32 research outputs found
Mammography
In this volume, the topics are constructed from a variety of contents: the bases of mammography systems, optimization of screening mammography with reference to evidence-based research, new technologies of image acquisition and its surrounding systems, and case reports with reference to up-to-date multimodality images of breast cancer. Mammography has been lagged in the transition to digital imaging systems because of the necessity of high resolution for diagnosis. However, in the past ten years, technical improvement has resolved the difficulties and boosted new diagnostic systems. We hope that the reader will learn the essentials of mammography and will be forward-looking for the new technologies. We want to express our sincere gratitude and appreciation?to all the co-authors who have contributed their work to this volume
Caracterizacio虂n de Patrones Anormales en Mamografi虂as
Abstract. Computer-guided image interpretation is an extensive research area whose main purpose is to provide tools to support decision-making, for which a large number of automatic techniques have been proposed, such as, feature extraction, pattern recognition, image processing, machine learning, among others. In breast cancer, the results obtained at this area, they have led to the development of diagnostic support systems, which have even been approved by the FDA (Federal Drug Administration). However, the use of those systems is not widely extended in clinic scenarios, mainly because their performance is unstable and poorly reproducible. This is due to the high variability of the abnormal patterns associated with this neoplasia. This thesis addresses the main problem associated with the characterization and interpretation of breast masses and architectural distortion, mammographic findings directly related to the presence of breast cancer with higher variability in their form, size and location. This document introduces the design, implementation and evaluation of strategies to characterize abnormal patterns and to improve the mammographic interpretation during the diagnosis process. The herein proposed strategies allow to characterize visual patterns of these lesions and the relationship between them to infer their clinical significance according to BI-RADS (Breast Imaging Reporting and Data System), a radiologic tool used for mammographic evaluation and reporting. The obtained results outperform some obtained by methods reported in the literature both tasks classification and interpretation of masses and architectural distortion, respectively, demonstrating the effectiveness and versatility of the proposed strategies.Resumen. La interpretaci贸n de im谩genes guiada por computador es una 谩rea extensa de investigaci贸n cuyo objetivo principal es proporcionar herramientas para el soporte a la toma de decisiones, para lo cual se han usado un gran n煤mero de t茅cnicas de extracci贸n de caracter铆sticas, reconocimiento de patrones, procesamiento de im谩genes, aprendizaje de m谩quina, entre otras. En el c谩ncer de mama, los resultados obtenidos en esta 谩rea han dado lugar al desarrollo de sistemas de apoyo al diagn贸stico que han sido incluso aprobados por la FDA (Federal Drug Administration). Sin embargo, el uso de estos sistemas no es ampliamente extendido, debido principalmente, a que su desempe帽o resulta inestable y poco reproducible frente a la alta variabilidad de los patrones anormales asociados a esta neoplasia. Esta tesis trata el principal problema asociado a la caracterizaci贸n y an谩lisis de masas y distorsi贸n de la arquitectura debido a que son hallazgos directamente relacionados con la presencia de c谩ncer y que usualmente presentan mayor variabilidad en su forma, tama帽o y localizaci贸n, lo que altera los resultados diagn贸sticos. Este documento introduce el dise帽o, implementaci贸n y evaluaci贸n de un conjunto de estrategias para caracterizar patrones anormales relacionados con este tipo de hallazgos para mejorar la interpretaci贸n y soportar el diagn贸stico mediante la imagen mamaria. Los modelos aqu铆 propuestos permiten caracterizar patrones visuales y la relaci贸n entre estos para inferir su significado cl铆nico seg煤n el est谩ndar BI-RADS (Breast Imaging Reporting and Data System) usado para la evaluaci贸n y reporte mamogr谩fico. Los resultados obtenidos han demostrado mejorar a los resultados obtenidos por los m茅todos reportados en la literatura en tareas como clasificaci贸n e interpretaci贸n de masas y distorsi贸n arquitectural, demostrando la efectividad y versatilidad de las estrategia propuestas.Doctorad
Characterising pattern asymmetry in pigmented skin lesions
Abstract. In clinical diagnosis of pigmented skin lesions asymmetric pigmentation is often indicative of
melanoma. This paper describes a method and measures for characterizing lesion symmetry. The estimate of
mirror symmetry is computed first for a number of axes at different degrees of rotation with respect to the
lesion centre. The statistics of these estimates are the used to assess the overall symmetry. The method is
applied to three different lesion representations showing the overall pigmentation, the pigmentation pattern,
and the pattern of dermal melanin. The best measure is a 100% sensitive and 96% specific indicator of
melanoma on a test set of 33 lesions, with a separate training set consisting of 66 lesions
Characterization of alar ligament on 3.0T MRI: a cross-sectional study in IIUM Medical Centre, Kuantan
INTRODUCTION: The main purpose of the study is to compare the normal anatomy of alar
ligament on MRI between male and female. The specific objectives are to assess the prevalence
of alar ligament visualized on MRI, to describe its characteristics in term of its course, shape and
signal homogeneity and to find differences in alar ligament signal intensity between male and
female. This study also aims to determine the association between the heights of respondents
with alar ligament signal intensity and dimensions.
MATERIALS & METHODS: 50 healthy volunteers were studied on 3.0T MR scanner
Siemens Magnetom Spectra using 2-mm proton density, T2 and fat-suppression sequences. Alar
ligament is depicted in 3 planes and the visualization and variability of the ligament courses,
shapes and signal intensity characteristics were determined. The alar ligament dimensions were
also measured.
RESULTS: Alar ligament was best depicted in coronal plane, followed by sagittal and axial
planes. The orientations were laterally ascending in most of the subjects (60%), predominantly
oval in shaped (54%) and 67% showed inhomogenous signal. No significant difference of alar
ligament signal intensity between male and female respondents. No significant association was
found between the heights of the respondents with alar ligament signal intensity and dimensions.
CONCLUSION: Employing a 3.0T MR scanner, the alar ligament is best portrayed on coronal
plane, followed by sagittal and axial planes. However, tremendous variability of alar ligament as
depicted in our data shows that caution needs to be exercised when evaluating alar ligament,
especially during circumstances of injury
Case series of breast fillers and how things may go wrong: radiology point of view
INTRODUCTION: Breast augmentation is a procedure opted by women to overcome sagging
breast due to breastfeeding or aging as well as small breast size. Recent years have shown the
emergence of a variety of injectable materials on market as breast fillers. These injectable
breast fillers have swiftly gained popularity among women, considering the minimal
invasiveness of the procedure, nullifying the need for terrifying surgery. Little do they know
that the procedure may pose detrimental complications, while visualization of breast
parenchyma infiltrated by these fillers is also deemed substandard; posing diagnostic
challenges. We present a case series of three patients with prior history of hyaluronic acid and
collagen breast injections.
REPORT: The first patient is a 37-year-old lady who presented to casualty with worsening
shortness of breath, non-productive cough, central chest pain; associated with fever and chills
for 2-weeks duration. The second patient is a 34-year-old lady who complained of cough, fever
and haemoptysis; associated with shortness of breath for 1-week duration. CT in these cases
revealed non thrombotic wedge-shaped peripheral air-space densities.
The third patient is a 37鈥恲ear鈥恛ld female with right breast pain, swelling and redness for 2-
weeks duration. Previous collagen breast injection performed 1 year ago had impeded
sonographic visualization of the breast parenchyma. MRI breasts showed multiple non-
enhancing round and oval shaped lesions exhibiting fat intensity.
CONCLUSION: Radiologists should be familiar with the potential risks and hazards as well
as limitations of imaging posed by breast fillers such that MRI is required as problem-solving
tool