Purpose: To demonstrate the utility of high-resolution micro-computed tomography (μCT) for determining ground-truth size and shape properties of calcium grains for evaluation of detection performance in breast CT (bCT).
Approach: Calcium carbonate grains (∼200 μm) were suspended in 1% agar solution to emulate microcalcifications (μCalcs) within a fibroglandular tissue background. Ground-truth imaging was performed on a commercial μCT scanner and was used for assessing calcium-grain size and shape, and for generating μCalc signal profiles. Calcium grains were placed within a realistic breast-shaped phantom and imaged on a prototype bCT system at 3- and 6-mGy mean glandular dose (MGD) levels, and the non-prewhitening detectability was assessed. Additionally, the μCT-derived signal profiles were used in conjunction with the bCT system characterization (MTF and NPS) to obtain predictions of bCT detectability.
Results: Estimated detectability of the calcium grains on the bCT system ranged from 2.5 to 10.6 for 3 mGy and from 3.8 to 15.3 for 6 mGy with large fractions of the grains meeting the Rose criterion for visibility. Segmentation of μCT images based on morphological operations produced accurate results in terms of segmentation boundaries and segmented region size. A regression model linking bCT detectability to μCalc parameters indicated significant effects of μCalc size and vertical position within the breast phantom. Detectability using μCT-derived detection templates and bCT statistical properties (MTF and NPS) were in good correspondence with those measured directly from bCT (R2 > 0.88).
Conclusions: Parameters derived from μCT ground-truth data were shown to produce useful characterizations of detectability when compared to estimates derived directly from bCT. Signal profiles derived from μCT imaging can be used in conjunction with measured or hypothesized statistical properties to evaluate the performance of a system, or system component, that may not currently be available.
Purpose: A computer-aided diagnosis (CADx) system for breast masses is proposed, which incorporates both handcrafted and convolutional radiomic features embedded into a single deep learning model.
Approach: The model combines handcrafted and convolutional radiomic signatures into a multi-view architecture, which retrieves three-dimensional (3D) image information by simultaneously processing multiple two-dimensional mass patches extracted along different planes through the 3D mass volume. Each patch is processed by a stream composed of two concatenated parallel branches: a multi-layer perceptron fed with automatically extracted handcrafted radiomic features, and a convolutional neural network, for which discriminant features are learned from the input patches. All streams are then concatenated together into a final architecture, where all network weights are shared and the learning occurs simultaneously for each stream and branch. The CADx system was developed and tested for diagnosis of breast masses (N = 284) using image datasets acquired with independent dedicated breast computed tomography systems from two different institutions. The diagnostic classification performance of the CADx system was compared against other machine and deep learning architectures adopting handcrafted and convolutional approaches, and three board-certified breast radiologists.
Results: On a test set of 82 masses (45 benign, 37 malignant), the proposed CADx system performed better than all other model architectures evaluated, with an increase in the area under the receiver operating characteristics curve (AUC) of 0.05 ± 0.02, and achieving a final AUC of 0.947, outperforming the three radiologists (AUC = 0.814 − 0.902).
Conclusions: In conclusion, the system demonstrated its potential usefulness in breast cancer diagnosis by improving mass malignancy assessment.
This study introduces a methodology for generating high resolution signal profiles of microcalcification (MC) grains for validating breast CT (bCT) systems. A physical MC phantom was constructed by suspending calcium carbonate grains in an agar solution emulating MCs in a fibroglandular tissue background. Additionally, small Teflon spheres (2.4 mm diameter) were embedded in the agar solution for the purpose of fiducial marking and assessment of segmentation accuracy. The MC phantom was imaged on a high resolution (34 μm) commercial small-bore μCT scanner at high dose, and the images were used as the gold-standard for assessing MC size and for generating high resolution signal profiles of each MC. High-dose bCT scans of the MC phantom suspended in-air were acquired using 1×1 binning mode (75 μm dexel pitch) by averaging three repeat scans to produce a single low-noise reconstruction of the MC phantom. The high resolution μCT volume data set was then registered with the corresponding bCT data set after correcting for the bCT system spatial resolution. Microcalcification signal profiles constructed using low-noise bCT images were found to be in good agreement with those generated using the μCT scanner with all differences <10% within the VOI surrounding each MC. The MC signal profiles were used as detection templates for a non-prewhitening-matched-filter model observer for scans acquired in a realistic breast phantom at 3, 6, and 9 mGy mean glandular dose. MC detectability using signal templates derived from bCT were shown to be in good agreement with those generated using μCT.
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