An investigation of planar array system artefacts generated within an electrical impedance mammography system developed for breast cancer detection

An Electrical Impedance Mammography (EIM) planar array imaging system is being developed at the University of Sussex for the detection of breast cancers. Investigations have shown that during data collection, systematic errors and patient artefacts are frequently introduced during signal acquisition from different electrodes pairs. This is caused, in particular, by the large variations in the electrode-skin contact interface conditions occurring between separate electrode positions both with the same and different patients. As a result, the EIM image quality is seriously affected by these errors. Hence, this research aims to experimentally identify, analyse and propose effective methods to reduce the systematic errors at the electrode-skin interface. Experimental studies and subsequent analysis is presented to determine what ratio of electrode blockage seriously affects the acquired raw data which may in turn compromise the reconstruction. This leads to techniques for the fast and accurate detection of any such occurrences. These methodologies can be applied to any planar array based EIM system

Modern Breast Cancer Detection: A Technological Review

Breast cancer is a serious threat worldwide and is the number two killer of women in the United States. The key to successful management is screening and early detection. What follows is a description of the state of the art in screening and detection for breast cancer as well as a discussion of new and emerging technologies. This paper aims to serve as a starting point for those who are not acquainted with this growing field

Introduction of Medical Imaging Modalities

The diagnosis and treatment of various diseases had been expedited with the help of medical imaging. Different medical imaging modalities, including X-ray, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Nuclear Imaging, Ultrasound, Electrical Impedance Tomography (EIT), and Emerging Technologies for in vivo imaging modalities is presented in this chapter, in addition to these modalities, some advanced techniques such as contrast-enhanced MRI, MR approaches for osteoarthritis, Cardiovascular Imaging, and Medical Imaging data mining and search. Despite its important role and potential effectiveness as a diagnostic tool, reading and interpreting medical images by radiologists is often tedious and difficult due to the large heterogeneity of diseases and the limitation of image quality or resolution. Besides the introduction and discussion of the basic principles, typical clinical applications, advantages, and limitations of each modality used in current clinical practice, this chapter also highlights the importance of emerging technologies in medical imaging and the role of data mining and search aiming to support translational clinical research, improve patient care, and increase the efficiency of the healthcare system.Comment: 19 pages, 7 figures, 1 table; Acceptance of the chapter for the Springer book "Data-driven approaches to medical imaging

Discrete mathematical models for electrical impedance tomography

Electrical Impedance Tomography (EIT) is a non-invasive, portable and low-cost medical imaging technique. Different current patterns are injected to the surface of a conductive body and the corresponding voltages are measured also on the boundary. These mea-surements are the data used to infer the interior conductivity distribution of the object. However, it is well known that the reconstruction process is extremely ill-posed due to the low sensitivity of the boundary voltages to changes in the interior conductivity distribution. The reconstructed images also suffer from poor spatial resolution. In tomographic systems, the spatial resolution is related to the number of applied current patterns and to the number and positions of electrodes which are placed at the surface of the object under examination. Two mammographic sensors were recently developed at the University of Mainz in collaboration with Oxford Brookes University. These prototypes consist of a planar sensing head of circular geometry with twelve large outer (active) electrodes arranged on a ring of radius 4.4cm where the external currents are injected and a set of, respectively thirty six and fifty four point-like high-impedance inner (passive) electrodes arranged in a hexagonal pattern where the induced voltages are measured. Two 2D reconstruction methods were proposed for these devices, one based on resistor network models and another one which uses an integral equation formulation. The novelty of the device and hence of these imaging techniques consists exactly in the distinct use of active and passive electrodes. The 2D images of the conductivity distribution of the interior tissue of the breast provide only information about the existence and location of the tumour. In this thesis different circular designs for the sensing head of this EIT device were analysed. The 2D resistor network approach was adapted to the different data collection geometries and the sensitivity of the reconstructions with respect to errors in the simulate data were investigated before any modifications to the original design were made. A novel 3D reconstruction algorithm was also developed for a simpler geometry of the sensing head which consisted of a rectangular array of thirty six electrodes (twenty active+ sixteen passive). This electrode configuration as well as the proposed imaging technique are intended to be used for breast cancer detection. The algorithm is based on linearizing the conductivity about a constant value and allows real-time reconstructions. The perfor-mance of the algorithm was tested on numerically simulated data and small inclusions with conductivities three or four times the background lying beneath the data collection surface were successfully detected. The results were fairly stable with respect to the noise level in the data and displayed very good spatial resolution in the plane of electrodes

Imaging of the Breast

Early detection of breast cancer combined with targeted therapy offers the best outcome for breast cancer patients. This volume deal with a wide range of new technical innovations for improving breast cancer detection, diagnosis and therapy. There is a special focus on improvements in mammographic image quality, image analysis, magnetic resonance imaging of the breast and molecular imaging. A chapter on targeted therapy explores the option of less radical postoperative therapy for women with early, screen-detected breast cancers

Optical imaging for breast cancer prescreening

Breast cancer prescreening is carried out prior to the gold standard screening using X-ray mammography and/or ultrasound. Prescreening is typically carried out using clinical breast examination (CBE) or self-breast examinations (SBEs). Since CBE and SBE have high false-positive rates, there is a need for a low-cost, noninvasive, non-radiative, and portable imaging modality that can be used as a prescreening tool to complement CBE/SBE. This review focuses on the various hand-held optical imaging devices that have been developed and applied toward early-stage breast cancer detection or as a prescreening tool via phantom, in vivo, and breast cancer imaging studies. Apart from the various optical devices developed by different research groups, a wide-field fiber-free near-infrared optical scanner has been developed for transillumination-based breast imaging in our Optical Imaging Laboratory. Preliminary in vivo studies on normal breast tissues, with absorption-contrasted targets placed in the intramammary fold, detected targets as deep as 8.8 cm. Future work involves in vivo imaging studies on breast cancer subjects and comparison with the gold standard X-ray mammography approach

Investigation of 3D electrical impedance mammography systems for breast cancer detection

Breast cancer is a major disease in women worldwide with a high rate of mortality, second only to lung cancer. Hence, there is considerable interest in developing non-invasive breast cancer detection methods with the aim of identifying breast cancer at an early stage, when it is most treatable. Electrical impedance mammography (EIM) is a relatively new medical imaging method for breast cancer detection. It is a safe, painless, non-invasive, non-ionizing imaging modality, which visualizes the internal conductivity distribution of the breast under investigation. Currently some EIM systems are in clinical trials but not commercialized, as there are still many challenges with sensitivity, spatial resolution and detectability. The research in this thesis aims to enhance and optimize EIM systems in order to address the current challenges. An enhanced image reconstruction algorithm using the duo-mesh method is developed. Both in simulations and real cases of phantoms and patients, the enhanced algorithm has proven more accurate and sensitive than the former algorithm and effective in improving vertical resolution for the EIM system with a planar electrode array. To evaluate the performance of the EIM system and the image reconstruction algorithms, an image processing based error analysis method is developed, which can provide an intuitive and accurate method to evaluate the reconstructed image and outline the shape of the object of interest. Two novel EIM systems are studied, which aim to improve the spatial resolution and the detectability of a tumour deep in the breast volume. These are: rotary planar-electrode-array EIM (RPEIM) system and combined electrode array EIM (CEIM) system. The RPEIM system permits the planar electrode array to rotate in the horizontal plane, which can dramatically increase the number of independent measurements, hence improving the spatial resolution. To support the rotation of the planner electrode array, a synchronous mesh method is developed. The CEIM system has a planar electrode array and a ring electrode array operated independently or together. It has three operational modes. This design provides enhanced detectability of a tumour deep within the tissue, as required for a large volume breast. The studies of the RPEIM system and the CEIM system are based on close-to-realistic digital breast phantoms, which comprise of skin, nipple, ducts, acini, fat and tumour. This approach makes simulations very close to a clinical trial of the technology