Paper
2 March 2006 Low-contrast lesion detection in tomosynthetic breast imaging using a realistic breast phantom
Lili Zhou, Jorge Oldan, Paul Fisher, Gene Gindi
Author Affiliations +
Abstract
Tomosynthesis mammography is a potentially valuable technique for detection of breast cancer. In this simulation study, we investigate the efficacy of three different tomographic reconstruction methods, EM, SART and Backprojection, in the context of an especially difficult mammographic detection task. The task is the detection of a very low-contrast mass embedded in very dense fibro-glandular tissue - a clinically useful task for which tomosynthesis may be well suited. The project uses an anatomically realistic 3D digital breast phantom whose normal anatomic variability limits lesion conspicuity. In order to capture anatomical object variability, we generate an ensemble of phantoms, each of which comprises random instances of various breast structures. We construct medium-sized 3D breast phantoms which model random instances of ductal structures, fibrous connective tissue, Cooper's ligaments and power law structural noise for small scale object variability. Random instances of 7-8 mm irregular masses are generated by a 3D random walk algorithm and placed in very dense fibro-glandular tissue. Several other components of the breast phantom are held fixed, i.e. not randomly generated. These include the fixed breast shape and size, nipple structure, fixed lesion location, and a pectoralis muscle. We collect low-dose data using an isocentric tomosynthetic geometry at 11 angles over 50 degrees and add Poisson noise. The data is reconstructed using the three algorithms. Reconstructed slices through the center of the lesion are presented to human observers in a 2AFC (two-alternative-forced-choice) test that measures detectability by computing AUC (area under the ROC curve). The data collected in each simulation includes two sources of variability, that due to the anatomical variability of the phantom and that due to the Poisson data noise. We found that for this difficult task that the AUC value for EM (0.89) was greater than that for SART (0.83) and Backprojection (0.66).
© (2006) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
Lili Zhou, Jorge Oldan, Paul Fisher, and Gene Gindi "Low-contrast lesion detection in tomosynthetic breast imaging using a realistic breast phantom", Proc. SPIE 6142, Medical Imaging 2006: Physics of Medical Imaging, 61425A (2 March 2006); https://doi.org/10.1117/12.652343
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Cited by 27 scholarly publications.
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KEYWORDS
Breast

Mammography

Reconstruction algorithms

Expectation maximization algorithms

3D modeling

Sensors

Tissues

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