Tissue-equivalent Breast Phantoms Research Articles

3D bioheat transfer mapping reveals nanomagnetic particles effectiveness in radiofrequency hyperthermia breast cancer treatment comparing to experimental study

Radiofrequency (RF) hyperthermia has been widely used for tumor ablation since magnetic-fluid-hyperthermia (MFH) can be utilized for increasing temperature in tumor-region as a complementary-method for hyperthermia. In this study, the effectiveness of using the magnetite-nanoparticles (Fe3O4) in RF hyperthermia for breast cancer (BC) treatment by determining 3D-temperature-distribution using bioheat-transfer-mapping was evaluated. A breast-phantom with a tumor region was placed in an RF-device with 13.56 MHz frequency in different states (with and without-nanomagnetite). Parallelly, the calculations of the RF-wave and bioheat-equation were accomplished by numerical-simulation and finite-element-method (FEM) in COMSOL-software. The temperature differences were experimentally measured at different points of the phantom with a precision of 0.1 °C, with temperature of 3.6 °C and 6.1 °C in without and with nanomagnetic conditions in tumor area, respectively, and also for normal area with temperature of 1.8 °C and 1.9 °C in non-presence and presence states of 0.05 gr magnetite for both conditions, respectively. Moreover, the difference between the simulation and the experimental results was 0.54–1.1 %. The conformity between temperature measurement in experimental and simulation studies in tumor and normal areas showed the effectiveness of the application of MNPs for RF hyperthermia in tissue equivalent breast phantom. Finally, the positive effect of 0.05 gr of MNPs on BC treatment was confirmed.

Dual-energy tissue cancellation in mammography for improved detection of microcalcifications and neoplasms: A phantom study

Dual-energy mammography and the tissue-cancellation algorithm were applied to the problem of enhancing the detectability of calcifications and lesions in cluttered mammogram background. A multicomponent (plexiglass (PMMA), polypropylene (PP), water) tissue-equivalent breast phantom and a standard full-field digital mammography system operating in two of its standard operating modes (26 kVp, 40 mAs, Mo/Mo and 49 kVp, 6.3 mAs, Rh/Rh target/filter) were used. We studied to what extent the contrast between the tissue substitutes can be eliminated depending on the difference in their attenuation properties, and whether the obtained level of contrast cancellation is sufficient to unambiguously discriminate microcalcifications and inserts from the background.Mixed results were obtained. It was shown that the tissue-cancellation method can provide nearly perfect elimination of the background clutter (17-fold decrease in standard deviation) for homogeneous materials with close attenuation properties (PMMA and water) while increasing the contrast of a third material (PP, 1.7 times increase in contrast-to-noise ratio), thus facilitating its detection and delineation.However, canceling the contrast between materials with more different attenuation properties (PP and water) does not simultaneously lead to any significant enhancement of the contrast of a third material (PMMA), if its attenuation properties are close to those of either PP or water. Moreover, intrinsic inhomogeneity of the phantom constituents becomes important as it results in incomplete contrast cancellation and preservation of visually significant background clutter. Although contrast cancellation increased the signal-to-noise ratio of microcalcifications by about 33%, the relative contrast calcifications—background​ can diminish, making it possible for the remaining clutter to obscure the microcalcifications.

Comparison of the presence and non-presence states of magnetite nanoparticles in tissue-equivalent breast phantom via radiofrequency hyperthermia

Objective(s): Breast cancer is a fatal disease and the leading cause of mortality in women. Radiofrequency hyperthermia is an approach to the treatment of cancer cells through increasing their temperature. The present study aimed to investigate breast tumor ablation via radiofrequency hyperthermia in the presence and non-presence states of magnetite nanoparticles and assess the effects of magnetite nanoparticles on breast cancer treatment in hyperthermia.Materials and Methods: Radius hemisphere geometry (5 cm) was designed, which was similar to an actual breast based on the fat tissues, glandular tissues as a semi-oval embedded in the hemisphere, and a radius sphere (1 cm) as a tumor region inside. After utilization in a three-dimensional printer, each layer of the phantom was filled with a proper combination of oil-gelatin with similar dielectric and thermal properties to an actual breast. To evaluate the effects of the magnetite nanoparticles, three weights of the magnetite were added to the tumor region (0.01, 0.05, and 0.1 g). Finally, the phantom was placed in a radiofrequency device with the frequency of 13.56 MHz.Results: Temperature differences were measured at four different points of the phantom. The power and time in the treatment were estimated at 40 watts and five minutes, respectively. The temperature and specific absorption rate plots were obtained for all the states in several graphs for five minutes.The results showed that the heat generation with the utilization of the magnetite state was higher by approximately 2.5-7˚C compared to the state without magnetite. Furthermore, the temperature of 0.05 gram of magnetite indicated that without causing damage in the healthy tissues, the entire tumor region could attain adequate heat uniformly (6.1-6.4˚C). Conclusion: Therefore, it could be concluded that 0.05 gram of magnetite could cause ablation in the entire tumor region.

Monochromatic mammography using scanning multilayer X-ray mirrors.

A prototype system for breast imaging using monochromatic X-rays has been developed using a scanning multilayer X-ray mirror in combination with a conventional mammography tube and an imaging detector. The X-ray mirror produces a monochromatic fan beam tuned near 19 keV, with an energy bandpass of approximately 1.5 keV. Rotating the mirror about the tube's focal spot in synchronization with the X-ray generator and detector enables the acquisition of monochromatic X-ray images over large areas. The X-ray mirror also can be rotated completely out of the beam so that conventional polychromatic images can be acquired using a K-edge filter, facilitating direct comparison between the two modes of operation. The system was used to image synthetic, tissue-equivalent breast phantoms in order to experimentally quantify the improvements in image quality and dose that can be realized using monochromatic radiation. Nine custom phantoms spanning a range of thicknesses and glandular/adipose ratios, each containing both glandular- and calcification-equivalent features, were used to measure contrast and signal-difference-to-noise ratio (SDNR). Mean glandular dose (MGD) was computed from measured entrance exposure, and a figure-of-merit (FOM) was computed as FOM = SDNR2/MGD in each case. Monochromatic MGD ranges from 0.606 to 0.134 of polychromatic MGD for images having comparable glandular SDNR, depending on breast thickness and glandularity; relative monochromatic dose decreases with increasing glandularity for all thicknesses. Monochromatic FOM values are higher than the corresponding polychromatic FOM values in all but one case. Additionally, the monochromatic contrast for glandular features is higher than the polychromatic contrast in all but one case as well. These results represent important steps toward the realization of clinically practical monochromatic X-ray breast imaging systems having lower dose and better image quality, including those for digital mammography, digital breast tomosynthesis, contrast-enhanced spectral mammography and other modalities, for safer, more accurate breast cancer detection, diagnosis and staging.

TH-AB-209-12: Tissue Equivalent Phantom with Excised Human Tissue for Assessing Clinical Capabilities of Coherent Scatter Imaging Applications

Purpose: Previously we reported the development of anthropomorphic tissue-equivalent scatter phantoms of the human breast. Here we present the first results from the scatter imaging of the tissue equivalent breast phantoms for breast cancer diagnosis. Methods: A breast phantom was designed to assess the capability of coded aperture coherent x-ray scatter imaging to classify different types of breast tissue (adipose, fibroglandular, tumor). The phantom geometry was obtained from a prone breast geometry scanned on a dedicated breast CT system. The phantom was 3D printed using the segmented DICOM breast CT data. The 3D breast phantom was filled with lard (as a surrogate for adipose tissue) and scanned in different geometries alongside excised human breast tissues (obtained from lumpectomy and mastectomy procedures). The raw data were reconstructed using a model-based reconstruction algorithm and yielded the location and form factor (i.e., momentum transfer (q) spectrum) of the materials that were imaged. The measured material form factors were then compared to the ground truth measurements acquired by x-ray diffraction (XRD) imaging. Results: Our scatter imaging system was able to define the location and composition of the various materials and tissues within the phantom. Cancerous breast tissue was detected and classified through automated spectral matching and an 86% correlation threshold. The total scan time for the sample was approximately 10 minutes and approaches workflow times for clinical use in intra-operative or other diagnostic tasks. Conclusion: This work demonstrates the first results from an anthropomorphic tissue equivalent scatter phantom to characterize a coherent scatter imaging system. The functionality of the system shows promise in applications such as intra-operative margin detection or virtual biopsy in the diagnosis of breast cancer. Future work includes using additional patient-derived tissues (e.g., human fat), and modeling additional organs (e.g., lung).

Comprehensive assessment of the slice sensitivity profiles in breast tomosynthesis and breast CT

This study experimentally evaluated the slice sensitivity profile (SSP) and its relationship between acquisition angle, object size, and cone angle. The sensitivity profile metric was used to characterize a breast tomosynthesis system's resolution in the z-axis. The SSP was also measured on a prototype breast computed tomography (bCT) system. The SSP was measured using brass disks placed within adipose tissue-equivalent breast phantoms. The digital tomosynthesis system (Selenia Dimensions, Hologic Corporation, Bedford, MA) acquires projection images over a 15° angular range and the bCT scanner acquires projection images over a 360° angular range. Angular ranges between 15° and 360° were studied by using a subset of the projection images acquired on the bCT scanner. The SSP was determined by measuring a background-corrected mean gray scale value as a function of the z-position (axis normal to the plane of the detector). The results show that SSP improves when the angular acquisition range is increased and the SSP approaches a delta function for angles greater than 180°. Smaller objects have a narrower SSP and the SSP is not significantly dependent on the cone angle. For a 2.5, 5, 10 mm disk, the full width at half maximum of the SSP was 35, 61, 115 mm, respectively, on the tomosynthesis system (at 15°) and was 0.5 mm for all disk diameters on the bCT scanner (at 360°). The SSP is dependent on object size and angular acquisition range. These dependencies are overcome once the angular acquisition range is increased beyond 180°.

Modeling, validation and application of a mathematical tissue-equivalent breast phantom for linear slot-scanning digital mammography

This paper presents a mathematical tissue-equivalent breast phantom for linear slot-scanning digital mammography. A recently developed prototype linear slot-scanning digital mammography system was used for model validation; image quality metrics such as image contrast and contrast-to-noise ratio were calculated. The results were in good agreement with values measured using a physical breast-equivalent phantom designed for mammography. The estimated pixel intensity of the mathematical phantom, the analogue-to-digital conversion gain and the detector additive noise showed good agreement with measured values with correlation of nearly 1. An application of the model, to examine the feasibility of using a monochromatic filter for dose reduction and improvement of image quality in slot-scanning digital mammography, is presented.

Comparison of full‐field digital mammography to screen‐film mammography with respect to contrast and spatial resolution in tissue equivalent breast phantoms

To determine if the improved contrast resolution of full-field digital mammography (FFDM) with reduced spatial resolution allows for superior or equal phantom object detection compared with screen-film mammography (SFM). Tissue equivalent breast phantoms simulating an adipose to glandular ratio of 50/50,30/70, and 20/80 were imaged according to each manufacturers' recommendation with four full-field digital mammography units (Fuji, Sectra, Fischer, and General Electric) and a screen-film mammography unit (MammoMatII 2000, Siemens, Munich, Germany). A total of 20 images were obtained in both hard- and soft-copy formats. For the purpose of soft-copy display, the screen-film hard-copy images were digitized with a 50 microm micron scanner. Six radiologists, experts in breast imaging, and three physicists, experts in scoring mammography phantoms, participated in a reader study where each reader scored each phantom for visibility of line-pairs and for 24 objects (fibers, clusters of specks, and masses). The data were recorded, entered into a database, and analyzed by a mixed-effect model. The limiting spatial resolution in line-pairs per millimeter visible with the digital units was less, regardless of display modality used, than that provided by the screen-film unit. The difference was statistically significant for the General Electric (p < 0.01) and Fuji digital mammography units (p = 0.03). With respect to the number of visible objects, a statistically significant higher number could be detected with the screen-film unit as compared to the Fischer (p < 0.01) and Sectra (p < 0.01) digital mammography units, but there was no significant difference between the other digital units and screen film. Overall, there was significantly better performance on the 50/50 phantom than with the 30/70 and 20/80 phantoms (p = 0.01, p < 0.01) for object visibility. For the digital mammography units, soft-copy display performed better than hard-copy display for the Fischer and Sectra images, but worse for Fuji and General Electric. In addition, soft-copy display of digitized screen-film images was significantly better than hard-copy display (p =0.02) of the original screen films for object visibility, but worse for spatial resolution. The higher contrast resolution of the FFDM units tested did not result in improved detection of line-pair resolution or objects in the phantoms tested versus screen-film mammography. The phantom performance of a digital mammography unit seems to be influenced by the type of detection task (line-pair resolution versus object visibility), the display modality (soft-copy versus hard-copy) chosen to score the phantoms, and the parenchymal pattern composition of the phantom.

Multislice Tomographic Imaging and Analysis of Human Breast-Equivalent Phantoms and Biological Tissues

A laser transillumination tomographic system, consisting of electrical, optical, mechanical, and software components, to obtain multislice images of tissue-equivalent breast phantoms and biological tissues, is developed. The tissue-equivalent phantoms are prepared from paraffin wax mixed with wax color pigments by matching their surface backscattered profiles as measured by multiprobe laser reflectometer, with that of respective tissues. The optical parameters of these phantoms are determined by matching their reflectance profiles with that as obtained by Monte Carlo simulation of optical scattering. For multislice tomographic analysis conical breast phantoms of height 80.0 mm and 80.0 mm base diameter with inclusions of different optical properties and dimensions are developed. The resolution of the inclusions in the tomograms depends on their sizes and optical parameters. The minimum size of the inclusion as detected by this procedure in a slice of diameter 50.0 mm is 3.0 mm. The structural variation as observed in the tomograms of phantoms of combination of biological tissues indicates its possible applications in detecting the abnormalities developing in human healthy soft tissues.