation will give an overview over the new Medipix3-based LAMBDA detector, which is currently being developed at DESY, used in grating-based spectral phase-contrast tomography.

  9. Feasibility of differential phase contrast CT for whole body imaging

    Science.gov (United States)

    Li, Ke; Bevins, Nicholas B.; Zambelli, Joseph N.; Chen, Guang-Hong

    2012-07-01

    Phase contrast based imaging techniques have shown improved contrast in certain biological materials. This has led to an increased interest for the potential of preclinical and clinical imaging systems that incorporate phase sensitive imaging techniques. However, the interplay between the phase contrast mechanism and the so-called small-angle scattering or dark-field mechanism is often not considered. In this work we explore the potential for phase-sensitive whole body imaging by imaging a freshly euthanized specimen. The results suggest that when extrapolating phantom and ex vivo results to whole body imaging, one must consider the complex anatomy of the entire body and its effect on each contrast mechanism.

  10. Can the evaluation of a simple test object be used to predict the performance of a contrast-detail analysis in digital mammography?

    Science.gov (United States)

    Bosmans, H.; Lemmens, K.; Jacobs, J.; Vandenbroucke, D.; Zanca, F.; Michielsen, K.; Verbrugge, B.; Smans, K.; Marchal, G.

    2009-02-01

    The purpose was to find the correlation between a Figure of Merit (FoM) calculated from a new (simple) test object for Quality Control in digital mammography and CDMAM threshold thicknesses. The FoM included the signal difference to noise ratio, modulation transfer function of the complete system (including scatter and grid) and normalized noise power spectrum. The pre-programmed exposure settings for clinical work were used, as was done for the CDMAM acquisitions. The FoM is calculated from 2 images only (an image from the QC test object and an image of a corresponding homogeneous plate imaged with the same exposure settings). This FoM was evaluated in frequencies that match with the diameters of the gold disks in the CDMAM phantom. Computerized CDMAM analysis uses 16 images per system. The software program "cdcom" (www.euref.org) was used for the 4-AFC experiment. All matrices were averaged, smoothed with a Gaussian filter and psychometric curves were fitted through the correctly detected fractions to obtain the threshold thickness with a detectability of 62.5% for all diameters. Images have been acquired on 10 different systems (2 computed radiography (CR) systems, 6 direct radiology (DR) systems and 2 photon counting systems). The reproducibility of the QC metrics from images of the new phantom was assessed. The standard error on the mean of the FoM was for the highest frequency 8.1% for a CR system and 5.6% for a DR system. The main component in this error is due to the NNPS and the limited number of independent pixels used in this analysis. Parameters calculated from both phantoms are sensitive to variation in mean glandular dose levels. Present results show a weak correlation (R2=0.60) between the FoM at 5lp/mm and CDMAM threshold values for the 0.1mm objects when all system data are pooled. If evaluated for separate systems, the correlation holds promise for automated, periodic performance evaluations of digital mammography systems with the simplified

  11. SU-E-I-45: Feasibility for Using Iodine Quantification to Assist Diagnosis in Dual Energy Contrast-Enhanced Digital Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Y [Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan (China); Lin, Y; Tsai, C [Chang Gung University, Taoyuan, Taiwan (China); Cheung, Y [Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan (China); Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan (China)

    2015-06-15

    Purpose: The objective of this study is to develop quantitative calibration between image quality indexes and iodine concentration with dual-energy (DE) contrast-enhanced digital mammography (CEDM) techniques and further serve as the assistance for diagnosis. Methods: Custom-made acrylic phantom with dimensions of 24×30 cm{sup 2} simulated breast thickness from 2 to 6 cm was used in the calibration. The phantom contained matrix of four times four holes of 3 mm deep with a diameter of 15 mm for filling contrast agent with area density ranged from 0.1 to 10 mg/cm{sup 2}. All the image acquisitions were performed on a full-field digital mammography system (Senographe Essential, GE) with dual energy acquisitions. Mean pixel value (MPV), and contrast-to-noise ratio (CNR) were used for evaluating the relationship between image quality indexes and iodine concentration. Iodine map and CNR map could further be constructed with these calibration curves applied pixel by pixel utilized MATLAB software. Minimum iodine concentration could also be calculated with the visibility threshold of CNR=5 according the Rose model. Results: When evaluating the DE subtraction images, MPV increased linearly as the iodine concentration increased with all the phantom thickness surveyed (R{sup 2} between 0.989 and 0.992). Lesions with increased iodine uptake could thus be enhanced in the color-encoded iodine maps, and the mean iodine concentration could be obtained through the ROI measurements. As for investigating CNR performance, linear relationships were also shown between the iodine concentration and CNR (R{sup 2} between 0.983 and 0.990). Minimum iodine area density of 1.45, 1.73, 1.80, 1.73 and 1.72 mg/cm{sup 2} for phantom thickness of 2, 3, 4, 5, 6 cm were calculated based on Rose’s visualization criteria. Conclusion: Quantitative calibration between image quality indexes and iodine concentrations may further serving as the assistance for analyzing contrast enhancement for patient

  12. Phase contrast imaging with coherent high energy X-rays

    Energy Technology Data Exchange (ETDEWEB)

    Snigireva, I. [ESRF, Grenoble (France)

    1997-02-01

    X-ray imaging concern high energy domain (>6 keV) like a contact radiography, projection microscopy and tomography is used for many years to discern the features of the internal structure non destructively in material science, medicine and biology. In so doing the main contrast formation is absorption that makes some limitations for imaging of the light density materials and what is more the resolution of these techniques is not better than 10-100 {mu}m. It was turned out that there is now way in which to overcome 1{mu}m or even sub-{mu}m resolution limit except phase contrast imaging. It is well known in optics that the phase contrast is realised when interference between reference wave front and transmitted through the sample take place. Examples of this imaging are: phase contrast microscopy suggested by Zernike and Gabor (in-line) holography. Both of this techniques: phase contrast x-ray microscopy and holography are successfully progressing now in soft x-ray region. For imaging in the hard X-rays to enhance the contrast and to be able to resolve phase variations across the beam the high degree of the time and more importantly spatial coherence is needed. Because of this it was reasonable that the perfect crystal optics was involved like Bonse-Hart interferometry, double-crystal and even triple-crystal set-up using Laue and Bragg geometry with asymmetrically cut crystals.

  13. Phase contrast imaging of breast tumours with synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Olivo, A. [Department of Medical Physics and Bioengineering, University College London, Malet Place, Gower Street, London WC1E 6BT (United Kingdom)], E-mail: aolivo@medphys.ucl.ac.uk; Rigon, L. [Istituto Nazionale di Fisica Nucleare, Sezione di Trieste, Area Science Park, Padriciano 99, 34012 Trieste (Italy)], E-mail: rigon@ts.infn.it; Vinnicombe, S.J. [Department of Radiology, St. Bartholomews Hospital, Barts and the London NHS Trust, West Smithfield, London EC1A 7BE (United Kingdom)], E-mail: s.j.vinnicombe@qmul.ac.uk; Cheung, K.C. [STFC Daresbury Laboratory, Keckwick Lane, Warrington, Cheshire WA4 4AD (United Kingdom)], E-mail: k.c.cheung@dl.ac.uk; Ibison, M. [Department of Physics, University of Liverpool, Oxford Street, Liverpool L69 7ZE (United Kingdom)], E-mail: m.ibison@dl.ac.uk; Speller, R.D. [Department of Medical Physics and Bioengineering, University College London, Malet Place, Gower Street, London WC1E 6BT (United Kingdom)], E-mail: rspeller@medphys.ucl.ac.uk

    2009-06-15

    Even though the potential of phase contrast (PC) imaging has been demonstrated in a number of biological tissue samples, the availability of free-space propagation phase contrast images of real breast tumours is still limited. The aim of this study was to obtain phase contrast images of two different pathological breast specimens containing tumours of differing morphological type at two synchrotron radiation (SR) facilities, and to assess any qualitative improvements in the evaluation and characterisation of the masses through the use of phase contrast imaging. A second aim was to assess the effects of parameters such as detector resolution, beam energy and sample-to-detector distance on image quality using the same breast specimens, as to date these effects have been modelled and discussed only for geometric phantoms. At each synchrotron radiation facility a range of images was acquired with different detectors and by varying the above parameters. Images of the same samples were also acquired with the absorption-based approach to allow a direct comparison and estimation of the advantages specifically ascribable to the PC technique.

  14. Differential phase contrast X-ray imaging system and components

    Science.gov (United States)

    Stutman, Daniel; Finkenthal, Michael

    2014-07-01

    A differential phase contrast X-ray imaging system includes an X-ray illumination system, a beam splitter arranged in an optical path of the X-ray illumination system, and a detection system arranged in an optical path to detect X-rays after passing through the beam splitter.

  15. Differential phase contrast X-ray imaging system and components

    Energy Technology Data Exchange (ETDEWEB)

    Stutman, Daniel; Finkenthal, Michael

    2017-01-31

    A differential phase contrast X-ray imaging system includes an X-ray illumination system, a beam splitter arranged in an optical path of the X-ray illumination system, and a detection system arranged in an optical path to detect X-rays after passing through the beam splitter.

  16. Image quality evaluation of direct-conversion digital mammography system with new dual a-Se layer detector

    Science.gov (United States)

    Kuwabara, Takao; Iwasaki, Nobuyuki; Sendai, Tomonari; Furue, Ryosuke; Agano, Toshitaka

    2009-02-01

    To increase the detection performance of breast cancers in mammograms, we need to improve shape delineation of micro calcifications and tumors. We accomplished this by developing a direct-conversion mammography system with an optical reading method and a new dual a-Se layer detector. The system achieved both small pixel size (50 micrometer) and a high Detective Quantum Efficiency (DQE) realized by 100 % of fill factor and noise reduction. We evaluated image quality performance and determined the best exposure conditions. We measured DQE and Modulation Transfer Function(MTF) according to the IEC62220-1-2. High DQE was maintained at a low radiation dosage, indicating that the optical reading method accompanies low noises. Response of MTF was maintained at up to the Nyquist frequency of 10 cyc/mm, which corresponds to 50 micrometer pixel size. To determine the best exposure conditions, we measured Contrast to Noise Ratio (CNR) and visually evaluated images of a resected breast under conditions of MoMo, MoRh, and WRh. There were occasional disagreements between the exposure conditions for achieving the maximum CNR and those for the best image graded by the visual evaluation. This was probably because CNR measurement does not measure effects of scattered X-ray. The images verified the improvement in detection and delineation performance of micro calcifications and tumors.

  17. Ideal-observer detectability in photon-counting differential phase-contrast imaging using a linear-systems approach

    Energy Technology Data Exchange (ETDEWEB)

    Fredenberg, Erik; Danielsson, Mats; Stayman, J. Webster; Siewerdsen, Jeffrey H.; Aslund, Magnus [Research and Development, Philips Women' s Healthcare, Smidesvaegen 5, SE-171 41 Solna, Sweden and Department of Physics, Royal Institute of Technology, AlbaNova, SE-106 91 Stockholm (Sweden); Department of Physics, Royal Institute of Technology, AlbaNova, SE-106 91 Stockholm (Sweden); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Department of Biomedical Engineering and Department of Radiology, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Research and Development, Philips Women' s Healthcare, Smidesvaegen 5, SE-171 41 Solna (Sweden)

    2012-09-15

    Purpose: To provide a cascaded-systems framework based on the noise-power spectrum (NPS), modulation transfer function (MTF), and noise-equivalent number of quanta (NEQ) for quantitative evaluation of differential phase-contrast imaging (Talbot interferometry) in relation to conventional absorption contrast under equal-dose, equal-geometry, and, to some extent, equal-photon-economy constraints. The focus is a geometry for photon-counting mammography. Methods: Phase-contrast imaging is a promising technology that may emerge as an alternative or adjunct to conventional absorption contrast. In particular, phase contrast may increase the signal-difference-to-noise ratio compared to absorption contrast because the difference in phase shift between soft-tissue structures is often substantially larger than the absorption difference. We have developed a comprehensive cascaded-systems framework to investigate Talbot interferometry, which is a technique for differential phase-contrast imaging. Analytical expressions for the MTF and NPS were derived to calculate the NEQ and a task-specific ideal-observer detectability index under assumptions of linearity and shift invariance. Talbot interferometry was compared to absorption contrast at equal dose, and using either a plane wave or a spherical wave in a conceivable mammography geometry. The impact of source size and spectrum bandwidth was included in the framework, and the trade-off with photon economy was investigated in some detail. Wave-propagation simulations were used to verify the analytical expressions and to generate example images. Results: Talbot interferometry inherently detects the differential of the phase, which led to a maximum in NEQ at high spatial frequencies, whereas the absorption-contrast NEQ decreased monotonically with frequency. Further, phase contrast detects differences in density rather than atomic number, and the optimal imaging energy was found to be a factor of 1.7 higher than for absorption

  18. Dose optimization for dual-energy contrast-enhanced digital mammography based on an energy-resolved photon-counting detector: A Monte Carlo simulation study

    Science.gov (United States)

    Lee, Youngjin; Lee, Seungwan; Kang, Sooncheol; Eom, Jisoo

    2017-03-01

    Dual-energy contrast-enhanced digital mammography (CEDM) has been used to decompose breast images and improve diagnostic accuracy for tumor detection. However, this technique causes an increase of radiation dose and an inaccuracy in material decomposition due to the limitations of conventional X-ray detectors. In this study, we simulated the dual-energy CEDM with an energy-resolved photon-counting detector (ERPCD) for reducing radiation dose and improving the quantitative accuracy of material decomposition images. The ERPCD-based dual-energy CEDM was compared to the conventional dual-energy CEDM in terms of radiation dose and quantitative accuracy. The correlation between radiation dose and image quality was also evaluated for optimizing the ERPCD-based dual-energy CEDM technique. The results showed that the material decomposition errors of the ERPCD-based dual-energy CEDM were 0.56-0.67 times lower than those of the conventional dual-energy CEDM. The imaging performance of the proposed technique was optimized at the radiation dose of 1.09 mGy, which is a half of the MGD for a single view mammogram. It can be concluded that the ERPCD-based dual-energy CEDM with an optimal exposure level is able to improve the quality of material decomposition images as well as reduce radiation dose.

  19. Breast tomosynthesis and digital mammography: a comparison of breast cancer visibility and BIRADS classification in a population of cancers with subtle mammographic findings.

    Science.gov (United States)

    Andersson, Ingvar; Ikeda, Debra M; Zackrisson, Sophia; Ruschin, Mark; Svahn, Tony; Timberg, Pontus; Tingberg, Anders

    2008-12-01

    The main purpose was to compare breast cancer visibility in one-view breast tomosynthesis (BT) to cancer visibility in one- or two-view digital mammography (DM). Thirty-six patients were selected on the basis of subtle signs of breast cancer on DM. One-view BT was performed with the same compression angle as the DM image in which the finding was least/not visible. On BT, 25 projections images were acquired over an angular range of 50 degrees, with double the dose of one-view DM. Two expert breast imagers classified one- and two-view DM, and BT findings for cancer visibility and BIRADS cancer probability in a non-blinded consensus study. Forty breast cancers were found in 37 breasts. The cancers were rated more visible on BT compared to one-view and two-view DM in 22 and 11 cases, respectively, (p BIRADS classification (p BIRADS classification (p < 0.01). The results indicate that the cancer visibility on BT is superior to DM, which suggests that BT may have a higher sensitivity for breast cancer detection.

  20. Breast tomosynthesis and digital mammography: a comparison of breast cancer visibility and BIRADS classification in a population of cancers with subtle mammographic findings

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Ingvar; Zackrisson, Sophia [Malmoe University Hospital, Diagnostic Centre of Imaging and Functional Medicine, Malmoe (Sweden); Ikeda, Debra M. [Stanford University, Stanford Advanced Medicine Center, Department of Radiology, Stanford, CA (United States); Ruschin, Mark [Lund University, Malmoe University Hospital, Department of Medical Radiation Physics, Malmoe (Sweden); University Health Network/Princess Margaret Hospital, Department of Radiation Physics, Toronto, ON (Canada); Svahn, Tony; Timberg, Pontus; Tingberg, Anders [Lund University, Malmoe University Hospital, Department of Medical Radiation Physics, Malmoe (Sweden)

    2008-12-15

    The main purpose was to compare breast cancer visibility in one-view breast tomosynthesis (BT) to cancer visibility in one- or two-view digital mammography (DM). Thirty-six patients were selected on the basis of subtle signs of breast cancer on DM. One-view BT was performed with the same compression angle as the DM image in which the finding was least/not visible. On BT, 25 projections images were acquired over an angular range of 50 degrees, with double the dose of one-view DM. Two expert breast imagers classified one- and two-view DM, and BT findings for cancer visibility and BIRADS cancer probability in a non-blinded consensus study. Forty breast cancers were found in 37 breasts. The cancers were rated more visible on BT compared to one-view and two-view DM in 22 and 11 cases, respectively, (p<0.01 for both comparisons). Comparing one-view DM to one-view BT, 21 patients were upgraded on BIRADS classification (p<0.01). Comparing two-view DM to one-view BT, 12 patients were upgraded on BIRADS classification (p<0.01). The results indicate that the cancer visibility on BT is superior to DM, which suggests that BT may have a higher sensitivity for breast cancer detection. (orig.)

  1. Comparison of 5-megapixel cathode ray tube monitors and 5-megapixel liquid crystal monitors for soft-copy reading in full-field digital mammography.

    Science.gov (United States)

    Schueller, Gerd; Schueller-Weidekamm, Claudia; Pinker, Katja; Memarsadeghi, Mazda; Weber, Michael; Helbich, Thomas H

    2010-10-01

    To retrospectively compare the image quality, lesion detection, and the diagnostic efficacy of 5-megapixel (MP) cathode ray tube monitors (CRTs) and 5-MP liquid crystal display monitors (LCDs) for soft-copy reading in full-field digital mammography (FFDM). Informed consent was waived by the Institutional Review Board for the data analysis. A total of 220 cases were compared with two 5-MP (2048×2560 pixels) CRTs and two 5-MP (2048×2560 pixels) LCDs. Nine aspects of image quality (brightness, contrast, sharpness, noise, skin, fat, retromamillary space, glandular tissue, and detection of calcifications) were evaluated. In addition, the detection of breast lesions (mass, calcifications) and diagnostic efficacy, based on the BI-RADS classification, were correlated with histologic results (n=70) and follow-up (n=150). Each aspect of the image quality was rated significantly better for 5-MP LCDs (preading in FFDM, based on histologic and follow-up correlation. However, lesion detection and diagnostic efficacy are comparable to 5-MP CRTs. The interpretation of the false-negative results suggests that the characterization of breast lesions with FFDM is not defined solely by the monitors, but is strongly influenced by the radiologist. Copyright © 2009 Elsevier Ireland Ltd. All rights reserved.

  2. Composite x-ray image assembly for large-field digital mammography with one- and two-dimensional positioning of a focal plane array

    Science.gov (United States)

    Halama, G.; McAdoo, J.; Liu, H.

    1998-01-01

    To demonstrate the feasibility of a novel large-field digital mammography technique, a 1024 x 1024 pixel Loral charge-coupled device (CCD) focal plane array (FPA) was positioned in a mammographic field with one- and two-dimensional scan sequences to obtain 950 x 1800 pixel and 3600 x 3600 pixel composite images, respectively. These experiments verify that precise positioning of FPAs produced seamless composites and that the CCD mosaic concept has potential for high-resolution, large-field imaging. The proposed CCD mosaic concept resembles a checkerboard pattern with spacing left between the CCDs for the driver and readout electronics. To obtain a complete x-ray image, the mosaic must be repositioned four times, with an x-ray exposure at each position. To reduce the patient dose, a lead shield with appropriately patterned holes is placed between the x-ray source and the patient. The high-precision motorized translation stages and the fiber-coupled-scintillating-screen-CCD sensor assembly were placed in the position usually occupied by the film cassette. Because of the high mechanical precision, seamless composites were constructed from the subimages. This paper discusses the positioning, image alignment procedure, and composite image results. The paper only addresses the formation of a seamless composite image from subimages and will not consider the effects of the lead shield, multiple CCDs, or the speed of motion.

  3. Neural networks for the classification of microcalcifications in digital mammography; Uso di reti neurali per classificazione di microcalcificazioni in mammografia digitale

    Energy Technology Data Exchange (ETDEWEB)

    Galli, M. [ENEA, Centro Ricerche Ezio Clementel, Bologna (Italy). Dipt. Innovazione; Capaldo, R.

    1999-07-01

    This report deals with the use of neural networks for the classification of microcalcifications in digital mammography. An automated system for the detection of microcalcifications introduces a number of false signals (false positive). Here a neural network system has been implemented to recognize these false signals. After an introduction to the micro calcification detection problems, the used neural network is described, with its advantages and drawbacks. The obtained results are described and discussed. [Italian] Questo lavoro tratta dell'uso delle reti neurali per la classificazione di microcalcificazioni nella mammografia digitale. Un sistema automatico per il riconoscimento delle microcalcificazioni introduce un certo numero di falsi. Segnali (falsi positivi). Qui e' stata messa a punto una rete neurale per riconoscere questi falsi segnali. Dopo un'introduzione ai problemi connessi con l'individuazione delle microcalcificazioni, viene descritto l'uso della rete neurale implementata, con i suoi vantaggi e svantaggi. Vengono poi descritti e discussi i risultati raggiunti.

  4. Imaging evaluation of digital mammography X line camera operation in breast cancer screening%数字钼靶X线摄像术在乳腺癌筛查中的影像学评价

    Institute of Scientific and Technical Information of China (English)

    夏秀梅

    2015-01-01

    目的:探讨数字化钼靶X线在乳腺癌筛查中的作用。方法:收治乳腺癌患者84例,对其数字X线钼靶摄片资料作回顾性分析。结果:X线征象与病理诊断结果基本相似。结论:乳腺钼靶X线摄影在女性乳腺癌的筛查中发挥重要的作用,准确率较高。%Objective:To investigate the effect of digital mammography in breast cancer screening.Methods:84 patients with breast cancer were selected,then we analyzed the digital mammography data retrospectively.Results:The X-ray findings and pathological diagnosis results were basically similar.Conclusion:Mammography plays an important role in the screening of breast cancer in women,and it also has high accuracy.

  5. Characterization of scatter in digital mammography from use of Monte Carlo simulations and comparison to physical measurements

    Energy Technology Data Exchange (ETDEWEB)

    Leon, Stephanie M., E-mail: Stephanie.Leon@uth.tmc.edu; Wagner, Louis K. [Department of Diagnostic and Interventional Imaging, University of Texas Medical School at Houston, Houston, Texas 77030 (United States); Brateman, Libby F. [Department of Radiology, University of Florida, Gainesville, Florida 32610 (United States)

    2014-11-01

    Purpose: Monte Carlo simulations were performed with the goal of verifying previously published physical measurements characterizing scatter as a function of apparent thickness. A secondary goal was to provide a way of determining what effect tissue glandularity might have on the scatter characteristics of breast tissue. The overall reason for characterizing mammography scatter in this research is the application of these data to an image processing-based scatter-correction program. Methods: MCNPX was used to simulate scatter from an infinitesimal pencil beam using typical mammography geometries and techniques. The spreading of the pencil beam was characterized by two parameters: mean radial extent (MRE) and scatter fraction (SF). The SF and MRE were found as functions of target, filter, tube potential, phantom thickness, and the presence or absence of a grid. The SF was determined by separating scatter and primary by the angle of incidence on the detector, then finding the ratio of the measured scatter to the total number of detected events. The accuracy of the MRE was determined by placing ring-shaped tallies around the impulse and fitting those data to the point-spread function (PSF) equation using the value for MRE derived from the physical measurements. The goodness-of-fit was determined for each data set as a means of assessing the accuracy of the physical MRE data. The effect of breast glandularity on the SF, MRE, and apparent tissue thickness was also considered for a limited number of techniques. Results: The agreement between the physical measurements and the results of the Monte Carlo simulations was assessed. With a grid, the SFs ranged from 0.065 to 0.089, with absolute differences between the measured and simulated SFs averaging 0.02. Without a grid, the range was 0.28–0.51, with absolute differences averaging −0.01. The goodness-of-fit values comparing the Monte Carlo data to the PSF from the physical measurements ranged from 0.96 to 1.00 with a

  6. Dual-energy in mammography: feasibility study

    Science.gov (United States)

    Jafroudi, Hamid; Lo, Shih-Chung B.; Li, Huai; Steller Artz, Dorothy E.; Freedman, Matthew T.; Mun, Seong K.

    1996-04-01

    The purpose of this work is to examine the feasibility of dual-energy techniques to enhance the detection of microcalcifications in digital mammography. The digital mammography system used in this study consists of two different mammography systems; one is the conventional mammography system with molybdenum target and Mo filtration and the other is the clinical version of a low dose x-ray system with tungsten target and aluminum filtration. The low dose system is optimized for screen-film mammography with a highly efficient scatter rejection device built by Fischer Imaging Systems for evaluation at NIH. The system was designed by the University of Southern California based on multiparameter optimization techniques. Prototypes of this system have been constructed and evaluated at the Center for Devices and Radiological Health. The digital radiography system is based on the Fuji 9000 computed radiography (CR) system which uses a storage phosphor imaging plate as the receptor. High resolution plates (HR-V) are used in this study. Dual-energy is one technique to reduce the structured noise associated with the complexity of the background of normal anatomy surrounding a lesion. This can be done by taking the advantage of the x-ray attenuation characteristics of two different structures such as soft tissue and bone in chest radiography. We have applied this technique to the detection of microcalcifications in mammography. The overall system performance based on this technique is evaluated. Results presented are based on the evaluation of phantom images.

  7. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  8. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  9. Interactive cell segmentation based on phase contrast optics.

    Science.gov (United States)

    Su, Hang; Su, Zhou; Zheng, Shibao; Yang, Hua; Wei, Sha

    2014-01-01

    Cell segmentation in phase contrast microscopy images lays a crucial foundation for numerous subsequent computer-aided cell image analysis, but it encounters many unsolved challenges due to image qualities and artifacts caused by phase contrast optics. Addressing the unsolved challenges, the authors propose an interactive cell segmentation scheme over phase retardation features. After partitioning the images into phase homogeneous atoms, human annotations are propagated to unlabeled atoms over an affinity graph that is learned based on discrimination analysis. Then, an active query strategy is proposed for which the most informative unlabeled atom is selected for annotation, which is also propagated to the other unlabeled atoms. Cell segmentation converges to quality results after several rounds of interactions involving both the user's intentions and characteristics of image features. Experimental results demonstrate that cells with different optical properties are well segmented via the proposed approach.

  10. Elemental x-ray imaging using Zernike phase contrast

    Science.gov (United States)

    Shao, Qi-Gang; Chen, Jian; Wali, Faiz; Bao, Yuan; Wang, Zhi-Li; Zhu, Pei-Ping; Tian, Yang-Chao; Gao, Kun

    2016-10-01

    We develop an element-specific x-ray microscopy method by using Zernike phase contrast imaging near absorption edges, where a real part of refractive index changes abruptly. In this method two phase contrast images are subtracted to obtain the target element: one is at the absorption edge of the target element and the other is near the absorption edge. The x-ray exposure required by this method is expected to be significantly lower than that of conventional absorption-based x-ray elemental imaging methods. Numerical calculations confirm the advantages of this highly efficient imaging method. Project supported by the National Basic Research Program of China (Grant No. 2012CB825801) and the National Natural Science Foundation of China (Grant Nos. 11505188, and 11305173).

  11. Phase-contrast microfocus X-ray system

    Energy Technology Data Exchange (ETDEWEB)

    Rocha, Henrique S.; Pereira, Gabriela R.; Oliveira, Davi F.; Lopes, Ricardo T. [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia (COPPE). Lab. de Instrumentacao Nuclear]. E-mails: henrique@lin.ufrj.br; gabriela@lin.ufrj.br; davi@lin.ufrj.br; ricardo@lin.ufrj.br

    2007-07-01

    A phase-contrast X-ray system was developed using a microfocus source. This system uses a highly coherent cone-beam with ten micrometers of minimal focal spot size in a free-space propagation method to obtain phase contrast imaging (PCI). The phase contrast technique relies on its ability to record intensity data which contains information on the X-ray's phase shift. In this technique, the contrast is obtained through refraction, differing from the conventional techniques that use the X-ray attenuation. The system was developed at the Nuclear Instrumentation Laboratory (LIN), COPPE/UFRJ, and it utilizes a high-resolution image plate as a detector. This image plate has a high energy-efficiency in low energy. The results showed that the system allows obtaining high contrast images with less than fifty micrometers of resolution for low density samples and it can be used in several areas, mainly in biology, medical physics and in applications with composites materials. (author)

  12. Mammography - recent technical developments and their clinical potential

    Energy Technology Data Exchange (ETDEWEB)

    Hemdal, Bengt; Mattsson, Soeren [Malmoe Univ. Hospital (Sweden). Dept. of Radiation Physics; Andersson, Ingvar [Malmoe Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Thilander Klang, Anne [Sahlgrenska Univ. Hospital, Goeteborg (Sweden). Dept. of Medical Physics and Biomedical Engineering; Bengtsson, Gert; Jarlman, O. [Lund Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Leitz, Wolfram [Swedish Radiation Protection Authority, Stockholm (Sweden); Bjurstam, Nils [Univ. of North Norway, Troms (Norway). Dept. of Radiology

    2002-05-01

    The recent technical developments in digital as well as screen-film X-ray mammography have been reviewed in order to evaluate their clinical potential and to analyse possible lines for future development. Material and methods: The scientific literature has been reviewed, conferences covered and contacts with colleagues developed. Companies in the field have been inquired and invited for presentations. Own experience has been gathered from different screen-film and digital mammography systems. Results and conclusions: Although there are important complementary techniques such as ultrasound and magnetic resonance imaging (MRI), X-ray mammography is still the golden standard for breast imaging. It is relatively simple and cost-effective, and it is presently the only realistic technique for screening in a large scale. It is still largely the only technique that can detect breast cancer in a pre invasive stage. Equipment for digital mammography is commercially available both with small area and full field technique (FFDM). The development of FFDM systems is now intense, as well as the development of dedicated workstations and computer-aided detection (CAD). In spite of this, the introduction of digital mammography has been very slow compared to most other X-ray examinations due to high costs and technical challenges to meet the high demands on image quality and dose in mammography as well as the demands on specialised workflow support for screening mammography and suitable display techniques. Film reading of digital mammograms has been the most common display mode so far, but to take full advantage of the digital concept, diagnostic as well as logistic, monitor reading must be applied. There is a potential of FFDM systems for significantly higher image quality or significantly lower dose than screen-film mammography (SFM), or both. Further research is necessary to fully use this potential. The investment costs are much higher for digital than screen-film mammography

  13. Assessment of differentiation of benign versus malignant breast tumors by digital mammography,ultrasonography or by a combination of both%超声联合数字乳腺摄影鉴别乳腺良恶性肿块

    Institute of Scientific and Technical Information of China (English)

    陈晴玉; 王中阳; 尹明; 朱晓蔚; 夏建国

    2016-01-01

    Object:To assess differentiation of benign between malignant breast tumors by digital mammography,ultrasonography or by a combination of both. Methods:85 patients were enrolled during Jan 2010 to Dec 2015,which were all underwent mammography and ultrasonography. The digital mammography was assessed according to BI-RADS categories. Then all data were compared with pathologic results. Statistical analyses were carried out using SPSS 19.0. χ2 test was used for statistical analysis. Results:In 85 patients,96 lesions including 39 malignant lesions and 57 benign lesions were found. The average age of the malignant and benign lesions were (47.29±10.755) and (42.64±8.108),respectively;the malignant group was elder than the benign group,the discrepancy has statistic significance (P<0.05). The sensitivity,specificity,the fake positive rate and the fake negative rate were respectively76.9%,78.9%,21.1% and 23.1% for mammography. Ultrasonography had a sensitivity of 74.4%,a specificity of 75.4%,the fake positive rate and the fake negative rate of 24.6% and 25.6%,respectively. A combination mam-mography and ultrasonography had 94.9% sensitivity,75.4% specificity,24.6% fake positive rate and 5.1% fake negative rate. Conclusion:Both of specificity and sensitivity showed no statistical significance between digital mammography and ultrasonogra-phy in differentiating malignant and benign lesions. Compared with digital mammography and ultrosonogrphy,a combination of them exhibits higher sensitivity,but no statistical significances of specificity. Multimodalities can increase detection rate of ma-lignant lesions,and reduce misdiagnosis.%目的:评估超声和数字乳腺摄影术(DM)联合鉴别乳腺良恶性肿块的价值。方法:回顾性分析我院行DM及全乳超声检查85例女性患者影像学资料。使用SPSS 19.0软件行统计分析。结果:85例共检出96个病灶,其中恶性39个,良性57个。乳腺恶性肿块组平均年龄(47.29±10.755

  14. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  15. Sensitivity of a direct computer-aided detection system in full-field digital mammography for detection of microcalcifications not associated with mass or architectural distortion.

    Science.gov (United States)

    Scaranelo, Anabel M; Crystal, Pavel; Bukhanov, Karina; Helbich, Thomas H

    2010-06-01

    The purpose of this study was to evaluate the sensitivity of a direct computer-aided detection (CAD) system (d-CAD) in full-field digital mammography (FFDM) for the detection of microcalcifications not associated with mass or architectural distortion. A database search of 1063 consecutive stereotactic core biopsies performed between 2002 and 2005 identified 196 patients with Breast Imaging-Reporting and Data System (BI-RADS) 4 and 5 microcalcifications not associated with mass or distortion detected exclusively by bilateral FFDM. A commercially available CAD system (Second Look, version 7.2) was retrospectively applied to the craniocaudal and mediolateral oblique views in these patients (mean age, 59 years; range, 35-84 years). Breast density, location and mammographic size of the lesion, distribution, and tumour histology were recorded and analysed by using chi(2), Fisher exact, or McNemar tests, when applicable. When using d-CAD, 71 of 74 malignant microcalcification cases (96%) and 101 of 122 benign microcalcifications (83%) were identified. There was a significant difference (P < .05) between CAD sensitivity on the craniocaudal view, 91% (68 of 75), vs CAD sensitivity on the mediolateral oblique view, 80% (60 of 75). The d-CAD sensitivity for dense breast tissue (American College of Radiology [ACR] density 3 and 4) was higher (97%) than d-CAD sensitivity (95%) for nondense tissue (ACR density 1 and 2), but the difference was not statically significant. All 28 malignant calcifications larger than 10 mm were detected by CAD, whereas the sensitivity for lesions small than or equal to 10 mm was 94%. D-CAD had a high sensitivity in the depiction of asymptomatic breast cancers, which were seen as microcalcifications on FFDM screening, with a sensitivity of d-CAD on the craniocaudal view being significantly better. All malignant microcalcifications larger than 10 mm were detected by d-CAD. Copyright 2010 Canadian Association of Radiologists. Published by Elsevier Inc

  16. CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY (CESM (REVIEW

    Directory of Open Access Journals (Sweden)

    N. I. Rozhkova

    2015-01-01

    Full Text Available The problem of early diagnosis of a breast cancer is extremely actual. Growth of incidence at women from 19 to 39 years increased for 34% over the last 10 years. It defines need of acceleration of development and deployment of the latest technologies of identification of the earliest symptoms of diseases. The x-ray mammography is the conducting method among of all radiological methods of diagnostics. Nevertheless a number of restrictions of method reduces its efficiency. The technologies increasing informational content of x-ray mammography – the leading method of screening – due to use of artificial contrasting and advantages of digital technologies are constantly developed. In this review it is described works, in which the authors having clinical experience of application of CESM – contrastenhanced spectral mammography on representative group of women. Positive sides and restrictions of new technology in comparison with mammography, ultrasonography and MRT are shown in this article.

  17. Various clinical application of phase contrast X-ray

    Science.gov (United States)

    Oh, Chilhwan; Park, Sangyong; Ha, Seunghan; Park, Gyuman; Lee, Gunwoo; Lee, Onseok; Je, Jungho

    2008-02-01

    In biomedical application study using phase contrast X-ray, both sample thickness or density and absorption difference are very important factors in aspects of contrast enhancement. We present experimental evidence that synchrotron hard X-ray are suitable for radiological imaging of biological samples down to the cellular level. We investigated the potential of refractive index radiology using un-monochromatized synchrotron hard X-rays for the imaging of cell and tissue in various diseases. Material had been adopted various medical field, such as apoE knockout mouse in cardiologic field, specimen from renal and prostatic carcinoma patient in urology, basal cell epithelioma in dermatology, brain tissue from autosy sample of pakinson's disease, artificially induced artilrtis tissue from rabbits and extracted tooth from patients of crack tooth syndrome. Formalin and paraffin fixed tissue blocks were cut in 3 mm thickness for the X-ray radiographic imaging. From adjacent areas, 4 μm thickness sections were also prepared for hematoxylin-eosin staining. Radiographic images of dissected tissues were obtained using the hard X-rays from the 7B2 beamline of the Pohang Light Source (PLS). The technique used for the study was the phase contrast images were compared with the optical microscopic images of corresponding histological slides. Radiographic images of various diseased tissues showed clear histological details of organelles in normal tissues. Most of cancerous lesions were well differentiated from adjacent normal tissues and detailed histological features of each tumor were clearly identified. Also normal microstructures were identifiable by the phase contrast imaging. Tissue in cancer or other disease showed clearly different findings from those of surrounding normal tissue. For the first time we successfully demonstrated that synchrotron hard X-rays can be used for radiological imaging of relatively thick tissue samples with great histological details.

  18. Multiscale differential phase contrast analysis with a unitary detector

    KAUST Repository

    Lopatin, Sergei

    2015-12-30

    A new approach to generate differential phase contrast (DPC) images for the visualization and quantification of local magnetic fields in a wide range of modern nano materials is reported. In contrast to conventional DPC methods our technique utilizes the idea of a unitary detector under bright field conditions, making it immediately usable by a majority of modern transmission electron microscopes. The approach is put on test to characterize the local magnetization of cylindrical nanowires and their 3D ordered arrays, revealing high sensitivity of our method in a combination with nanometer-scale spatial resolution.

  19. Observation of multilayer graphene sheets using terahertz phase contrast microscopy

    Indian Academy of Sciences (India)

    ZHIKUN LIU; YANAN XIE; LI GENG; DENGKE PAN; PAN SONG

    2017-01-01

    Although it is important for the study of graphene, identifying and characterizing the number of graphene layers is challenging. In this paper, we calculate graphene’s transmission.The result shows that the phase change is more sensitive than the intensity change when light passes through graphene in some THz frequencies. Based on this fact, a simple route is presented for identifying the single or few layers of graphene sheets by using terahertz phase contrast microscopy (TPCM). The route is fast, and easy to be carried out.

  20. Full Field Digital Mammography (FFDM) versus CMOS Technology, Specimen Radiography System (SRS) and Tomosynthesis (DBT) - Which System Can Optimise Surgical Therapy?

    Science.gov (United States)

    Schulz-Wendtland, R; Dilbat, G; Bani, M; Fasching, P A; Heusinger, K; Lux, M P; Loehberg, C R; Brehm, B; Hammon, M; Saake, M; Dankerl, P; Jud, S M; Rauh, C; Bayer, C M; Beckmann, M W; Uder, M; Meier-Meitinger, M

    2013-05-01

    Aim: This prospective clinical study aimed to evaluate whether it would be possible to reduce the rate of re-excisions using CMOS technology, a specimen radiography system (SRS) or digital breast tomosynthesis (DBT) compared to a conventional full field digital mammography (FFDM) system. Material and Method: Between 12/2012 and 2/2013 50 patients were diagnosed with invasive breast cancer (BI-RADS™ 5). After histological verification, all patients underwent breast-conserving therapy with intraoperative imaging using 4 different systems and differing magnifications: 1. Inspiration™ (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1 mm, resolution 85 µm pixel pitch, 8 lp/mm; 2. BioVision™ (Bioptics, Tucson, AZ, USA), CMOS technology, photodiode array, flat panel, tungsten source, focus 0.05, resolution 50 µm pixel pitch, 12 lp/mm; 3. the Trident™ specimen radiography system (SRS) (Hologic, Bedford, MA, USA), amorphous selenium, tungsten source, focus 0.05, resolution 70 µm pixel pitch, 7.1 lp/mm; 4. tomosynthesis (Siemens, Erlangen, Germany), amorphous selenium, tungsten source, focus 0.1 mm, resolution 85 µm pixel pitch, 8 lp/mm, angular range 50 degrees, 25 projections, scan time > 20 s, geometry: uniform scanning, reconstruction: filtered back projection. The 600 radiographs were prospectively shown to 3 radiologists. Results: Of the 50 patients with histologically proven breast cancer (BI-RADS™ 6), 39 patients required no further surgical therapy (re-excision) after breast-conserving surgery. A retrospective analysis (n = 11) showed a significant (p < 0.05) increase of sensitivity with the BioVision™, the Trident™ and tomosynthesis compared to the Inspiration™ at a magnification of 1.0 : 2.0 or 1.0 : 1.0 (tomosynthesis) (2.6, 3.3 or 3.6 %), i.e. re-excision would not have been necessary in 2, 3 or 4 patients, respectively, compared to findings obtained with a standard

  1. Fast one-dimensional wave-front propagation for x-ray differential phase-contrast imaging.

    Science.gov (United States)

    Wolf, Johannes; Malecki, Andreas; Sperl, Jonathan; Chabior, Michael; Schüttler, Markus; Bequé, Dirk; Cozzini, Cristina; Pfeiffer, Franz

    2014-10-01

    Numerical wave-optical simulations of X-ray differential phase-contrast imaging using grating interferometry require the oversampling of gratings and object structures in the range of few micrometers. Consequently, fields of view of few millimeters already use large amounts of a computer's main memory to store the propagating wave front, limiting the scope of the investigations to only small-scale problems. In this study, we apply an approximation to the Fresnel-Kirchhoff diffraction theory to overcome these restrictions by dividing the two-dimensional wave front up into 1D lines, which are processed separately. The approach enables simulations with samples of clinically relevant dimensions by significantly reducing the memory footprint and the execution time and, thus, allows the qualitative comparison of different setup configurations. We analyze advantages as well as limitations and present the simulation of a virtual mammography phantom of several centimeters of size.

  2. High-speed single photon counting read out electronics for a digital detection system for clinical synchrotron radiation mammography

    Science.gov (United States)

    Bergamaschi, A.; Arfelli, F.; Dreossi, D.; Longo, R.; Olivo, A.; Pani, S.; Rigon, L.; Vallazza, E.; Venanzi, C.; Castelli, E.

    2004-02-01

    The SYRMEP beam line is currently in the upgrading phase for mammographic examinations on patients at Elettra in Trieste. At the same time, a digital detection system, suitable for in -vivo breast imaging, is under development; it consists of a silicon laminar detector array operating in single photon counting mode. The duration of a clinical examination should not exceed a few seconds. Fast read out electronics is therefore necessary with the aim of avoiding losses in image contrast in presence of high counting rates. A custom ASIC working with 100% efficiency for rates up to 100 kHz per pixel has been designed and tested, and other solutions based on commercially available ASICs are currently under test. Several detector prototypes have been assembled, and images of mammographic test objects have been acquired. Image quality, efficiency and contrast losses have been evaluated in all cases as a function of the counting rate.

  3. Breast cancer detection using phase contrast diffuse optical tomography

    Science.gov (United States)

    Liang, Xiaoping; Zhang, Qizhi; Li, Changqing; Grobmyer, Stephen R.; Fajardo, Laurie L.; Jiang, Huabei

    2007-02-01

    In this report, a phase-contrast diffuse optical tomography system, which can measure the refractive indices of human breast masses in vivo, is described. To investigate the utility of phase-contrast diffuse optical tomography (PCDOT) for differentiation of malignant and benign breast masses in humans, and to compare PCDOT with conventional diffuse optical tomography (DOT) for analysis of breast masses in humans. 35 breast masses were imaged in 33 patients (mean age = 51 years; range 22-80 years) using PCDOT. Images characterizing the tissue refractive index, absorption and scattering of breast masses were obtained with a finite element-based reconstruction algorithm. The accuracies of absorption and scattering images were compared with images of refractive index in light of the pathology results. Absorption and scattering images were unable to accurately discriminate benign from malignant lesions. Malignant lesions tended to have decreased refractive index allowing them to discriminate from benign lesions in most cases. The sensitivity, specificity, false positive value, and overall accuracy for refractive index were 81.8%, 70.8%, 29.2%, and 74.3%, respectively. Overall we show that benign and malignant breast masses in humans demonstrate different refractive index and differences in refractive index properties can be used to discriminate benign from malignant masses in patients with high accuracy. This opens up a new avenue for improved breast cancer detection using NIR diffusing light.

  4. LEEM image phase contrast of MnAs stripes

    Energy Technology Data Exchange (ETDEWEB)

    Pang, A.B., E-mail: pangangbo@gmail.com [School of Physics and Electronic Information, Huaibei Normal University, Huaibei, Anhui, 235000 (China); Department of Physics, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong (China); Pavlovska, A. [Department of Physics, Arizona State University, Tempe, AZ 85287-1504 (United States); Däweritz, L. [Paul-Drude-Institut für Festkörperelektronik, Hausvogteiplatz 5-7, D-10117 Berlin (Germany); Locatelli, A. [Sincrotrone Trieste, S.C.p.a., Basovizza, Trieste 34012 (Italy); Bauer, E. [Department of Physics, Arizona State University, Tempe, AZ 85287-1504 (United States); Altman, M.S. [Department of Physics, Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong (China)

    2013-07-15

    Low energy electron microscopy (LEEM) imaging of strained MnAs layers epitaxially grown on GaAs(001) reveals striped contrast features that become more pronounced and vary systematically in width with increasing defocus, but that are completely absent in focus. Weaker subsidiary fringe-like features are observed along the stripe lengths, while asymmetric contrast reversal occurs between under-focus and over-focus conditions. A Fourier optics calculation is performed that demonstrates that these unusual observations can be attributed to a phase contrast mechanism between the hexagonal α phase and orthorhombic β phase regions of the MnAs film, which self-organize into a periodic stripe array with ridge-groove morphology. The unequal widths of the α and β phase regions are determined accurately from the through focus series, while the height variation in this system can also be determined in principle from the energy dependence of contrast. - Highlights: • LEEM image of MnAs/GaAs(001) reveals striped contrast features varying with defocus. • Duplex contrast and asymmetric reversal between under- and over-focus are observed. • Fourier optics calculation attributes the contrast to a phase contrast mechanism. • Widths of the α and β phase regions are determined accurately. • Height variation in this system can also be determined in principle.

  5. [Measurement of cerebral blood flow using phase-contrast MRI].

    Science.gov (United States)

    Obata, T; Shishido, F; Koga, M; Ikehira, H; Kimura, F; Yoshida, K

    1997-07-01

    The development of phase-contrast magnetic resonance imaging(P-C MRI) provides a noninvasive method for measurement of volumetric blood flow(VFR). The VFR of the left and right internal carotid arteries and basilar artery were measured using P-C MRI, and total cerebral blood flow(tCBF) was calculated by summing up the VFR values in three vessels. We investigated the changes in these blood flows as influenced from age, head size, height, weight, body surface area and handedness. Moreover, regional CBF(rCBF) was measured by combining with the single photon emission computed tomography(SPECT) of 123I. The blood flows were 142 +/- 58 mL/ min(mean +/- SD) in the basilar artery, 229 +/- 86 mL/min in the left, 223 +/- 58 mL/min in the right internal carotid artery, and tCBF was 617 +/- 128 mL/min(Ref. Magn Resn Imaging 14:P. 1143, 1996). Significant increases were observed in head-size-related change of VFR in the basilar artery and height-related change of tCBF. The value of rCBF was easily acquired in combination with SPECT. Phase-contrast MRI is useful for a noninvasive and rapid analysis of cerebral VFR and has potential for clinical use.

  6. Implementation of neutron phase contrast imaging at FRM-II

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, Klaus

    2008-11-12

    At ANTARES, the beam line for neutron imaging at the Forschungsneutronenquelle Heinz Maier-Leibnitz (FRM-II) in Garching, the option to do phase contrast imaging besides conventional absorption based neutron imaging was implemented and successfully used for the non-destructive testing of various types of objects. The used propagation-based technique is based on the interference of neutron waves in the detector plane that were differently strong diffracted by the sample. A comparison with other phase-sensitive neutron imaging techniques highlights assets and drawbacks of the different methods. In preliminary measurements at ANTARES and the spallation source SINQ at PSI in Villigen, the influence of the beam geometry, the neutron spectrum and the detector on the quality of the phase contrast measurements were investigated systematically. It was demonstrated that gamma radiation and epithermal neutrons in the beam contribute severely to background noise in measurements, which motivated the installation of a remotely controlled filter wheel for a quick and precise positioning of different crystal filters in the beam. By the installation of a similar aperture wheel, a quick change between eight different beam geometries was made possible. Besides pinhole and slit apertures, coded apertures based on non redundant arrays were investigated. The possibilities, which arise by the exploitation of the real part of the refractive index in neutron imaging, were demonstrated in experiments with especially designed test samples and in measurements with ordinary, industrial components. (orig.)

  7. Banco de imagens mamográficas para treinamento na interpretação de imagens digitais Digital image database for mammography interpretation training

    Directory of Open Access Journals (Sweden)

    Silvio Ricardo Pires

    2004-08-01

    Full Text Available OBJETIVO: Disponibilizar aos profissionais da radiologia um "software" para treinamento na interpretação de imagens mamográficas em sistemas digitais. MATERIAIS E MÉTODOS: Foi desenvolvido um "software" em Delphi associado a uma base de dados em Interbase, com a finalidade de armazenar imagens de exames mamográficos associados aos seus laudos em categorias BI-RADS®. As imagens foram previamente qualificadas e digitalizadas em "scanner" a laser Lumiscan 75. O treinamento se faz com imagens apresentadas em monitores comerciais de 17 polegadas, no tamanho 18 × 24 cm. O "software" permite visualizar cada projeção das mamas individualmente, médio-lateral oblíqua e crânio-caudal, ou as quatro imagens simultaneamente. Permite acessar as imagens e os laudos existentes ou interpretar as imagens utilizando o sistema de categorias BI-RADS®, em que o "software" compara o laudo do usuário com as informações do banco de dados, apontando acertos e erros da interpretação. RESULTADOS: O usuário adquire familiaridade com sistemas digitais, laudos em categorias BI-RADS® e aspectos de qualidade do processo gerador das imagens relativo à detecção de fibras e microcalcificações. CONCLUSÃO: O "software" disponível na intranet da Universidade Federal de São Paulo é ferramenta valiosa para os profissionais interessados em sistemas digitais.OBJECTIVE: To make a software available for training professionals in the interpretation of mammography images on digital systems. MATERIALS AND METHODS: The software was developed in Delphi and linked to a Interbase database to store mammographic images in association with the BI-RADS® category results. Images were previously qualified and digitized using a Lumiscan 75 laser scanner. Training is done on 18 × 24 cm images displayed on a 17² commercial monitor. The software allows displaying of each breast view individually, medial-lateral oblique and cranial-caudal views, or four images simultaneously

  8. Pilot Study on the Detection of Simulated Lesions Using a 2D and 3D Digital Full-Field Mammography System with a Newly Developed High Resolution Detector Based on Two Shifts of a-Se.

    Science.gov (United States)

    Schulz-Wendtland, R; Bani, M; Lux, M P; Schwab, S; Loehberg, C R; Jud, S M; Rauh, C; Bayer, C M; Beckmann, M W; Uder, M; Fasching, P A; Adamietz, B; Meier-Meitinger, M

    2012-05-01

    Purpose: Experimental study of a new system for digital 2D and 3D full-field mammography (FFDM) using a high resolution detector based on two shifts of a-Se. Material and Methods: Images were acquired using the new FFDM system Amulet® (FujiFilm, Tokio, Japan), an a-Se detector (receptor 24 × 30 cm(2), pixel size 50 µm, memory depth 12 bit, spatial resolution 10 lp/mm, DQE > 0.50). Integrated in the detector is a new method for data transfer, based on optical switch technology. The object of investigation was the Wisconsin Mammographic Random Phantom, Model 152A (Radiation Measurement Inc., Middleton, WI, USA) and the same parameters and exposure data (Tungsten, 100 mAs, 30 kV) were consistently used. We acquired 3 different pairs of images in the c-c and ml planes (2D) and in the c-c and c-c planes with an angle of 4 degrees (3D). Five radiologists experienced in mammography (experience ranging from 3 months to more than 5 years) analyzed the images (monitoring) which had been randomly encoded (random generator) with regard to the recognition of details such as specks of aluminum oxide (200-740 µm), nylon fibers (0.4-1.6 mm) and round lesions/masses (diameters 5-14 mm), using special linear glasses for 3D visualization, and compared the results. Results: A total of 225 correct positive decisions could be detected: we found 222 (98.7 %) correct positive results for 2D and 3D visualization in each case. Conclusion: The results of this phantom study showed the same detection rates for both 2D and 3D imaging using full field digital mammography. Our results must be confirmed in further clinical trials.

  9. Clinical application of low-dose phase contrast breast CT: methods for the optimization of the reconstruction workflow

    Science.gov (United States)

    Pacilè, S.; Brun, F.; Dullin, C.; Nesterest, Y. I.; Dreossi, D.; Mohammadi, S.; Tonutti, M.; Stacul, F.; Lockie, D.; Zanconati, F.; Accardo, A.; Tromba, G.; Gureyev, T. E.

    2015-01-01

    Results are presented of a feasibility study of three-dimensional X-ray tomographic mammography utilising in-line phase contrast. Experiments were performed at SYRMEP beamline of Elettra synchrotron. A specially designed plastic phantom and a mastectomy sample containing a malignant lesion were used to study the reconstructed image quality as a function of different image processing operations. Detailed evaluation and optimization of image reconstruction workflows have been carried out using combinations of several advanced computed tomography algorithms with different pre-processing and post-processing steps. Special attention was paid to the effect of phase retrieval on the diagnostic value of the reconstructed images. A number of objective image quality indices have been applied for quantitative evaluation of the results, and these were compared with subjective assessments of the same images by three experienced radiologists and one pathologist. The outcomes of this study provide practical guidelines for the optimization of image processing workflows in synchrotron-based phase-contrast mammo-tomography. PMID:26309770

  10. Impact of the Addition of Digital Breast Tomosynthesis (DBT) to Standard 2D Digital Screening Mammography on the Rates of Patient Recall, Cancer Detection, and Recommendations for Short-term Follow-up.

    Science.gov (United States)

    Powell, Jaclynn L; Hawley, Jeffrey R; Lipari, Adele M; Yildiz, Vedat O; Erdal, B Selnur; Carkaci, Selin

    2017-03-01

    The addition of digital breast tomosynthesis (DBT) to digital screening mammography (DM) has been shown to decrease recall rates and improve cancer detection rates, but there is a lack of data regarding the impact of DBT on rates of short-term follow-up. We assessed possible changes in performance measures with the introduction of DBT at our facility. In our observational study, databases were used to compare rates of recall, short-term follow-up, biopsy, and cancer detection between women undergoing DM without (n = 10,477) and women undergoing DM with (n = 2304) the addition of DBT. Regression analysis was performed to determine associations with patient age, breast density, and availability of comparison examinations. The addition of DBT resulted in significantly lower recall rates (16%-14%, P = .017), higher rates of biopsy (12.7%-19.1%, P < .01), and increased detection of ductal carcinoma in situ, with a difference of 2.3 cases per 1000 screens (P = .044). A 33% increase in cancer detection rates was observed with DBT, which did not reach statistical significance. Short-term follow-up of probably benign findings was 80% higher in the DBT group (odds ratio = 1.80, 95% confidence interval = 1.38-2.36, P < .001). To our knowledge, we are the first to study the impact of DBT on rates of short-term follow-up, and observed an 80% increase over the DM group. Further research is needed to determine the malignancy rate of Breast Imaging Reporting and Data System 3 lesions detected with DBT, and establish appropriate follow-up to maximize cancer detection while minimizing expense and patient anxiety. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  11. Noise characteristics of x-ray differential phase contrast CT

    Science.gov (United States)

    Zambelli, Joseph; Li, Ke; Bevins, Nicholas; Qi, Zhihua; Chen, Guang-Hong

    2011-03-01

    The noise characteristics of x-ray differential phase contrast computed tomography (DPC-CT) were investigated. Both theoretical derivation and experimental results demonstrated that the dependence of noise variance on spatial resolution in DPC-CT follows an inverse linear law. This behavior distinguishes DPC-CT from conventional absorption based x-ray CT, where the noise variance varies inversely with the cube of the spatial resolution. This anomalous noise behavior in DPC-CT is due to the Hilbert filtering kernel used in the CT reconstruction algorithm, which equally weights all spatial frequency content. Additionally, we demonstrate that the noise power of DPC-CT is scaled by the inverse of spatial frequency and is highly concentrated at the low spatial frequencies, whereas conventional absorption CT increases in power at the high spatial frequencies.

  12. Optimization of phase contrast in bimodal amplitude modulation AFM

    Directory of Open Access Journals (Sweden)

    Mehrnoosh Damircheli

    2015-04-01

    Full Text Available Bimodal force microscopy has expanded the capabilities of atomic force microscopy (AFM by providing high spatial resolution images, compositional contrast and quantitative mapping of material properties without compromising the data acquisition speed. In the first bimodal AFM configuration, an amplitude feedback loop keeps constant the amplitude of the first mode while the observables of the second mode have not feedback restrictions (bimodal AM. Here we study the conditions to enhance the compositional contrast in bimodal AM while imaging heterogeneous materials. The contrast has a maximum by decreasing the amplitude of the second mode. We demonstrate that the roles of the excited modes are asymmetric. The operational range of bimodal AM is maximized when the second mode is free to follow changes in the force. We also study the contrast in trimodal AFM by analyzing the kinetic energy ratios. The phase contrast improves by decreasing the energy of second mode relative to those of the first and third modes.

  13. Computed tomography using broadband Bessel THz beams and phase contrast.

    Science.gov (United States)

    Bitman, Assaf; Goldring, Sharone; Moshe, Inon; Zalevsky, Zeev

    2014-04-01

    We present new results demonstrating the capability of performing computed tomography (CT) using broadband Bessel terahertz (THz) beams. Nondiffractive beams such as these exhibit propagation-invariant lines of focus with an extended depth-of-field compared to conventional Gaussian beams. Using this property, we demonstrate a considerable improvement in the 3D reconstruction image of a synthetic sample through the backprojection algorithm. Only when THz Bessel beams are used, a full reconstruction of the object structure is made. Moreover, we use phase-contrast mechanism which improves the spatial resolution and reconstructed images. Our results highlight the potential in using nondiffractive Bessel beams to significantly improve 3D-image reconstruction of THz CT.

  14. Optimization of phase contrast in bimodal amplitude modulation AFM.

    Science.gov (United States)

    Damircheli, Mehrnoosh; Payam, Amir F; Garcia, Ricardo

    2015-01-01

    Bimodal force microscopy has expanded the capabilities of atomic force microscopy (AFM) by providing high spatial resolution images, compositional contrast and quantitative mapping of material properties without compromising the data acquisition speed. In the first bimodal AFM configuration, an amplitude feedback loop keeps constant the amplitude of the first mode while the observables of the second mode have not feedback restrictions (bimodal AM). Here we study the conditions to enhance the compositional contrast in bimodal AM while imaging heterogeneous materials. The contrast has a maximum by decreasing the amplitude of the second mode. We demonstrate that the roles of the excited modes are asymmetric. The operational range of bimodal AM is maximized when the second mode is free to follow changes in the force. We also study the contrast in trimodal AFM by analyzing the kinetic energy ratios. The phase contrast improves by decreasing the energy of second mode relative to those of the first and third modes.

  15. Improved Hilbert phase contrast for transmission electron microscopy

    Energy Technology Data Exchange (ETDEWEB)

    Koeck, Philip J.B.

    2015-07-15

    Hilbert phase contrast has been recognized as a means of recording high resolution images with high contrast using a transmission electron microscope. This imaging mode could be used to image typical phase objects such as unstained biological molecules or cryo sections of biological tissue. According to the original proposal by (Danev et al., 2002) the Hilbert phase plate applies a phase shift of π to approximately half the focal plane (for example the right half excluding the central beam) and an image is recorded at Gaussian focus. After correction for the inbuilt asymmetry of differential phase contrast this image will have an almost perfect contrast transfer function (close to 1) from the lowest spatial frequency up to a maximum resolution determined by the wave length and spherical aberration of the microscope. In this paper I present theory and simulations showing that this maximum spatial frequency can be increased considerably almost without loss of contrast by using a Hilbert phase plate of half the thickness, leading to a phase shift of π/2, and recording images at Scherzer defocus. The maximum resolution can be improved even more by imaging at extended Scherzer defocus, though at the cost of contrast loss at lower spatial frequencies. - Highlights: • In this paper I present theory and simulations for a Hilbert phase plate that phase shifts the electron wave by π/2 instead of π while images are recorded close to Scherzer defocus instead of Gaussian focus. • I show that the point resolution for this new imaging mode is considerably higher without loss of contrast. • An additional advantage lies in the reduced thickness of the phase plate which leads to reduced inelastic scattering in the phase plate and less noise.

  16. Systolically gated 3D phase contrast MRA of mesenteric arteries in suspected mesenteric ischemia

    Energy Technology Data Exchange (ETDEWEB)

    Wasser, M.N.; Schultze Kool, L.J.; Roos, A. de [Leiden Univ. Hospital (Netherlands)] [and others

    1996-03-01

    Our goal was to assess the value of MRA for detecting stenoses in the celiac (CA) and superior mesenteric (SMA) arteries in patients suspected of having chronic mesenteric ischemia, using an optimized systolically gated 3D phase contrast technique. In an initial study in 24 patients who underwent conventional angiography of the abdominal vessels for different clinical indications, a 3D phase contrast MRA technique (3D-PCA) was evaluated and optimized to image the CAs and SMAs. Subsequently, a prospective study was performed to assess the value of systolically gated 3D-PCA in evaluation of the mesenteric arteries in 10 patients with signs and symptoms of chronic mesenteric ischemia. Intraarterial digital subtraction angiography and surgical findings were used as the reference standard. In the initial study, systolic gating appeared to be essential in imaging the SMA on 3D-PCA. In 10 patients suspected of mesenteric ischemia, systolically gated 3D-PCA identified significant proximal disease in the two mesenteric vessels in 4 patients. These patients underwent successful reconstruction of their stenotic vessels. Cardiac-gated MRA may become a useful tool in selection of patients suspected of having mesenteric ischemia who may benefit from surgery. 16 refs., 6 figs., 4 tabs.

  17. X-ray phase contrast tomography by tracking near field speckle

    Science.gov (United States)

    Wang, Hongchang; Berujon, Sebastien; Herzen, Julia; Atwood, Robert; Laundy, David; Hipp, Alexander; Sawhney, Kawal

    2015-03-01

    X-ray imaging techniques that capture variations in the x-ray phase can yield higher contrast images with lower x-ray dose than is possible with conventional absorption radiography. However, the extraction of phase information is often more difficult than the extraction of absorption information and requires a more sophisticated experimental arrangement. We here report a method for three-dimensional (3D) X-ray phase contrast computed tomography (CT) which gives quantitative volumetric information on the real part of the refractive index. The method is based on the recently developed X-ray speckle tracking technique in which the displacement of near field speckle is tracked using a digital image correlation algorithm. In addition to differential phase contrast projection images, the method allows the dark-field images to be simultaneously extracted. After reconstruction, compared to conventional absorption CT images, the 3D phase CT images show greatly enhanced contrast. This new imaging method has advantages compared to other X-ray imaging methods in simplicity of experimental arrangement, speed of measurement and relative insensitivity to beam movements. These features make the technique an attractive candidate for material imaging such as in-vivo imaging of biological systems containing soft tissue.

  18. Dose efficiency consideration for volume-of-interest breast imaging using x-ray differential phase-contrast CT

    Science.gov (United States)

    Cai, Weixing; Ning, Ruola

    2009-02-01

    The newly developed differential phase-contrast (DPC) imaging technique has attracted increasing interest among researchers. In a DPC system, the self-imaging effect and the phase-stepping method are implemented through three gratings to manifest phase contrast, and differentiated phase images can be obtained. An important advantage of this technique is that hospital-grade x-ray tubes can be used, allowing much higher x-ray output power and faster image processing than with micro-focus in-line phase-contrast imaging. A DPC-CT system can acquire images from different view angles along a circular orbit, and tomographic images can be reconstructed. However, the principle of DPC imaging requires multiple exposures to compute any differentiated phase image at each view angle, which raises concerns about radiation exposure via x-ray dose. Computer simulations are carried out to study the dose efficiency for DPC-CT for volume-of-interest breast imaging. A conceptual CBCT/DPC-CT hybrid imaging system and a numerical breast phantom are designed for this study. A FBP-type reconstruction algorithm is optimized for the VOI reconstruction. Factors including the x-ray flux and detector pixel size are considered and their effects on reconstruction image quality in terms of noise level and contrast-to-noise ratio are investigated. The results indicate that with a pixel size of 20 microns and a dose level of 5.7mGy, which is equivalent to the patient dose of a two-view mammography screening or a dedicated CBCT breast imaging scan, much better tissue contrast and spatial resolution can be achieved using the DPC-CT technique. It is very promising for possible application at pathology-level in vivo study for human breasts.

  19. TU-CD-207-03: Time Evolution of Texture Parameters of Subtracted Images Obtained by Contrast-Enhanced Digital Mammography (CEDM)

    Energy Technology Data Exchange (ETDEWEB)

    Mateos, M-J; Brandan, M-E [Instituto de Fisica, Universidad Nacional Autonom de Mexico, Mexico, Distrito Federal (Mexico); Gastelum, A; Marquez, J [Centro de Ciencias Aplicadas y Desarrollo Tecnologico Universidad Nacional Autonoma de Mexico, Mexico, Distrito Federal (Mexico)

    2015-06-15

    Purpose: To evaluate the time evolution of texture parameters, based on the gray level co-occurrence matrix (GLCM), in subtracted images of 17 patients (10 malignant and 7 benign) subjected to contrast-enhanced digital mammography (CEDM). The goal is to determine the sensitivity of texture to iodine uptake at the lesion, and its correlation (or lack of) with mean-pixel-value (MPV). Methods: Acquisition of clinical images followed a single-energy CEDM protocol using Rh/Rh/48 kV plus external 0.5 cm Al from a Senographe DS unit. Prior to the iodine-based contrast medium (CM) administration a mask image was acquired; four CM images were obtained 1, 2, 3, and 5 minutes after CM injection. Temporal series were obtained by logarithmic subtraction of registered CM minus mask images.Regions of interest (ROI) for the lesion were drawn by a radiologist and the texture was analyzed. GLCM was evaluated at a 3 pixel distance, 0° angle, and 64 gray-levels. Pixels identified as registration errors were excluded from the computation. 17 texture parameters were chosen, classified according to similarity into 7 groups, and analyzed. Results: In all cases the texture parameters within a group have similar dynamic behavior. Two texture groups (associated to cluster and sum mean) show a strong correlation with MPV; their average correlation coefficient (ACC) is r{sup 2}=0.90. Other two groups (contrast, homogeneity) remain constant with time, that is, a low-sensitivity to CM uptake. Three groups (regularity, lacunarity and diagonal moment) are sensitive to CM uptake but less correlated with MPV; their ACC is r{sup 2}=0.78. Conclusion: This analysis has shown that, at least groups associated to regularity, lacunarity and diagonal moment offer dynamical information additional to the mean pixel value due to the presence of CM at the lesion. The next step will be the analysis in terms of the lesion pathology. Authors thank PAPIIT-IN105813 for support. Consejo Nacional de Ciencia Y

  20. First experiments for the detection of simulated mammographic lesions. Digital full field mammography with a new detector with a double plate of pure selenium; Erste Untersuchungen zur Detektion simulierter mammographischer Laesionen. Digitale Vollfeldmammographie mit einem Doppelschicht-Selen-Detektor

    Energy Technology Data Exchange (ETDEWEB)

    Schulz-Wendtland, R.; Wenkel, E.; Adamietz, B.; Lell, M.; Anders, K.; Uder, M. [Universitaetsklinikum Erlangen, Abteilung Gynaekologische Radiologie, Radiologisches Institut, Erlangen (Germany); Hermann, K.P. [Universitaetsmedizin Goettingen, Abteilung Diagnostische Radiologie, Goettingen (Germany)

    2011-02-15

    The article describes an experimental phantom study of a system for digital full field mammography with a new digital detector with a double plate of pure selenium. The experiments were carried out with the new full field digital mammography system Amulet from FujiFilm. This system has a new detector (18 x 24 cm{sup 2}) on the basis of highly purified amorphous selenium (a-Se) with a pixel size of 50 {mu}m. The x-rays are converted into electric signals in the first plate which are read into the second plate with the help of an optical switch and demonstrated in the form of an image. In this way a better pixel size/volume and signal-to-noise ratio should be achieved. The object of the investigation was the Wisconsin Mammographic Random Phantom, Model 152 A (Technical Performance Mo/Mo, 28 kV, 100 mAs). Five investigators with different experiences in mammography each received three images on a monitor with different random positions of the simulated lesions in the phantom for assessment. The detection rates were compared under the same conditions with the results of two other full field digital mammography systems. The median detection rate for all images and investigators for the new doubled plated a-Se detector with optical switch was 98.7%. For both other systems with a-Si or and a-Se detectors the detection rate was 89.8% or 97.3%, respectively. There were no significant differences in the detection rate of the simulated breast lesions for all three systems considering the interobserver and intraobserver variation. The first phantom study for the detection of simulated breast lesions with the new full field digital mammography system Amulet demonstrates equivalent results with the other systems used in the clinical routine. The trend towards superiority of the new system has to be confirmed in further clinical studies. (orig.) [German] Im Rahmen einer Phantomstudie sollte untersucht werden, ob ein neues System zur digitalen Vollfeldmammographie, das mit einem

  1. Barriers to screening mammography.

    Science.gov (United States)

    Sarma, Elizabeth A

    2015-01-01

    Breast cancer (BRCA) is the second most commonly diagnosed cancer among women in the USA, and mammography is an effective means for the early detection of BRCA. Identifying the barriers to screening mammography can inform research, policy and practice aiming to increase mammography adherence. A literature review was conducted to determine common barriers to screening mammography adherence. PsycINFO and PubMed databases were searched to identify studies published between 2000 and 2012 that examined barriers associated with reduced mammography adherence. Three thematic groups of barriers, based on social ecology, were identified from the literature: healthcare system-level, social and individual-level barriers. Researchers must consider screening behaviour in context and, therefore, should simultaneously consider each level of barriers when attempting to understand screening behaviour and create interventions to increase mammography adherence.

  2. Diagnostic value of full-field digital mammography in mastitis%全数字化乳腺X线摄影对乳腺炎性疾病的诊断价值

    Institute of Scientific and Technical Information of China (English)

    滕妍; 曹满瑞; 赵弘; 何健龙; 邹万娇

    2012-01-01

    Objective:To analyze the full-field digital mammography (FFDM) findings in mastitis and differentiation of mastitis from breast cancer. Methods: 39 cases of mastitis underwent mammography confirmed by surgical pathology were analyzed. Results:Of the 39 cases,26 were chronic mastitis,5 were plasma cell mastitis and 8 were granulomatous mastitis. The mammography showed mass in 17 cases,localized asymmetric density in 20 cases,focal architectural distortion in 2 cases, lymph modes consolidation in 7 cases,localized skin thickening in 12 cases,and indentation of nipple in 7 cases. Conclusion : Mammographic findings in combination with clinical manifestications will be helpful in improving diagnostic accuracy of mastitis.%目的:分析乳腺炎性疾病的全数字化乳腺X线摄影(FFDM)表现,提高该病与乳腺癌的鉴别诊断水平.方法:回顾性分析39例经穿刺或手术病理证实的乳腺炎性疾病的FFDM表现.结果:39例患者中,26例为慢性乳腺炎,5例为浆细胞性乳腺炎,8例为肉芽肿性乳腺炎.X线表现为肿块影17例,局部腺体非对称性致密影20例,结构扭曲2例.伴同侧腋下淋巴结致密影7例,局部或乳晕区皮肤增厚12例,乳头凹陷7例.结论:结合临床资料并细致分析乳腺炎性疾病的FFDM表现,有助于提高该病诊断与鉴别诊断水平.

  3. Two-view versus single-view mammography at subsequent screening in a region of the Dutch breast screening programme.

    NARCIS (Netherlands)

    Smallenburg, V.v.; Duijm, L.E.M.; Heeten, G.J. den; Groenewoud, J.H.; Jansen, F.H.M.; Fracheboud, J.; Plaisier, M.L.; Doorne-Nagtegaal, H.J. van; Broeders, M.J.M.

    2012-01-01

    We retrospectively determined the effect of analogue two-view mammography versus single-view mammography at subsequent screens on breast cancer detection and determined financial consequences for a current digital mammography setting. Two screening radiologists reviewed the mammograms of 536 screen

  4. Multilayer coated gratings for phase-contrast computed tomography (CT)

    Science.gov (United States)

    Marton, Zsolt; Bhandari, Harish B.; Wen, Harold H.; Nagarkar, Vivek V.

    2014-03-01

    By using the principle of grating interferometry, X-ray phase contrast imaging can now be performed with incoherent radiation from standard X-ray tube. This approach is in stark contrast with imaging methods using coherent synchrotron X-ray sources or micro-focus sources to improve contrast. The gratings interferometer imaging technique is capable of measuring the phase shift of hard X-rays travelling through a sample, which greatly enhances the contrast of low absorbing specimen compared to conventional amplitude contrast images. The key components in this approach are the gratings which consists of alternating layers of high and low Z (atomic number) materials fabricated with high aspect ratios. Here we report on a novel method of fabricating the grating structures using the technique of electron-beam (ebeam) thin film deposition. Alternating layers of silicon (Z=14) and tungsten (Z=74) were deposited, each measuring 100 nm each, on a specially designed echelle substrate, which resulted in an aspect ratio of ~100:1. Fabrication parameters related to the thin film deposition such as geometry, directionality, film adhesion, stress and the resulting scanning electron micrographs will be discussed in detail. Using e-beam method large-area gratings with precise multilayer coating thicknesses can be fabricated economically circumventing the expensive lithography steps.

  5. Unstained viable cell recognition in phase-contrast microscopy

    Science.gov (United States)

    Skoczylas, M.; Rakowski, W.; Cherubini, R.; Gerardi, S.

    2011-09-01

    Individual cell recognition is a relevant task to be accomplished when single-ion microbeam irradiations are performed. At INFN-LNL facility cell visualization system is based on a phase-contrast optical microscope, without the use of any cell dye. Unstained cells are seeded in the special designed Petri dish, between two mylar foils, and at present the cell recognition is achieved manually by an expert operator. Nevertheless, this procedure is time consuming and sometimes it could be not practical if the amount of living cells to be irradiated is large. To reduce the time needed to recognize unstained cells on the Petri dish, it has been designed and implemented an automated, parallel algorithm. Overlapping ROIs sliding in steps over the captured grayscale image are firstly pre-classified and potential cell markers for the segmentation are obtained. Segmented objects are additionally classified to categorize cell bodies from other structures considered as sample dirt or background. As a result, cell coordinates are passed to the dedicated CELLView program that controls all the LNL single-ion microbeam irradiation protocol, including the positioning of individual cells in front of the ion beam. Unstained cell recognition system was successfully tested in experimental conditions with two different mylar surfaces. The recognition time and accuracy was acceptable, however, improvements in speed would be useful.

  6. Improved Zernike-type phase contrast for transmission electron microscopy.

    Science.gov (United States)

    Koeck, P J B

    2015-07-01

    Zernike phase contrast has been recognized as a means of recording high-resolution images with high contrast using a transmission electron microscope. This imaging mode can be used to image typical phase objects such as unstained biological molecules or cryosections of biological tissue. According to the original proposal discussed in Danev and Nagayama (2001) and references therein, the Zernike phase plate applies a phase shift of π/2 to all scattered electron beams outside a given scattering angle and an image is recorded at Gaussian focus or slight underfocus (below Scherzer defocus). Alternatively, a phase shift of -π/2 is applied to the central beam using the Boersch phase plate. The resulting image will have an almost perfect contrast transfer function (close to 1) from a given lowest spatial frequency up to a maximum resolution determined by the wave length, the amount of defocus and the spherical aberration of the microscope. In this paper, I present theory and simulations showing that this maximum spatial frequency can be increased considerably without loss of contrast by using a Zernike or Boersch phase plate that leads to a phase shift between scattered and unscattered electrons of only π /4, and recording images at Scherzer defocus. The maximum resolution can be improved even more by imaging at extended Scherzer defocus, though at the cost of contrast loss at lower spatial frequencies. © 2015 The Authors Journal of Microscopy © 2015 Royal Microscopical Society.

  7. Grid infrastructures for developing mammography CAD systems.

    Science.gov (United States)

    Ramos-Pollan, Raul; Franco, Jose M; Sevilla, Jorge; Guevara-Lopez, Miguel A; de Posada, Naimy Gonzalez; Loureiro, Joanna; Ramos, Isabel

    2010-01-01

    This paper presents a set of technologies developed to exploit Grid infrastructures for breast cancer CAD, that include (1) federated repositories of mammography images and clinical data over Grid storage, (2) a workstation for mammography image analysis and diagnosis and (3) a framework for data analysis and training machine learning classifiers over Grid computing power specially tuned for medical image based data. An experimental mammography digital repository of approximately 300 mammograms from the MIAS database was created and classifiers were built achieving a 0.85 average area under the ROC curve in a dataset of 100 selected mammograms with representative pathological lesions and normal cases. Similar results were achieved with classifiers built for the UCI Breast Cancer Wisconsin dataset (699 features vectors). Now these technologies are being validated in a real medical environment at the Faculty of Medicine in Porto University after a process of integrating the tools within the clinicians workflows and IT systems.

  8. Early experience in the use of quantitative image quality measurements for the quality assurance of full field digital mammography x-ray systems

    Science.gov (United States)

    Marshall, N. W.

    2007-09-01

    Quantitative image quality results in the form of the modulation transfer function (MTF), normalized noise power spectrum (NNPS) and detective quantum efficiency (DQE) are presented for nine full field digital mammography (FFDM) systems. These parameters are routinely measured as part of the quality assurance (QA) programme for the seven FFDM units covered by our centre. Just one additional image is required compared to the standard FFDM protocol; this is the image of an edge, from which the MTF is calculated. A variance image is formed from one of the flood images used to measure the detector response and this provides useful information on the condition of the detector with respect to artefacts. Finally, the NNPS is calculated from the flood image acquired at a target detector air kerma (DAK) of 100 µGy. DQE is then estimated from these data; however, no correction is currently made for effects of detector cover transmission on DQE. The coefficient of variation (cov) of the 50% point of the MTF for five successive MTF results was 1%, while the cov for the 50% MTF point for an a-Se system over a period of 17 months was approximately 3%. For four a-Se based systems, the cov for the NNPS at 1 mm-1 for a target DAK of 100 µGy was approximately 4%; the same result was found for four CsI based FFDM units. With regard to the stability of NNPS over time, the cov for four NNPS results acquired over a period of 12 months was also approximately 4%. The effect of acquisition geometry on NNPS was also assessed for a CsI based system. NNPS data acquired with the antiscatter grid in place showed increased noise at low spatial frequency; this effect was more severe as DAK increased. DQE results for the three detector types (a-Se, CsI and CR) are presented as a function of DAK. Some reduction in DQE was found for both the a-Se and CsI based systems at a target DAK of 12.5 µGy when compared to DQE data acquired at 100 µGy. For the CsI based systems, DQE at 1 mm-1 fell from 0

  9. TL dosimetry for quality control of CR mammography imaging systems

    Science.gov (United States)

    Gaona, E.; Nieto, J. A.; Góngora, J. A. I. D.; Arreola, M.; Enríquez, J. G. F.

    The aim of this work is to estimate the average glandular dose with thermoluminescent (TL) dosimetry and comparison with quality imaging in computed radiography (CR) mammography. For a measuring dose, the Food and Drug Administration (FDA) and the American College of Radiology (ACR) use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, full field digital mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium flourohalideE We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated X-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose greater than 3.0 mGy without demonstrating improved image quality. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement for X-rays with a HVL (0.35-0.38 mmAl) and kVp (24-26) used in quality control procedures with ACR Mammography Accreditation Phantom.

  10. Application of digital mammography X-ray photography in clinical diagnosis of breast tumor%数字化钼靶 X线摄影在乳腺肿瘤临床诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    徐艳红

    2014-01-01

    目前乳腺癌已居我国女性恶性肿瘤首位,早期发现、早期诊断和早期治疗是改善乳腺癌患者预后的重要手段,而数字化钼靶X线摄影被公认为是乳腺癌影像检查的首选方法。该文旨在通过研究乳腺癌的发病趋势及早期诊断的重要性,进而讨论数字化乳腺钼靶X线摄影在乳腺癌诊断中的优势、X线影像表现、临床应用效果、钼靶X线诊断的仪器与检查方法、分类及研究进展,以提高其在乳腺肿瘤临床早期诊断中的价值。%Breast cancer has become the leading female malignancy in China; therefore , early detection , diagnosis and treatment are important means to improve the prognosis of breast cancer .Digital mammography X-ray photography is considered as the preferred method for imaging inspection of breast cancer .The paper aims to discuss the trend of breast cancer incidence and importance of early diagnosis of the disease , and improve the value of digital mammography X-ray in early clinical diagnosis of breast cancer by exploring the superiority of the technique , X-ray imaging manifestations , imaging findings , clinical application results , molybdenum target apparatus and inspection methods , classification and research progress .

  11. CR mammography: Design and implementation of a quality control program

    Energy Technology Data Exchange (ETDEWEB)

    Moreno-Ramirez, A.; Brandan, M. E.; Villasenor-Navarro, Y.; Galvan, H. A.; Ruiz-Trejo, C. [Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico); Departamento de Radiodiagnostico, Instituto Nacional de Cancerologia, DF 14080 (Mexico); Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico)

    2012-10-23

    Despite the recent acquisition of significant quantities of computed radiography CR equipment for mammography, Mexican regulations do not specify the performance requirements for digital systems such as those of CR type. The design of a quality control program QCP specific for CR mammography systems was thus considered relevant. International protocols were taken as reference to define tests, procedures and acceptance criteria. The designed QCP was applied in three CR mammography facilities. Important deficiencies in spatial resolution, noise, image receptor homogeneity, artifacts and breast thickness compensation were detected.

  12. In-line phase-contrast breast tomosynthesis: a phantom feasibility study at a synchrotron radiation facility

    Science.gov (United States)

    Bliznakova, K.; Russo, P.; Kamarianakis, Z.; Mettivier, G.; Requardt, H.; Bravin, A.; Buliev, I.

    2016-08-01

    The major objective is to adopt, apply and test developed in-house algorithms for volumetric breast reconstructions from projection images, obtained in in-line phase-contrast mode. Four angular sets, each consisting of 17 projection images obtained from four physical phantoms, were acquired at beamline ID17, European Synchroton Radiation Facility, Grenoble, France. The tomosynthesis arc was  ±32°. The physical phantoms differed in complexity of texture and introduced features of interest. Three of the used phantoms were in-house developed, and made of epoxy resin, polymethyl-methacrylate and paraffin wax, while the fourth phantom was the CIRS BR3D. The projection images had a pixel size of 47 µm  ×  47 µm. Tomosynthesis images were reconstructed with standard shift-and-add (SAA) and filtered backprojection (FBP) algorithms. It was found that the edge enhancement observed in planar x-ray images is preserved in tomosynthesis images from both phantoms with homogeneous and highly heterogeneous backgrounds. In case of BR3D, it was found that features not visible in the planar case were well outlined in the tomosynthesis slices. In addition, the edge enhancement index calculated for features of interest was found to be much higher in tomosynthesis images reconstructed with FBP than in planar images and tomosynthesis images reconstructed with SAA. The comparison between images reconstructed by the two reconstruction algorithms shows an advantage for the FBP method in terms of better edge enhancement. Phase-contrast breast tomosynthesis realized in in-line mode benefits the detection of suspicious areas in mammography images by adding the edge enhancement effect to the reconstructed slices.

  13. Uso de software como ferramenta pedagógica no processo de ensino-aprendizagem da mamografia digital Educational software as a tool for teaching & learning of digital mammography

    Directory of Open Access Journals (Sweden)

    Simone Elias

    2009-04-01

    Full Text Available OBJETIVO: Avaliar o impacto sobre o treinamento de residentes utilizando uma ferramenta computacional dedicada à avaliação do desempenho da leitura de imagens radiológicas convencionais e digitais. MATERIAIS E MÉTODOS: O treinamento foi realizado no Laboratório de Qualificação de Imagens Médicas (QualIM. Os residentes de radiologia efetuaram cerca de 1.000 leituras de um total de 60 imagens obtidas de um simulador estatístico (Alvim® que apresenta fibras e microcalcificações de dimensões variadas. O desempenho dos residentes na detecção dessas estruturas foi avaliado por meio de parâmetros estatísticos. RESULTADOS: Os resultados da probabilidade de detectabilidade foram de 0,789 e 0,818 para os sistemas convencional e digital, respectivamente. As taxas de falso-positivos foram de 8% e 6% e os valores de verdadeiro-positivos, de 66% e 70%, respectivamente. O valor de kappa total foi 0,553 para as leituras em negatoscópio e 0,615 em monitor. A área sob a curva ROC foi de 0,716 para leitura em filme e 0,810 para monitor. CONCLUSÃO: O treinamento proposto mostrou ser efetivo e apresentou impacto positivo sobre o desempenho dos residentes, constituindo-se em interessante ferramenta pedagógica. Os resultados sugerem que o método de treinamento baseado na leitura de simuladores pode produzir um melhor desempenho dos profissionais na interpretação das imagens mamográficas.OBJECTIVE: The present study was aimed at evaluating the performance of residents trained in the reading of conventional and digital mammography images with a specific computational tool. MATERIALS AND METHODS: The training was accomplished in the Laboratory of Medical Images Qualification (QualIM - Laboratório de Qualificação de Imagens Médicas. Residents in radiology performed approximately 1,000 readings of a set of 60 images acquired from a statistical phantom (Alvim® presenting microcalcifications and fibers with different sizes. The analysis of the

  14. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Program Consumer Information (MQSA) Search for a Certified Facility Share Tweet Linkedin Pin it More sharing options ... Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on Search ...

  15. Experimentally enhanced model-based deconvolution of propagation-based phase-contrast data

    Science.gov (United States)

    Pichotka, M.; Palma, K.; Hasn, S.; Jakubek, J.; Vavrik, D.

    2016-12-01

    In recent years phase-contrast has become a much investigated modality in radiographic imaging. The radiographic setups employed in phase-contrast imaging are typically rather costly and complex, e.g. high performance Talbot-Laue interferometers operated at synchrotron light sources. In-line phase-contrast imaging states the most pedestrian approach towards phase-contrast enhancement. Utilizing small angle deflection within the imaged sample and the entailed interference of the deflected and un-deflected beam during spatial propagation, in-line phase-contrast imaging only requires a well collimated X-ray source with a high contrast & high resolution detector. Employing high magnification the above conditions are intrinsically fulfilled in cone-beam micro-tomography. As opposed of 2D imaging, where contrast enhancement is generally considered beneficial, in tomographic modalities the in-line phase-contrast effect can be quite a nuisance since it renders the inverse problem posed by tomographic reconstruction inconsistent, thus causing reconstruction artifacts. We present an experimentally enhanced model-based approach to disentangle absorption and in-line phase-contrast. The approach employs comparison of transmission data to a system model computed iteratively on-line. By comparison of the forward model to absorption data acquired in continuous rotation strong local deviations of the data residual are successively identified as likely candidates for in-line phase-contrast. By inducing minimal vibrations (few mrad) to the sample around the peaks of such deviations the transmission signal can be decomposed into a constant absorptive fraction and an oscillating signal caused by phase-contrast which again allows to generate separate maps for absorption and phase-contrast. The contributions of phase-contrast and the corresponding artifacts are subsequently removed from the tomographic dataset. In principle, if a 3D handling of the sample is available, this method also

  16. Survey of mammography practices

    Energy Technology Data Exchange (ETDEWEB)

    Bassett, L.W.; Diamond, J.J.; Gold, R.H.; McLelland, R.

    1987-12-01

    Of the 319 radiologists who responded to a survey concerning mammography practices, 50% were employed in a private hospital and 26% in a private office. Film-screen mammography was used most often (54%) followed by xeromammography (30%) and a combination of film-screen and xeromammography (16%). Of the respondents, 62% had changed their method of performing mammography in the last 10 years. Of these, 50% had switched from xeromammography to film-screen, 23% from direct film to film-screen, 15% from direct film to xeromammography, and 6% from film-screen to xeromammography. Mammographic equipment had been purchased by 71% of respondents after 1983. Most respondents (71%) monitored mammography equipment doses, usually at 6- to 12-month intervals. Manual breast examinations were done at the time of mammography at 42% of the facilities, and breast self-examination was taught at 32%. For screening, 87.4% used a two-view examination, 92% required the name of a referring physician to whom the report could be sent, 28% accepted self-referred patients, and only 12% charged a reduced fee for screening. Breast sonography was performed by 53% (93% hand-held vs 7% automated), but none used sonography for screening. Only one respondent reported using thermography; three used light scanning. A need for postgraduate mammography courses for radiologists was indicated by 81%, while 69% recommended technologist courses and 64% recommended 1-week fellowships for radiologists.

  17. High-resolution breast tomography at high energy: a feasibility study of phase contrast imaging on a whole breast

    Science.gov (United States)

    Sztrókay, A.; Diemoz, P. C.; Schlossbauer, T.; Brun, E.; Bamberg, F.; Mayr, D.; Reiser, M. F.; Bravin, A.; Coan, P.

    2012-05-01

    Previous studies on phase contrast imaging (PCI) mammography have demonstrated an enhancement of breast morphology and cancerous tissue visualization compared to conventional imaging. We show here the first results of the PCI analyser-based imaging (ABI) in computed tomography (CT) mode on whole and large (>12 cm) tumour-bearing breast tissues. We demonstrate in this work the capability of the technique of working at high x-ray energies and producing high-contrast images of large and complex specimens. One entire breast of an 80-year-old woman with invasive ductal cancer was imaged using ABI-CT with monochromatic 70 keV x-rays and an area detector of 92×92 µm2 pixel size. Sagittal slices were reconstructed from the acquired data, and compared to corresponding histological sections. Comparison with conventional absorption-based CT was also performed. Five blinded radiologists quantitatively evaluated the visual aspects of the ABI-CT images with respect to sharpness, soft tissue contrast, tissue boundaries and the discrimination of different structures/tissues. ABI-CT excellently depicted the entire 3D architecture of the breast volume by providing high-resolution and high-contrast images of the normal and cancerous breast tissues. These results are an important step in the evolution of PCI-CT towards its clinical implementation.

  18. Internal noise in channelized Hotelling observer (CHO) study of detectability index-differential phase contrast CT vs. conventional CT

    Science.gov (United States)

    Tang, Xiangyang; Yang, Yi

    2014-03-01

    The channelized Hotelling observer (CHO) model, wherein internal noise plays an important role to account for the psychophysiological uncertainty in human's visual perception, has found extensive applications in the assessment of image quality in nuclear medicine, mammography and conventional CT. Recently, we extended its application to investigating the detectability index of differential phase contrast (DPC) CT-an emerging CT technology with the potential of increasing the capability in soft tissue differentiation. We found that the quantitative determination of internal noise in the CHO study of DPC-CT's detectability index should differ from that in the conventional CT. It is believed that the root cause of such a difference lies in the distinct noise spectra between the DPC-CT and conventional CT. In this paper, we present the preliminary results and investigate the adequate strategies to quantitatively determine the internal noise of CHO model for its application in the assessment of image quality in DPC-CT and its comparison with that of the conventional CT.

  19. a Laboratory-Based X-Ray Phase Contrast Imaging Scanner with Applications in Biomedical and Non-Medical Disciplines

    Science.gov (United States)

    Hagen, C. K.; Diemoz, P. C.; Endrizzi, M.; Munro, P. R. T.; Szafraniec, M. B.; Millard, T. P.; Speller, R.; Olivo, D. A.

    2014-02-01

    X-ray phase contrast imaging (XPCi) provides a much higher visibility of low-absorbing details than conventional, attenuation-based radiography. This is due to the fact that image contrast is determined by the unit decrement of the real part of the complex refractive index of an object rather than by its imaginary part (the absorption coefficient), which can be up to 1000 times larger for energies in the X-ray regime. This finds applications in many areas, including medicine, biology, material testing, and homeland security. Until lately, XPCi has been restricted to synchrotron facilities due to its demanding coherence requirements on the radiation source. However, edge illumination XPCi, first developed by one of the authors at the ELETTRA Synchrotron in Italy, substantially relaxes these requirements and therefore provides options to overcome this problem. Our group has built a prototype scanner that adapts the edge-illumination concept to standard laboratory conditions and extends it to large fields of view. This is based on X-ray sources and detectors available off the shelf, and its use has led to impressive results in mammography, cartilage imaging, testing of composite materials and security inspection. This article presents the method and the scanner prototype, and reviews its applications in selected biomedical and non-medical disciplines.

  20. Sixty women a day examined with world-unique mammography system from Sectra. Breast disease centre in Sweden offers lowest radiation dose in the world

    CERN Multimedia

    2003-01-01

    "Sectra's digital mammography system, Sectra MicroDose Mammography(TM), has been used to examine more than 1,500 women in the Helsingborg Hospital mammography screening program. This was accomplished in the record time of two months in clinical operation. The system is now being used to examine more than sixty women every day" (1 page).

  1. MR Mammography (MRM). MR-Mammographie (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A. (Radiologische Universitaetsklinik Bonn (Germany))

    1991-01-01

    MR mammography is carried out using a special breast coil. Gd-DTPA is injected as a contrast medium. Gradient-echo sequences are superior to the formerly used spin-echo sequences in that they show a greater sensitivity to contrast media. After the advent of gradient-echo sequences, the 0.2 mmol/kg dose that used to be injected in connection with spin-echo sequences was regarded as being too high. The best results were then achieved with 0.1 mmol/kg injections amounting to no more than 50% of the former dose. Provided that magnetic resonance imaging of the breast is carried out using the spexial examination technique discussed here, it may justly be described as magnetic resonance mammography (MRM). MR criteria are defined for such conditions as carcinoma, fibroadenoma, scars, mastopathy and cysts. (GDG).

  2. Beyond the mammography debate: a moderate perspective.

    Science.gov (United States)

    Kaniklidis, C

    2015-06-01

    After some decades of contention, one can almost despair and conclude that (paraphrasing) "the mammography debate you will have with you always." Against that sentiment, in this review I argue, after reflecting on some of the major themes of this long-standing debate, that we must begin to move beyond the narrow borders of claim and counterclaim to seek consensus on what the balance of methodologically sound and critically appraised evidence demonstrates, and also to find overlooked underlying convergences; after acknowledging the reality of some residual and non-trivial harms from mammography, to promote effective strategies for harm mitigation; and to encourage deployment of new screening modalities that will render many of the issues and concerns in the debate obsolete. To these ends, I provide a sketch of what this looking forward and beyond the current debate might look like, leveraging advantages from abbreviated breast magnetic resonance imaging technologies (such as the ultrafast and twist protocols) and from digital breast tomosynthesis-also known as three-dimensional mammography. I also locate the debate within the broader context of mammography in the real world as it plays out not for the disputants, but for the stakeholders themselves: the screening-eligible patients and the physicians in the front lines who are charged with enabling both the acts of screening and the facts of screening at their maximally objective and patient-accessible levels to facilitate informed decisions.

  3. Mammography image restoration based on a radiographic scattering model from a single projection: Experimental study

    Science.gov (United States)

    Kim, Kyuseok; Park, Soyoung; Kim, Guna; Cho, Hyosung; Je, Uikyu; Park, Chulkyu; Lim, Hyunwoo; Lee, Dongyeon; Lee, Hunwoo; Kang, Seokyoon

    2017-03-01

    In conventional mammography, contrast sensitivity remains limited due to the superimposition of breast tissue and scattered X-rays, which induces low visibility of lesions in the breast and, thus, an excessive number of false-positive findings. Several methods, including digital breast tomosynthesis as a multiplanar imaging modality, air-gap and slot techniques for the reduction of scatters, phase-contrast imaging as another image-contrast modality, etc., have been investigated in attempt to overcome these difficulties. However, those techniques typically require a higher imaging dose or special equipment. In this work, as an alternative, we propose a new image restoration method based on a radiographic scattering model in which the intensity of scattered X-rays and the direct transmission function of a given medium are estimated from a single projection by using the dark-channel prior. We implemented the proposed algorithm and performed an experiment to demonstrate its viability. Our results indicate that most of the structures in the examined breast were very discernable even with no adjustment in the display-window level, thus preserving superior image features and edge sharpening.

  4. Comparative analysis between full-field digital mammography characteristics and pathology of breast phyllode tumor%乳腺分叶状肿瘤全数字化乳腺摄影表现与病理对照分析

    Institute of Scientific and Technical Information of China (English)

    邱云; 丁天一; 刘万花

    2011-01-01

    目的:分析乳腺分叶状肿瘤(PTB)的全数字化乳腺摄影(FFDM)表现,以提高对该病的认识.方法:回顾性分析经手术病理证实的25例PTB的FFDM表现及临床资料,并与病理学分级结果相对照.结果:(1) 25例PTB患者中,病理学分级为良性、交界性、恶性的百分比依次为40%、16%、44%;(2) FFDM主要表现为分叶状肿块,占88%;肿块边缘呈部分光整部分模糊为主,占64%;肿块最长径多大于3 cm,占68%;肿块周围异常血管显示率为68%;肿块伴钙化的发生率为24%,以良性多见,多表现为粗大散在斑状钙化;(3) FFDM诊断与病理诊断符合率为68%.结论:FFDM表现对PTB的诊断具有一定的指导意义.%Objective: To study the full-field digital mammography(FFDM) characteristics of the breast phyllode tumor ( PTB) for enhancing the diagnosis of the disease. Methods: Clinical and FFDM manifestations were retrospectively reviewed in twenty-five women confirmed by surgical pathology. Results; (1) The histologic grades of all cases were respectively benign 40. 0% , borderline 16. 0% and malignant 44. 0%. (2) 88% of cases showed lobulated mass;64% of cases manifested partly well-defined margin and partly obscured margin and 68% of tumors grew larger than 3 cm in diameter;the abnormal blood vessel demonstration of PTB was 68% ; the calcification rate of PTB was 24% , which was more often seen in benign cases, Most calcifications were large and coarse and some of them manifested pleomorphic calcification. ( 3 ) The diagnostic coincidence rate of full-field digital mammography and pathology was 68%. Conclusion; FFDM is helpful for the diagnosis of breast phyllode tumors.

  5. 全数字化乳腺X线摄影诊断临床隐匿型乳腺癌的价值%Full-field Digital Mammography Diagnosis of the Clinical Value of Occult Breast Cancer

    Institute of Scientific and Technical Information of China (English)

    刘明霞; 张蕾; 刘琳; 韩英

    2011-01-01

    Objective: To explore the digital mammography X-ray photography of occult breast cancer diagnosis. Methods: A retrospective analysis of 21 cases of pathologically confirmed, clinical palpation-negative breast cancer. All patients were using the all-digital breast X-ray image. Results: 21 cases were found in 23 lesions, including malignant calcification in 6 cases of pure, micro-nodules or asymmetric dense shadow with calcification in 11 cases, micro-nodules with glitches in 2 cases, 2 cases of asymmetric dense shadow and partial structural disorder and two cases. Conclusion: The all-digital breast X-ray photography to clearly show the structure at all levels of the breast, in particular, malignant calcification was found high sensitivity for occult breast cancer was found of great value.%目的:探讨全数字化乳腺X线摄影对临床隐匿性乳癌的诊断价值.方法:回顾性分析临床扪诊阴性,手术病理证实乳腺癌12例.全部病例均使用全数字化乳腺X线摄影.结果:12例病例发现病灶12个,其中单纯钙化7例,微结节或结构紊乱伴微钙化3例,微结节伴毛刺1例,局部结构紊乱1例.结论:全数字化乳腺X线摄影能清晰显示乳房各个层次结构,尤其发现恶性钙化敏感性高,对发现临床隐匿型乳腺癌具有重大价值.

  6. Optical Fourier techniques for medical image processing and phase contrast imaging.

    Science.gov (United States)

    Yelleswarapu, Chandra S; Kothapalli, Sri-Rajasekhar; Rao, D V G L N

    2008-04-01

    This paper briefly reviews the basics of optical Fourier techniques (OFT) and applications for medical image processing as well as phase contrast imaging of live biological specimens. Enhancement of microcalcifications in a mammogram for early diagnosis of breast cancer is the main focus. Various spatial filtering techniques such as conventional 4f filtering using a spatial mask, photoinduced polarization rotation in photosensitive materials, Fourier holography, and nonlinear transmission characteristics of optical materials are discussed for processing mammograms. We also reviewed how the intensity dependent refractive index can be exploited as a phase filter for phase contrast imaging with a coherent source. This novel approach represents a significant advance in phase contrast microscopy.

  7. Results from the first preclinical CT scanner with grating based phase contrast and a rotating gantry

    Science.gov (United States)

    Bech, Martin; Tapfer, Arne; Velroyen, Astrid; Yaroshenko, Andre; Pauwels, Bart; Bruyndonckx, Peter; Liu, Xuan; Sasov, Alexander; Mohr, Jürgen; Walter, Marco; Pfeiffer, Franz

    2012-07-01

    After successful demonstrations of soft-tissue phase-contrast imaging with grating interferometers at synchrotron radiation sources and at laboratory based x-ray tubes, a first preclinical CT scanner with grating based phase contrast imaging modality has been constructed. The rotating gantry is equipped with a three-grating interferometer, a 50 watt tungsten anode source and a Hamamatsu flat panel detector. The total length of the interferometer is 45 cm, and the bed of the scanner is optimized for mice, with a scanning diameter of 35 mm. From one single scan both phase-contrast and standard attenuation based tomography can be attained, providing an overall gain in image contrast.

  8. Results from the first preclinical CT scanner with grating based phase contrast and a rotating gantry

    Energy Technology Data Exchange (ETDEWEB)

    Bech, Martin; Tapfer, Arne; Velroyen, Astrid; Yaroshenko, Andre; Pauwels, Bart; Bruyndonckx, Peter; Liu Xuan; Sasov, Alexander; Mohr, Juergen; Walter, Marco; Pfeiffer, Franz [Department of Physics, Technische Universitaetet Muenchen, 85748 Garching (Germany) and Medical Radiation Physics, Lund University, 22185 Lund (Germany); Bruker microCT, 2550 Kontich (Belgium); Institute of Micro Technology, Karlsruhe Institute of Technology, 76131 Karlsruhe (Germany); Microworks GmbH, 76137 Karlsruhe (Germany)

    2012-07-31

    After successful demonstrations of soft-tissue phase-contrast imaging with grating interferometers at synchrotron radiation sources and at laboratory based x-ray tubes, a first preclinical CT scanner with grating based phase contrast imaging modality has been constructed. The rotating gantry is equipped with a three-grating interferometer, a 50 watt tungsten anode source and a Hamamatsu flat panel detector. The total length of the interferometer is 45 cm, and the bed of the scanner is optimized for mice, with a scanning diameter of 35 mm. From one single scan both phase-contrast and standard attenuation based tomography can be attained, providing an overall gain in image contrast.

  9. Imaging of metastatic lymph nodes by X-ray phase-contrast micro-tomography

    DEFF Research Database (Denmark)

    Jensen, Torben Haugaard; Bech, Martin; Binderup, Tina

    2013-01-01

    whether malignancy could be revealed by non-invasive x-ray phase-contrast tomography in lymph nodes from breast cancer patients. Seventeen formalin-fixed paraffin-embedded lymph nodes from 10 female patients (age range 37-83 years) diagnosed with invasive ductal carcinomas were analyzed by X-ray phase......-contrast tomography. Ten lymph nodes had metastatic deposits and 7 were benign. The phase-contrast images were analyzed according to standards for conventional CT images looking for characteristics usually only visible by pathological examinations. Histopathology was used as reference. The result of this study...

  10. Near-field x-ray phase contrast imaging and phase retrieval algorithm

    Institute of Scientific and Technical Information of China (English)

    Zhu Hua-Feng; Xie Hong-Lan; Gao Hong-Yi; Chen Jian-Wen; Li Ru-Xin; Xu Zhi-Zhan

    2005-01-01

    Theoretical analyses of x-ray diffraction phase contrast imaging and near field phase retrieval method are presented.A new variant of the near field intensity distribution is derived with the optimal phase imaging distance and spatial frequency of object taken into account. Numerical examples of phase retrieval using simulated data are also given. On the above basis, the influence of detecting distance and polychroism of radiation on the phase contrast image and the retrieved phase distribution are discussed. The present results should be useful in the practical application of in-line phase contrast imaging.

  11. Mammography - misunderstood and underutilized

    Energy Technology Data Exchange (ETDEWEB)

    Broadbent, R.V.; Reid, M.H.

    1981-12-01

    A mammography screening program for breast cancer carried out in Sacramento by the University of California Davis School of Medicine, Davis, was canceled because of negative public reaction to sensationalized reports in the lay press on the potential carcinogenic risks of the radiation exposure, along with passivity on the part of the medical community in defending the procedure and the program. Disappointment in this occurrence spurred us to explore physician's knowledge of and attitudes toward breast cancer and mammography. The results confirmed our suspicions that a significant number of physicians lack accurate knowledge of breast cancer and of the extremely high benefit-to-risk ratio of mammography as a means of early detection.

  12. Image quality in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Haus, A.G.; Doi, K.; Metz, C.E. Bernstein, J.

    1976-01-01

    In mammography, image quality is a function of the shape, size, and x-ray absorption properties of the anatomic part to be radiographed and of the lesion to be detected; it also depends on geometric unsharpness, and the resolution, characteristic curve and noise properties of the recording system. X-ray energy spectra, modulation transfer functions, Wiener spectra, characteristic and gradient curves, and radiographs of a breast phantom and of a resected breast specimen containing microcalcifications are used in a review of some current considerations of the factors, and the complex relationship among factors, that affect image quality in mammography. Image quality and patient radiation exposure in mammography are interrelated. An approach to the problem of evaluating the trade-off between diagnostic certainty and the cost or risk of performing a breast imaging procedure is discussed.

  13. 全数字化乳腺摄影与MRI对乳腺恶性病变诊断的对比分析%Correlative analysis of full-field digital mammography and MRI findings of breast malignant lesions

    Institute of Scientific and Technical Information of China (English)

    滕妍; 曹满瑞; 刘炳光; 何健龙; 张方璟

    2012-01-01

    目的 探讨乳腺癌全数字化乳腺摄影(full-field digital mammography,FFDM)与乳腺MRI的影像学表现,评价其对乳腺癌的诊断价值.方法 收集68例经穿刺或手术病理证实的乳腺癌病例,对比分析其X线摄影及MRI表现.全数字化乳腺摄影采用常规方法摄片,MRI采用自旋回波T1WI,T2WI序列及动态增强扫描等.结果 68例乳腺恶性肿瘤中,浸润性导管癌57例,浸润性小叶癌3例,叶状囊肉瘤1例,血管肉瘤1例,导管内癌2例,炎性乳癌2例,印戒细胞癌1例,Paget's病1例.乳腺X线摄影诊断正确61例,诊断准确率89.7%.MRI诊断正确66例,诊断准确率97.1%.结论 乳腺X线摄影是乳腺恶性病变的首选检查方法,MRI能更多的显示乳腺病灶的内部特征,二者联合应用对乳腺癌的临床诊断具有重要意义.%Objective To study the imaging and to evaluate the diagnostic value of breast malignant lesions with full-field digital mammography (FFDM) and MRI. Methods We collected 68 cases of breast cancer, which were certified by para-centesis, and pathology, and compared the X-ray and MRI features. Routine photographs were used in FFDM. MRI scanning sequences included T1 WI, T2WI and enhanced MRI etc. Results Of the 68 cases, 57 were infiltrating Duct Carcinoma, 3 were infiltrating lobular carcinoma, 1 was Cystosarcoma Phyllodes, 1 was angiosarcoma, 2 were intraducteal carcinoma, 2 were inflammatory breast cancer, 1 was Signal ring cell carcinoma, and 1 was Paget's disease. 61 cases were found by FFDM, and its invasion hump and malignant calcification were shown, and its accurate proportion was 89. 7%. 66 cases were found by MRI, and its accurate proportion was 97. 1%. Conclusion X-ray mammography was the first choice of imaging examination modalities for breast malignant lesions, and interior feature of malignant breast lesions could be clearly shown by MRI. FFMD in combination with MRI is an important modatity in the diagnosis of breast cancer.

  14. Comparative analysis between MRI and fully digital X-ray mammography on clinical diagnosis of mammary cancer%MRI检查与全数字化钼靶摄影在乳腺癌临床诊断方面的对比研究

    Institute of Scientific and Technical Information of China (English)

    王举; 冯爱强; 张彦武; 冯浩

    2013-01-01

    Objective To explore MRI, all - digital mammography in clinical diagnosis of mammary cancer. Methods Totally 117 cases data were collected during the period from June 2011 to March 2012 in department of breast, 135 lesions (52 malignant and 83 benign lesions)of mammary cancer with preoperative pathology and mammary MRI, comparative with postoperation digital X - ray mammography, but the results were confirmed by the final pathology. Results Totally 126 lesions were showed by MRI, and compared with 98 lesions by fully digital X -ray mammography. The imaging and pathological findings were compared, and the detection rates of the lesions by MRI and fully digital X-ray mammography were respectively 93. 3% and 72. 6% ( P < 0. 05). Conclusions Imaging studies of mammary cancer, MRI is superior to fully - digital X - ray mammography.%目的 探讨核磁共振成像(MRI)检查与全数字化钼靶摄影在乳腺癌临床诊断方面的对比分析.方法 收集自2011年6月至2012年3月收治的117例乳腺癌患者的病例资料(共135处病灶,其中恶性52处,良性83处),术前均行乳腺MRI及全数字化X线钼靶摄影检查,术后经病理证实且对比.结果 MRI共检出病灶126处,全数字化X线钼靶摄影共检出病灶98处,将影像诊断结果与术后病理结果对比,二者的检出率分别为93.3%、72.6% (P <0.05).结论 乳腺癌的影像学检查中,MRI优于全数字化X线钼靶摄影.

  15. Abolishing mammography screening programs?

    OpenAIRE

    2015-01-01

    Biller-Andorno and Jüni (2014), in a widely debated commentary published in the May 22 issue of the New England Journal of Medicine, accept the concept that mammography every 2 years from age 50 can decrease breast cancer mortality by 20%, that is, from five to four deaths per 1000 women over a 10-year period. Both the absolute and the relative risk of breast cancer death may vary depending on the baseline mortality rates in various populations and on the impact of screening mammography in re...

  16. In-line phase contrast micro-CT reconstruction for biomedical specimens.

    Science.gov (United States)

    Fu, Jian; Tan, Renbo

    2014-01-01

    X-ray phase contrast micro computed tomography (micro-CT) can non-destructively provide the internal structure information of soft tissues and low atomic number materials. It has become an invaluable analysis tool for biomedical specimens. Here an in-line phase contrast micro-CT reconstruction technique is reported, which consists of a projection extraction method and the conventional filter back-projection (FBP) reconstruction algorithm. The projection extraction is implemented by applying the Fourier transform to the forward projections of in-line phase contrast micro-CT. This work comprises a numerical study of the method and its experimental verification using a biomedical specimen dataset measured at an X-ray tube source micro-CT setup. The numerical and experimental results demonstrate that the presented technique can improve the imaging contrast of biomedical specimens. It will be of interest for a wide range of in-line phase contrast micro-CT applications in medicine and biology.

  17. Development of a compact gantry for quantitative phase-contrast CT applications

    Energy Technology Data Exchange (ETDEWEB)

    Tapfer, Arne; Bech, Martin; Pfeiffer, Franz [Department of Physics (E17) and Institute of Medical Engineering (IMETUM), Technische Universitaet Muenchen (Germany); Pauwels, Bart; Bruyndonckx, Peter; Liu, Xuan; Sasov, Alexander [Skyscan, Kontich (Belgium); Kenntner, Johannes [Karlsruhe Institute of Technology, Karlsruhe (Germany); Walter, Marco; Schulz, Joachim [Microworks, Karlsruhe (Germany)

    2011-07-01

    Here we present experimental X-ray cone-beam phase-contrast imaging results of a phantom study obtained with a highly compact grating-based gantry setup. The aim of this study is to investigate the performance, quantitativeness and accuracy of phase-contrast and absorption-based computed tomography scans which yield the three dimensional distribution of attenuation coefficient {mu} and refractive index decrement {delta} of different liquids contained in the phantom. Furthermore two different methods of color coding are explored to display both absorption and phase data in a single image. Experimental results for {mu} and {delta} match accurately with tabulated data meaning that the gantry setup performs well in both absorption and phase contrast. The substances contained in the phantom can be considerably better distinguished as the grating-based approach - which combines absorption and phase contrast - provides significantly more information than conventional absorption contrast alone.

  18. Visualization of neurons in the brain with phase-contrast CT

    Science.gov (United States)

    Onodera, Hiroshi; Hoshino, Masato; Takashima, Kenta; Uesugi, Kentaro; Yagi, Naoto

    2012-07-01

    Three-dimensional structural analysis of brain is essential to understand neuronal function and brain pathology. The phase-contrast X-ray imaging technique uses an X-ray interferometer and is an extremely sensitive method to visualize structures with low X-ray absorbance. Since the phase shifts caused by light elements can be detected as interference patterns in spite of nearly zero absorption coefficients, the signal/noise ratio for the phase-contrast images of the brain is expected to be hundreds times higher than that obtained with the conventional X-ray absorption contrast method. With phase-contrast imaging technique, we could visualize brain microstructures and specific types of neurons, such as the pyramidal cells in the hippocampus. Phase-contrast CT is a promising technique for nondestructive visualization of brain and spinal cord.

  19. Quantitative Characterization of Inertial Confinement Fusion Capsules Using Phase Contrast Enhanced X-Ray Imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kozioziemski, B J; Koch, J A; Barty, A; Martz, H E; Lee, W; Fezzaa, K

    2004-05-07

    Current designs for inertial confinement fusion capsules for the National Ignition Facility (NIF) consist of a solid deuterium-tritium (D-T) fuel layer inside of a copper doped beryllium capsule. Phase contrast enhanced x-ray imaging is shown to render the D-T layer visible inside the Be(Cu) capsule. Phase contrast imaging is experimentally demonstrated for several surrogate capsules and validates computational models. Polyimide and low density divinyl benzene foam capsules were imaged at the Advanced Photon Source synchrotron. The surrogates demonstrate that phase contrast enhanced imaging provides a method to characterize surfaces when absorption imaging cannot be used. Our computational models demonstrate that a rough surface can be accurately reproduced in phase contrast enhanced x-ray images.

  20. Estimation of visibility of phase contrast with extraction voltages for field emission gun electron microscopes.

    Science.gov (United States)

    Meng, Xing

    2017-02-01

    Estimation was made for visibility of phase contrast with varying extraction voltages. The resulting decay rates of visibility show that images with low image contrast from cryo EM will be seriously impacted with high extraction voltages.

  1. Application of phase-contrast cine magnetic resonance imaging in endoscopic aqueductoplasty.

    Science.gov (United States)

    Chen, Guoqiang; Zheng, Jiaping; Xiao, Qing; Liu, Yunsheng

    2013-06-01

    The aim of this study was to evaluate the application of phase-contrast cine magnetic resonance imaging (MRI) in endoscopic aqueductoplasty (EA) for patients with obstructive hydrocephalus. The clinical diagnosis of hydrocephalus caused by aqueduct obstruction in 23 patients was confirmed by phase-contrast cine MRI examination. The patients were treated with EA and MRI was repeated during the follow-up. The cerebrospinal fluid (CSF) flow velocity in the aqueduct was measured to determine whether the aqueduct was obstructed. The results of phase-contrast cine MRI examinations indicated that there was no CSF flow in the aqueduct for all patients prior to surgery. Aqueductoplasty was successfully performed in all patients. The results of phase-contrast cine MRI examinations performed a week after surgery demonstrated an average CSF flow velocity of 4.74±1.77 cm/sec. During the follow-up, intracranial hypertension recurred in two patients in whom CSF flow was not observed in the aqueduct by the phase-contrast cine MRI scan. Aqueduct re-occlusion was revealed by an endoscopic exploration. By measuring the CSF flow velocity, phase-contrast cine MRI accurately identifies aqueduct obstruction. Cine MRI is a nontraumatic, simple and reliable method for determining whether the aqueduct is successfully opened following aqueductoplasty.

  2. Visualization of microvasculature by x-ray in-line phase contrast imaging in rat spinal cord

    Science.gov (United States)

    Hu, Jian-Zhong; Wu, Tian-Ding; Zeng, Lei; Liu, Hui-Qiang; He, You; Du, Guo-Hao; Lu, Hong-Bin

    2012-03-01

    Computed tomography combined with angiography has recently been developed to visualize three-dimensional (3D) vascular structure in experi-mental and clinical studies. However, there remain difficulties in using conventional x-ray angiography to detect small vessels with a diameter less than 200 µm. This study attempted to develop a novel method for visualizing the micro-angioarchitecture of rat spinal cord. Herein, synchrotron radiation-based x-ray in-line phase contrast computed tomography (IL-XPCT) was used to obtain 3D micro-vessel structure without angiography. The digital phase contrast images were compared with conventional histological sections. Our results clearly demonstrated that the resolution limit of the spatial blood supply network in the normal rat thoracic cord appeared to be as small as ∼10 µm. The rendered images were consistent with that obtained from histo-morphology sections. In summary, IL-XPCT is a potential tool to investigate the 3D neurovascular morphology of the rat spinal cord without the use of contrast agents, and it could help to evaluate the validity of the pro- or anti-angiogenesis therapeutic strategies on microvasculature repair or regeneration.

  3. BIRADS mammography: exercises.

    Science.gov (United States)

    Balleyguier, Corinne; Bidault, François; Mathieu, Marie Christine; Ayadi, Salma; Couanet, Dominique; Sigal, Robert

    2007-02-01

    Some radiological cases are presented in this article to train the reader to the BIRADS classification in mammography. Each case is described according to the fourth American version of the BIRADS lexicon. Some classifications difficulties will also be presented, in order to show the complexity and the observer variability, commonly encountered in BIRADS 3 and 4 categories.

  4. Mammography screening in denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse Merete Munk; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  5. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  6. Mean glandular doses in mammography: a comparison of values displayed by a mammography unit with in-house values, both using the method proposed by Dance.

    Science.gov (United States)

    Pasicz, Katarzyna; Fabiszewska, Ewa; Grabska, Iwona; Skrzyński, Witold

    2016-09-01

    The purpose of this work is to compare the mean glandular dose (MGD) displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women. This study also attempts to analyse whether the relationship between the calculated and the displayed values is constant and what factors influence this relationship. Material for this study included data from 1200 exposures (i.e. six series; each series consisting of 200 exposures) performed with one full-field digital mammography unit. Based on collected parameters of exposures, values of the MGD for individual mammography examinations were calculated according to the methods proposed by Dance. Obtained values of the MGD were compared with the values displayed by the mammography system. The MGD displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women are significantly different. This result emphasises the importance of verifying MGD values for patient radiation protection, particularly after machine servicing.

  7. Feasibility study of phase-contrast cone beam CT imaging systems

    Science.gov (United States)

    Cai, Weixing

    Attenuation-based x-ray imaging techniques have been developed for many decades. One of the state-of-the-art imaging modalities is the cone beam computed tomography (CBCT) that efficiently scans an object and reproduces high-resolution and isotropic three-dimensional images of it. However, attenuation-based imaging shows a limitation in soft tissue imaging where the absorption contrast is low. Recently several phase-contrast techniques have been developed that are expected to improve low-contrast details by using the phase information of the object. The idea of this thesis is to incorporate the phase-contrast techniques into the current cone beam CT systems to combine the advantages of both phase-contrast imaging and CBCT. From a practical view of medical imaging, two phase-contrast cone beam CT systems are proposed by using the in-line phase-contrast technique and the differential phase-contrast technique, respectively. An in-line phase-contrast image is a Fresnel diffraction pattern in the near field. The image is edge-enhanced, and for soft tissues it is possible to retrieve the phase projection from a single in-line image. Therefore, this technique can be utilized in either of two methods. The first method is to produce edge-enhanced reconstruction images of the attenuation coefficient, and the second is to reconstruct the phase coefficient using the retrieved phase projections. In order to investigate this modality, computer simulations were performed for both working modes. The results using the in-line phase-contrast technique demonstrate superior image quality than that of the attenuation-based technique. A bench-top in-line PC-CBCT system was designed and constructed on top of an optical table, and a simple phantom was imaged and reconstructed using both modes to validate the principle of the proposed imaging scheme. The grating-based differential phase-contrast technique is able to produce the first derivative of phase projections using the principle of

  8. Correlative Analysis of Full-field Digital Mammography and MRI Findings of Breast non-lactation Mastitis%非哺乳期乳腺炎X线摄影及磁共振表现照研究

    Institute of Scientific and Technical Information of China (English)

    滕妍; 郭吉敏; 曹满瑞; 张方璟; 刘炳光; 何健龙

    2012-01-01

    目的 探讨非哺乳期乳腺炎全数字化孔腺X线摄影(full-fielddigital mammography,FFDM)及MRI的影像学表现,评价其对非哺乳期乳腺炎性疾病的诊断价值.方法 收集26例非哺乳期乳腺炎性疾病患者,均经穿刺或手术病理证实,回顾性分析其乳腺X线摄影及MRI影像学表现,并进行对照分析.同时收集3例炎性乳癌病例,分析其X线摄影及MRI表现.结果 26例患者中,慢性乳腺炎17例,肉芽肿性乳腺炎7例,浆细胞性乳腺炎2例.乳腺X线摄影表现为局部腺体致密16例,肿块8例,结构扭曲1例,无直接征象,仅表现为局部皮肤增厚1例;MRI平扫病灶T1WI呈低、等信号,T2WI呈等、高或混杂信号,增强扫描呈非肿块样强化18例,肿块样强化8例.3例炎性乳癌X线及MRI表现与急性乳腺炎相似,其中1例X线摄影出现恶性钙化,可以确诊.结论 非哺乳期乳腺炎与乳腺癌临床及影像学检查有时较难鉴别,乳腺X线摄影与MRI联合应用能提供更多影像学信息,提高该病诊断准确率.%Objective To study the imaging and evaluate the diagnosis value of breast non-lactation mastitis with full-field digital mammography(FFDM)and MRI. Methods Collected 26 cases of mastitis and another 3 cases of inflammatory breast cancer which were certified by pathology.and retrospective analyzed the X-ray and MRI features. Results Of the 26 cases, 17 were chronicity mastitis, 7 were granulomatous mastitis, and 2 were plasma cell mastitis. The findings were shown in FFDM: 16 were localized asymmetric density, 8 were mass, 2 were focal architectural distortion, and 1 was thickening of skin, without direct sign. The MR sings of mastitis lesions included low or isointensity signal on T1WI images, isointensityiφhyperintensity or promiscuity signal on T2WI images. The mastitis lesions appeared patchy enhancement were 18 cases, and mass sample enhancement were 8 cases. The 3 cases of inflammatory breast cancer were similar with acute

  9. Análise de Custo-efetividade do rastreamento do câncer de mama com mamografia convencional, digital e ressonância Analysis of Cost-effectiveness of screening for breast cancer with conventional mammography, digital and magnetic resonance imaging

    Directory of Open Access Journals (Sweden)

    Antonio Augusto de Freitas Peregrino

    2012-01-01

    Full Text Available O objetivo deste trabalho foi realizar análise de custo efetividade da intervenção das mamografias convencional e digital e da ressonância magnética no rastreamento de câncer de mama, comparando com o não rastreamento. Foi construído um modelo markoviano, numa uma coorte hipotética de 100 mil mulheres com rastreamento bianual, cuja linha de base é a história natural da doença. Modelaram-se quatro cenários distintos: (1 a história natural do câncer de mama como linha de base; (2 mamografia com filme convencional; (3 mamografia digital e (4 e ressonância magnética. Os custos dos cenários modelados variaram desde R$ 194.216,68 para a história natural, até R$ 48.614.338,31 para o rastreamento com ressonância magnética. As diferenças de efetividade entre as intervenções variaram de 300 até 78.000 anos de vida ganhos, na coorte de 100 mil mulheres. Em relação à Razão de Custo-Efetividade Incremental, em termos de custo por ano de vida ganhos, a estratégia do rastreamento mamográfico convencional produziu um ano extra por R$ 13.573,07. A Razão de Custo Efetividade Incremental (ICER da ressonância magnética foi de R$ 2.904.328,88 em relação ao não rastreamento. O estudo mostrou que é mais custo-efetivo realizar o rastreamento com a mamografia convencional do que as outras tecnologias de intervenção.A cost-effectiveness analysis was conducted in screening for breast cancer. The use of conventional mammography, digital and magnetic resonance imaging were compared with natural disease history as a baseline. A Markov model projected breast cancer in a group of 100,000 women for a 30 year period, with screening every two years. Four distinct scenarios were modeled: (1 the natural history of breast cancer, as a baseline, (2 conventional film mammography, (3 digital mammography and (4 magnetic resonance imaging. The costs of the scenarios modeled ranged from R$ 194.216,68 for natural history, to R$ 48.614.338,31, for

  10. X-ray phase-contrast CT of a pancreatic ductal adenocarcinoma mouse model.

    Directory of Open Access Journals (Sweden)

    Arne Tapfer

    Full Text Available To explore the potential of grating-based x-ray phase-contrast computed tomography (CT for preclinical research, a genetically engineered mouse model of pancreatic ductal adenocarcinoma (PDAC was investigated. One ex-vivo mouse specimen was scanned with different grating-based phase-contrast CT imaging setups covering two different settings: i high-resolution synchrotron radiation (SR imaging and ii dose-reduced imaging using either synchrotron radiation or a conventional x-ray tube source. These experimental settings were chosen to assess the potential of phase-contrast imaging for two different types of application: i high-performance imaging for virtual microscopy applications and ii biomedical imaging with increased soft-tissue contrast for in-vivo applications. For validation and as a reference, histological slicing and magnetic resonance imaging (MRI were performed on the same mouse specimen. For each x-ray imaging setup, attenuation and phase-contrast images were compared visually with regard to contrast in general, and specifically concerning the recognizability of lesions and cancerous tissue. To quantitatively assess contrast, the contrast-to-noise ratios (CNR of selected regions of interest (ROI in the attenuation images and the phase images were analyzed and compared. It was found that both for virtual microscopy and for in-vivo applications, there is great potential for phase-contrast imaging: in the SR-based benchmarking data, fine details about tissue composition are accessible in the phase images and the visibility of solid tumor tissue under dose-reduced conditions is markedly superior in the phase images. The present study hence demonstrates improved diagnostic value with phase-contrast CT in a mouse model of a complex endogenous cancer, promoting the use and further development of grating-based phase-contrast CT for biomedical imaging applications.

  11. Registration of phase-contrast images in propagation-based X-ray phase tomography.

    Science.gov (United States)

    Weber, L; Hänsch, A; Wolfram, U; Pacureanu, A; Cloetens, P; Peyrin, F; Rit, S; Langer, M

    2017-08-16

    X-ray phase tomography aims at reconstructing the 3D electron density distribution of an object. It offers enhanced sensitivity compared to attenuation-based X-ray absorption tomography. In propagation-based methods, phase contrast is achieved by letting the beam propagate after interaction with the object. The phase shift is then retrieved at each projection angle, and subsequently used in tomographic reconstruction to obtain the refractive index decrement distribution, which is proportional to the electron density. Accurate phase retrieval is achieved by combining images at different propagation distances. For reconstructions of good quality, the phase-contrast images recorded at different distances need to be accurately aligned. In this work, we characterise the artefacts related to misalignment of the phase-contrast images, and investigate the use of different registration algorithms for aligning in-line phase-contrast images. The characterisation of artefacts is done by a simulation study and comparison with experimental data. Loss in resolution due to vibrations is found to be comparable to attenuation-based computed tomography. Further, it is shown that registration of phase-contrast images is nontrivial due to the difference in contrast between the different images, and the often periodical artefacts present in the phase-contrast images if multilayer X-ray optics are used. To address this, we compared two registration algorithms for aligning phase-contrast images acquired by magnified X-ray nanotomography: one based on cross-correlation and one based on mutual information. We found that the mutual information-based registration algorithm was more robust than a correlation-based method. © 2017 The Authors Journal of Microscopy © 2017 Royal Microscopical Society.

  12. Visualizing typical features of breast fibroadenomas using phase-contrast CT: an ex-vivo study.

    Directory of Open Access Journals (Sweden)

    Susanne Grandl

    Full Text Available BACKGROUND: Fibroadenoma is the most common benign solid breast lesion type and a very common cause for histologic assessment. To justify a conservative therapy, a highly specific discrimination between fibroadenomas and other breast lesions is crucial. Phase-contrast imaging offers improved soft-tissue contrast and differentiability of fine structures combined with the potential of 3-dimensional imaging. In this study we assessed the potential of grating-based phase-contrast CT imaging for visualizing diagnostically relevant features of fibroadenomas. MATERIALS AND METHODS: Grating-based phase-contrast CT was performed on six ex-vivo formalin-fixed breast specimens containing a fibroadenoma and three samples containing benign changes that resemble fibroadenomas using Talbot Lau interferometry and a polychromatic X-ray source. Phase-contrast and simultaneously acquired absorption-based 3D-datasets were manually matched with corresponding histological slices. The visibility of diagnostically valuable features was assessed in comparison with histology as the gold-standard. RESULTS: In all cases, matching of grating-based phase-contrast CT images and histology was successfully completed. Grating-based phase-contrast CT showed greatly improved differentiation of fine structures and provided accurate depiction of strands of fibrous tissue within the fibroadenomas as well as of the diagnostically valuable dilated, branched ductuli of the fibroadenomas. A clear demarcation of tumor boundaries in all cases was provided by phase- but not absorption-contrast CT. CONCLUSIONS: Pending successful translation of the technology to a clinical setting and considerable reduction of the required dose, the data presented here suggest that grating-based phase-contrast CT may be used as a supplementary non-invasive diagnostic tool in breast diagnostics. Phase-contrast CT may thus contribute to the reduction of false positive findings and reduce the recall and core

  13. Report of improved performance in Talbot–Lau phase-contrast computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Thomas, E-mail: thomas.weber@fau.de; Pelzer, Georg; Rieger, Jens; Ritter, André; Anton, Gisela [Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen Centre for Astroparticle Physics (ECAP), Radiation and Detector Physics Group, Erwin-Rommel-Str. 1, 91058 Erlangen (Germany)

    2015-06-15

    Purpose: Many expectations have been raised since the use of conventional x-ray tubes on grating-based x-ray phase-contrast imaging. Despite a reported increase in contrast-to-noise ratio (CNR) in many publications, there is doubt on whether phase-contrast computed tomography (CT) is advantageous in clinical CT scanners in vivo. The aim of this paper is to contribute to this discussion by analyzing the performance of a phase-contrast CT laboratory setup. Methods: A phase-contrast CT performance analysis was done. Projection images of a phantom were recorded, and image slices were reconstructed using standard filtered back projection methods. The resulting image slices were analyzed by determining the CNRs in the attenuation and phase image. These results were compared to analytically calculated expectations according to the already published phase-contrast CT performance analysis by Raupach and Flohr [Med. Phys. 39, 4761–4774 (2012)]. There, a severe mistake was found leading to wrong predictions of the performance of phase-contrast CT. The error was corrected and with the new formulae, the experimentally obtained results matched the analytical calculations. Results: The squared ratios of the phase-contrast CNR and the attenuation CNR obtained in the authors’ experiment are five- to ten-fold higher than predicted by Raupach and Flohr [Med. Phys. 39, 4761–4774 (2012)]. The effective lateral spatial coherence length deduced outnumbers the already optimistic assumption of Raupach and Flohr [Med. Phys. 39, 4761–4774 (2012)] by a factor of 3. Conclusions: The authors’ results indicate that the assumptions made in former performance analyses are pessimistic. The break-even point, when phase-contrast CT outperforms attenuation CT, is within reach even with realistic, nonperfect gratings. Further improvements to state-of-the-art clinical CT scanners, like increasing the spatial resolution, could change the balance in favor of phase-contrast computed tomography

  14. Intact Imaging of Human Heart Structure Using X-ray Phase-Contrast Tomography.

    Science.gov (United States)

    Kaneko, Yukihiro; Shinohara, Gen; Hoshino, Masato; Morishita, Hiroyuki; Morita, Kiyozo; Oshima, Yoshihiro; Takahashi, Masashi; Yagi, Naoto; Okita, Yutaka; Tsukube, Takuro

    2017-02-01

    Structural examination of human heart specimens at the microscopic level is a prerequisite for understanding congenital heart diseases. It is desirable not to destroy or alter the properties of such specimens because of their scarcity. However, many of the currently available imaging techniques either destroy the specimen through sectioning or alter the chemical and mechanical properties of the specimen through staining and contrast agent injection. As a result, subsequent studies may not be possible. X-ray phase-contrast tomography is an imaging modality for biological soft tissues that does not destroy or alter the properties of the specimen. The feasibility of X-ray phase-contrast tomography for the structural examination of heart specimens was tested using infantile and fetal heart specimens without congenital diseases. X-ray phase-contrast tomography was carried out at the SPring-8 synchrotron radiation facility using the Talbot grating interferometer at the bending magnet beamline BL20B2 to visualize the structure of five non-pretreated whole heart specimens obtained by autopsy. High-resolution, three-dimensional images were obtained for all specimens. The images clearly showed the myocardial structure, coronary vessels, and conduction bundle. X-ray phase-contrast tomography allows high-resolution, three-dimensional imaging of human heart specimens. Intact imaging using X-ray phase-contrast tomography can contribute to further structural investigation of heart specimens with congenital heart diseases.

  15. Quantitative and dynamic measurements of biological fresh samples with X-ray phase contrast tomography

    Energy Technology Data Exchange (ETDEWEB)

    Hoshino, Masato, E-mail: hoshino@spring8.or.jp; Uesugi, Kentaro [Japan Synchrotron Radiation Research Institute, 1-1-1 Kouto, Sayo, Hyogo 679-5198 (Japan); Tsukube, Takuro [Japanese Red Cross Kobe Hospital, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073 (Japan); Yagi, Naoto [Japan Synchrotron Radiation Research Institute, 1-1-1 Kouto, Sayo, Hyogo 679-5198 (Japan)

    2014-10-08

    Quantitative measurements of biological fresh samples based on three-dimensional densitometry using X-ray phase contrast tomography are presented. X-ray phase contrast tomography using a Talbot grating interferometer was applied to biological fresh samples which were not fixed by any fixatives. To achieve a high-throughput measurement for the fresh samples the X-ray phase contrast tomography measurement procedure was improved. The three-dimensional structure of a fresh mouse fetus was clearly depicted as a mass density map using X-ray phase contrast tomography. The mouse fetus measured in the fresh state was then fixed by formalin and measured in the fixed state. The influence of the formalin fixation on soft tissue was quantitatively evaluated by comparing the fresh and fixed samples. X-ray phase contrast tomography was also applied to the dynamic measurement of a biological fresh sample. Morphological changes of a ring-shaped fresh pig aorta were measured tomographically under different degrees of stretching.

  16. Imaging of metastatic lymph nodes by X-ray phase-contrast micro-tomography.

    Directory of Open Access Journals (Sweden)

    Torben Haugaard Jensen

    Full Text Available Invasive cancer causes a change in density in the affected tissue, which can be visualized by x-ray phase-contrast tomography. However, the diagnostic value of this method has so far not been investigated in detail. Therefore, the purpose of this study was, in a blinded manner, to investigate whether malignancy could be revealed by non-invasive x-ray phase-contrast tomography in lymph nodes from breast cancer patients. Seventeen formalin-fixed paraffin-embedded lymph nodes from 10 female patients (age range 37-83 years diagnosed with invasive ductal carcinomas were analyzed by X-ray phase-contrast tomography. Ten lymph nodes had metastatic deposits and 7 were benign. The phase-contrast images were analyzed according to standards for conventional CT images looking for characteristics usually only visible by pathological examinations. Histopathology was used as reference. The result of this study was that the diagnostic sensitivity of the image analysis for detecting malignancy was 100% and the specificity was 87%. The positive predictive value was 91% for detecting malignancy and the negative predictive value was 100%. We conclude that x-ray phase-contrast imaging can accurately detect density variations to obtain information regarding lymph node involvement previously inaccessible with standard absorption x-ray imaging.

  17. Positron emission mammography imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.

    2003-10-02

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and x-ray mammography, as well as PEM and x-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  18. The evolution of mammography.

    Science.gov (United States)

    Gold, R H

    1992-01-01

    The history of mammography can be arbitrarily subdivided into three periods: The Age of Pioneers highlights the work of Salomon, Kleinschmidt, Warren, Vogel, Seabold, Gershon-Cohen, Leborgne, Egan, Gallager, Martin, Dodd, Strax and their colleagues; The Age of Technical Progress adds the names of Gould, Wolfe, and Gros and their co-workers; The Modern Era reflects the contributions of Price, Butler, Ostrum, Becker, Isard, Moskowitz, Sickles, Kopans, Homer, Tabár, and their associates. The ultimate success of mammography, the preeminent method of breast cancer screening, could not have been achieved without the intense vision, idealism, and scientific skill of its creators and nurturers. These investigators deserve a debt of gratitude that society can never adequately repay.

  19. Positron Emission Mammography imaging

    Science.gov (United States)

    Moses, William W.

    2004-06-01

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and X-ray mammography, as well as PEM and X-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  20. An analysis-synthesis approach for neurosphere modelisation under phase-contrast microscopy.

    Science.gov (United States)

    Rigaud, Stéphane; Huang, Chao-Hui; Ahmed, Sohail; Lim, Joo-Hwee; Racoceanu, Daniel

    2013-01-01

    The study of stem cells is one of the most important biomedical research. Understanding their development could allow multiple applications in regenerative medicine. For this purpose, automated solutions for the observation of stem cell development process are needed. This study introduces an on-line analysis method for the modelling of neurosphere evolution during the early time of their development under phase contrast microscopy. From the corresponding phase contrast time-lapse sequences, we extract information from the neurosphere using a combination of phase contrast physics deconvolution and curve detection for locate the cells inside the neurosphere. Then, based on prior biological knowledge, we generate possible and optimal 3-dimensional configuration using 2D to 3D registration methods and evolutionary optimisation algorithm.

  1. Thickness Measurements from Single X-ray Phase-contrast Speckle Projection

    CERN Document Server

    Xi, Yan; Ma, Jingchen; Zhao, Jun

    2015-01-01

    We propose a one-shot thickness measurement method for sponge-like structures using a propagation-based X-ray phase-contrast imaging (P-PCI) method. In P-PCI, the air-material interface refracts the incident X-ray. Refracted many times along their paths by such a structure, incident X-rays propagate randomly within a small divergent angle range, resulting in a speckle pattern in the captured image. We found structure thickness and contrast of a phase-contrast projection are directly related in images. This relationship can be described by a natural logarithm equation. Thus, from the one phase-contrast view, depth information can be retrieved from its contrast. Our preliminary biological experiments indicate promise in its application to measurements requiring in vivo and ongoing assessment of lung tumor progression.

  2. Dynamic measures of regional lung air volume using phase contrast x-ray imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kitchen, M J; Lewis, R A; Morgan, M J; Siu, K K W; Habib, A [School of Physics, Monash University, Melbourne VIC 3800 (Australia); Wallace, M J; Siew, M L; Hooper, S B [Department of Physiology, Monash University, Melbourne VIC 3800 (Australia); Fouras, A [Division of Biological Engineering, Monash University, Melbourne VIC 3800 (Australia); Yagi, N; Uesugi, K [SPring-8/JASRI, Sayo, Hyogo 679-5198 (Japan)], E-mail: Marcus.Kitchen@sci.monash.edu.au

    2008-11-07

    Phase contrast x-ray imaging can provide detailed images of lung morphology with sufficient spatial resolution to observe the terminal airways (alveoli). We demonstrate that quantitative functional and anatomical imaging of lung ventilation can be achieved in vivo using two-dimensional phase contrast x-ray images with high contrast and spatial resolution (<100 {mu}m) in near real time. Changes in lung air volume as small as 25 {mu}L were calculated from the images of term and preterm rabbit pup lungs (n = 28) using a single-image phase retrieval algorithm. Comparisons with plethysmography and computed tomography showed that the technique provided an accurate and robust method of measuring total lung air volumes. Furthermore, regional ventilation was measured by partitioning the phase contrast images, which revealed differences in aeration for different ventilation strategies.

  3. Single-shot quantitative phase microscopy with color-multiplexed differential phase contrast (cDPC).

    Science.gov (United States)

    Phillips, Zachary F; Chen, Michael; Waller, Laura

    2017-01-01

    We present a new technique for quantitative phase and amplitude microscopy from a single color image with coded illumination. Our system consists of a commercial brightfield microscope with one hardware modification-an inexpensive 3D printed condenser insert. The method, color-multiplexed Differential Phase Contrast (cDPC), is a single-shot variant of Differential Phase Contrast (DPC), which recovers the phase of a sample from images with asymmetric illumination. We employ partially coherent illumination to achieve resolution corresponding to 2× the objective NA. Quantitative phase can then be used to synthesize DIC and phase contrast images or extract shape and density. We demonstrate amplitude and phase recovery at camera-limited frame rates (50 fps) for various in vitro cell samples and c. elegans in a micro-fluidic channel.

  4. Spherical-Wave Far-Field Interferometer for Hard X-Ray Phase Contrast Imaging

    CERN Document Server

    Miao, Houxun; Harmon, Katherine J; Bennett, Eric E; Chedid, Nicholas; Panna, Alireza; Bhandarkar, Priya; Wen, Han

    2014-01-01

    Low dose, high contrast x-ray imaging is of general interest in medical diagnostic applications. X-ray Mach-Zehnder interferometers using collimated synchrotron beams demonstrate the highest levels of phase contrast under a given exposure dose. However, common x-ray sources emit divergent cone beams. Here, we developed a spherical-wave inline Mach-Zehnder interferometer for phase contrast imaging over an extended area with a broadband and divergent source. The first tabletop system was tested in imaging experiments of a mammographic accreditation phantom and various biological specimens. The noise level of the phase contrast images at a clinical radiation dose corresponded to a 6 nano radian bending of the x-ray wavefront. Un-resolved structures with conventional radiography and near-field interferometer techniques became visible at a fraction of the radiation dose.

  5. Mammography accreditation program

    Energy Technology Data Exchange (ETDEWEB)

    Wilcox, P.

    1993-12-31

    In the mid-1980`s, the movement toward the use of dedicated mammography equipment provided significant improvement in breast cancer detection. However, several studies demonstrated that this change was not sufficient to ensure optimal image quality at a low radiation dose. In particular, the 1985 Nationwide Evaluation of X-ray Trends identified the wide variations in image quality and radiation dose, even from dedicated units. During this time period, the American Cancer Society (ACS) launched its Breast Cancer Awareness Screening Campaign. However, there were concerns about the ability of radiology to respond to the increased demand for optimal screening examinations that would result from the ACS program. To respond to these concerns, the ACS and the American College of Radiology (ACR) established a joint committee on mammography screening in 1986. After much discussion, it was decided to use the ACR Diagnostic Practice Accreditation Program as a model for the development of a mammography accreditation program. However, some constraints were required in order to make the program meet the needs of the ACS. This voluntary, peer review program had to be timely and cost effective. It was determined that the best way to address these needs would be to conduct the program by mail. Finally, by placing emphasis on the educational nature of the program, it would provide an even greater opportunity for improving mammographic quality. The result of this effort was that, almost six years ago, in May 1987, the pilot study for the ACR Mammography Accreditation Program (MAP) began, and in August of that year, the first applications were received. In November 1987, the first 3-year accreditation certificates were awarded.

  6. 数字乳腺X线摄影系统成像参数优化研究%Preliminarily Investigation of Optimization of Imaging Parameters in Digital Mammography System

    Institute of Scientific and Technical Information of China (English)

    闵高瑜; 胡益斌; 金锡军; 李大鹏; 李明明

    2015-01-01

    目的:本文对数字乳腺X线摄影系统中成像参数的最优化进行初步研究。方法采用4 cm厚的PMMA乳腺模体,选择不同的靶/滤过组合、管电压和管电流时间乘积,进行手动成像。利用ImageJ软件中的qa-distri插件得到图像信号区域和背景区域的像素均值和标准差,以此计算图像的对比度噪声比。然后根据对比度噪声比和平均腺体剂量两个参数,评估靶/滤过组合、管电压和管电流时间乘积对成像的影响。结果对于厚度为4 cm的乳房,使用钼/铑组合,在得到同等质量图像的情况下,受检者吸收的平均腺体剂量比使用钼/钼组合低。结论,在数字乳腺X线摄影系统临床使用过程中,要选择适宜的曝光参数,既能保证图像质量,又能降低受检者的辐射风险。%Objective Optimizing imaging parameters in digital mammography system was preliminarily investigated in this paper.Methods The 4-cm-thick PMMA (Poly-Methyl-Meth-Acrylate) breast simulating phantom was used, and two different combinations of anode/iflter material and a wide range of peak tube voltage and tube current-time product were employed for manually imaging. The images were analyzed by using a set of plug-in applications in the ImageJ software for acquisition of the pixel mean value and standard deviation measurements so as to calculate contrast noise ratio. Then, the impact of combination of anode/iflter material, peak tube voltage and tube current-time product on images was assessed by using contrast noise ration and mean glandular dose.Results For the 4-cm-thick breast, the same image quality could be achieved with a lower dose by using the combination of Mo/Rh anode/ifler than the combination of Mo/Mo.Conclusion Therefore, imaging parameters should be optimized in using of the digital mammography system to assure image quality and keep glandular dose lower.

  7. 彩色多普勒超声联合数字钼靶X线摄影在乳腺癌中的诊断价值%Diagnostic Value of Color Doppler Ultrasonography Combined Digital Mammography X-ray Photography in Breast Cancer

    Institute of Scientific and Technical Information of China (English)

    刘玥

    2015-01-01

    目的:探讨彩色多普勒超声联合数字钼靶X线摄影在乳腺癌中的诊断价值。方法研究对象为本院2013年10月~2015年5月收治的82例乳腺癌患者,所有患者均给予彩色多普勒超声和数字钼靶X线摄影检查,比较各种检查方法的准确性。结果单独彩色多普勒超声检查的准确率为54.9%、数字钼靶X线摄影检查的准确率为53.7%、联合检查的准确率为74.4%;单独彩色多普勒超声检查或数字钼靶X线摄影检查与联合检查比较,差异有统计学意义(χ2=4.68、6.14,P<0.05)。联合检查的阳性预测值最高,单独彩色多普勒超声检查或数字钼靶X线摄影检查与联合检查比较,差异有统计学意义(χ2=4.25、4.11,P<0.05)。结论彩色多普勒超声联合数字钼靶X线摄影检查可提高乳腺癌诊断的准确性。%Objective To explore the diagnostic value of color doppler ultrasonography combined digital mammography X-ray photography in breast cancer. Methods 82 cases of patients with breast cancer were treated in our hospital from October 2013 to May 2015 as the research object,al patients were given color doppler ultrasonic inspection and digital mammography X-ray photography,the accuracy of the various inspection methods were compared. Results The single color doppler ultrasound examination accuracy was 54.9%,digital mammography X-ray photography inspection accuracy was 53.7%,the joint inspection accuracy was 74.4%,color doppler ultrasound alone or digital mammography X-ray photography compared with joint inspection,the difference was statistical y significant(χ2=4.68,6.14,P<0.05). Joint inspection of the highest positive predictive value,the color doppler ultrasound alone or digital mammography X-ray angiography compared with joint inspection,the difference was statistical y significant(χ2=4.25,4.11,P<0.05). Conclusion The color doppler ultrasonography combined digital mammography X-ray angiography can

  8. Imaging of metastatic lymph nodes by X-ray phase-contrast micro-tomography

    DEFF Research Database (Denmark)

    Jensen, Torben Haugaard; Bech, Martin; Binderup, Tina;

    2013-01-01

    whether malignancy could be revealed by non-invasive x-ray phase-contrast tomography in lymph nodes from breast cancer patients. Seventeen formalin-fixed paraffin-embedded lymph nodes from 10 female patients (age range 37-83 years) diagnosed with invasive ductal carcinomas were analyzed by X-ray phase...... was that the diagnostic sensitivity of the image analysis for detecting malignancy was 100% and the specificity was 87%. The positive predictive value was 91% for detecting malignancy and the negative predictive value was 100%. We conclude that x-ray phase-contrast imaging can accurately detect density variations...

  9. Heralded phase-contrast imaging using an orbital angular momentum phase-filter

    Science.gov (United States)

    Aspden, Reuben S.; Morris, Peter A.; He, Ruiqing; Chen, Qian; Padgett, Miles J.

    2016-05-01

    We utilise the position and orbital angular momentum (OAM) correlations between the signal and idler photons generated in the down-conversion process to obtain ghost images of a phase object. By using an OAM phase filter, which is non-local with respect to the object, the images exhibit isotropic edge-enhancement. This imaging technique is the first demonstration of a full-field, phase-contrast imaging system with non-local edge enhancement, and enables imaging of phase objects using significantly fewer photons than standard phase-contrast imaging techniques.

  10. Design and construction of an X-ray phase contrast CT system at BSRF

    Energy Technology Data Exchange (ETDEWEB)

    Wang Junyue [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Graduate School of the Chinese Academy of Sciences, Beijing 100049 (China); Zhu Peiping [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China)]. E-mail: zhupp@ihep.ac.cn; Yuan Qingxi [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Huang Wanxia [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Shu Hang [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Graduate School of the Chinese Academy of Sciences, Beijing 100049 (China); Hu Tiandou [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China); Wu Ziyu [Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing 100049 (China)]. E-mail: wuzy@ihep.ac.cn

    2006-11-15

    The 4W1A beamline at the Beijing Synchrotron Radiation Facility (BSRF) had been dedicated to researches in the field of X-ray phase contrast imaging. In both available layouts, e.g., in-line imaging and diffraction enhanced imaging, a spatial resolution better than 10 {mu}m has been achieved and an X-ray phase contrast CT system has been installed and tested on the beamline. With or without analyzer, it can work either in in-line or the diffraction enhanced mode.

  11. Design and construction of an X-ray phase contrast CT system at BSRF

    Science.gov (United States)

    Wang, Junyue; Zhu, Peiping; Yuan, Qingxi; Huang, Wanxia; Shu, Hang; Hu, Tiandou; Wu, Ziyu

    2006-11-01

    The 4W1A beamline at the Beijing Synchrotron Radiation Facility (BSRF) had been dedicated to researches in the field of X-ray phase contrast imaging. In both available layouts, e.g., in-line imaging and diffraction enhanced imaging, a spatial resolution better than 10 μm has been achieved and an X-ray phase contrast CT system has been installed and tested on the beamline. With or without analyzer, it can work either in in-line or the diffraction enhanced mode.

  12. Combining Generalized Phase Contrast with matched filtering into a versatile beam shaping approach

    DEFF Research Database (Denmark)

    Glückstad, Jesper; Palima, Darwin

    2010-01-01

    We adapt concepts from matched filtering to propose a method for generating reconfigurable multiple beams. Combined with the Generalized Phase Contrast (GPC) technique, the proposed method coined mGPC can yield dynamically reconfigurable optical beam arrays with high light efficiency for optical ...... manipulation, high-speed sorting and other parallel spatial light applications [1].......We adapt concepts from matched filtering to propose a method for generating reconfigurable multiple beams. Combined with the Generalized Phase Contrast (GPC) technique, the proposed method coined mGPC can yield dynamically reconfigurable optical beam arrays with high light efficiency for optical...

  13. Combining generalized phase contrast with matched filtering into a versatile beam shaping system

    DEFF Research Database (Denmark)

    Glückstad, Jesper

    2009-01-01

    We adapt concepts from matched filtering to propose a method for generating reconfigurable multiple beams. Combined with the Generalized Phase Contrast (GPC) technique, the proposed method coined mGPC can yield dynamically reconfigurable optical beam arrays with high light efficiency for optical ...... manipulation, high-speed sorting and other parallel spatial light applications.......We adapt concepts from matched filtering to propose a method for generating reconfigurable multiple beams. Combined with the Generalized Phase Contrast (GPC) technique, the proposed method coined mGPC can yield dynamically reconfigurable optical beam arrays with high light efficiency for optical...

  14. Simulation study of phase retrieval for hard X-ray in-line phase contrast imaging

    Institute of Scientific and Technical Information of China (English)

    YU; Bin; PENG; Xiang; TIAN; Jindong; NIU; Hanben; DIAO; Luh

    2005-01-01

    Two algorithms for the phase retrieval of hard X-ray in-line phase contrast imaging are presented. One is referred to as Iterative Angular Spectrum Algorithm (IASA) and the other is a hybrid algorithm that combines IASA with TIE (transport of intensity equation). The calculations of the algorithms are based on free space propagation of the angular spectrum. The new approaches are demonstrated with numerical simulations. Comparisons with other phase retrieval algorithms are also performed. It is shown that the phase retrieval method combining the IASA and TIE is a promising technique for the application of hard X-ray phase contrast imaging.

  15. Anomalous scaling law for noise variance and spatial resolution in differential phase contrast computed tomography

    CERN Document Server

    Chen, Guang-Hong; Qi, Zhihua; Bevins, Nicholas

    2010-01-01

    In conventional absorption based x-ray computed tomography (CT), the noise variance in reconstructed CT images scales with spatial resolution following an inverse cubic relationship. Without reconstruction, in x-ray absorption radiography, the noise variance scales as an inverse square with spatial resolution. In this letter we report that while the inverse square relationship holds for differential phase contrast projection imaging, there exists an anomalous scaling law in differential phase contrast CT, where the noise variance scales with spatial resolution following an inverse linear relationship. The anomalous scaling law is theoretically derived and subsequently validated with phantom results from an experimental Talbot-Lau interferometer system.

  16. On the relationship between intensity diffraction tomography and phase-contrast tomography

    Science.gov (United States)

    Anastasio, Mark A.; Shi, Daxin

    2004-10-01

    Diffraction tomography (DT) is a well-known method for reconstructing the complex-valued refractive index distribution of weakly scattering objects. A reconstruction theory of intensity DT (I-DT) has been proposed [Gbur and Wolf, JOSA A, 2002] that can accomplish such a reconstruction from knowledge of only the wavefield intensities on two different transverse planes at each tomographic view angle. In this work, we elucidate the relationship between I-DT and phase-contrast tomography and demonstrate that I-DT reconstruction theory contains some of the existing reconstruction algorithms for phase-contrast tomography as special cases.

  17. A PET imaging system dedicated to mammography

    CERN Document Server

    Varela, J

    2007-01-01

    The imaging system Clear-PEM for positron emission mammography, under development within the framework of the Crystal Clear Collaboration at CERN, is presented. The detector is based on pixelized LYSO crystals optically coupled to avalanche photodiodes (APD) and readout by a fast low-noise electronic system. A dedicated digital trigger and data acquisition system is used for on-line selection of coincidence events with high efficiency, large bandwidth and negligible dead-time. The detector module performance was characterized in detail.

  18. Blinded double reading yields a higher programme sensitivity than non-blinded double reading at digital screening mammography: a prospected population based study in the south of The Netherlands.

    Science.gov (United States)

    Klompenhouwer, Elisabeth G; Voogd, Adri C; den Heeten, Gerard J; Strobbe, Luc J A; de Haan, Anton F J; Wauters, Carla A; Broeders, Mireille J M; Duijm, Lucien E M

    2015-02-01

    To prospectively determine the screening mammography outcome at blinded and non-blinded double reading in a biennial population based screening programme in the south of the Netherlands. We included a consecutive series of 87,487 digital screening mammograms, obtained between July 2009 and July 2011. Screening mammograms were double read in either a blinded (2nd reader was not informed about the 1st reader's decision) or non-blinded fashion (2nd reader was informed about the 1st reader's decision). This reading strategy was alternated on a monthly basis. Women with discrepant readings between the two radiologists were always referred for further analysis. During 2 years follow-up, we collected the radiology reports, surgical correspondence and pathology reports of all referred women and interval breast cancers. Respectively 44,491 and 42,996 screens had been read either in a blinded or non-blinded fashion. Referral rate (3.3% versus 2.8%, preading whereas the cancer detection rate per 1000 screens (7.4 versus 6.5, p=0.14) and positive predictive value of referral (22% versus 23%, p=0.51) were comparable. Blinded double reading resulted in a significantly higher programme sensitivity (83% versus 76%, p=0.01). Per 1000 screened women, blinded double reading would yield 0.9 more screen detected cancers and 0.6 less interval cancers than non-blinded double reading, at the expense of 4.4 more recalls. We advocate the use of blinded double reading in order to achieve a better programme sensitivity, at the expense of an increased referral rate and false positive referral rate. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. A study on color Doppler sonography combined with digital mammography for micro breast cancer screening%全数字化乳腺X线摄影联合彩色多普勒超声对诊断微小乳腺癌的研究

    Institute of Scientific and Technical Information of China (English)

    刘国荣; 程传虎; 李坚; 陈超; 杨清绪; 李丽红; 林翠君

    2009-01-01

    Objective To evaluate the efficacy of color Doppler sonography combined with digital mammography for micro breast cancer screening.Methods Both of color Doppler sonography and digital mammography were performed in 66 patients with micro breast cancer less than 1.5 cm in diameter and 20 patients with benign lesion less than 1.5 cm in diameter.The images of sonography and mammography were analyzed respectively.A comparative study on the results of sonography,mammography and pathological finding of specimen in breast lesions was made.Results Fifty-five of 66 Cases with micro breast cancer were detected by digital mammography.52 of 66 cases by color Doppler sonography and 65 of 66 cases by sonography combined with mammography.The color Doppler sonography combined with digital mammography provided higher sensitivity,specificity and accuracy[98.5%(65/66),100.0%(20/20)and 98.8%(85/86)respectively]than color Doppler sonography[78.8%(52/66),75.0%(15/20),77.9% (67/86)respectively]and digital mammography alone[83.3%(55/66),90.0%(18/20)and 84.9%(73/86)respectively](P<0.05).The peak flow velocities and the mean resistant index were higher in malignant lesion than those in benign lesion(P<0.05).Conclusions The color Doppler sonography combined with digital mammography can increase the sensitivity and accuracy of diagnosing micro breast cancer.Digital mammography is recommended to identify micro breast cancer.It is helpful of color Doppler sonography in differentiation of benign and malignant breast lesion.%目的 探讨全数字化乳腺X线摄影联合彩色多普勒超声(彩超)检查对微小乳腺癌的诊断价值.方法 66例直径≤1.5 cm的微小乳腺癌患者(恶性组)和20例直径≤1.5 cm的乳腺良性病变患者(良性组)均行全数字化乳腺X线摄影和彩超检查,进行定性诊断,最后与手术病理结果对照.结果 恶性组:全数字化乳腺X线摄影诊断微小乳腺癌55例,其敏感度和特异度分别为83.3%(55,66)、90.0%(18/20),

  20. Efficient formation of extended line intensity patterns using matched-filtering generalized phase contrast

    DEFF Research Database (Denmark)

    Bañas, Andrew Rafael; Palima, Darwin; Aabo, Thomas;

    2013-01-01

    We demonstrate the efficient generation of line patterns using matched-filtering Generalized Phase Contrast (mGPC). So far, the main emphasis of mGPC light addressing has been on the creation of rapidly reconfigurable focused spots. This has recently been extended to encoding extended line patter...

  1. Generation of a Desired Wavefront with a Plurality of Phase Contrast Filters

    DEFF Research Database (Denmark)

    2004-01-01

    The present invention relates to a method and a system for synthesizing an intensity pattern based on generalized phase contrast imaging. The phase filter contains a plurality of phase shifting regions that is matched to the layout of a light source array, each of the regions being positioned...

  2. In-line phase-contrast imaging for strong absorbing objects

    Energy Technology Data Exchange (ETDEWEB)

    De Caro, Liberato; Giannini, Cinzia [Istituto di Cristallografia, Consiglio Nazionale delle Ricerche (IC-CNR), via Amendola 122/O, I-70125 Bari (Italy); Cedola, Alessia; Bukreeva, Inna; Lagomarsino, Stefano [Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche (IFN-CNR), via Cinto Romano 42, I-00156 Roma (Italy)

    2008-11-21

    Phase-contrast imaging is one of the most important emerging x-ray imaging techniques. In this work we analyse, from a theoretical point of view, the in-line phase-contrast image formation under general assumptions. The approach is based on wave-optical theory (Fresnel/Kirchoff diffraction integrals) and on the formalism of the mutual coherence function for the evolution of the coherence wavefield properties. Our theoretical model can be applied to phase-contrast imaging realized both by using highly coherent synchrotron radiation and micro-focus x-ray laboratory sources. Thus, the model is suitable for widespread applications, ranging from material science to medical imaging of human body parts. However, it cannot be applied to polychromatic sources, although the validity of the model does not require particularly demanding characteristics of monochromaticity. In addition, for moderate phase gradients, a useful analytical formula of the phase-contrast visibility is derived, based on the a priori knowledge of source size and distance, pixel detector size, defocus distance, material/tissue dielectric susceptibility and characteristic scales of transversal and longitudinal non-uniformities of the material/tissue dielectric susceptibility. Comparisons both with experimental results published by other authors and with simulations based on a Fourier optics approach have been reported, to confirm the validity of the proposed analytical formula.

  3. Differential diagnosis of arachnoid cyst from subarachnoid space enlargement by phase-contrast cine MRI

    Institute of Scientific and Technical Information of China (English)

    于群; 孔祥泉; 刘定西

    2003-01-01

    Objectives To reveal the relationship of brain motion and cerebrospinal fluid (CSF) flow by phase-contrast cine MRI, and to evaluate this technique in differentiating between arachnoid cysts and subarachnoid space enlargement. Methods Using a phase-contrast cine MRI pulse sequence, we measured brain motion and CSF flow during the cardiac cycle in 10 healthy volunteers and 10 patients with MRI-suspected arachnoid cyst or subarachnoid space enlargement. CSF stroke volume curve was illustrated according to flow quantification, and time-signal intensity curve was traced. The two curves were compared. Results This study showed that brain motion was due to the volume difference between arterial and venous blood flow during a cardiac cycle, and thus drives CSF pulsation. Arachnoid cysts and subarachnoid space enlargement carried different curve patterns, demonstrating that phase-contrast MRI and flow quantification can be a useful and reliable technique for non-invasive evaluation of brain motion and CSF flow. Conclusion Arachnoid cysts can be successfully differentiated using phase-contrast cine MRI from subarachnoid space enlargement.

  4. Complete staining of human spermatozoa and immature germ cells combined with phase contrast microscopy

    DEFF Research Database (Denmark)

    Michael, A Y; Drejer, J O; Bagger, P V

    1987-01-01

    A method combining Janus green B and Thymol blue stains the anterior part of the head, the nuclear membrane, middle piece, and tail of spermatozoa light green and the nucleus deep purple. The method provides excellent stained preparations for the evaluation of sperm morphology by phase contrast...

  5. Characterization of bacterial spore germination using integrated phase contrast microscopy, Raman spectroscopy, and optical tweezers.

    Science.gov (United States)

    Kong, Lingbo; Zhang, Pengfei; Setlow, Peter; Li, Yong-Qing

    2010-05-01

    We present a methodology that combines external phase contrast microscopy, Raman spectroscopy, and optical tweezers to monitor a variety of changes during the germination of single Bacillus cereus spores in both nutrient (l-alanine) and non-nutrient (Ca-dipicolinic acid (DPA)) germinants with a temporal resolution of approximately 2 s. Phase contrast microscopy assesses changes in refractility of individual spores during germination, while Raman spectroscopy gives information on changes in spore-specific molecules. The results obtained include (1) the brightness of the phase contrast image of an individual dormant spore is proportional to the level of CaDPA in that spore; (2) the end of the first Stage of germination, revealed as the end of the rapid drop in spore refractility by phase contrast microscopy, precisely corresponds to the completion of the release of CaDPA as revealed by Raman spectroscopy; and (3) the correspondence between the rapid drop in spore refractility and complete CaDPA release was observed not only for spores germinating in the well-controlled environment of an optical trap but also for spores germinating when adhered on a microscope coverslip. Using this latter method, we also simultaneously characterized the distribution of the time-to-complete-CaDPA release (T(release)) of hundreds of individual B. cereus spores germinating with both saturating and subsaturating concentrations of l-alanine and with CaDPA.

  6. Efficient phase contrast imaging in STEM using a pixelated detector. Part II: Optimisation of imaging conditions

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Hao, E-mail: hao.yang@materials.ox.ac.uk [University of Oxford, Department of Materials. Parks Rd, Oxford OX1 3PH (United Kingdom); Pennycook, Timothy J.; Nellist, Peter D. [University of Oxford, Department of Materials. Parks Rd, Oxford OX1 3PH (United Kingdom); EPSRC SuperSTEM Facility, Daresbury Laboratory, WA4 4AD (United Kingdom)

    2015-04-15

    In Part I of this series of two papers, we demonstrated the formation of a high efficiency phase-contrast image at atomic resolution using a pixelated detector in the scanning transmission electron microscope (STEM) with ptychography. In this paper we explore the technique more quantitatively using theory and simulations. Compared to other STEM phase contrast modes including annular bright field (ABF) and differential phase contrast (DPC), we show that the ptychographic phase reconstruction method using pixelated detectors offers the highest contrast transfer efficiency and superior low dose performance. Applying the ptychographic reconstruction method to DPC segmented detectors also improves the detector contrast transfer and results in less noisy images than DPC images formed using difference signals. We also find that using a minimum array of 16×16 pixels is sufficient to provide the highest signal-to-noise ratio (SNR) for imaging beam sensitive weak phase objects. Finally, the convergence angle can be adjusted to enhance the contrast transfer based on the spatial frequencies of the specimen under study. - Highlights: • High efficiency phase contrast transfer function (PCTF) can be achieved using pixelated detectors followed by a ptychographic reconstruction. • Ptychographic reconstruction offers the highest PCTF across the entire spatial frequency range compared to DPC and ABF. • Image simulations show that a ptychographic reconstruction using pixelated detectors offers a superior low dose performance for imaging weak phase objects. • Optimisation of imaging conditions using pixelated detectors are discussed by considering the contrast transfer function for various cases.

  7. Contrast-to-noise in X-ray differential phase contrast imaging

    NARCIS (Netherlands)

    Engel, K.J.; Geller, D.; Koehler, T.; Martens, G.; Schusser, S.; Vogtmeier, G.; Roessl, E.

    2011-01-01

    A quantitative theory for the contrast-to-noise ratio (CNR) in differential phase contrast imaging (DPCI) is proposed and compared to that of images derived from classical absorption contrast imaging (ACI). Most prominently, the CNR for DPCI contains the reciprocal of thespatial wavelength to be ima

  8. X-ray phase contrast imaging of biological specimens with tabletop synchrotron radiation

    CERN Document Server

    Kneip, S; Dollar, F; Bloom, M S; Chvykov, V; Kalintchenko, G; Krushelnick, K; Maksimchuk, A; Mangles, S P D; Matsuoka, T; Najmudin, Z; Palmer, C A J; Schreiber, J; Schumaker, W; Thomas, A G R; Yanovsky, V

    2011-01-01

    Since their discovery in 1896, x-rays have had a profound impact on science, medicine and technology. Here we show that the x-rays from a novel tabletop source of bright coherent synchrotron radiation can be applied to phase contrast imaging of biological specimens, yielding superior image quality and avoiding the need for scarce or expensive conventional sources.

  9. Requirements for dynamical differential phase contrast x-ray imaging with a laboratory source

    Science.gov (United States)

    Macindoe, David; Kitchen, Marcus J.; Irvine, Sarah C.; Fouras, Andreas; Morgan, Kaye S.

    2016-12-01

    X-ray phase contrast enables weakly-attenuating structures to be imaged, with bright synchrotron sources adding the ability to capture time sequences and analyse sample dynamics. Here, we describe the translation of dynamical differential phase contrast imaging from the synchrotron to a compact x-ray source, in order to achieve this kind of time sequence imaging in the laboratory. We formulate broadly-applicable set-up guidelines for the single-grid, single-exposure imaging technique using a divergent source, exploring the experimental factors that restrict set-up size, imaging sensitivity and sample size. Experimental images are presented using the single-grid phase contrast technique with a steel attenuation grid and a liquid-metal-jet x-ray source, enabling exposure times as short as 0.5 s for dynamic imaging. Differential phase contrast images were retrieved from phantoms, incorporating noise filtering to improve the low-count images encountered when imaging dynamics using short exposures.

  10. Phase-Contrast Magnetic Resonance Angiography Measurements of Global Cerebral Blood Flow in the Neonate

    NARCIS (Netherlands)

    Benders, Manon J. N. L.; Hendrikse, Jeroen; de Vries, Linda S.; van Bel, Frank; Groenendaal, Floris

    2011-01-01

    Cerebral blood flow (CBF) alterations are important in pathogenesis of neonatal ischemic/hemorrhagic brain damage. In clinical practice, estimation of neonatal CBF is mostly based on Doppler-measured blood flow velocities in major intracranial arteries. Using phase-contrast magnetic resonance angiog

  11. Noise robustness of a combined phase retrieval and reconstruction method for phase-contrast tomography

    DEFF Research Database (Denmark)

    Kongskov, Rasmus Dalgas; Jørgensen, Jakob Sauer; Poulsen, Henning Friis

    2016-01-01

    Classical reconstruction methods for phase-contrast tomography consist of two stages: phase retrieval and tomographic reconstruction. A novel algebraic method combining the two was suggested by Kostenko et al. [Opt. Express 21, 12185 (2013) [CrossRef], and preliminary results demonstrated improved...... is substantially more robust toward noise; our simulations point to a possible reduction in counting times by an order of magnitude....

  12. Optimization of propagation-based x-ray phase-contrast tomography for breast cancer imaging

    Science.gov (United States)

    Baran, P.; Pacile, S.; Nesterets, Y. I.; Mayo, S. C.; Dullin, C.; Dreossi, D.; Arfelli, F.; Thompson, D.; Lockie, D.; McCormack, M.; Taba, S. T.; Brun, F.; Pinamonti, M.; Nickson, C.; Hall, C.; Dimmock, M.; Zanconati, F.; Cholewa, M.; Quiney, H.; Brennan, P. C.; Tromba, G.; Gureyev, T. E.

    2017-03-01

    The aim of this study was to optimise the experimental protocol and data analysis for in-vivo breast cancer x-ray imaging. Results are presented of the experiment at the SYRMEP beamline of Elettra Synchrotron using the propagation-based phase-contrast mammographic tomography method, which incorporates not only absorption, but also x-ray phase information. In this study the images of breast tissue samples, of a size corresponding to a full human breast, with radiologically acceptable x-ray doses were obtained, and the degree of improvement of the image quality (from the diagnostic point of view) achievable using propagation-based phase-contrast image acquisition protocols with proper incorporation of x-ray phase retrieval into the reconstruction pipeline was investigated. Parameters such as the x-ray energy, sample-to-detector distance and data processing methods were tested, evaluated and optimized with respect to the estimated diagnostic value using a mastectomy sample with a malignant lesion. The results of quantitative evaluation of images were obtained by means of radiological assessment carried out by 13 experienced specialists. A comparative analysis was performed between the x-ray and the histological images of the specimen. The results of the analysis indicate that, within the investigated range of parameters, both the objective image quality characteristics and the subjective radiological scores of propagation-based phase-contrast images of breast tissues monotonically increase with the strength of phase contrast which in turn is directly proportional to the product of the radiation wavelength and the sample-to-detector distance. The outcomes of this study serve to define the practical imaging conditions and the CT reconstruction procedures appropriate for low-dose phase-contrast mammographic imaging of live patients at specially designed synchrotron beamlines.

  13. Evaluation of a new reconstruction algorithm for x-ray phase-contrast imaging

    Science.gov (United States)

    Seifert, Maria; Hauke, Christian; Horn, Florian; Lachner, Sebastian; Ludwig, Veronika; Pelzer, Georg; Rieger, Jens; Schuster, Max; Wandner, Johannes; Wolf, Andreas; Michel, Thilo; Anton, Gisela

    2016-04-01

    X-ray grating-based phase-contrast imaging might open up entirely new opportunities in medical imaging. However, transferring the interferometer technique from laboratory setups to conventional imaging systems the necessary rigidity of the system is difficult to achieve. Therefore, vibrations or distortions of the system lead to inaccuracies within the phase-stepping procedure. Given insufficient stability of the phase-step positions, up to now, artifacts in phase-contrast images occur, which lower the image quality. This is a problem with regard to the intended use of phase-contrast imaging in clinical routine as for example tiny structures of the human anatomy cannot be observed. In this contribution we evaluate an algorithm proposed by Vargas et.al.1 and applied to X-ray imaging by Pelzer et.al. that enables us to reconstruct a differential phase-contrast image without the knowledge of the specific phase-step positions. This method was tested in comparison to the standard reconstruction by Fourier analysis. The quality of phase-contrast images remains stable, even if the phase-step positions are completely unknown and not uniformly distributed. To also achieve attenuation and dark-field images the proposed algorithm has been combined with a further algorithm of Vargas et al.3 Using this algorithm, the phase-step positions can be reconstructed. With the help of the proper phase-step positions it is possible to get information about the phase, the amplitude and the offset of the measured data. We evaluated this algorithm concerning the measurement of thick objects which show a high absorbency.

  14. MR mammography (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A.

    1993-01-01

    The book deals with MRI for the diagnostic evaluation of malignant breast lesions. A survey of methods available for breast examination, magnetic resonance mammography (MRM) is briefly explained in terms of development and technical problems encountered in the various examinations. The clinical aspects from a central part of the book, giving information relating to the various neoplasms and a comprehensive review of cases. The book concludes with a chapter discussing the interpretation of data and images, presenting examples of normal findings and of manifestations of carcinoma, fibroadenoma, cysts, mastopathies, scars due to plastic surgery, and the lactating breast. (UWA). 648 figs., 25 tabs.

  15. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality......, but it is not possible to evaluate the effect on mortality until several years later, and continuously monitoring of the quality of all aspects of a screening programme is necessary. Based on other European guidelines, 11 quality indicators have been defined, and guidelines concerning organizational requirements...

  16. Imaging performance of phase-contrast breast computed tomography with synchrotron radiation and a CdTe photon-counting detector.

    Science.gov (United States)

    Sarno, A; Mettivier, G; Golosio, B; Oliva, P; Spandre, G; Di Lillo, F; Fedon, C; Longo, R; Russo, P

    2016-05-01

    Within the SYRMA-CT collaboration based at the ELETTRA synchrotron radiation (SR) facility the authors investigated the imaging performance of the phase-contrast computed tomography (CT) system dedicated to monochromatic in vivo 3D imaging of the female breast, for breast cancer diagnosis. Test objects were imaged at 38keV using monochromatic SR and a high-resolution CdTe photon-counting detector. Signal and noise performance were evaluated using modulation transfer function (MTF) and noise power spectrum. The analysis was performed on the images obtained with the application of a phase retrieval algorithm as well as on those obtained without phase retrieval. The contrast to noise ratio (CNR) and the capability of detecting test microcalcification clusters and soft masses were investigated. For a voxel size of (60μm)(3), images without phase retrieval showed higher spatial resolution (6.7mm(-1) at 10% MTF) than corresponding images with phase retrieval (2.5mm(-1)). Phase retrieval produced a reduction of the noise level and an increase of the CNR by more than one order of magnitude, compared to raw phase-contrast images. Microcalcifications with a diameter down to 130μm could be detected in both types of images. The investigation on test objects indicates that breast CT with a monochromatic SR source is technically feasible in terms of spatial resolution, image noise and contrast, for in vivo 3D imaging with a dose comparable to that of two-view mammography. Images obtained with the phase retrieval algorithm showed the best performance in the trade-off between spatial resolution and image noise. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  17. Pain and discomfort during mammography

    DEFF Research Database (Denmark)

    Aro, A R; Absetz-Ylöstalo, P; Eerola, T

    1996-01-01

    The aim of this prospective study was to investigate associations of mammography pain and discomfort with sociodemographics, personal history and psychological and situational factors. Subjects were women with a negative screening finding (n = 883) from a random sample of 50-year-old Finnish women...... was the most powerful factor explaining pain and discomfort among women with earlier mammography. However, it had no effect among women without earlier mammography, for whom screening-related nervousness and perceptions of staff were crucial. Suggested interventions include better information before screening...

  18. 全数字化乳腺摄影常见伪影与对策探讨%Artifacts Found in Full-field Digital Mammography and Corresponding Disposal

    Institute of Scientific and Technical Information of China (English)

    康静霞

    2011-01-01

    Objective: To study artifacts found in full-field digital mammography (FFDM) and apply the effective means to avoid them in order to improve image quality and provide favourable information for clinical diagnosis.Methods: The categories and causes of mammry artifacts found in 3000 patients( 12000 pictures) obtained from 2007.06 to 2009.06 by using GE senographe DS, Kodak dry laser printer and Kodak dry view were analyzed retrospectively.Results: Artifical artifacts 100 images(0.8%); Printer artifacts 30 images (0.25%); Imaging plate artifacts 12 images (0.1%); Grid artifacts 10 images (0.008%)and any other artifacts 6 images (0.005%).Conclusions: The artifacts can be efficiently restrained or eliminatd ifthe factors that induce artifacts are correctly recognized and the effective means are applied.%目的:探讨全数字化乳腺摄影(FFDM)中常见伪影的形成与消除方法,以减少或消除乳腺检查时产生的伪影,达到改善图像的质量,为诊断提供良好的影像资料.方法:回顾性分析2007年6月至2009年6月使用GE senographe DS钼铑双靶数字成像设备、柯达8900干式激光打印机、柯达干式激光片行3000例次(图像12000幅)乳腺摄影,产生伪影的种类及其原因.结果:人为伪影100幅(0.8%);打印机伪影30幅(0.25%);成像板伪影12幅(0.1%);滤线栅伪影10幅(0.08%);其他伪影6幅(0.05%).结论:正确认识各种常见伪影及其产生的原因,才能充分地利用各种技术,来有效地抑制或消除伪影,提高图像质量.

  19. A uniqueness result for propagation-based phase contrast imaging from a single measurement

    CERN Document Server

    Maretzke, Simon

    2014-01-01

    Phase contrast imaging seeks to reconstruct the complex refractive index of an unknown sample from scattering intensities, measured for example under illumination with coherent X-rays. By incorporating refraction, this method yields improved contrast compared to purely absorption-based radiography but involves a phase retrieval problem which, in general, allows for ambiguous reconstructions. In this paper, we show uniqueness of propagation-based phase contrast imaging for compactly supported objects in the near field regime, based on a description by the projection- and paraxial approximations. In this setting, propagation is governed by the Fresnel propagator and the unscattered part of the illumination function provides a known reference wave at the detector which facilitates phase reconstruction. The uniqueness theorem is derived using the theory of entire functions. Unlike previous results based on exact solution formulae, it is valid for arbitrary complex objects and requires intensity measurements only ...

  20. SR biomedical imaging with phase-contrast and fluorescent x-ray CT

    Science.gov (United States)

    Takeda, Tohoru; Wu, Jin; Yoneyama, Akio; Tsuchiya, Yoshinori; Lwin, Thet-Thet; Hirai, Yasuharu; Kuroe, Taichi; Yuasa, Tetsuya; Hyodo, Kazuyaki; Dilmanian, F. A.; Akatsuka, Takao

    2004-10-01

    New synchrotron x-ray CT system with phase-contrast and fluorescent techniques are being developed for biomedical researches with the high-contrast and high-spatial resolution. We have applied these techniques for in-vivo and ex-vivo imaging. The phase-contrast x-ray CT (PCCT) was a highly sensitive imaging technique to depict the morphological information of the soft tissue in biological object, whereas fluorescent x-ray CT (FXCT) could depict the functional information concerning to specific heavy atomic number elements at very low content. Thus, the success of in-vivo imaging by PCCT and FXCT allows starting new approach to bio-imaging researches.

  1. High resolution laboratory grating-based x-ray phase-contrast CT

    Science.gov (United States)

    Viermetz, Manuel P.; Birnbacher, Lorenz J. B.; Fehringer, Andreas; Willner, Marian; Noel, Peter B.; Pfeiffer, Franz; Herzen, Julia

    2017-03-01

    Grating-based phase-contrast computed tomography (gbPC-CT) is a promising imaging method for imaging of soft tissue contrast without the need of any contrast agent. The focus of this study is the increase in spatial resolution without loss in sensitivity to allow visualization of pathologies comparable to the convincing results obtained at the synchrotron. To improve the effective pixel size a super-resolution reconstruction based on subpixel shifts involving a deconvolution of the image is applied on differential phase-contrast data. In our study we could achieve an effective pixel sizes of 28mm without any drawback in terms of sensitivity or the ability to measure quantitative data.

  2. Phase-contrast CT: fundamental theorem and fast image reconstruction algorithms

    Science.gov (United States)

    Bronnikov, Andrei V.

    2006-08-01

    Phase-contrast x-ray computed tomography (CT) is an emerging imaging technique that can be implemented at third generation synchrotron radiation sources or by using a microfocus x-ray tube. Promising experimental results have recently been obtained in material science and biological applications. At the same time, the lack of a mathematical theory comparable to that of conventional absorption-based CT limits the progress in this field. We suggest such a theory and prove a fundamental theorem that plays the same role for phase-contrast CT as the Fourier slice theorem does for absorption-based CT. The fundamental theorem allows us to derive fast image reconstruction algorithms in the form of filtered backprojection (FBP).

  3. CO2-based in-line phase contrast imaging of small intestine in mice

    Science.gov (United States)

    Tang, Rongbiao; Li, Wei-Xia; Huang, Wei; Yan, Fuhua; Chai, Wei-Min; Yang, Guo-Yuan; Chen, Ke-Min

    2013-07-01

    The objective of this study was to explore the potential of CO2 single contrast in-line phase contrast imaging (PCI) for pre-clinical small intestine investigation. The absorption and phase contrast images of CO2 gas production were attained and compared. A further increase in image contrast was observed in PCI. Compared with CO2-based absorption contrast imaging (ACI), CO2-based PCI significantly enhanced the detection of mucosal microstructures, such as pits and folds. The CO2-based PCI could provide sufficient image contrast for clearly showing the intestinal mucosa in living mice without using barium. We concluded that CO2-based PCI might be a novel and promising imaging method for future studies of gastrointestinal disorders.

  4. Evaluation on correction factor for in-line X-ray phase contrast computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Mingli; Huang, Zhifeng; Zhang, Li; Zhang, Ran [Tsinghua Univ., Beijing (China). Dept. of Engineering Physics; Ministry of Education, Beijing (China). Key Laboratory of Particle and Radiation Imaging; Yin, Hongxia; Liu, Yunfu; Wang, Zhenchang [Capital Medical Univ., Beijing (China). Medical Imaging Center; Xiao, Tiqiao [Chinese Academy of Sciences, Shanghai (China). Shanghai Inst. of Applied Physics

    2011-07-01

    X-ray in-line phase contrast computed tomography (CT) is an effective nondestructive tool, providing 3D distribution of the refractive index of weakly absorbing low-Z object with high resolution and image contrast, especially with high-brilliance third-generation synchrotron radiation sources. Modified Bronnikov's algorithm (MBA), one of the in-line phase contrast CT reconstruction algorithms, can reconstruct the refractive index distribution of a pure phase object with a single computed tomographic data set. The key idea of the MBA is to use a correction factor in the filter function to stabilize the behavior at low frequencies. In this paper, we evaluate the influences of the correction factor to the final reconstruction results of the absorption-phase-mixed objects with analytical simulation and actual experiments. The limitations of the MBA are discussed finally. (orig.)

  5. Array illumination with minimal non-uniformity based on generalized phase contrast

    DEFF Research Database (Denmark)

    Palima, Darwin; Glückstad, Jesper

    2009-01-01

    The generalized phase contrast method (GPC) has been previously shown to be an efficient technique for generating array illumination and is thus highly suitable for such applications as dynamic multiple beam trapping and optical micromanipulation. However, projected arrays usually exhibit intensity...... roll-offs that may be undesirable for some applications. We show that the uniformity of GPC-generated array illuminations can be improved using intuitive corrections to the input spatial phase modulation, by increasing or decreasing it to respectively raise or lower the intensity of the corresponding...... output spots to improve uniformity. This is combined with matching corrections to the phase shift introduced by the phase contrast filter. Results from numerical experiments show that the array illumination uniformity error improves from over 40% to less than 1% while maintaining the efficiency prior...

  6. Propagation-based phase-contrast tomography for high-resolution lung imaging with laboratory sources

    Energy Technology Data Exchange (ETDEWEB)

    Krenkel, Martin, E-mail: mkrenke@gwdg.de; Töpperwien, Mareike; Salditt, Tim, E-mail: tsaldit@gwdg.de [Institute for X-Ray Physics, University of Göttingen, 37077 Göttingen (Germany); Dullin, Christian [Institute of Diagnostic and Interventional Radiology, University Medical Center Göttingen, 37075 Göttingen (Germany); Alves, Frauke [Institute of Diagnostic and Interventional Radiology, University Medical Center Göttingen, 37075 Göttingen (Germany); Department of Haematology and Medical Oncology, Medical Center Göttingen, 37075 Göttingen (Germany); Department of Molecular Biology of Neuronal Signals, Max-Planck-Institute of Experimental Medicine, 37075 Göttingen (Germany)

    2016-03-15

    We have performed high-resolution phase-contrast tomography on whole mice with a laboratory setup. Enabled by a high-brilliance liquid-metal-jet source, we show the feasibility of propagation-based phase contrast in local tomography even in the presence of strongly absorbing surrounding tissue as it is the case in small animal imaging of the lung. We demonstrate the technique by reconstructions of the mouse lung for two different fields of view, covering the whole organ, and a zoom to the local finer structure of terminal airways and alveoli. With a resolution of a few micrometers and the wide availability of the technique, studies of larger biological samples at the cellular level become possible.

  7. Experimental demonstration of passive coherent combining of fiber lasers by phase contrast filtering.

    Science.gov (United States)

    Jeux, François; Desfarges-Berthelemot, Agnès; Kermène, Vincent; Barthelemy, Alain

    2012-12-17

    We report experiments on a new laser architecture involving phase contrast filtering to coherently combine an array of fiber lasers. We demonstrate that the new technique yields a more stable phase-locking than standard methods using only amplitude filtering. A spectral analysis of the output beams shows that the new scheme generates more resonant frequencies common to the coupled lasers. This property can enhance the combining efficiency when the number of lasers to be coupled is large.

  8. Theoretical analysis of x-ray CT phase-contrast imaging

    Science.gov (United States)

    Feng, Sheng; Liu, Song; Zhang, Xuelong

    2008-12-01

    Recently phase contrast imaging has attracted much attention. An obvious advantage of using X-rays for imaging the internal structure of relatively thick samples lies in its high degree of penetration of solid objects. However, often leads to poor image contrast for soft tissue. Phase contrast imaging can be very useful in such situation, as the phase of the transmitted beam may often be more sensitive indicator of density of sample than convention contrast. On the other hand, Computed Tomography is the best technology in the aspect of X-rays detection. Using the technology, the detected object can be imaged to three-dimensional image, so as to observe the inner structure of object, and be convenient to the disease examination. If the phase contrast imaging can be used to the technology of Computed Tomography, the high resolution image can be gained. The technology will become the development orientation of medical image. The aim of this article was to apply the theory of X-rays phase contrast imaging to the traditional X-CT technique. For this purpose, the formula deduced from the imaging theory with parallel monochromatic X-rays illuminating the object based on the Fresnel-Kircohhof theory had been completed and a formula similar to that of the traditional X-CT reconstruction had been gained, which was Radon transform formula. At last, X-rays reconstruction simulation had been carried out according to the formula, and proved that the method could be used in clinical medical imaging. The method discussed in this paper had a very bright prospect for application.

  9. X-ray Phase Contrast Allows Three Dimensional, Quantitative Imaging of Hydrogel Implants

    OpenAIRE

    Appel, Alyssa A.; Larson, Jeffery C.; Jiang, Bin; Zhong, Zhong; Anastasio, Mark A.; Brey, Eric M.

    2015-01-01

    Three dimensional imaging techniques are needed for the evaluation and assessment of biomaterials used for tissue engineering and drug delivery applications. Hydrogels are a particularly popular class of materials for medical applications but are difficult to image in tissue using most available imaging modalities. Imaging techniques based on X-ray Phase Contrast (XPC) have shown promise for tissue engineering applications due to their ability to provide image contrast based on multiple X-ray...

  10. Synchrotron radiation phase-contrast X-ray CT imaging of acupuncture points

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Dongming; Yan, Xiaohui; Zhang, Xinyi [Fudan University, Synchrotron Radiation Research Center, State Key Laboratory of Surface Physics and Department of Physics, Shanghai (China); Liu, Chenglin [Physics Department of Yancheng Teachers' College, Yancheng (China); Dang, Ruishan [The Second Military Medical University, Shanghai (China); Xiao, Tiqiao [Chinese Academy of Sciences, Shanghai Synchrotron Radiation Facility, Shanghai Institute of Applied Physics, Shanghai (China); Zhu, Peiping [Chinese Academy of Sciences, Beijing Synchrotron Radiation Facility, Institute of High Energy Physics, Beijing (China)

    2011-08-15

    Three-dimensional (3D) topographic structures of acupuncture points were investigated by using synchrotron radiation in-line X-ray phase contrast computerized tomography. Two acupuncture points, named Zhongji (RN3) and Zusanli (ST36), were studied. We found an accumulation of microvessels at each acupuncture point region. Images of the tissues surrounding the acupuncture points do not show such kinds of structure. This is the first time that 3D images have revealed the specific structures of acupuncture points. (orig.)

  11. Generalized Phase contrast and matched filtering for speckle‐free patterned illumination

    DEFF Research Database (Denmark)

    Palima, Darwin; Bañas, Andrew Rafael; Villangca, Mark Jayson

    2013-01-01

    Generalized Phase Contrast (GPC) and matched‐filtering GPC use tandem diffractive phase elements on Fourier‐conjugate planes of a 4f optical processor to efficiently reshape incident light into a pattern that resembles the input phase modulation pattern. The synthesized patterns are inherently sp...... excitation, exhibits some robustness against light scattering and, hence, makes a promising tool for spatially precise targeting of deeper subsurface neurons using minimally speckled patterned illumination for multiphoton excitation....

  12. High-Resolution and Quantitative X-Ray Phase-Contrast Tomography for Mouse Brain Research

    Directory of Open Access Journals (Sweden)

    Yan Xi

    2015-01-01

    Full Text Available Imaging techniques for visualizing cerebral vasculature and distinguishing functional areas are essential and critical to the study of various brain diseases. In this paper, with the X-ray phase-contrast imaging technique, we proposed an experiment scheme for the ex vivo mouse brain study, achieving both high spatial resolution and improved soft-tissue contrast. This scheme includes two steps: sample preparation and volume reconstruction. In the first step, we use heparinized saline to displace the blood inside cerebral vessels and then replace it with air making air-filled mouse brain. After sample preparation, X-ray phase-contrast tomography is performed to collect the data for volume reconstruction. Here, we adopt a phase-retrieval combined filtered backprojection method to reconstruct its three-dimensional structure and redesigned the reconstruction kernel. To evaluate its performance, we carried out experiments at Shanghai Synchrotron Radiation Facility. The results show that the air-tissue structured cerebral vasculatures are highly visible with propagation-based phase-contrast imaging and can be clearly resolved in reconstructed cross-images. Besides, functional areas, such as the corpus callosum, corpus striatum, and nuclei, are also clearly resolved. The proposed method is comparable with hematoxylin and eosin staining method but represents the studied mouse brain in three dimensions, offering a potential powerful tool for the research of brain disorders.

  13. The application of phase contrast X-ray techniques for imaging Li-ion battery electrodes

    Science.gov (United States)

    Eastwood, D. S.; Bradley, R. S.; Tariq, F.; Cooper, S. J.; Taiwo, O. O.; Gelb, J.; Merkle, A.; Brett, D. J. L.; Brandon, N. P.; Withers, P. J.; Lee, P. D.; Shearing, P. R.

    2014-04-01

    In order to accelerate the commercialization of fuel cells and batteries across a range of applications, an understanding of the mechanisms by which they age and degrade at the microstructural level is required. Here, the most widely commercialized Li-ion batteries based on porous graphite based electrodes which de/intercalate Li+ ions during charge/discharge are studied by two phase contrast enhanced X-ray imaging modes, namely in-line phase contrast and Zernike phase contrast at the micro (synchrotron) and nano (laboratory X-ray microscope) level, respectively. The rate of charge cycling is directly dependent on the nature of the electrode microstructure, which are typically complex multi-scale 3D geometries with significant microstructural heterogeneities. We have been able to characterise the porosity and the tortuosity by micro-CT as well as the morphology of 5 individual graphite particles by nano-tomography finding that while their volume varied significantly their sphericity was surprisingly similar. The volume specific surface areas of the individual grains measured by nano-CT are significantly larger than the total volume specific surface area of the electrode from the micro-CT imaging, which can be attributed to the greater particle surface area visible at higher resolution.

  14. Experimental results from a preclinical X-ray phase-contrast CT scanner

    Science.gov (United States)

    Tapfer, Arne; Bech, Martin; Velroyen, Astrid; Meiser, Jan; Mohr, Jürgen; Walter, Marco; Schulz, Joachim; Pauwels, Bart; Bruyndonckx, Peter; Liu, Xuan; Sasov, Alexander; Pfeiffer, Franz

    2012-01-01

    To explore the future clinical potential of improved soft-tissue visibility with grating-based X-ray phase contrast (PC), we have developed a first preclinical computed tomography (CT) scanner featuring a rotating gantry. The main challenge in the transition from previous bench-top systems to a preclinical scanner are phase artifacts that are caused by minimal changes in the grating alignment during gantry rotation. In this paper, we present the first experimental results from the system together with an adaptive phase recovery method that corrects for these phase artifacts. Using this method, we show that the scanner can recover quantitatively accurate Hounsfield units in attenuation and phase. Moreover, we present a first tomography scan of biological tissue with complementary information in attenuation and phase contrast. The present study hence demonstrates the feasibility of grating-based phase contrast with a rotating gantry for the first time and paves the way for future in vivo studies on small animal disease models (in the mid-term future) and human diagnostics applications (in the long-term future). PMID:23019354

  15. Phase contrast micro-CT with an ultrafast laser-based x-ray source

    Science.gov (United States)

    Toth, R.; Kieffer, J. C.; Krol, A.; Fourmaux, S.; Ozaki, T.; Ye, H.; Kincaid, R. E., Jr.; Rakhman, A.

    2005-08-01

    We investigated performance of ultrafast laser-based x-ray source for phase contrast imaging in 2D projection imaging and in enhanced micro-CT imaging. Good quality images were obtained, including images of small animals, in the single energy and multiple energy, in line phase-contrast enhancing geometry using x-ray line energy matching object thickness and density. Phase information has been inferred from images obtained at the same x-ray energy but at different object-to-detector distances and also from images obtained at the same object-to-detector distance but with different K-alpha line energies. Ultrafast laser-based, compact, x-ray source is a promising technique for micro-CT systems. Its utilization might result in faster scans with lower radiation dose, better spatial and contrast resolution and also femtosecond temporal resolution. In addition, it might allow practical implementation of dual-energy and phase-contrast imaging micro-CT that is not possible with conventional micro-CT.

  16. Preliminary results from a first preclinical X-ray phase-contrast CT scanner

    Energy Technology Data Exchange (ETDEWEB)

    Velroyen, Astrid; Tapfer, Arne; Bech, Martin; Pfeiffer, Franz [Department of Physics and Institute of Medical Engineering (IMETUM), Technische Universitaet Muenchen (Germany); Pauwels, Bart; Bruyndonckx, Peter; Liu, Xuan; Sasov, Alexander [Skyscan, Kontich (Belgium)

    2012-07-01

    Conventional absorption-based X-ray imaging of biomedical samples provides only weak soft-tissue contrast. This limitation can be addressed by phase-contrast imaging, which exploits the phase shift that X-rays undergo when passing through an object. The phase shift, apparent in a minimal angular refraction of the X-ray, can be measured by grating-based interferometric methods at laboratory X-ray sources. Using this technique, improved soft-tissue contrast can be achieved and great potential for medical imaging is anticipated. As a first step towards clinical implementation, we have developed a grating-based compact preclinical phase-contrast CT scanner with rotating gantry, from which we present the first results of soft tissue samples. In particular, the effect of the rotational movement of the gantry on the interferometric image acquisition is characterized and the consequent challenges for image preprocessing and image formation are presented. First scans of biological samples clearly show the improved soft-tissue contrast and hence prove the feasibility of phase-contrast X-ray tomography with a compact rotating gantry system.

  17. A reconstruction method for cone-beam differential x-ray phase-contrast computed tomography.

    Science.gov (United States)

    Fu, Jian; Velroyen, Astrid; Tan, Renbo; Zhang, Junwei; Chen, Liyuan; Tapfer, Arne; Bech, Martin; Pfeiffer, Franz

    2012-09-10

    Most existing differential phase-contrast computed tomography (DPC-CT) approaches are based on three kinds of scanning geometries, described by parallel-beam, fan-beam and cone-beam. Due to the potential of compact imaging systems with magnified spatial resolution, cone-beam DPC-CT has attracted significant interest. In this paper, we report a reconstruction method based on a back-projection filtration (BPF) algorithm for cone-beam DPC-CT. Due to the differential nature of phase contrast projections, the algorithm restrains from differentiation of the projection data prior to back-projection, unlike BPF algorithms commonly used for absorption-based CT data. This work comprises a numerical study of the algorithm and its experimental verification using a dataset measured with a three-grating interferometer and a micro-focus x-ray tube source. Moreover, the numerical simulation and experimental results demonstrate that the proposed method can deal with several classes of truncated cone-beam datasets. We believe that this feature is of particular interest for future medical cone-beam phase-contrast CT imaging applications.

  18. Quantitative measurement of ultrasound pressure field by optical phase contrast method and acoustic holography

    Science.gov (United States)

    Oyama, Seiji; Yasuda, Jun; Hanayama, Hiroki; Yoshizawa, Shin; Umemura, Shin-ichiro

    2016-07-01

    A fast and accurate measurement of an ultrasound field with various exposure sequences is necessary to ensure the efficacy and safety of various ultrasound applications in medicine. The most common method used to measure an ultrasound pressure field, that is, hydrophone scanning, requires a long scanning time and potentially disturbs the field. This may limit the efficiency of developing applications of ultrasound. In this study, an optical phase contrast method enabling fast and noninterfering measurements is proposed. In this method, the modulated phase of light caused by the focused ultrasound pressure field is measured. Then, a computed tomography (CT) algorithm used to quantitatively reconstruct a three-dimensional (3D) pressure field is applied. For a high-intensity focused ultrasound field, a new approach that combines the optical phase contrast method and acoustic holography was attempted. First, the optical measurement of focused ultrasound was rapidly performed over the field near a transducer. Second, the nonlinear propagation of the measured ultrasound was simulated. The result of the new approach agreed well with that of the measurement using a hydrophone and was improved from that of the phase contrast method alone with phase unwrapping.

  19. Reverse projection retrieval in edge illumination x-ray phase contrast computed tomography

    Science.gov (United States)

    Hagen, Charlotte K.; Endrizzi, Marco; Diemoz, Paul C.; Olivo, Alessandro

    2016-06-01

    Edge illumination (EI) x-ray phase contrast computed tomography (CT) can provide three-dimensional distributions of the real and imaginary parts of the complex refractive index (n=1-δ +\\text{i}β ) of the sample. Phase retrieval, i.e. the separation of attenuation and refraction data from projections that contain a combination of both, is a key step in the image reconstruction process. In EI-based x-ray phase contrast CT, this is conventionally performed on the basis of two projections acquired in opposite illumination configurations (i.e. with different positions of the pre-sample mask) at each CT angle. Displacing the pre-sample mask at each projection makes the scan susceptible to motor-induced misalignment and prevents a continuous sample rotation. We present an alternative method for the retrieval of attenuation and refraction data that does not require repositioning the pre-sample mask. The method is based on the reverse projection relation published by Zhu et al (2010 Proc. Natl Acad. Sci. USA 107 13576-81) for grating interferometry-based x-ray phase contrast CT. We use this relation to derive a simplified acquisition strategy that allows acquiring data with a continuous sample rotation, which can reduce scan time when combined with a fast read-out detector. Besides discussing the theory and the necessary alignment of the experimental setup, we present tomograms obtained with reverse projection retrieval and demonstrate their agreement with those obtained with the conventional EI retrieval.

  20. Towards quantitative, atomic-resolution reconstruction of the electrostatic potential via differential phase contrast using electrons

    Energy Technology Data Exchange (ETDEWEB)

    Close, R.; Chen, Z. [School of Physics and Astronomy, Monash University, Clayton, Victoria 3800 (Australia); Shibata, N. [Institute of Engineering Innovation, School of Engineering, University of Tokyo, Tokyo 113-8656 (Japan); Findlay, S.D., E-mail: scott.findlay@monash.edu [School of Physics and Astronomy, Monash University, Clayton, Victoria 3800 (Australia)

    2015-12-15

    Differential phase contrast images in scanning transmission electron microscopy can be directly and quantitatively related to the gradient of the projected specimen potential provided that (a) the specimen can be treated as a phase object and (b) full 2D diffraction patterns as a function of probe position can be obtained. Both are challenging to achieve in atomic resolution imaging. The former is fundamentally limited by probe spreading and dynamical electron scattering, and we explore its validity domain in the context of atomic resolution differential phase contrast imaging. The latter, for which proof-of-principle experimental data sets exist, is not yet routine. We explore the extent to which more established segmented detector geometries can instead be used to reconstruct a quantitatively good approximation to the projected specimen potential. - Highlights: • Atomic-resolution differential phase contrast (DPC) imaging explored via simulation. • Phase-object approximation limits quantification to specimens a few nanometers thick. • Segmented detectors give good estimates of the diffraction pattern's first moment.

  1. High-Resolution and Quantitative X-Ray Phase-Contrast Tomography for Mouse Brain Research.

    Science.gov (United States)

    Xi, Yan; Lin, Xiaojie; Yuan, Falei; Yang, Guo-Yuan; Zhao, Jun

    2015-01-01

    Imaging techniques for visualizing cerebral vasculature and distinguishing functional areas are essential and critical to the study of various brain diseases. In this paper, with the X-ray phase-contrast imaging technique, we proposed an experiment scheme for the ex vivo mouse brain study, achieving both high spatial resolution and improved soft-tissue contrast. This scheme includes two steps: sample preparation and volume reconstruction. In the first step, we use heparinized saline to displace the blood inside cerebral vessels and then replace it with air making air-filled mouse brain. After sample preparation, X-ray phase-contrast tomography is performed to collect the data for volume reconstruction. Here, we adopt a phase-retrieval combined filtered backprojection method to reconstruct its three-dimensional structure and redesigned the reconstruction kernel. To evaluate its performance, we carried out experiments at Shanghai Synchrotron Radiation Facility. The results show that the air-tissue structured cerebral vasculatures are highly visible with propagation-based phase-contrast imaging and can be clearly resolved in reconstructed cross-images. Besides, functional areas, such as the corpus callosum, corpus striatum, and nuclei, are also clearly resolved. The proposed method is comparable with hematoxylin and eosin staining method but represents the studied mouse brain in three dimensions, offering a potential powerful tool for the research of brain disorders.

  2. High-energy x-ray grating-based phase-contrast radiography of human anatomy

    Science.gov (United States)

    Horn, Florian; Hauke, Christian; Lachner, Sebastian; Ludwig, Veronika; Pelzer, Georg; Rieger, Jens; Schuster, Max; Seifert, Maria; Wandner, Johannes; Wolf, Andreas; Michel, Thilo; Anton, Gisela

    2016-03-01

    X-ray grating-based phase-contrast Talbot-Lau interferometry is a promising imaging technology that has the potential to raise soft tissue contrast in comparison to conventional attenuation-based imaging. Additionally, it is sensitive to attenuation, refraction and scattering of the radiation and thus provides complementary and otherwise inaccessible information due to the dark-field image, which shows the sub-pixel size granularity of the measured object. Until recent progress the method has been mainly limited to photon energies below 40 keV. Scaling the method to photon energies that are sufficient to pass large and spacious objects represents a challenging task. This is caused by increasing demands regarding the fabrication process of the gratings and the broad spectra that come along with the use of polychromatic X-ray sources operated at high acceleration voltages. We designed a setup that is capable to reach high visibilities in the range from 50 to 120 kV. Therefore, spacious and dense parts of the human body with high attenuation can be measured, such as a human knee. The authors will show investigations on the resulting attenuation, differential phase-contrast and dark-field images. The images experimentally show that X-ray grating-based phase-contrast radiography is feasible with highly absorbing parts of the human body containing massive bones.

  3. Regularized Newton Methods for X-ray Phase Contrast and General Imaging Problems

    CERN Document Server

    Maretzke, Simon; Krenkel, Martin; Salditt, Tim; Hohage, Thorsten

    2015-01-01

    Like many other advanced imaging methods, x-ray phase contrast imaging and tomography require mathematical inversion of the observed data to obtain real-space information. While an accurate forward model describing the generally nonlinear image formation from a given object to the observations is often available, explicit inversion formulas are typically not known. Moreover, the measured data might be insufficient for stable image reconstruction, in which case it has to be complemented by suitable a priori information. In this work, regularized Newton methods are presented as a general framework for the solution of such ill-posed nonlinear imaging problems. For a proof of principle, the approach is applied to x-ray phase contrast imaging in the near-field propagation regime. Simultaneous recovery of the phase- and amplitude from a single near-field diffraction pattern is demonstrated for the first time. The presented methods further permit all-at-once phase contrast tomography, i.e. simultaneous phase retriev...

  4. A phase contrast cytomorphometric study of squames of normal oral mucosa and oral leukoplakia: Original study

    Directory of Open Access Journals (Sweden)

    Afreen Nadaf

    2014-01-01

    Full Text Available Oral leukoplakia represents the most common potentially malignant oral disorder, representing 85% of such lesions. The worldwide prevalence of leukoplakia is 1.5- 4.3%. Leukoplakia is often associated with carcinogenic exposures, such as from use of tobacco, alcohol or betel nut. The level of risk for malignant transformation of leukoplakia is associated with lesion histology. The overall malignant transformation rates for dysplastic lesions range from 11% to 36%, depending on the length of follow-up. Exfoliative cytology is a simple and minimally invasive method. Phase contrast microscope, an essential tool in the field of biology and medical research provides improved discrimination of cellular details. Aims: To study and compare the cytomorphological and cytomorphometric features of squames obtained from the mucosa of normal individuals, tobacco habituates with and without clinically evident leukoplakia. To assess the role of phase contrast microscopy as an alternative and easy method of cytological evaluation of wet and unstained smears. Materials and Methods: Fifty cases from each group were taken. Fixed, unstained smears were viewed under phase contrast microscope and were evaluated morphologically and morphometrically for nuclear and cellular diameters. Results: The study showed a significant increase in the mean nuclear diameter and decrease in the mean cellular diameter. Conclusion: Cytomorphometric changes could be the earliest indicators of cellular alterations. This indicates that there could be a cause-effect relationship between tobacco and quantitative alterations.

  5. BIRADS classification in mammography.

    Science.gov (United States)

    Balleyguier, Corinne; Ayadi, Salma; Van Nguyen, Kim; Vanel, Daniel; Dromain, Clarisse; Sigal, Robert

    2007-02-01

    The Breast Imaging Report and Data System (BIRADS) of the American College of Radiology (ACR) is today largely used in most of the countries where breast cancer screening is implemented. It is a tool defined to reduce variability between radiologists when creating the reports in mammography, ultrasonography or MRI. Some changes in the last version of the BIRADStrade mark have been included to reduce the inaccuracy of some categories, especially for category 4. The BIRADStrade mark includes a lexicon and descriptive diagrams of the anomalies, recommendations for the mammographic report as well as councils and examples of mammographic cases. This review describes the mammographic items of the BIRADS classification with its more recent developments, while detailing the advantages and limits of this classification.

  6. Phase-Contrast Micro-Computed Tomography Measurements of the Intraocular Pressure-Induced Deformation of the Porcine Lamina Cribrosa.

    Science.gov (United States)

    Coudrillier, Baptiste; Geraldes, Diogo M; Vo, Nghia T; Atwood, Robert; Reinhard, Christina; Campbell, Ian C; Raji, Yazdan; Albon, Julie; Abel, Richard L; Ethier, C Ross

    2016-04-01

    The lamina cribrosa (LC) is a complex mesh-like tissue in the posterior eye. Its biomechanical environment is thought to play a major role in glaucoma, the second most common cause of blindness. Due to its small size and relative inaccessibility, high-resolution measurements of LC deformation, important in characterizing LC biomechanics, are challenging. Here we present a novel noninvasive imaging method, which enables measurement of the three-dimensional deformation of the LC caused by acute elevation of intraocular pressure (IOP). Posterior segments of porcine eyes were imaged using synchrotron radiation phase contrast micro-computed tomography (PC μCT) at IOPs between 6 and 37 mmHg. The complex trabecular architecture of the LC was reconstructed with an isotropic spatial resolution of 3.2 μm. Scans acquired at different IOPs were analyzed with digital volume correlation (DVC) to compute full-field deformation within the LC. IOP elevation caused substantial tensile, shearing and compressive devformation within the LC, with maximum tensile strains at 30 mmHg averaging 5.5%, and compressive strains reaching 20%. We conclude that PC μCT provides a novel high-resolution method for imaging the LC, and when combined with DVC, allows for full-field 3D measurement of ex vivo LC biomechanics at high spatial resolution.

  7. Large-area full field x-ray differential phase-contrast imaging using 2D tiled gratings

    Science.gov (United States)

    Schröter, Tobias J.; Koch, Frieder J.; Kunka, Danays; Meyer, Pascal; Tietze, Sabrina; Engelhardt, Sabine; Zuber, Marcus; Baumbach, Tilo; Willer, Konstantin; Birnbacher, Lorenz; Prade, Friedrich; Pfeiffer, Franz; Reichert, Klaus-Martin; Hofmann, Andreas; Mohr, Jürgen

    2017-06-01

    Grating-based x-ray differential phase-contrast imaging (DPCI) is capable of acquiring information based on phase-shift and dark-field signal, in addition to conventional x-ray absorption-contrast. Thus DPCI gives an advantage to investigate composite materials with component wise similar absorption properties like soft tissues. Due to technological challenges in fabricating high quality gratings over a large extent, the field of view (FoV) of the imaging systems is limited to a grating area of a couple of square centimeters. For many imaging applications (e.g. in medicine), however, a FoV that ranges over several ten centimeters is needed. In this manuscript we propose to create large area gratings of theoretically any extent by assembling a number of individual grating tiles. We discuss the precision needed for alignment of each microstructure tile in order to reduce image artifacts and to preserve minimum 90% of the sensitivity obtainable with a monolithic grating. To achieve a reliable high precision alignment a semiautomatic assembly system consisting of a laser autocollimator, a digital microscope and a force sensor together with positioning devices was built. The setup was used to tile a first four times four analyzer grating with a size of 200 mm  ×  200 mm together with a two times two phase grating. First imaging results prove the applicability and quality of the tiling concept.

  8. Uncertainty modeling for ontology-based mammography annotation with intelligent BI-RADS scoring.

    Science.gov (United States)

    Bulu, Hakan; Alpkocak, Adil; Balci, Pinar

    2013-05-01

    This paper presents an ontology-based annotation system and BI-RADS (Breast Imaging Reporting and Data System) score reasoning with Semantic Web technologies in mammography. The annotation system is based on the Mammography Annotation Ontology (MAO) where the BI-RADS score reasoning works. However, ontologies are based on crisp logic and they cannot handle uncertainty. Consequently, we propose a Bayesian-based approach to model uncertainty in mammography ontology and make reasoning possible using BI-RADS scores with SQWRL (Semantic Query-enhanced Web Rule Language). First, we give general information about our system and present details of mammography annotation ontology, its main concepts and relationships. Then, we express uncertainty in mammography and present approaches to handle uncertainty issues. System is evaluated with a manually annotated dataset DEMS (Dokuz Eylul University Mammography Set) and DDSM (Digital Database for Screening Mammography). We give the result of experimentations in terms of accuracy, sensitivity, precision and uncertainty level measures. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Breast cancer detection: radiologists' performance using mammography with and without automated whole-breast ultrasound.

    Science.gov (United States)

    Kelly, Kevin M; Dean, Judy; Lee, Sung-Jae; Comulada, W Scott

    2010-11-01

    Radiologist reader performance for breast cancer detection using mammography plus automated whole-breast ultrasound (AWBU) was compared with mammography alone. Screenings for non-palpable breast malignancies in women with radiographically dense breasts with contemporaneous mammograms and AWBU were reviewed by 12 radiologists blinded to the diagnoses; half the studies were abnormal. Readers first reviewed the 102 mammograms. The American College of Radiology (ACR) Breast Imaging Reporting and Data System (BIRADS) and Digital Mammographic Imaging Screening Trial (DMIST) likelihood ratings were recorded with location information for identified abnormalities. Readers then reviewed the mammograms and AWBU with knowledge of previous mammogram-only evaluation. We compared reader performance across screening techniques using absolute callback, areas under the curve (AUC), and figure of merit (FOM). True positivity of cancer detection increased 63%, with only a 4% decrease in true negativity. Reader-averaged AUC was higher for mammography plus AWBU compared with mammography alone by BIRADS (0.808 versus 0.701) and likelihood scores (0.810 versus 0.703). Similarly, FOM was higher for mammography plus AWBU compared with mammography alone by BIRADS (0.786 versus 0.613) and likelihood scores (0.791 versus 0.614). Adding AWBU to mammography improved callback rates, accuracy of breast cancer detection, and confidence in callbacks for dense-breasted women.

  10. Conditional-likelihood approach to material decomposition in spectral absorption-based or phase-contrast CT

    Science.gov (United States)

    Baturin, Pavlo

    2015-03-01

    Material decomposition in absorption-based X-ray CT imaging suffers certain inefficiencies when differentiating among soft tissue materials. To address this problem, decomposition techniques turn to spectral CT, which has gained popularity over the last few years. Although proven to be more effective, such techniques are primarily limited to the identification of contrast agents and soft and bone-like materials. In this work, we introduce a novel conditional likelihood, material-decomposition method capable of identifying any type of material objects scanned by spectral CT. The method takes advantage of the statistical independence of spectral data to assign likelihood values to each of the materials on a pixel-by-pixel basis. It results in likelihood images for each material, which can be further processed by setting certain conditions or thresholds, to yield a final material-diagnostic image. The method can also utilize phase-contrast CT (PCI) data, where measured absorption and phase-shift information can be treated as statistically independent datasets. In this method, the following cases were simulated: (i) single-scan PCI CT, (ii) spectral PCI CT, (iii) absorption-based spectral CT, and (iv) single-scan PCI CT with an added tumor mass. All cases were analyzed using a digital breast phantom; although, any other objects or materials could be used instead. As a result, all materials were identified, as expected, according to their assignment in the digital phantom. Materials with similar attenuation or phase-shift values (e.g., glandular tissue, skin, and tumor masses) were especially successfully when differentiated by the likelihood approach.

  11. On detector linearity and precision of beam shift detection for quantitative differential phase contrast applications.

    Science.gov (United States)

    Zweck, Josef; Schwarzhuber, Felix; Wild, Johannes; Galioit, Vincent

    2016-09-01

    Differential phase contrast is a STEM imaging mode where minute sideways deflections of the electron probe are monitored, usually by using a position sensitive device (Chapman, 1984 [1]; Lohr et al., 2012 [2]) or, alternatively in some cases, a fast camera (Müller et al., 2012 [3,4]; Yang et al., 2015 [5]; Pennycook et al., 2015 [6]) as a pixelated detector. While traditionally differential phase contrast electron microscopy was mainly focused on investigations of micro-magnetic domain structures and their specific features, such as domain wall widths, etc. (Chapman, 1984 [1]; Chapman et al., 1978, 1981, 1985 [7-9]; Sannomiya et al., 2004 [10]), its usage has recently been extended to mesoscopic (Lohr et al., 2012, 2016 [2,12]; Bauer et al., 2014 [11]; Shibata et al., 2015 [13]) and nano-scale electric fields (Shibata et al., 2012 [14]; Mueller et al., 2014 [15]). In this paper, the various interactions which can cause a beam deflection are reviewed and expanded by two so far undiscussed mechanisms which may be important for biological applications. As differential phase contrast microscopy strongly depends on the ability to detect minute beam deflections we first treat the linearity problem for an annular four quadrant detector and then determine the factors which limit the minimum measurable deflection angle, such as S/N ratio, current density, dwell time and detector geometry. Knowing these factors enables the experimenter to optimize the set-up for optimum performance of the microscope and to get a clear figure for the achievable field resolution error margins.

  12. Contrast-to-noise ratio optimization for a prototype phase-contrast computed tomography scanner

    Energy Technology Data Exchange (ETDEWEB)

    Müller, Mark, E-mail: mark-mueller@ph.tum.de; Yaroshenko, Andre; Velroyen, Astrid; Tapfer, Arne [Lehrstuhl für Biomedizinische Physik, Physik-Department & Institut für Medizintechnik, Technische Universität München, 85748 Garching (Germany); Bech, Martin [Medical Radiation Physics, Lund University, Barngatan 2:1, 221 85 Lund (Sweden); Pauwels, Bart; Bruyndonckx, Peter; Sasov, Alexander [Bruker microCT, Kartuizersweg 3B, B-2550 Kontich (Belgium); Pfeiffer, Franz [Lehrstuhl für Biomedizinische Physik, Physik-Department & Institut für Medizintechnik, Technische Universität München, 85748 Garching (Germany); Institut für diagnostische und interventionelle Radiologie, Klinikum rechts der Isar, Technische Universität München, 81675 München (Germany); Institute for Advanced Study, Technische Universität München, 85748 Garching (Germany)

    2015-12-15

    In the field of biomedical X-ray imaging, novel techniques, such as phase-contrast and dark-field imaging, have the potential to enhance the contrast and provide complementary structural information about a specimen. In this paper, a first prototype of a preclinical X-ray phase-contrast CT scanner based on a Talbot-Lau interferometer is characterized. We present a study of the contrast-to-noise ratios for attenuation and phase-contrast images acquired with the prototype scanner. The shown results are based on a series of projection images and tomographic data sets of a plastic phantom in phase and attenuation-contrast recorded with varying acquisition settings. Subsequently, the signal and noise distribution of different regions in the phantom were determined. We present a novel method for estimation of contrast-to-noise ratios for projection images based on the cylindrical geometry of the phantom. Analytical functions, representing the expected signal in phase and attenuation-contrast for a circular object, are fitted to individual line profiles of the projection data. The free parameter of the fit function is used to estimate the contrast and the goodness of the fit is determined to assess the noise in the respective signal. The results depict the dependence of the contrast-to-noise ratios on the applied source voltages, the number of steps of the phase stepping routine, and the exposure times for an individual step. Moreover, the influence of the number of projection angles on the image quality of CT slices is investigated. Finally, the implications for future imaging purposes with the scanner are discussed.

  13. 4D x-ray phase contrast tomography for repeatable motion of biological samples

    Science.gov (United States)

    Hoshino, Masato; Uesugi, Kentaro; Yagi, Naoto

    2016-09-01

    X-ray phase contrast tomography based on a grating interferometer was applied to fast and dynamic measurements of biological samples. To achieve this, the scanning procedure in the tomographic scan was improved. A triangle-shaped voltage signal from a waveform generator to a Piezo stage was used for the fast phase stepping in the grating interferometer. In addition, an optical fiber coupled x-ray scientific CMOS camera was used to achieve fast and highly efficient image acquisitions. These optimizations made it possible to perform an x-ray phase contrast tomographic measurement within an 8 min scan with density resolution of 2.4 mg/cm3. A maximum volume size of 13 × 13 × 6 mm3 was obtained with a single tomographic measurement with a voxel size of 6.5 μm. The scanning procedure using the triangle wave was applied to four-dimensional measurements in which highly sensitive three-dimensional x-ray imaging and a time-resolved dynamic measurement of biological samples were combined. A fresh tendon in the tail of a rat was measured under a uniaxial stretching and releasing condition. To maintain the freshness of the sample during four-dimensional phase contrast tomography, the temperature of the bathing liquid of the sample was kept below 10° using a simple cooling system. The time-resolved deformation of the tendon and each fascicle was measured with a temporal resolution of 5.7 Hz. Evaluations of cross-sectional area size, length of the axis, and mass density in the fascicle during a stretching process provided a basis for quantitative analysis of the deformation of tendon fascicle.

  14. Improving image quality in laboratory x-ray phase-contrast imaging

    Science.gov (United States)

    De Marco, F.; Marschner, M.; Birnbacher, L.; Viermetz, M.; Noël, P.; Herzen, J.; Pfeiffer, F.

    2017-03-01

    Grating-based X-ray phase-contrast (gbPC) is known to provide significant benefits for biomedical imaging. To investigate these benefits, a high-sensitivity gbPC micro-CT setup for small (≍ 5 cm) biological samples has been constructed. Unfortunately, high differential-phase sensitivity leads to an increased magnitude of data processing artifacts, limiting the quality of tomographic reconstructions. Most importantly, processing of phase-stepping data with incorrect stepping positions can introduce artifacts resembling Moiré fringes to the projections. Additionally, the focal spot size of the X-ray source limits resolution of tomograms. Here we present a set of algorithms to minimize artifacts, increase resolution and improve visual impression of projections and tomograms from the examined setup. We assessed two algorithms for artifact reduction: Firstly, a correction algorithm exploiting correlations of the artifacts and differential-phase data was developed and tested. Artifacts were reliably removed without compromising image data. Secondly, we implemented a new algorithm for flatfield selection, which was shown to exclude flat-fields with strong artifacts. Both procedures successfully improved image quality of projections and tomograms. Deconvolution of all projections of a CT scan can minimize blurring introduced by the finite size of the X-ray source focal spot. Application of the Richardson-Lucy deconvolution algorithm to gbPC-CT projections resulted in an improved resolution of phase-contrast tomograms. Additionally, we found that nearest-neighbor interpolation of projections can improve the visual impression of very small features in phase-contrast tomograms. In conclusion, we achieved an increase in image resolution and quality for the investigated setup, which may lead to an improved detection of very small sample features, thereby maximizing the setup's utility.

  15. Contrast-to-noise ratio optimization for a prototype phase-contrast computed tomography scanner.

    Science.gov (United States)

    Müller, Mark; Yaroshenko, Andre; Velroyen, Astrid; Bech, Martin; Tapfer, Arne; Pauwels, Bart; Bruyndonckx, Peter; Sasov, Alexander; Pfeiffer, Franz

    2015-12-01

    In the field of biomedical X-ray imaging, novel techniques, such as phase-contrast and dark-field imaging, have the potential to enhance the contrast and provide complementary structural information about a specimen. In this paper, a first prototype of a preclinical X-ray phase-contrast CT scanner based on a Talbot-Lau interferometer is characterized. We present a study of the contrast-to-noise ratios for attenuation and phase-contrast images acquired with the prototype scanner. The shown results are based on a series of projection images and tomographic data sets of a plastic phantom in phase and attenuation-contrast recorded with varying acquisition settings. Subsequently, the signal and noise distribution of different regions in the phantom were determined. We present a novel method for estimation of contrast-to-noise ratios for projection images based on the cylindrical geometry of the phantom. Analytical functions, representing the expected signal in phase and attenuation-contrast for a circular object, are fitted to individual line profiles of the projection data. The free parameter of the fit function is used to estimate the contrast and the goodness of the fit is determined to assess the noise in the respective signal. The results depict the dependence of the contrast-to-noise ratios on the applied source voltages, the number of steps of the phase stepping routine, and the exposure times for an individual step. Moreover, the influence of the number of projection angles on the image quality of CT slices is investigated. Finally, the implications for future imaging purposes with the scanner are discussed.

  16. The Phase-Contrast Imaging Instrument at the Matter in Extreme Conditions Endstation at LCLS

    CERN Document Server

    Nagler, Bob; Galtier, Eric C; Arnold, Brice; Brown, Shaughnessy B; Fry, Alan; Gleason, Arianna; Granados, Eduardo; Hashim, Akel; Hastings, Jerome B; Samberg, Dirk; Seiboth, Frank; Tavella, Franz; Xing, Zhou; Lee, Hae Ja; Schroer, Christian G

    2016-01-01

    We describe the Phase-Contrast Imaging instrument at the Matter in Extreme Conditions (MEC) endstation of the Linac Coherent Light Source. The instrument can image phenomena with a spatial resolution of a few hundreds of nanometers and at the same time reveal the atomic structure through X-ray diffraction, with a temporal resolution better than 100 femtosecond. It was specifically designed for studies relevant to High-Energy-Density Science and can monitor, e.g., shock fronts, phase transitions, or void collapses. This versatile instrument was commissioned last year and is now available to the MEC user community.

  17. Phase contrast soft x-ray microscopy using Zernike zone plates.

    Science.gov (United States)

    Sakdinawat, Anne; Liu, Yanwei

    2008-02-04

    Soft x-ray Zernike phase contrast microscopy was implemented using a "Zernike zone plate" (ZZP) without the use of a separate phase filter in the back focal plane. The ZZP is a single optic that integrates the appropriate +/-pi/2 radians phase shift through selective zone placement shifts in a Fresnel zone plate. Imaging using a regular zone plate, positive ZZP, and negative ZZP was performed at a wavelength of lambda = 2.163 nm. Contrast enhancement with the positive ZZP and contrast reversal with the negative ZZP were observed.

  18. Quantitative Evaluation Methods of In-Line X-Ray Phase Contrast Techniques

    Institute of Scientific and Technical Information of China (English)

    LI Zheng; LI Cheng-Quan; YU Ai-Min

    2007-01-01

    By revealing the relationship between edge visibility and imaging parameters in in-line phase contrast imaging (PCI), we propose a method to quantitatively measure the contribution of absorption and phase shift from acquired images. We also prove that edge visibility will grow with the increasing source-object distance and object-detector distance. The result is validated by relative phase factor and by experiments conducted on a microfocus x-ray source. This method provides a new approach to evaluate in-line PCI images and is helpful for deciding imaging parameters.

  19. Wavefront sensing based on phase contrast theory and coherent optical processing

    Science.gov (United States)

    Lei, Huang; Qi, Bian; Chenlu, Zhou; Tenghao, Li; Mali, Gong

    2016-07-01

    A novel wavefront sensing method based on phase contrast theory and coherent optical processing is proposed. The wavefront gradient field in the object plane is modulated into intensity distribution in a gang of patterns, making high-density detection available. By applying the method, we have also designed a wavefront sensor. It consists of a classical coherent optical processing system, a CCD detector array, two pieces of orthogonal composite sinusoidal gratings, and a mechanical structure that can perform real-time linear positioning. The simulation results prove and demonstrate the validity of the method and the sensor in high-precision measurement of the wavefront gradient field.

  20. Ultrafast, high resolution, phase contrast imaging of impact response with synchrotron radiation

    Directory of Open Access Journals (Sweden)

    B. J. Jensen

    2012-03-01

    Full Text Available Understanding the dynamic response of materials at extreme conditions requires diagnostics that can provide real-time, in situ, spatially resolved measurements on the nanosecond timescale. The development of methods such as phase contrast imaging (PCI typically used at synchrotron sources offer unique opportunities to examine dynamic material response. In this work, we report ultrafast, high-resolution, dynamic PCI measurements of shock compressed materials with 3 μm spatial resolution using a single 60 ps synchrotron X-ray bunch. These results firmly establish the use of PCI to examine dynamic phenomena at ns to μs timescales.

  1. Diffractive generalized phase contrast for adaptive phase imaging and optical security

    DEFF Research Database (Denmark)

    Palima, Darwin; Glückstad, Jesper

    2012-01-01

    We analyze the properties of Generalized Phase Contrast (GPC) when the input phase modulation is implemented using diffractive gratings. In GPC applications for patterned illumination, the use of a dynamic diffractive optical element for encoding the GPC input phase allows for onthe- fly...... optimization of the input aperture parameters according to desired output characteristics. For wavefront sensing, the achieved aperture control opens a new degree of freedom for improving the accuracy of quantitative phase imaging. Diffractive GPC input modulation also fits well with grating-based optical...

  2. Optical phase encryption by phase contrast using electrically addressed spatial light modulator

    Science.gov (United States)

    Nishchal, Naveen Kumar; Joseph, Joby; Singh, Kehar

    2003-03-01

    We report the use of an electrically addressed liquid crystal spatial light modulator (EALCSLM) operating in the phase mode as a phase-contrast filter (PCF). As an application, an optical phase encryption system has been implemented. We encrypt and decrypt a two-dimensional phase image obtained from an amplitude image. Encrypted image is holographically recorded in a Barium titanate crystal and is then decrypted by generating through phase conjugation, a conjugate of the encrypted image. The decrypted phase image is converted into an amplitude image using an EASLM as a PCF. The idea has been supported by the experimental results.

  3. Extracting optical scattering properties on the basis of phase contrast images for diagnosing stomach cancer

    Science.gov (United States)

    Li, Zhifang; Li, Hui; Zhang, Hui; Lin, Xiaona; Chen, Wei R.

    2013-04-01

    We combine morphological granulometry with Mie theory in order to analyze phase contrast images of biomedical tissue for cancer diagnosis. This method correlates microscopic phase distributions of the tissue image and macroscopic optical scattering properties of the tissue. Our results show that the particle size density distribution can be used to quantitatively identify morphological changes of cancerous stomach tissues. Our method can distinguish normal tissue from cancerous tissues, using the significant differences in scattering coefficient, reduced scattering coefficient and phase function. Therefore, this method can provide not only quantitative information for the diagnosis of cancer, but also accurate optical scattering parameters for photothermal therapy for cancer.

  4. Phase-only spatial light modulation by the reverse phase contrast method

    DEFF Research Database (Denmark)

    Glückstad, J.; Mogensen, P.C.; Eriksen, R.L.

    2002-01-01

    A new approach to phase-only spatial light modulation is proposed in which a given amplitude pattern can be converted into a spatially identical binary phase pattern. A spatial filtering approach is applied to transform spatial amplitude modulation into spatial phase modulation using the Reverse...... Phase Contrast (RPC) method. The analytical method for achieving this is outlined and experimental results are shown for the generation of a binary phase-only distribution using an amplitude spatial light modulator and a phase-only spatial filter....

  5. Source effects in analyzer-based X-ray phase contrast imaging with conventional sources

    Energy Technology Data Exchange (ETDEWEB)

    Hoennicke, M. G. [Universidade Federal da Integracao Latino-Americana, 85867-970 Foz do Iguacu, PR (Brazil); Manica, J. [Universidade Estadual do Oeste do Parana, 85867-970 Foz do Iguacu, PR (Brazil); Mazzaro, I.; Cusatis, C. [LORXI, Departamento de Fisica, Universidade Federal do Parana, Caixa Postal 19091, 81531-990 Curitiba, PR (Brazil); Huang, X.-R. [Advanced Photon Source, Argonne National Laboratory, Argonne, Illinois 60439 (United States)

    2012-11-15

    Several recent papers have shown the implementation of analyzer based X-ray phase contrast imaging (ABI) with conventional X-ray sources. The high flux is always a requirement to make the technique useful for bio-medical applications. Here, we present and discuss three important parameters, which need to be taken into account, when searching for the high flux ABI: anisotropic magnification, double image, and source size spread due to intrinsic dispersive diffraction by asymmetrically cut crystals. These parameters, if not well optimized, may cause important features in the acquired images which can mislead the interpretation. A few ways to minimize these effects are implemented and discussed, including some experimental results.

  6. Overdiagnosis in screening mammography in Denmark

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Blichert-Toft, Mogens

    2013-01-01

    To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography.......To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography....

  7. 数字钼靶X线摄影结合触诊在乳腺病变诊断中的价值%Diagnostic value of digital mammography X-ray and palpation in breast lesions

    Institute of Scientific and Technical Information of China (English)

    彭晓澜; 郑青霞

    2011-01-01

    Objective To discuss the diagnostic value of mammography X-ray and palpation in benign and malignant lesions of breast. Methods One hundred and twelve breast lesions comfirmed by operations and pathological diagnosis during June 2008 to 2010 were collected, and the mammography X-ray performance in benign and malignant lesions of breast were retropectly analyed. Results The mammography X-ray performance could be taken as a reference to the qualitative diagnosis of benign and malignant lesions. Palpation was simple and had more intuitive and comprehensive understanding for patients. Conclusion Mammography X-ray performance and palpating in benign and malignant lesions qualitative diagnosis plays a complementary roles.%目的 探讨数字钼靶X线摄影结合触诊在乳腺病变的定性诊断价值.方法 收集2008-2010-06经手术和病理证实的112个乳腺病变资料,对钼靶X线诊断及触诊检查的良恶性病变进行回顾性分析.结果 钼靶X线表现可作为乳腺病变良恶性定性诊断的有效的检查手段,触诊检查简单易行,对患者有一个更直观和全面的认识.结论 钼靶X线表现及触诊在良恶性病变的定性诊断中起着互补的作用.

  8. First small-animal in-vivo phase-contrast micro-CT scanner

    Science.gov (United States)

    Pauwels, B.; Bruyndonckx, P.; Liu, X.; Tapfer, A.; Velroyen, A.; Yaroshenko, A.; Bech, M.; Pfeiffer, F.; Sasov, A.

    2012-10-01

    We have developed a compact grating-based in-vivo phase-contrast micro-CT system with a rotating gantry. The 50 W microfocus x-ray source operates with 20 to 50 kV peak energy. The length of the rotating interferometer is around 47 cm. Pixel size in the object is 30 micron; the field of view is approx. 35 mm in diameter, suited to image a mouse. The interferometer consists of three gratings: an absorption grating close to the x-ray source, a phase grating to introduce a π/2 phase shift and an absorption analyzer grating positioned at the first fractional Talbot distance. Numerous drives and actuators are used to provide angular and linear grating alignment, phase stepping and object/gantry precision positioning. Phantom studies were conducted to investigate performance, accuracy and stability of the scanner. In particular, the influences of gantry rotation and of temperature fluctuations on the interferometric image acquisition were characterized. Also dose measurements were performed. The first imaging results obtained with the system show the complementary nature of phase-contrast micro-CT images with respect to absorption-based micro-CT. Future improvements, necessary to optimize the scanner for in-vivo small-animal CT scanning on a regular and easy-to-use basis, are also discussed.

  9. Quantitative imaging of electron density and effective atomic number using phase contrast CT

    Energy Technology Data Exchange (ETDEWEB)

    Qi Zhihua; Zambelli, Joseph; Bevins, Nicholas; Chen Guanghong, E-mail: gchen7@wisc.ed [Department of Medical Physics, University of Wisconsin-Madison, WI 53705 (United States)

    2010-05-07

    Compared to single energy CT, which only provides information for x-ray linear attenuation coefficients, dual-energy CT is able to obtain both the electron density and effective atomic number for different materials in a quantitative way. In this study, as an alternative to dual-energy CT, a novel quantitative imaging method based on phase contrast CT is presented. Rather than requiring two projection data sets with different x-ray energy spectra, diffraction-grating-based phase contrast CT is capable of reconstructing images of both linear attenuation and refractive index decrement from the same projection data using a single x-ray energy spectra. From the two images, quantitative information of both the electron density and effective atomic number can be extracted. Two physical phantoms were constructed and used to validate the presented method. Experimental results demonstrate that (1) electron density can be accurately determined from refractive index decrement through a linear relationship, and (2) the effective atomic number can be explicitly derived from the ratio of the linear attenuation to refractive index decrement using a power function plus a constant. The presented method will provide insight into the technique of material separation and find its use in medical and industrial applications.

  10. Quantitative imaging of electron density and effective atomic number using phase contrast CT

    Science.gov (United States)

    Qi, Zhihua; Zambelli, Joseph; Bevins, Nicholas; Chen, Guang-Hong

    2010-05-01

    Compared to single energy CT, which only provides information for x-ray linear attenuation coefficients, dual-energy CT is able to obtain both the electron density and effective atomic number for different materials in a quantitative way. In this study, as an alternative to dual-energy CT, a novel quantitative imaging method based on phase contrast CT is presented. Rather than requiring two projection data sets with different x-ray energy spectra, diffraction-grating-based phase contrast CT is capable of reconstructing images of both linear attenuation and refractive index decrement from the same projection data using a single x-ray energy spectra. From the two images, quantitative information of both the electron density and effective atomic number can be extracted. Two physical phantoms were constructed and used to validate the presented method. Experimental results demonstrate that (1) electron density can be accurately determined from refractive index decrement through a linear relationship, and (2) the effective atomic number can be explicitly derived from the ratio of the linear attenuation to refractive index decrement using a power function plus a constant. The presented method will provide insight into the technique of material separation and find its use in medical and industrial applications.

  11. A novel quantitative imaging technique for material differentiation based on differential phase contrast CT

    Science.gov (United States)

    Qi, Zhihua; Zambelli, Joseph; Bevins, Nicholas; Chen, Guang-Hong

    2010-04-01

    Compared to single energy CT, which provides information only about the x-ray linear attenuation coefficients, dual energy CT is able to obtain the electron density and effective atomic number for different materials in a quantitative way. In this study, as an alternative to dual energy CT, a novel quantitative imaging method based on phase contrast CT is described. Rather than requiring two scans with different x-ray photon energies, diffraction grating-based phase contrast CT is capable of reconstructing images of both the linear attenuation and refractive index decrement from a single scan. From the two images, quantitative information of both the electron density and effective atomic number can be extracted. Experimental results demonstrate that: (1) electron density can be accurately determined from refractive index decrement through a linear relationship; and (2) effective atomic number can be explicitly derived from the ratio of linear attenuation to refractive index decrement, using a simple function, i.e., a power function plus a constant. The presented method will shed insight into the field of material separation and find its use in medical and non-medical applications.

  12. Microdissection of Human Esophagogastric Junction Wall with Phase-contrast X-ray CT Imaging

    Science.gov (United States)

    Zhang, Jianfa; Zhou, Guangzhao; Tian, Dongping; Lin, Runhua; Peng, Guanyun; Su, Min

    2015-01-01

    Phase-contrast x-ray imaging using an x-ray interferometer has great potential to reveal the structures inside soft tissues, because the sensitivity of this method to hydrogen, carbon, nitrogen, and oxygen is about 1000 times higher than that of the absorption-contrast x-ray method. In this study, we used phase-contrast X-ray CT to investigate human resected esophagogastric junction. This technology revealed the three-layer structure of the esophagogastric junction wall—mucous, submucosa and muscular layers. The mucous and muscular layers were clearly separated by a loose submucosa layer with a honeycomb appearance. The shape of the mucous and muscular layers was intact. The boundary between the mucous and submucosa layers was distinct, as was the border of the muscular and submucosa layers. The surface of the esophagogastric junction was displayed clearly through 3D reconstruction. The technology might be helpful in the diagnosis of esophagogastric junction lesion, especially for the early adenocarcinoma. PMID:26346099

  13. Segmentation and Tracking of Lymphocytes Based on Modified Active Contour Models in Phase Contrast Microscopy Images

    Directory of Open Access Journals (Sweden)

    Yali Huang

    2015-01-01

    Full Text Available The paper proposes an improved active contour model for segmenting and tracking accurate boundaries of the single lymphocyte in phase-contrast microscopic images. Active contour models have been widely used in object segmentation and tracking. However, current external-force-inspired methods are weak at handling low-contrast edges and suffer from initialization sensitivity. In order to segment low-contrast boundaries, we combine the region information of the object, extracted by morphology gray-scale reconstruction, and the edge information, extracted by the Laplacian of Gaussian filter, to obtain an improved feature map to compute the external force field for the evolution of active contours. To alleviate initial location sensitivity, we set the initial contour close to the real boundaries by performing morphological image processing. The proposed method was tested on live lymphocyte images acquired through the phase-contrast microscope from the blood samples of mice, and comparative experimental results showed the advantages of the proposed method in terms of the accuracy and the speed. Tracking experiments showed that the proposed method can accurately segment and track lymphocyte boundaries in microscopic images over time even in the presence of low-contrast edges, which will provide a good prerequisite for the quantitative analysis of lymphocyte morphology and motility.

  14. X-ray phase-contrast tomography for high-spatial-resolution zebrafish muscle imaging

    Science.gov (United States)

    Vågberg, William; Larsson, Daniel H.; Li, Mei; Arner, Anders; Hertz, Hans M.

    2015-11-01

    Imaging of muscular structure with cellular or subcellular detail in whole-body animal models is of key importance for understanding muscular disease and assessing interventions. Classical histological methods for high-resolution imaging methods require excision, fixation and staining. Here we show that the three-dimensional muscular structure of unstained whole zebrafish can be imaged with sub-5 μm detail with X-ray phase-contrast tomography. Our method relies on a laboratory propagation-based phase-contrast system tailored for detection of low-contrast 4-6 μm subcellular myofibrils. The method is demonstrated on 20 days post fertilization zebrafish larvae and comparative histology confirms that we resolve individual myofibrils in the whole-body animal. X-ray imaging of healthy zebrafish show the expected structured muscle pattern while specimen with a dystrophin deficiency (sapje) displays an unstructured pattern, typical of Duchenne muscular dystrophy. The method opens up for whole-body imaging with sub-cellular detail also of other types of soft tissue and in different animal models.

  15. Teachable, high-content analytics for live-cell, phase contrast movies.

    Science.gov (United States)

    Alworth, Samuel V; Watanabe, Hirotada; Lee, James S J

    2010-09-01

    CL-Quant is a new solution platform for broad, high-content, live-cell image analysis. Powered by novel machine learning technologies and teach-by-example interfaces, CL-Quant provides a platform for the rapid development and application of scalable, high-performance, and fully automated analytics for a broad range of live-cell microscopy imaging applications, including label-free phase contrast imaging. The authors used CL-Quant to teach off-the-shelf universal analytics, called standard recipes, for cell proliferation, wound healing, cell counting, and cell motility assays using phase contrast movies collected on the BioStation CT and BioStation IM platforms. Similar to application modules, standard recipes are intended to work robustly across a wide range of imaging conditions without requiring customization by the end user. The authors validated the performance of the standard recipes by comparing their performance with truth created manually, or by custom analytics optimized for each individual movie (and therefore yielding the best possible result for the image), and validated by independent review. The validation data show that the standard recipes' performance is comparable with the validated truth with low variation. The data validate that the CL-Quant standard recipes can provide robust results without customization for live-cell assays in broad cell types and laboratory settings.

  16. Absorption and Phase Contrast X-Ray Imaging in Paleontology Using Laboratory and Synchrotron Sources.

    Science.gov (United States)

    Bidola, Pidassa; Stockmar, Marco; Achterhold, Klaus; Pfeiffer, Franz; Pacheco, Mírian L A F; Soriano, Carmen; Beckmann, Felix; Herzen, Julia

    2015-10-01

    X-ray micro-computed tomography (μCT) is commonly used for imaging of samples in biomedical or materials science research. Owing to the ability to visualize a sample in a nondestructive way, X-ray μCT is perfectly suited to inspect fossilized specimens, which are mostly unique or rare. In certain regions of the world where important sedimentation events occurred in the Precambrian geological time, several fossilized animals are studied to understand questions related to their origin, environment, and life evolution. This article demonstrates the advantages of applying absorption and phase-contrast CT on the enigmatic fossil Corumbella werneri, one of the oldest known animals capable of building hard parts, originally discovered in Corumbá (Brazil). Different tomographic setups were tested to visualize the fossilized inner structures: a commercial laboratory-based μCT device, two synchrotron-based imaging setups using conventional absorption and propagation-based phase contrast, and a commercial X-ray microscope with a lens-coupled detector system, dedicated for radiography and tomography. Based on our results we discuss the strengths and weaknesses of the different imaging setups for paleontological studies.

  17. Laser light-field fusion for wide-field lensfree on-chip phase contrast nanoscopy

    CERN Document Server

    Kazemzadeh, Farnoud

    2016-01-01

    Wide-field lensfree on-chip microscopy, which leverages holography principles to capture interferometric light-field encodings without lenses, is an emerging imaging modality with widespread interest given the large field-of-view compared to lens-based techniques. Nanoscopy is often synonymous with high equipment costs and limited FOV. In this study, we introduce the idea of laser light-field fusion for lensfree on-chip phase contrast nanoscopy, where interferometric laser light-field encodings acquired using an on-chip setup with laser pulsations at different wavelengths are fused to produce marker-free phase contrast images with resolving power below the pixel pitch of the sensor array as well as the wavelength of the probing light source, beyond the diffraction limit. Experimental results demonstrate, for the first time, a lensfree on-chip instrument successfully detecting 500 nm nanoparticles without any specialized or intricate sample preparation or the use of synthetic aperture- or lateral shift-based t...

  18. Cine phase-contrast magnetic resonance imaging for analysis of flow phenomena in experimental aortic dissection.

    Science.gov (United States)

    Iwai, F; Sostman, H D; Evans, A J; Nadel, S N; Hedlund, L W; Beam, C A; Charles, H C; Spritzer, C E

    1991-12-01

    Using a 1.5 T magnetic resonance imaging (MRI) system, cine phase-contrast and magnitude images were obtained in three phantoms that simulated different anatomic configurations of aortic dissection. The dissection phantoms were made of compliant materials, and pulsatile flow was used in all experiments. Phantoms differed only in the location of the fenestration between the true and false lumens (I: an upstream "entry" only, II: both upstream "entry" and downstream "re-entry," and III: a downstream "entry" only). Flow jets, flap motion, and wave propagation were clearly visualized in cine MR images of each phantom, and quantitatively analyzed with reference to the stimulated cardiac cycle of the pump. Flow in the false lumen was always bidirectional. Upstream and downstream flow waves collided and dispersed within the false lumen. Flow through the false lumen was the same in phantoms I and II, and least in phantom III. The average area of the true lumen was largest in phantom III and smallest in I. Phantom I had the highest overall flow rate in the false lumen and greatest change in false lumen size during the cardiac cycle, while the downstream "entry" phantom had the lowest of both parameters. Flow phenomena in aortic dissections can be studied by cine phase-contrast MRI.

  19. Quantitative X-Ray Phase-Contrast Microtomography from a Compact Laser Driven Betatron Source

    CERN Document Server

    Wenz, J; Khrennikov, K; Bech, M; Thibault, P; Heigoldt, M; Pfeiffer, F; Karsch, S

    2014-01-01

    X-ray phase-contrast imaging has recently led to a revolution in resolving power and tissue contrast in biomedical imaging, microscopy and materials science. The necessary high spatial coherence is currently provided by either large-scale synchrotron facilities with limited beamtime access or by microfocus X-ray tubes with rather limited flux. X-rays radiated by relativistic electrons driven by well-controlled high-power lasers offer a promising route to a proliferation of this powerful imaging technology. A laser-driven plasma wave accelerates and wiggles electrons, giving rise to brilliant keV X-ray emission. This so-called Betatron radiation is emitted in a collimated beam with excellent spatial coherence and remarkable spectral stability. Here we present the first phase-contrast micro-tomogram revealing quantitative electron density values of a biological sample using betatron X-rays, and a comprehensive source characterization. Our results suggest that laser-based X-ray technology offers the potential fo...

  20. Segmentation of the Clustered Cells with Optimized Boundary Detection in Negative Phase Contrast Images.

    Directory of Open Access Journals (Sweden)

    Yuliang Wang

    Full Text Available Cell image segmentation plays a central role in numerous biology studies and clinical applications. As a result, the development of cell image segmentation algorithms with high robustness and accuracy is attracting more and more attention. In this study, an automated cell image segmentation algorithm is developed to get improved cell image segmentation with respect to cell boundary detection and segmentation of the clustered cells for all cells in the field of view in negative phase contrast images. A new method which combines the thresholding method and edge based active contour method was proposed to optimize cell boundary detection. In order to segment clustered cells, the geographic peaks of cell light intensity were utilized to detect numbers and locations of the clustered cells. In this paper, the working principles of the algorithms are described. The influence of parameters in cell boundary detection and the selection of the threshold value on the final segmentation results are investigated. At last, the proposed algorithm is applied to the negative phase contrast images from different experiments. The performance of the proposed method is evaluated. Results show that the proposed method can achieve optimized cell boundary detection and highly accurate segmentation for clustered cells.

  1. Segmentation of the Clustered Cells with Optimized Boundary Detection in Negative Phase Contrast Images.

    Science.gov (United States)

    Wang, Yuliang; Zhang, Zaicheng; Wang, Huimin; Bi, Shusheng

    2015-01-01

    Cell image segmentation plays a central role in numerous biology studies and clinical applications. As a result, the development of cell image segmentation algorithms with high robustness and accuracy is attracting more and more attention. In this study, an automated cell image segmentation algorithm is developed to get improved cell image segmentation with respect to cell boundary detection and segmentation of the clustered cells for all cells in the field of view in negative phase contrast images. A new method which combines the thresholding method and edge based active contour method was proposed to optimize cell boundary detection. In order to segment clustered cells, the geographic peaks of cell light intensity were utilized to detect numbers and locations of the clustered cells. In this paper, the working principles of the algorithms are described. The influence of parameters in cell boundary detection and the selection of the threshold value on the final segmentation results are investigated. At last, the proposed algorithm is applied to the negative phase contrast images from different experiments. The performance of the proposed method is evaluated. Results show that the proposed method can achieve optimized cell boundary detection and highly accurate segmentation for clustered cells.

  2. Preliminary Research on Dual-Energy X-Ray Phase-Contrast Imaging

    CERN Document Server

    Han, Huajie; Gao, Kun; Wang, Zhili; Zhang, Can; Yang, Meng; Zhang, Kai; Zhu, Peiping

    2015-01-01

    Dual-energy X-ray absorptiometry (DEXA) has been widely applied to measure bone mineral density (BMD) and soft-tissue composition of human body. However, the use of DEXA is greatly limited for low-Z materials such as soft tissues due to their weak absorption. While X-ray phase-contrast imaging (XPCI) shows significantly improved contrast in comparison with the conventional standard absorption-based X-ray imaging for soft tissues. In this paper, we propose a novel X-ray phase-contrast method to measure the area density of low-Z materials, including a single-energy method and a dual-energy method. The single-energy method is for the area density calculation of one low-Z material, while the dual-energy method is aiming to calculate the area densities of two low-Z materials simultaneously. Comparing the experimental and simulation results with the theoretic ones, the new method proves to have the potential to replace DEXA in area density measurement. The new method sets the prerequisites for future precise and lo...

  3. Absorption and Phase Contrast X-Ray Imaging in Paleontology Using Laboratory and Synchrotron Sources

    Energy Technology Data Exchange (ETDEWEB)

    Bidola, Pidassa; Stockmar, Marco; Achterhold, Klaus; Pfeiffer, Franz; Pacheco, Mirian L.A.F.; Soriano, Carmen; Beckmann, Felix; Herzen, Julia

    2015-10-01

    X-ray micro-computed tomography (CT) is commonly used for imaging of samples in biomedical or materials science research. Owing to the ability to visualize a sample in a nondestructive way, X-ray CT is perfectly suited to inspect fossilized specimens, which are mostly unique or rare. In certain regions of the world where important sedimentation events occurred in the Precambrian geological time, several fossilized animals are studied to understand questions related to their origin, environment, and life evolution. This article demonstrates the advantages of applying absorption and phase-contrast CT on the enigmatic fossil Corumbella werneri, one of the oldest known animals capable of building hard parts, originally discovered in Corumba (Brazil). Different tomographic setups were tested to visualize the fossilized inner structures: a commercial laboratory-based CT device, two synchrotron-based imaging setups using conventional absorption and propagation-based phase contrast, and a commercial X-ray microscope with a lens-coupled detector system, dedicated for radiography and tomography. Based on our results we discuss the strengths and weaknesses of the different imaging setups for paleontological studies.

  4. Comparison of laboratory grating-based and speckle-tracking x-ray phase-contrast imaging

    Science.gov (United States)

    Romell, J.; Zhou, T.; Zdora, M.; Sala, S.; Koch, F. J.; Hertz, H. M.; Burvall, A.

    2017-06-01

    Phase-contrast imaging with x-rays is a developing field for imaging weakly absorbing materials. In this work, two phase-contrast imaging methods, grating- and speckle-based imaging, that measure the derivative of the phase shift, have been implemented with a laboratory source and compared experimentally. It was found that for the same dose conditions, the speckle-tracking differential phase-contrast images have considerably higher contrast-to-noise ratio than the grating-based images, but at the cost of lower resolution. Grating-based imaging performs better in terms of resolution, but would require longer exposure times, mainly due to absorption in the grating interferometer.

  5. 乳腺单纯簇状钙化灶数字化钼铑双靶X线摄影的影像表现及临床价值%IMAGING PERFORMANCE AND CLINICAL VALUE OF ISOLATED CLUSTERED MICROCALCIFICATIONS IN BREST BY DIGITAL MOLYBDENUM AND RHODIUM DOUBLE - TARGETED X - RAY MAMMOGRAPHY

    Institute of Scientific and Technical Information of China (English)

    陈健; 徐海峰; 牛广明

    2011-01-01

    目的:应用数字化钼铑双靶摄影观察乳腺内局灶性单纯簇状微钙化灶的影像表现,探讨其诊断及治疗价值.方法:使用GE Senographe2000D全数字钼铑双靶乳腺摄影机,全自动曝光条件,常规头尾位、侧斜位或加撮侧位对乳腺1.0cm2内单纯簇状钙化灶进行定位诊断后行手术治疗.对部分较小簇状钙化灶术后病灶组织再摄片确定钙化灶切除是否完整.对其中3例微小钙化灶术后摄片同时针刺定位以助病理切片.结果:21例25个钙化灶中,簇状微细钙化19例23个病灶;分支状钙化灶1例1个病灶,粗细不均钙化灶1例1个病灶.经手术、病理证实为浸润型