Mammography System

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Sabee Molloi - One of the best experts on this subject based on the ideXlab platform.

  • su d 204 01 dual energy calibration for breast density measurement using spectral Mammography
    Medical Physics, 2015
    Co-Authors: Huanjun Ding, N Kumar, D Sennung, Sabee Molloi
    Abstract:

    Purpose: To investigate the feasibility of minimizing the Systematic errors in dual-energy breast density quantification induced by the use of tissue-equivalent plastic phantoms as the calibration basis materials. Methods: Dual-energy calibration using tissue-equivalent plastic phantoms was performed on a spectral Mammography System based on scanning multi-slit Si strip photon-counting detectors. The plastic phantom calibration used plastic water and adipose-equivalent phantoms as the basis materials, which have different x-ray attenuation properties compared to water and lipid in actual breast tissue. Two methods were used to convert the dual-energy decomposition measurements in plastic phantom thicknesses into true water and lipid basis. The first method was based entirely on the theoretical x-ray attenuation coefficients of the investigated materials in the mammographic energy range. The conversion matrix was determined from least-squares fitting of the target material using the reported attenuation coefficients of water and lipid. The second method was developed based on experimental calibrations, which measured the low-and high-energy signals of pure water and lipid of known thicknesses. A non-linear rational function was used to correlate the decomposed thicknesses to the known values, so that the conversion coefficients can be determined. Both methods were validated using independent measurements of water and lipid mixture phantoms.more » The correlation of the dual-energy decomposition measurements and the known values were studied with linear regression analysis. Results: There was an excellent linear correlation between the converted water thicknesses and the known values. The slopes of the linear fits were determined to be 0.63 and 1.03 for the simulation and experimental results, respectively. The non-linear fitting in the experimental approach reduced the root-mean-square (RMS) errors from approximately 3.4 mm to 1.5 mm. Conclusion: The results suggested that conversion of the dual-energy measurements into water and lipid thicknesses minimized the Systematic errors in tissue decomposition studies.« less

  • quantification of breast density with spectral Mammography based on a scanned multi slit photon counting detector a feasibility study
    Physics in Medicine and Biology, 2012
    Co-Authors: Huanjun Ding, Sabee Molloi
    Abstract:

    A simple and accurate measurement of breast density is crucial for the understanding of its impact in breast cancer risk models. The feasibility to quantify volumetric breast density with a photon-counting spectral Mammography System has been investigated using both computer simulations and physical phantom studies. A computer simulation model involved polyenergetic spectra from a tungsten anode x-ray tube and a Si-based photon-counting detector has been evaluated for breast density quantification. The figure-of-merit (FOM), which was defined as the signal-to-noise ratio of the dual energy image with respect to the square root of mean glandular dose, was chosen to optimize the imaging protocols, in terms of tube voltage and splitting energy. A scanning multi-slit photon-counting spectral Mammography System has been employed in the experimental study to quantitatively measure breast density using dual energy decomposition with glandular and adipose equivalent phantoms of uniform thickness. Four different phantom studies were designed to evaluate the accuracy of the technique, each of which addressed one specific variable in the phantom configurations, including thickness, density, area and shape. In addition to the standard calibration fitting function used for dual energy decomposition, a modified fitting function has been proposed, which brought the tube voltages used in the imaging tasks as the third variable in dual energy decomposition. For an average sized 4.5 cm thick breast, the FOM was maximized with a tube voltage of 46 kVp and a splitting energy of 24 keV. To be consistent with the tube voltage used in current clinical screening exam (∼32 kVp), the optimal splitting energy was proposed to be 22 keV, which offered a FOM greater than 90% of the optimal value. In the experimental investigation, the root-mean-square (RMS) error in breast density quantification for all four phantom studies was estimated to be approximately 1.54% using standard calibration function. The results from the modified fitting function, which integrated the tube voltage as a variable in the calibration, indicated a RMS error of approximately 1.35% for all four studies. The results of the current study suggest that photon-counting spectral Mammography Systems may potentially be implemented for an accurate quantification of volumetric breast density, with an RMS error of less than 2%, using the proposed dual energy imaging technique.

  • quantification of breast arterial calcification using full field digital Mammography
    Medical Physics, 2008
    Co-Authors: Sabee Molloi, J L Ducote, Carlos Iribarren
    Abstract:

    Breast arterial calcification is commonly detected on some mammograms. Previous studies indicate that breast arterial calcification is evidence of general atherosclerotic vascular disease and it may be a useful marker of coronary artery disease. It can potentially be a useful tool for assessment of coronary artery disease in women since Mammography is widely used as a screening tool for early detection of breast cancer. However, there are currently no available techniques for quantification of calcium mass using Mammography. The purpose of this study was to determine whether it is possible to quantify breast arterial calcium mass using standard digital Mammography. An anthropomorphic breast phantom along with a vessel calcification phantom was imaged using a full field digital Mammography System. Densitometry was used to quantify calcium mass. A calcium calibration measurement was performed at each phantom thickness and beam energy. The known (K) and measured (M) calcium mass on 5 and 9 cm thickness phantoms were related by M=0.964K-0.288 mg (r=0.997 and SEE=0.878 mg) and M=1.004K+0.324 mg (r=0.994 and SEE=1.32 mg), respectively. The results indicate that accurate calcium mass measurements can be made without correction for scatter glare as long as careful calcium calibration is made for each breast thickness. Themore » results also indicate that composition variations and differences of approximately 1 cm between calibration phantom and breast thickness introduce only minimal error in calcium measurement. The uncertainty in magnification is expected to cause up to 5% and 15% error in calcium mass for 5 and 9 cm breast thicknesses, respectively. In conclusion, a densitometry technique for quantification of breast arterial calcium mass was validated using standard full field digital Mammography. The results demonstrated the feasibility and potential utility of the densitometry technique for accurate quantification of breast arterial calcium mass using standard digital Mammography.« less

Hilde Bosmans - One of the best experts on this subject based on the ideXlab platform.

  • physical evaluation of a needle photostimulable phosphor based cr Mammography System
    Medical Physics, 2012
    Co-Authors: N W Marshall, Kim Lemmens, Hilde Bosmans
    Abstract:

    Purpose: Needle phosphor based computed radiography (CR) Systems promise improved image quality compared to powder phosphor based CR units for x-ray screening Mammography. This paper compares the imaging performance of needle CR cassettes, powder based CR cassettes and a well established amorphous selenium (a-Se) based flat panel based Mammography System, using consistent beam qualities. Methods: Detector performance was assessed using modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE). Mammography System performance was assessed against levels from the European Guidelines, including threshold gold thickness (c-d), relative signal difference to noise (SdNR) and mean glandular dose, for automatic exposure control settings suggested by the manufacturers. The needle based Agfa HM5.0 CR detector was compared against the single sided readout Agfa MM3.0R and dual sided readout Fuji Profect CS powder CR plates using a 28 kV Mo/Rh spectrum, while a 28 kV W/Rh spectrum was used to compare the Agfa HM5.0 against the Siemens MAMMOMAT Inspiration a-Se based System. Results: MTF at 5 mm{sup -1} was 0.16 and 0.24 for the needle CR detector in the fast and slow scan directions, respectively, indicating a slight improvement ({approx}20%) over the two powder CR Systems but remained 50% lowermore » than the result at 5 mm{sup -1} for the a-Se detector ({approx}0.55). Structured screen noise was lower for the needle phosphor compared to the powder plates. CR System gain, estimated from the measured absorption fraction and NNPS results, was 6.3 for the (single sided) needle phosphor and 5.1 and 7.2 for the single sided and dual sided powder phosphor Systems. Peak DQE at {approx}100 {mu}Gy was 0.47 for the needle System compared to peak DQE figures of 0.33 and 0.46 for the single sided readout powder plates and dual sided readout plates. The high frequency DQE (at 5 mm{sup -1}) was 0.19 for the needle CR plates, a factor of approximately 3 greater than for the powder CR plates. At 28 kV W/Rh, 2 mm Al, peak DQE for the needle CR System was 0.45 against a value of 0.50 for the a-Se detector. The needle CR detector reached the Acceptable limit for 0.1 mm details in the European Guidelines at a mean glandular dose (MGD) of approximately 1.31 mGy imaged at 28 kV Mo/Rh, compared to figures of 2.19 and 1.43 mGy for the single sided and dual sided readout powder CR Systems. The a-Se detector could reach the limit at 0.65 mGy using a 28 kV W/Rh spectrum, while the needle CR System required 1.09 mGy for the same spectrum. Conclusions: Imaging performance for the needle CR phosphor technology, characterized using MTF and DQE and threshold gold thickness demonstrated a clear improvement compared to both single and dual sided reading powder phosphor based CR Systems.« less

  • experimental investigation on the choice of the tungsten rhodium anode filter combination for an amorphous selenium based digital Mammography System
    European Radiology, 2007
    Co-Authors: Kenneth C. Young, Paula Toroi, Federica Zanca, Chantal Van Ongeval, Guy Marchal, Hilde Bosmans
    Abstract:

    The signal difference-to-noise ratio (SDNR) between aluminium sheets and a homogeneous background was measured for various radiation qualities and breast thicknesses to determine the optimal radiation quality when using a Novation DR Mammography System. Breast simulating phantoms, with a thickness from 2 cm to 7 cm, and aluminium sheet, with a thickness of 0.2 mm, were used. Three different combinations of anode/filter material and a wide range of tube voltages were employed for each phantom thickness. Each radiation quality was studied using three different dose levels. The tungsten (W) anode and rhodium (Rh) filter combination achieved the specified SDNR at the lowest mean glandular dose for all the phantom thicknesses and X-ray tube voltages. The difference between the doses for different anode/filter combinations increased with the phantom thickness. For a 5-cm phantom, with a peak tube voltage of 27 kV and a SDNR of 5, the mean glandular dose associated with the use of W/Rh was reduced by 49% when compared to the molybdenum/molybdenum (Mo/Mo) anode/filter combination and by 33% when compared to Mo/Rh. Based on these measurements, the use of the W/Rh anode/filter can be recommended. It remains important, however, to select the appropriate dose level.

Thomas Koehler - One of the best experts on this subject based on the ideXlab platform.

  • Towards clinical grating-interferometry Mammography
    European Radiology, 2020
    Co-Authors: Carolina Arboleda, Thomas Koehler, Zhentian Wang, Konstantins Jefimovs, Udo Van Stevendaal, Norbert Kuhn, Bernd David, Sven Prevrhal, Kristina Lång, Serafino Forte
    Abstract:

    Objectives Grating-interferometry-based Mammography (GIM) might facilitate breast cancer detection, as several research works have demonstrated in a pre-clinical setting, since it is able to provide attenuation, differential phase contrast, and scattering images simultaneously. In order to translate this technique to the clinics, it has to be adapted to cover a large field-of-view within a clinically acceptable exposure time and radiation dose. Methods We set up a grating interferometer that fits into a standard Mammography System and fulfilled the aforementioned conditions. Here, we present the first mastectomy images acquired with this experimental device. Results and conclusion Our System performs at a mean glandular dose of 1.6 mGy for a 5-cm-thick, 18%-dense breast, and a field-of-view of 26 × 21 cm2. It seems to be well-suited as basis for a clinical-environment device. Further, dark-field signals seem to support an improved lesion visualization. Evidently, the effective impact of such indications must be evaluated and quantified within the context of a proper reader study. Key Points • Grating-interferometry-based Mammography (GIM) might facilitate breast cancer detection, since it is sensitive to refraction and scattering and thus provides additional tissue information. • The most straightforward way to do grating-interferometry in the clinics is to modify a standard Mammography device. • In a first approximation, the doses given with this technique seem to be similar to those of conventional Mammography.

  • slit scanning differential x ray phase contrast Mammography proof of concept experimental studies
    Medical Physics, 2015
    Co-Authors: Thomas Koehler, Udo Van Stevendaal, Norbert Kuhn, Heiner Daerr, Gerhard Martens, Stefan Loscher, Ewald Roessl
    Abstract:

    Purpose: The purpose of this work is to investigate the feasibility of grating-based, differential phase-contrast, full-field digital Mammography (FFDM) in terms of the requirements for field-of-view (FOV), mechanical stability, and scan time. Methods: A rigid, actuator-free Talbot interferometric unit was designed and integrated into a state-of-the-art x-ray slit-scanning Mammography System, namely, the Philips MicroDose L30 FFDM System. A dedicated phase-acquisition and phase retrieval method was developed and implemented that exploits the redundancy of the data acquisition inherent to the slit-scanning approach to image generation of the System. No modifications to the scan arm motion control were implemented. Results: The authors achieve a FOV of 160 × 196 mm consisting of two disjoint areas measuring 77 × 196 mm with a gap of 6 mm between them. Typical scanning times vary between 10 and 15 s and dose levels are lower than typical FFDM doses for conventional scans with identical acquisition parameters due to the presence of the source-grating G 0. Only minor to moderate artifacts are observed in the three reconstructed images, indicating that mechanical vibrations induced by other System components do not prevent the use of the platform for phase contrast imaging. Conclusions: To the best of our knowledge, this is the first attempt to integrate x-ray gratings hardware into a clinical Mammography unit. The results demonstrate that a scanning differential phase contrast FFDM System that meets the requirements of FOV, stability, scan time, and dose can be build.

  • linear image reconstruction for a diffuse optical Mammography System in a noncompressed geometry using scattering fluid
    Applied Optics, 2009
    Co-Authors: Tim Nielsen, Bernhard Brendel, Ronny Ziegler, Michiel Van Beek, Falk Uhlemann, Claas Bontus, Thomas Koehler
    Abstract:

    Diffuse optical tomography (DOT) is a potential new imaging modality to detect or monitor breast lesions. Recently, Philips developed a new DOT System capable of transmission and fluorescence imaging, where the investigated breast is hanging freely into the measurement cup containing scattering fluid. We present a fast and robust image reconstruction algorithm that is used for the transmission measurements. The algorithm is based on the Rytov approximation. We show that this algorithm can be used over a wide range of tissue optical properties if the reconstruction is adapted to each patient. We use estimates of the breast shape and average tissue optical properties to initialize the reconstruction, which improves the image quality significantly. We demonstrate the capability of the measurement System and reconstruction to image breast lesions by clinical examples.

Chuan Zhou - One of the best experts on this subject based on the ideXlab platform.

  • a comparative study of limited angle cone beam reconstruction methods for breast tomosynthesis
    Medical Physics, 2006
    Co-Authors: Yiheng Zhang, Mitchell M. Goodsitt, Heang Ping Chan, Berkman Sahiner, Jun Wei, Lubomir M Hadjiiski, Chuan Zhou
    Abstract:

    Digital tomosynthesis Mammography (DTM) is a promising new modality for breast cancer detection. In DTM, projection-view images are acquired at a limited number of angles over a limited angular range and the imaged volume is reconstructed from the two-dimensional projections, thus providing three-dimensional structural information of the breast tissue. In this work, we investigated three representative reconstruction methods for this limited-angle cone-beam tomographic problem, including the backprojection (BP) method, the simultaneous algebraic reconstruction technique (SART) and the maximum likelihood method with the convex algorithm (ML-convex). The SART and ML-convex methods were both initialized with BP results to achieve efficient reconstruction. A second generation GE prototype tomosynthesis Mammography System with a stationary digital detector was used for image acquisition. Projection-view images were acquired from 21 angles in 3° increments over a ±30° angular range. We used an American College of Radiology phantom and designed three additional phantoms to evaluate the image quality and reconstruction artifacts. In addition to visual comparison of the reconstructed images of different phantom sets, we employed the contrast-to-noise ratio (CNR), a line profile of features, an artifact spread function (ASF), a relative noise power spectrum (NPS), and a line object spread function (LOSF) to quantitatively evaluate the reconstruction results. It was found that for the phantoms with homogeneous background, the BP method resulted in less noisy tomosynthesized images and higher CNR values for masses than the SART and ML-convex methods. However, the two iterative methods provided greater contrast enhancement for both masses and calcification, sharper LOSF, and reduced inter-plane blurring and artifacts with better ASF behaviors for masses. For a contrast-detail phantom with heterogeneous tissue-mimicking background, the BP method had strong blurring artifacts along the x-ray source motion direction that obscured the contrast-detail objects, while the other two methods can remove the superimposed breast structures and significantly improve object conspicuity. With a properly selected relaxation parameter, the SART method with one iteration can provide tomosynthesized images comparable to those obtained from the ML-convex method with seven iterations, when BP results were used as initialization for both methods.

  • a comparative study of limited angle cone beam reconstruction methods for breast tomosynthesis
    Medical Physics, 2006
    Co-Authors: Yiheng Zhang, Mitchell M. Goodsitt, Heang Ping Chan, Berkman Sahiner, Jun Wei, Lubomir M Hadjiiski, Chuan Zhou
    Abstract:

    Digital tomosynthesis Mammography (DTM) is a promising new modality for breast cancer detection. In DTM, projection-view images are acquired at a limited number of angles over a limited angular range and the imaged volume is reconstructed from the two-dimensional projections, thus providing three-dimensional structural information of the breast tissue. In this work, we investigated three representative reconstruction methods for this limited-angle cone-beam tomographic problem, including the backprojection (BP) method, the simultaneous algebraic reconstruction technique (SART) and the maximum likelihood method with the convex algorithm (ML-convex). The SART and ML-convex methods were both initialized with BP results to achieve efficient reconstruction. A second generation GE prototype tomosynthesis Mammography System with a stationary digital detector was used for image acquisition. Projection-view images were acquired from 21 angles in 3 degrees increments over a +/- 30 degrees angular range. We used an American College of Radiology phantom and designed three additional phantoms to evaluate the image quality and reconstruction artifacts. In addition to visual comparison of the reconstructed images of different phantom sets, we employed the contrast-to-noise ratio (CNR), a line profile of features, an artifact spread function (ASF), a relative noise power spectrum (NPS), and a line object spread function (LOSF) to quantitatively evaluate the reconstruction results. It was found that for the phantoms with homogeneous background, the BP method resulted in less noisy tomosynthesized images and higher CNR values for masses than the SART and ML-convex methods. However, the two iterative methods provided greater contrast enhancement for both masses and calcification, sharper LOSF, and reduced interplane blurring and artifacts with better ASF behaviors for masses. For a contrast-detail phantom with heterogeneous tissue-mimicking background, the BP method had strong blurring artifacts along the x-ray source motion direction that obscured the contrast-detail objects, while the other two methods can remove the superimposed breast structures and significantly improve object conspicuity. With a properly selected relaxation parameter, the SART method with one iteration can provide tomosynthesized images comparable to those obtained from the ML-convex method with seven iterations, when BP results were used as initialization for both methods.

Idris A Elbakri - One of the best experts on this subject based on the ideXlab platform.

  • effect of scatter and an antiscatter grid on the performance of a slot scanning digital Mammography System
    Medical Physics, 2006
    Co-Authors: Sam Zhongmin Shen, Martin J. Yaffe, Aili K. Bloomquist, Gord E Mawdsley, Idris A Elbakri
    Abstract:

    The use of a grid increases perceptibility of low contrast objects in Mammography. Slot-scan Mammography provides a more dose efficient reduction of the scattered radiation reaching the detector than obtained with an antiscatter grid in screen-film or flat-panel digital Mammography. In this paper, the potential of using a grid in a slot-scan System to provide a further reduction of scattered radiation is investigated. The components of the digital signal: primary radiation, off-focus radiation, scattered radiation, and optical fluorescence glare in a CsI(Tl) detector were quantified. Based on these measurements, the primary and scatter transmission factors (Tp, Ts), scatter-to-primary ratio (SPR), signal-difference-to-noise ratio (SDNR), and the SDNR improvement factor (K(SDNR)) were obtained. Our results showed that the SPR ranged from 0.05 to 0.19 for breast thicknesses between 2 and 8 cm, respectively. The values of K(SDNR) ranged from 0.85 to 0.94. Because the slot-scanning System has an inherently low SPR, the increase in dose required when the grid is used outweighs the benefit of the small increase in SDNR. It is possible that greater benefit could be achieved by using a grid with a higher Tp, such as obtained using air-core technology.

  • automatic exposure control for a slot scanning full field digital Mammography System
    Medical Physics, 2005
    Co-Authors: Idris A Elbakri, A V Lakshminarayanan, Mike M Tesic
    Abstract:

    Automatic exposure control (AEC) is an important feature in Mammography. It enables consistently optimal image exposure despite variations in tissue density and thickness, and user skill level. Full field digital Mammography Systems cannot employ conventional AEC methods because digital receptors fully absorb the x-ray beam. In this paper we describe an AEC procedure for slot scanning Mammography. With slot scanning detectors, our approach uses a fast low-resolution and low-exposure prescan to acquire an image of the breast. Tube potential depends on breast thickness, and the prescan histogram provides the necessary information to calculate the required tube current. We validate our approach with simulated prescan images and phantom measurements. We achieve accurate exposure tracking with thickness and density, and expect this method of AEC to reduce retakes and improve workflow.