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Alignment of clinical breast tomosynthesis and mechanical images : The effect of the variation in shift and rotation

Bakic, Predrag R. LU ; Zackrisson, Sophia LU ; Tingberg, Anders LU orcid and Dustler, Magnus LU (2024) 17th International Workshop on Breast Imaging, IWBI 2024 In Proceedings of SPIE - The International Society for Optical Engineering 13174.
Abstract

Simultaneous digital breast tomosynthesis and mechanical imaging (DBTMI), a novel screening approach, combines anatomic DBT with functional analysis of the stress distribution on the compressed breast by mechanical imaging (MI). Preliminary studies suggest potential to reduce false positive findings. DBTMI requires to align DBT and MI images. In this study, we have analyzed robustness to alignment variations in clinical DBTMI data. Our preliminary retrospective analysis included DBTMI of 31 women recalled from screening. We analyzed two aspects of image alignment: rotation and shift. To analyze the shift, we varied the position of suspected abnormality for ±1 cm in horizontal or vertical direction. To analyze the rotation, we varied the... (More)

Simultaneous digital breast tomosynthesis and mechanical imaging (DBTMI), a novel screening approach, combines anatomic DBT with functional analysis of the stress distribution on the compressed breast by mechanical imaging (MI). Preliminary studies suggest potential to reduce false positive findings. DBTMI requires to align DBT and MI images. In this study, we have analyzed robustness to alignment variations in clinical DBTMI data. Our preliminary retrospective analysis included DBTMI of 31 women recalled from screening. We analyzed two aspects of image alignment: rotation and shift. To analyze the shift, we varied the position of suspected abnormality for ±1 cm in horizontal or vertical direction. To analyze the rotation, we varied the angle by ±1 degree between radiographic and MI images of 18 women. We compared the relative mean pressure at the lesion area (RMPA) before and after variation. Varying the shift, we observed 14.3%±12.2% difference in RMPA. Averaged separately over biopsy confirmed benign and malignant lesions, 16.2%±14.3% and 12.4%±10.2% difference was observed, respectively. In nine of 31 analyzed datasets, the shift could potentially change the clinical findings. Varying the rotation, we observed 6.4%±4.9% difference in RMPA. Averaged over biopsy confirmed benign and malignant lesions, yielded 5.8%±4.5% and 6.4%±4.8% difference, respectively. In two of 18 DBTMI datasets, the rotational variation could change the clinical findings. The larger effect of the shift may be caused by a relatively large shift variation (±1 cm) compared to the size of detected abnormalities. Analysis of more clinical DBTMI datasets and simulation studies are ongoing.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
Breast cancer screening, image alignment, mechanical imaging (MI), performance evaluation, simultaneous breast tomosynthesis and MI
host publication
17th International Workshop on Breast Imaging, IWBI 2024
series title
Proceedings of SPIE - The International Society for Optical Engineering
editor
Giger, Maryellen L. ; Whitney, Heather M. ; Drukker, Karen and Li, Hui
volume
13174
article number
131741F
publisher
SPIE
conference name
17th International Workshop on Breast Imaging, IWBI 2024
conference location
Chicago, United States
conference dates
2024-06-09 - 2024-06-12
external identifiers
  • scopus:85195429491
ISSN
1996-756X
0277-786X
ISBN
9781510680203
DOI
10.1117/12.3026924
language
English
LU publication?
yes
id
35b82c6f-0bf7-47a4-851b-40f50b0b0681
date added to LUP
2024-09-16 10:46:26
date last changed
2024-09-16 14:00:52
@inproceedings{35b82c6f-0bf7-47a4-851b-40f50b0b0681,
  abstract     = {{<p>Simultaneous digital breast tomosynthesis and mechanical imaging (DBTMI), a novel screening approach, combines anatomic DBT with functional analysis of the stress distribution on the compressed breast by mechanical imaging (MI). Preliminary studies suggest potential to reduce false positive findings. DBTMI requires to align DBT and MI images. In this study, we have analyzed robustness to alignment variations in clinical DBTMI data. Our preliminary retrospective analysis included DBTMI of 31 women recalled from screening. We analyzed two aspects of image alignment: rotation and shift. To analyze the shift, we varied the position of suspected abnormality for ±1 cm in horizontal or vertical direction. To analyze the rotation, we varied the angle by ±1 degree between radiographic and MI images of 18 women. We compared the relative mean pressure at the lesion area (RMPA) before and after variation. Varying the shift, we observed 14.3%±12.2% difference in RMPA. Averaged separately over biopsy confirmed benign and malignant lesions, 16.2%±14.3% and 12.4%±10.2% difference was observed, respectively. In nine of 31 analyzed datasets, the shift could potentially change the clinical findings. Varying the rotation, we observed 6.4%±4.9% difference in RMPA. Averaged over biopsy confirmed benign and malignant lesions, yielded 5.8%±4.5% and 6.4%±4.8% difference, respectively. In two of 18 DBTMI datasets, the rotational variation could change the clinical findings. The larger effect of the shift may be caused by a relatively large shift variation (±1 cm) compared to the size of detected abnormalities. Analysis of more clinical DBTMI datasets and simulation studies are ongoing.</p>}},
  author       = {{Bakic, Predrag R. and Zackrisson, Sophia and Tingberg, Anders and Dustler, Magnus}},
  booktitle    = {{17th International Workshop on Breast Imaging, IWBI 2024}},
  editor       = {{Giger, Maryellen L. and Whitney, Heather M. and Drukker, Karen and Li, Hui}},
  isbn         = {{9781510680203}},
  issn         = {{1996-756X}},
  keywords     = {{Breast cancer screening; image alignment; mechanical imaging (MI); performance evaluation; simultaneous breast tomosynthesis and MI}},
  language     = {{eng}},
  publisher    = {{SPIE}},
  series       = {{Proceedings of SPIE - The International Society for Optical Engineering}},
  title        = {{Alignment of clinical breast tomosynthesis and mechanical images : The effect of the variation in shift and rotation}},
  url          = {{http://dx.doi.org/10.1117/12.3026924}},
  doi          = {{10.1117/12.3026924}},
  volume       = {{13174}},
  year         = {{2024}},
}