Ultrasound mammography

Abstract

We introduce a near-field formulation of the acoustic field scattered by a soft tissue organ. This derivation is based on the Huygens–Fresnel principle that describes the scattered field as the result of the interferential scheme of all the secondary spherical waves. This leads us to define a new Fourier transform which yields a spectrum whose harmonic components have an elliptical spatial support. Based on these projections, we define an Elliptical Radon transform that enables us to reconstruct either the impedance or the celerity maps of an acoustical model characterized in terms of impedance and celerity fluctuations. The formulation is very similar to that developed in the far-field domain where the Radon transform pair is derived from an harmonic plane wave decomposition. This formulation allows us to introduce the Ductal Tomography, following the example of the Ductal Echography, that provides a systematic inspection of each mammary lobe, in order to reveal breast lesions at an early stage. In order to review the performances obtained with current echographs in view of specific experiment (numerical simulations), we develop a computer phantom that gains in realism. This 2-D anatomical phantom is an axial cut of the ductolobular structure corresponding to a daisy-like internal arrangement with petals (lobes) radiating around the nipple, for healthy and pathological situations. The different constitutive tissues and ducts are characterized in terms of density and celerity parameters whose spatial distributions are defined with specific random density laws. The use of a velocity–pressure formulation permits us to model time domain acoustic wave propagation. Broadband US pulses are transmitted and measured in diffraction around the breast with a ring antenna, the images are reconstructed using the elliptical back-projection-based procedure mentioned above.