A Patient-Specific Approach for Breast Cancer Detection and Tumor Localization Using Infrared Imaging

Breast cancer (BC) is the most common cancer among women in the United States; approximately one out of every 24 women die of related causes. BC screening is a critical factor for improving patient prognosis and survival rate. Infrared (IR) thermography is an accurate, inexpensive and operator independent modality that is not affected by tissue density as it captures surface temperature variations induced by the presence of tumors. A novel patient-specific approach for IR imaging and simulation is proposed. In this work, multi-view IR images of isolated breasts are obtained in the prone position (face down), which allows access to the entire breast surface because the breasts hang freely. The challenge of accurately determining size and location of tumors within the breasts is addressed through numerical simulations of a patient-specific digital breast model. The digital breast models for individual patients are created from clinical images of the breast, such as IR imaging, digital photographs or magnetic resonance images. The numerical simulations of the digital breast model are conducted using ANSYS Fluent, where computed temperature images are generated in the same corresponding views as clinical IRI images. The computed and clinical IRI images are aligned and compared to measure their match. The determination of tumor size and location was conducted through the Levenberg-Marquardt algorithm, which iteratively minimized the mean squared error. The methodology was tested on the breasts of seven patients with biopsy-proven breast cancer with tumor diameters ranging from 8 mm to 27 mm. The method successfully predicted the equivalent tumor diameter within 2 mm and the location was predicted within 6.3 mm in all cases. The time required for the estimation is 48 minutes using a 10-core, 3.41 GHz workstation. The method presented is accurate, fast and has potential to be used as an adjunct modality to mammography in BC screening, especially for dense breasts

Dynamic Thermal Imaging for Intraoperative Monitoring of Neuronal Activity and Cortical Perfusion

Neurosurgery is a demanding medical discipline that requires a complex interplay of several neuroimaging techniques. This allows structural as well as functional information to be recovered and then visualized to the surgeon. In the case of tumor resections this approach allows more fine-grained differentiation of healthy and pathological tissue which positively influences the postoperative outcome as well as the patient's quality of life. In this work, we will discuss several approaches to establish thermal imaging as a novel neuroimaging technique to primarily visualize neural activity and perfusion state in case of ischaemic stroke. Both applications require novel methods for data-preprocessing, visualization, pattern recognition as well as regression analysis of intraoperative thermal imaging. Online multimodal integration of preoperative and intraoperative data is accomplished by a 2D-3D image registration and image fusion framework with an average accuracy of 2.46 mm. In navigated surgeries, the proposed framework generally provides all necessary tools to project intraoperative 2D imaging data onto preoperative 3D volumetric datasets like 3D MR or CT imaging. Additionally, a fast machine learning framework for the recognition of cortical NaCl rinsings will be discussed throughout this thesis. Hereby, the standardized quantification of tissue perfusion by means of an approximated heating model can be achieved. Classifying the parameters of these models yields a map of connected areas, for which we have shown that these areas correlate with the demarcation caused by an ischaemic stroke segmented in postoperative CT datasets. Finally, a semiparametric regression model has been developed for intraoperative neural activity monitoring of the somatosensory cortex by somatosensory evoked potentials. These results were correlated with neural activity of optical imaging. We found that thermal imaging yields comparable results, yet doesn't share the limitations of optical imaging. In this thesis we would like to emphasize that thermal imaging depicts a novel and valid tool for both intraoperative functional and structural neuroimaging

Parametric Study of Infrared Imaging Based Breast Cancer Detection Program

Breast cancer is one of the most common cancers among women and is responsible for over 41,000 lives every year in the US according to The American Cancer Society. Current screening and imaging methods such as mammography, breast magnetic resonance imaging, and breast ultrasound imaging have helped in improving survival rate when the cancer is detected at an early stage. The problems with these techniques include: low sensitivity, patient discomfort, invasiveness, and cost. Due to current advancements in infrared and computational technologies, infrared thermography has been utilized as a noninvasive adjunctive screening modality. A computerized approach using infrared imaging (IRI) has been recently developed at RIT in collaboration with Rochester General Hospital for breast cancer detection and image localization. The parameters used in this simulation have been selected based on limited information available in the literature. This study focuses on analyzing the effects of different tissue thermal parameters used in the simulation on the accuracy of prediction. Thermal conductivity and perfusion rate are systematically varied, and their effects are presented by comparing simulated images with the actual infrared images captured from a biopsy-proven breast cancer patient. The results indicate a strong influence of perfusion rate within the breast tissue surrounding the tumor on heat transfer within the breast. This study is expected to help in proper selection of thermal properties while conducting the simulations. Future directions for research are also presented

Exergy-based Planning and Thermography-based Monitoring for energy efficient buildings - Progress Report (KIT Scientific Reports ; 7632)

Designing and monitoring energy efficiency of buildings is vital since they account for up to 40% of end-use energy. In this study, exergy analysis is investigated as a life cycle design tool to strike a balance between thermodynamic efficiency of energy conversion and economic and environmental costs of construction. Quantitative geo-referenced thermography is proposed for monitoring and quantitative assessment via continued simulation and parameter estimation during the operating phase

A Patient-Specific Infrared Imaging Technique for Adjunctive Breast Cancer Screening: A Clinical and Simulation - Based Approach

Breast cancer is currently the most prevalent form of cancer in women with over 266,000 new diagnoses every year. The various methods used for breast cancer screening range in accuracy and cost, however there is no easily reproducible, reliable, low-cost screening method currently available for detecting cancer in breasts, especially with dense tissue. Steady-state Infrared Imaging (IRI) is unaffected by tissue density and has the potential to detect tumors in the breast by measuring and capturing the thermal profile on the breast surface induced by increased blood perfusion and metabolic activity in a rapidly growing malignant tumor. The current work presents a better understanding of IRI as an accurate breast cancer detection modality. A detailed study utilizing IRI-MRI approach with clinical design and validation of an elaborate IRI-Mammo study are presented by considering patient population, clinical study design, image interpretation, and recommended future path. Clinical IRI images are obtained in this study and an ANSYS-based modeling process developed earlier at RIT is used to localize and detect tumor in seven patients without subjective human interpretation. Further, the unique thermal characteristics of tumors that make their signatures distinct from benign conditions are identified. This work is part of an ongoing multidisciplinary collaboration between a team of thermal engineers and numerical modelers at the Rochester Institute of Technology and a team of clinicians at the Rochester General Hospital. The following components were developed to ensure valid experimentation while considering ethical considerations: IRB documentation, patient protocols, an image acquisition system (camera setup and screening table), and the necessary tools needed for image analysis without human interpretation. IRI images in the prone position were obtained and were used in accurately detecting the presence of a cancerous tumor in seven subjects. The size and location of tumor was also confirmed within 7 mm as compared to biopsy-proven pathology information. The study indicates that the IRI-Mammo approach has potential to be a highly effective adjunctive screening tool that can improve the breast cancer detection rates especially for subjects with dense breast tissue. This method is low cost, no-touch, radiation-free and highly portable, making it an attractive candidate as a breast cancer detection modality. Further, the developed method provided insight into infrared features corresponding to other biological images, pathology reports and patient history

Wearable infra-red pre-screening smartbra for early detection of breast cancer

Breast cancer is the most common cancer in women worldwide, comprising 16% of all female cancers and early diagnosis remains an important detection strategy. The aim of this study was to design and implement a user-friendly SmartBra. An infra-red (IR) imaging sensor was deployed to determine the temperature profile of the breast for this application. The device was tested with approval from the Health Research Ethics  Committee of the Lagos University Teaching Hospital using healthy persons and persons already diagnosed with different stages of breast cancer. The results showed high sensitivity and specificity with good intra-examiner reliability for absolute values of mean temperature for the right breast and very good reproducibility for the left breast. Data for healthy participants revealed that the difference in absolute temperature between the left and right breast was less than 1oC, while that of the sick (cancer) participants indicated values greater than 1oC. The device is safe and easy to use and therefore can serve as an adjunct diagnostic device for early detection of breast cancer. Keywords: breast cancer, early detection, infra-red thermography, mammography