Breast-Lesion Characterization using Textural Features of Quantitative Ultrasound Parametric Maps

© 2017 The Author(s). This study evaluated, for the first time, the efficacy of quantitative ultrasound (QUS) spectral parametric maps in conjunction with texture-analysis techniques to differentiate non-invasively benign versus malignant breast lesions. Ultrasound B-mode images and radiofrequency data were acquired from 78 patients with suspicious breast lesions. QUS spectral-analysis techniques were performed on radiofrequency data to generate parametric maps of mid-band fit, spectral slope, spectral intercept, spacing among scatterers, average scatterer diameter, and average acoustic concentration. Texture-analysis techniques were applied to determine imaging biomarkers consisting of mean, contrast, correlation, energy and homogeneity features of parametric maps. These biomarkers were utilized to classify benign versus malignant lesions with leave-one-patient-out cross-validation. Results were compared to histopathology findings from biopsy specimens and radiology reports on MR images to evaluate the accuracy of technique. Among the biomarkers investigated, one mean-value parameter and 14 textural features demonstrated statistically significant differences (p < 0.05) between the two lesion types. A hybrid biomarker developed using a stepwise feature selection method could classify the legions with a sensitivity of 96%, a specificity of 84%, and an AUC of 0.97. Findings from this study pave the way towards adapting novel QUS-based frameworks for breast cancer screening and rapid diagnosis in clinic

Application of Fractal and Wavelets in Microcalcification Detection

Breast cancer has been recognized as one or the most frequent, malignant tumors in women, clustered microcalcifications in mammogram images has been widely recognized as an early sign of breast cancer. This work is devote to review the application of Fractal and Wavelets in microcalcifications detection

Microcalcifications Detection Using Image And Signal Processing Techniques For Early Detection Of Breast Cancer

Breast cancer has transformed into a severe health problem around the world. Early diagnosis is an important factor to survive this disease. The earliest detection signs of potential breast cancer that is distinguishable by current screening techniques are the presence of microcalcifications (MCs). MCs are small crystals of calcium apatite and their normal size ranges from 0.1mm to 0.5mm single crystals to groups up to a few centimeters in diameter. They are the first indication of breast cancer in more than 40% of all breast cancer cases, making their diagnosis critical. This dissertation proposes several segmentation techniques for detecting and isolating point microcalcifications: Otsu’s Method, Balanced Histogram Thresholding, Iterative Method, Maximum Entropy, Moment Preserving, and Genetic Algorithm. These methods were applied to medical images to detect microcalcifications. In this dissertation, results from the application of these techniques are presented and their efficiency for early detection of breast cancer is explained. This dissertation also explains theories and algorithms related to these techniques that can be used for breast cancer detection

Real-time virtual sonography in gynecology & obstetrics. literature's analysis and case series

Fusion Imaging is a latest generation diagnostic technique, designed to combine ultrasonography with a second-tier technique such as magnetic resonance imaging and computer tomography. It has been mainly used until now in urology and hepatology. Concerning gynecology and obstetrics, the studies mostly focus on the diagnosis of prenatal disease, benign pathology and cervical cancer. We provided a systematic review of the literature with the latest publications regarding the role of Fusion technology in gynecological and obstetrics fields and we also described a case series of six emblematic patients enrolled from Gynecology Department of Sant ‘Andrea Hospital, “la Sapienza”, Rome, evaluated with Esaote Virtual Navigator equipment. We consider that Fusion Imaging could add values at the diagnosis of various gynecological and obstetrics conditions, but further studies are needed to better define and improve the role of this fascinating diagnostic tool

Contrast-enhanced imaging in the biological and functional assessment of breast cancer

Contrast-enhanced MRI and ultrasound have emerged as additional imaging modalities in the management of breast cancer. This thesis examines the role these modalities currently play in the surgical management of breast cancer. Ways in which MRI may contribute to staging, diagnosis, treatment and prognosis are investigated. It was demonstrated that small additional enhancing foci on MRI, away from the primary tumour, represent in-situ or invasive cancer foci. Although their resection may result in extended wide local excisions or even unnecessary mastectomies, it was demonstrated that MRI findings do not currently influence the amount of tissue removed during breast conservation surgery. Volumetric analysis of breast MRI was proposed as an accurate objective assessment of the extent of surgery required for a particular tumour. Breast MRI was shown to be useful in the assessment of extent of residual disease during primary medical therapy but not in the detection of axillary lymph node metastases. In the second section of this thesis, the clinical application of pre-operative MRI in providing prognostic as well as diagnostic information was evaluated. Contrast- enhancement with both MRI and ultrasound is believed to depend on tumour angiogenesis but only a weak correlation was demonstrated between contrast- enhancement intensity and tumour angiogenesis. The detection of angiogenesis was applied to Doppler ultrasound using a novel microbubble ultrasound contrast agent (Levovist). Within a multicentre prospective study, Doppler ultrasound was shown to be a powerful discriminator of malignancy in suspected local recurrence. A strong correlation was found between MRI and histological assessment of tumour size but there was no correlation between enhancement intensity and other pathological prognostic variables. This thesis has shown that breast MRI is useful in pre-operative planning of surgery and provides diagnostic as well as limited prognostic information. Future proposed studies to determine the effect of MRI on patient management and patient outcome in breast cancer are considered

Novel Ultrasound Elastography Imaging System for Breast Cancer Assessment

Abstract Most conventional methods of breast cancer screening such as X-ray, Ultrasound (US) and MRI have some issues ranging from weaknesses associated with tumour detection or classification to high cost or excessive time of image acquisition and reconstruction. Elastography is a non- invasive technique to visualize suspicious areas in soft tissues such as the breast, prostate and myocardium using tissue stiffness as image contrast mechanism. In this study, a breast Elastography system based on US imaging is proposed. This technique is fast, expected to be cost effective and more sensitive and specific compared to conventional US imaging. Unlike current Elastography techniques that image relative elastic modulus, this technique is capable of imaging absolute Young\u27s modulus (YM). In this technique, tissue displacements and surface forces used to mechanically stimulate the tissue are acquired and used as input to reconstruct the tissue YM distribution. For displacements acquisition, two techniques were used in this research: 1) a modified optical flow technique, which estimates the displacement of each node from US pre- and post-compression images and 2) Radio Frequency (RF) signal cross-correlation technique. In the former, displacements are calculated in 2 dimensions whereas in the latter, displacements are calculated in the US axial direction only. For improving the quality of elastography images, surface force data was used to calculate the stress distribution throughout the organ of interest by using an analytical model and a statistical numerical model. For force data acquisition, a system was developed in which load cells are used to measure forces on the surface of the breast. These forces are input into the stress distribution models to estimate the tissue stress distribution. By combining the stress field with the strain field calculated from the acquired displacements using Hooke\u27s law, the YM can be reconstructed efficiently. To validate the proposed technique, numerical and tissue mimicking phantom studies were conducted. For the numerical phantom study, a 3D breast-shape phantom was created with synthetic US pre- and post-compression images where the results showed the feasibility of reconstructing the absolute value of YM of tumour and background. In the tissue mimicking study, a block shape gelatine- agar phantom was constructed with a cylindrical inclusion. Results obtained from this study also indicated reasonably accurate reconstruction of the YM. The quality of the obtained elasticity images shows that image quality is improved by incorporating the adapted stress calculation techniques. Furthermore, the proposed elastography system is reasonably fast and can be potentially used in real-time clinical applications