Modelling the head and neck region for microwave imaging of cervical lymph nodes

Tese de mestrado integrado, Engenharia Biomédica e Biofísica (Radiações em Diagnóstico e Terapia), Universidade de Lisboa, Faculdade de Ciências, 2020O termo “cancro da cabeça e pescoço” refere-se a um qualquer tipo de cancro com início nas células epiteliais das cavidades oral e nasal, seios perinasais, glândulas salivares, faringe e laringe. Estes tumores malignos apresentaram, em 2018, uma incidência mundial de cerca de 887.659 novos casos e taxa de mortalidade superior a 51%. Aproximadamente 80% dos novos casos diagnosticados nesse ano revelaram a proliferação de células cancerígenas dos tumores para outras regiões do corpo através dos vasos sanguíneos e linfáticos das redondezas. De forma a determinar o estado de desenvolvimento do cancro e as terapias a serem seguidas, é fundamental a avaliação dos primeiros gânglios linfáticos que recebem a drenagem do tumor primário – os gânglios sentinela – e que, por isso, apresentam maior probabilidade de se tornarem os primeiros alvos das células tumorais. Gânglios sentinela saudáveis implicam uma menor probabilidade de surgirem metástases, isto é, novos focos tumorais decorrentes da disseminação do cancro para outros órgãos. O procedimento standard que permite o diagnóstico dos gânglios linfáticos cervicais, gânglios que se encontram na região da cabeça e pescoço, e o estadiamento do cancro consiste na remoção cirúrgica destes gânglios e subsequente histopatologia. Para além de ser um procedimento invasivo, a excisão cirúrgica dos gânglios linfáticos representa perigos tanto para a saúde mental e física dos pacientes, como para a sua qualidade de vida. Dores, aparência física deformada (devido a cicatrizes), perda da fala ou da capacidade de deglutição são algumas das repercussões que poderão advir da remoção de gânglios linfáticos da região da cabeça e pescoço. Adicionalmente, o risco de infeção e linfedema – acumulação de linfa nos tecidos intersticiais – aumenta significativamente com a remoção de uma grande quantidade de gânglios linfáticos saudáveis. Também os encargos para os sistemas de saúde são elevados devido à necessidade de monitorização destes pacientes e subsequentes terapias e cuidados associados à morbilidade, como é o caso da drenagem linfática manual e da fisioterapia. O desenvolvimento de novas tecnologias de imagem da cabeça e pescoço requer o uso de modelos realistas que simulem o comportamento e propriedades dos tecidos biológicos. A imagem médica por micro-ondas é uma técnica promissora e não invasiva que utiliza radiação não ionizante, isto é, sinais com frequências na gama das micro-ondas cujo comportamento depende do contraste dielétrico entre os diferentes tecidos atravessados, pelo que é possível identificar regiões ou estruturas de interesse e, consequentemente, complementar o diagnóstico. No entanto, devido às suas características, este tipo de modalidade apenas poderá ser utilizado para a avaliação de regiões anatómicas pouco profundas. Estudos indicam que os gânglios linfáticos com células tumorais possuem propriedades dielétricas distintas dos gânglios linfáticos saudáveis. Por esta razão e juntamente pelo facto da sua localização pouco profunda, consideramos que os gânglios linfáticos da região da cabeça e pescoço constituem um excelente candidato para a utilização de imagem médica por radar na frequência das micro-ondas como ferramenta de diagnóstico. Até à data, não foram efetuados estudos de desenvolvimento de modelos da região da cabeça e pescoço focados em representar realisticamente os gânglios linfáticos cervicais. Por este motivo, este projeto consistiu no desenvolvimento de dois geradores de fantomas tridimensionais da região da cabeça e pescoço – um gerador de fantomas numéricos simples (gerador I) e um gerador de fantomas numéricos mais complexos e anatomicamente realistas, que foi derivado de imagens de ressonância magnética e que inclui as propriedades dielétricas realistas dos tecidos biológicos (gerador II). Ambos os geradores permitem obter fantomas com diferentes níveis de complexidade e assim acompanhar diferentes fases no processo de desenvolvimento de equipamentos médicos de imagiologia por micro-ondas. Todos os fantomas gerados, e principalmente os fantomas anatomicamente realistas, poderão ser mais tarde impressos a três dimensões. O processo de construção do gerador I compreendeu a modelação da região da cabeça e pescoço em concordância com a anatomia humana e distribuição dos principais tecidos, e a criação de uma interface para a personalização dos modelos (por exemplo, a inclusão ou remoção de alguns tecidos é dependente do propósito para o qual cada modelo é gerado). O estudo minucioso desta região levou à inclusão de tecidos ósseos, musculares e adiposos, pele e gânglios linfáticos nos modelos. Apesar destes fantomas serem bastante simples, são essenciais para o início do processo de desenvolvimento de dispositivos de imagem médica por micro-ondas dedicados ao diagnóstico dos gânglios linfáticos cervicais. O processo de construção do gerador II foi fracionado em 3 grandes etapas devido ao seu elevado grau de complexidade. A primeira etapa consistiu na criação de uma pipeline que permitiu o processamento das imagens de ressonância magnética. Esta pipeline incluiu: a normalização dos dados, a subtração do background com recurso a máscaras binárias manualmente construídas, o tratamento das imagens através do uso de filtros lineares (como por exemplo, filtros passa-baixo ideal, Gaussiano e Butterworth) e não-lineares (por exemplo, o filtro mediana), e o uso de algoritmos não supervisionados de machine learning para a segmentação dos vários tecidos biológicos presentes na região cervical, tais como o K-means, Agglomerative Hierarchical Clustering, DBSCAN e BIRCH. Visto que cada algoritmo não supervisionado de machine learning anteriormente referido requer diferentes hiperparâmetros, é necessário proceder a um estudo pormenorizado que permita a compreensão do modo de funcionamento de cada algoritmo individualmente e a sua interação / performance com o tipo de dados tratados neste projeto (isto é, dados de exames de ressonâncias magnéticas) com vista a escolher empiricamente o leque de valores de cada hiperparâmetro que deve ser considerado, e ainda as combinações que devem ser testadas. Após esta fase, segue-se a avaliação da combinação de hiperparâmetros que resulta na melhor segmentação das estruturas anatómicas. Para esta avaliação são consideradas duas metodologias que foram combinadas: a utilização de métricas que permitam avaliar a qualidade do clustering (como por exemplo, o Silhoeutte Coefficient, o índice de Davies-Bouldin e o índice de Calinski-Harabasz) e ainda a inspeção visual. A segunda etapa foi dedicada à introdução manual de algumas estruturas, como a pele e os gânglios linfáticos, que não foram segmentadas pelos algoritmos de machine learning devido à sua fina espessura e pequena dimensão, respetivamente. Finalmente, a última etapa consistiu na atribuição das propriedades dielétricas, para uma frequência pré-definida, aos tecidos biológicos através do Modelo de Cole-Cole de quatro pólos. Tal como no gerador I, foi criada uma interface que permitiu ao utilizador decidir que características pretende incluir no fantoma, tais como: os tecidos a incluir (tecido adiposo, tecido muscular, pele e / ou gânglios linfáticos), relativamente aos gânglios linfáticos o utilizador poderá ainda determinar o seu número, dimensões, localização em níveis e estado clínico (saudável ou metastizado) e finalmente, o valor de frequência para o qual pretende obter as propriedades dielétricas (permitividade relativa e condutividade) de cada tecido biológico. Este projeto resultou no desenvolvimento de um gerador de modelos realistas da região da cabeça e pescoço com foco nos gânglios linfáticos cervicais, que permite a inserção de tecidos biológicos, tais como o tecidos muscular e adiposo, pele e gânglios linfáticos e aos quais atribui as propriedades dielétricas para uma determinada frequência na gama de micro-ondas. Estes modelos computacionais resultantes do gerador II, e que poderão ser mais tarde impressos em 3D, podem vir a ter grande impacto no processo de desenvolvimento de dispositivos médicos de imagem por micro-ondas que visam diagnosticar gânglios linfáticos cervicais, e consequentemente, contribuir para um processo não invasivo de estadiamento do cancro da cabeça e pescoço.Head and neck cancer is a broad term referring to any epithelial malignancies arising in the paranasal sinuses, nasal and oral cavities, salivary glands, pharynx, and larynx. In 2018, approximately 80% of the newly diagnosed head and neck cancer cases resulted in tumour cells spreading to neighbouring lymph and blood vessels. In order to determine cancer staging and decide which follow-up exams and therapy to follow, physicians excise and assess the Lymph Nodes (LNs) closest to the primary site of the head and neck tumour – the sentinel nodes – which are the ones with highest probability of being targeted by cancer cells. The standard procedure to diagnose the Cervical Lymph Nodes (CLNs), i.e. lymph nodes within the head and neck region, and determine the cancer staging frequently involves their surgical removal and subsequent histopathology. Besides being invasive, the removal of the lymph nodes also has negative impact on patients’ quality of life, it can be health threatening, and it is costly to healthcare systems due to the patients’ needs for follow-up treatments/cares. Anatomically realistic phantoms are required to develop novel technologies tailored to image head and neck regions. Medical MicroWave Imaging (MWI) is a promising non-invasive approach which uses non-ionizing radiation to screen shallow body regions, therefore cervical lymph nodes are excellent candidates to this imaging modality. In this project, a three-dimensional (3D) numerical phantom generator (generator I) and a Magnetic Resonance Imaging (MRI)-derived anthropomorphic phantom generator (generator II) of the head and neck region were developed to create phantoms with different levels of complexity and realism, which can be later 3D printed to test medical MWI devices. The process of designing the numerical phantom generator included the modelling of the head and neck regions according to their anatomy and the distribution of their main tissues, and the creation of an interface which allowed the users to personalise the model (e.g. include or remove certain tissues, depending on the purpose of each generated model). To build the anthropomorphic phantom generator, the modelling process included the creation of a pipeline of data processing steps to be applied to MRIs of the head and neck, followed by the development of algorithms to introduce additional tissues to the models, such as skin and lymph nodes, and finally, the assignment of the dielectric properties to the biological tissues. Similarly, this generator allowed users to decide the features they wish to include in the phantoms. This project resulted in the creation of a generator of 3D anatomically realistic head and neck phantoms which allows the inclusion of biological tissues such as skin, muscle tissue, adipose tissue, and LNs, and assigns state-of-the-art dielectric properties to the tissues. These phantoms may have a great impact in the development process of MWI devices aimed at screening and diagnosing CLNs, and consequently, contribute to a non-invasive staging of the head and neck cancer

Development of 3D MRI-Based Anatomically Realistic Models of Breast Tissues and Tumours for Microwave Imaging Diagnosis

Breast cancer diagnosis using radar-based medical MicroWave Imaging (MWI) has been studied in recent years. Realistic numerical and physical models of the breast are needed for simulation and experimental testing of MWI prototypes. We aim to provide the scientific community with an online repository of multiple accurate realistic breast tissue models derived from Magnetic Resonance Imaging (MRI), including benign and malignant tumours. Such models are suitable for 3D printing, leveraging experimental MWI testing. We propose a pre-processing pipeline, which includes image registration, bias field correction, data normalisation, background subtraction, and median filtering. We segmented the fat tissue with the region growing algorithm in fat-weighted Dixon images. Skin, fibroglandular tissue, and the chest wall boundary were segmented from water-weighted Dixon images. Then, we applied a 3D region growing and Hoshen-Kopelman algorithms for tumour segmentation. The developed semi-automatic segmentation procedure is suitable to segment tissues with a varying level of heterogeneity regarding voxel intensity. Two accurate breast models with benign and malignant tumours, with dielectric properties at 3, 6, and 9 GHz frequencies have been made available to the research community. These are suitable for microwave diagnosis, i.e., imaging and classification, and can be easily adapted to other imaging modalities.info:eu-repo/semantics/publishedVersio

Extracting Dielectric Properties for MRI-based Phantoms for Axillary Microwave Imaging Device

Microwave Imaging (MWI) is an emerging medical imaging technique, which has been studied to aid breast cancer diagnosis in the frequency range from 0.5 to 30 GHz. The information about the dielectric properties of each tissue is essential to assess the viability of this type of systems. However, accurate measurements of heterogeneous tissues can be very challenging, and the current available information is still very limited. In this paper, we present a methodology for extracting dielectric properties to create anatomical models of the axillary region. These models will be used in a MWI device to aid breast cancer diagnosis through the detection of metastasised axillary lymph nodes. We apply segmentation tools to Magnetic Resonance Images (MRI) of the breast and assign dielectric properties to each tissue, extracting preliminary information about the properties of axillary lymph nodes. This study may open a way to more quickly extract dielectric properties of tissues and/or validate measurements, accelerating the development of microwave-based medical devices.The authors would like to acknowledge the study with ref. CES/44/2019/ME in Hospital da Luz Lisboa (19/09/2019).info:eu-repo/semantics/publishedVersio

Development of MRI‐based axillary numerical models and estimation of axillary lymph node dielectric properties for microwave imaging

Purpose: Microwave imaging (MWI) has been studied as a complementary imaging modality to improve sensitivity and specificity of diagnosis of axillary lymph nodes (ALNs), which can be metastasized by breast cancer. The feasibility of such a system is based on the dielectric contrast between healthy and metastasized ALNs. However, reliable information such as anatomically realistic numerical models and matching dielectric properties of the axillary region and ALNs, which are crucial to develop MWI systems, are still limited in the literature. The purpose of this work is to develop a methodology to infer dielectric properties of structures from magnetic resonance imaging (MRI), in particular, ALNs. We further use this methodology, which is tailored for structures farther away from MR coils, to create MRI- based numerical models of the axillary region and share them with the scientific community, through an open- access repository. Methods: We use a dataset of breast MRI scans of 40 patients, 15 of them with metastasized ALNs. We apply image processing techniques to minimize the artifacts in MR images and segment the tissues of interest. The background, lung cavity, and skin are segmented using thresholding techniques and the remaining tissues are segmented using a K- means clustering algorithm. The ALNs are segmented combining the clustering results of two MRI sequences. The performance of this methodology was evaluated using qualitative criteria. We then apply a piecewise linear interpolation between voxel signal intensities and known dielectric properties, which allow us to create dielectric property maps within an MRI and consequently infer ALN properties. Finally, we compare healthy and metastasized ALN dielectric properties within and between patients, and we create an open- access repository of numerical axillary region numerical models which can be used for electromagnetic simulations. Results: The proposed methodology allowed creating anatomically realistic models of the axillary region, segmenting 80 ALNs and analyzing the corresponding dielectric properties. The estimated relative permittivity of those ALNs ranged from 16.6 to 49.3 at 5 GHz. We observe there is a high variability of dielectric properties of ALNs, which can be mainly related to the ALN size and, consequently, its composition. We verified an average dielectric contrast of 29% between healthy and metastasized ALNs. Our repository comprises 10 numerical models of the axillary region, from five patients, with variable number of metastasized ALNs and body mass index. Conclusions: The observed contrast between healthy and metastasized ALNs is a good indicator for the feasibility of a MWI system aiming to diagnose ALNs. This paper presents new contributions regarding anatomical modeling and dielectric properties' characterization, in particular for axillary region applications.info:eu-repo/semantics/publishedVersio

Microwave Imaging to Improve Breast Cancer Diagnosis

Breast cancer is the most prevalent type of cancer worldwide. The correct diagnosis of Axillary Lymph Nodes (ALNs) is important for an accurate staging of breast cancer. The performance of current imaging modalities for both breast cancer detection and staging is still unsatisfactory. Microwave Imaging (MWI) has been studied to aid breast cancer diagnosis. This thesis addresses several novel aspects of the development of air-operated MWI systems for both breast cancer detection and staging. Firstly, refraction effects in air-operated setups are evaluated to understand whether refraction calculation should be included in image reconstruction algorithms. Then, the research completed towards the development of a MWI system to detect the ALNs is presented. Anthropomorphic numerical phantoms of the axillary region are created, and the dielectric properties of ALNs are estimated from Magnetic Resonance Imaging exams. The first pre-clinical MWI setup tailored to detect ALNs is numerically and experimentally tested. To complement MWI results, the feasibility of using machine learning algorithms to classify healthy and metastasised ALNs using microwave signals is analysed. Finally, an additional study towards breast cancer detection is presented by proposing a prototype which uses a focal system to focus the energy into the breast and decrease the coupling between antennas. The results show refraction calculation may be neglected in low to moderate permittivity media. Moreover, MWI has the potential as an imaging technique to assess ALN diagnosis as estimation of dielectric properties indicate there is sufficient contrast between healthy and metastasised ALNs, and the imaging results obtained in this thesis are promising for ALN detection. The performance of classification models shows these models may potentially give complementary information to imaging results. The proposed breast imaging prototype also shows promising results for breast cancer detection

Microwave Breast Models Through T1-weighted 3-d Mri Data

Tez (Yüksek Lisans) -- İstanbul Teknik Üniversitesi, Fen Bilimleri Enstitüsü, 2013Thesis (M.Sc.) -- İstanbul Technical University, Institute of Science and Technology, 2013Son yıllarda, meme kanserinin erken teşhisi konusunda mikrodalga görüntüleme alanında yapılan çalışmalar popülerlik kazanmıştır. Bu bağlamda, insan memesinin elektromanyetik sayısal modelleri bu konuda çalışan araştırmacılara, hızlı deneysel analizler yaparak yeni teknolojilerin fizibilitesinin artırılması ve böylece daha iyi görüntüleme tekniklerinin ve aygıtlarının geliştirilmesi konularında yardımcı olmaktadır. Literatürde özel olarak sayısal mikrodalga meme modellerini konu alan bu ilk çalışmada arzu edilen türde bir model üretilebilmesi için 3 ana adım içeren bir yöntem öne sürülmüştür. Bu yöntemin alt adımları kısaca: MRI verisindeki gürültünün homomorfik filtreleme ile giderilmesi, dokuların Gauss Karışım Modeli (GMM) ile segmentasyonu ve elektromanyetik özelliklerin parçalı-doğrusal eşleme fonksiyonları ile eşlenmesi olarak tarif edilebilir. Bu çalışmada, mikrodalga meme görüntülemesi çalışmalarında kullanılmak üzere değişik şekil, ebat ve radyografik yoğunluklarda 3-boyutlu sayısal mikrodalga meme modelleri üretilmesi için etkin ve kendi kendine işleyebilen bir yöntem sunulmuştur. Memenin heterojen yapısının mekânsal bilgisi, memelerinde bir anomaliye rastlanmayan değişik hastaların yüz üstü pozisyonda alınmış T1-ağırlıklı 3-boyutlu MRI verileri kullanılarak elde edilmiştir. Dokulara ait her bir sınıf ile elektromanyetik özellikler arasında tekdüze parçalı kübik Hermitte interpolasyon yöntemi kullanılarak doğrusal olmayan bir ilişki kurulmuştur. İlgili meme dokularının elektromanyetik özellikleri Debye and Cole-Cole dağılım modelleri üzerinden tercih edilen çalışma frekansına göre belirlenmiş, böylece MRI verisindeki her bir voksel değeri uygun bağıl geçirgenlik ve iletkenlik değerleri ile eşlenmiştir. Bağıl geçirgenlik ve iletkenlik dağılımlarına dönüştürülen MRI kesitleri, doğrusal interpolasyon ile 3-boyutlu ve gerçekçi bir yapıya dönüştürülmüştür.Recent years, early detection of breast cancer in the field of electromagnetic imaging has gained high popularity. In this context, computational electromagnetic models of the human breast are used to help researchers develope better techniques and instruments for imaging, increasing the feasibility of new technologies, and doing fast experimental analysis. In this study, an effective and automated methodology for realistic numerical 3-D breast phantom development of different shapes, size and radiographic density in order to be used for different electromagnetic simulation models in microwave breast imaging research is presented. The spatial information of heterogeneity of the breast structure is collected from T1-weighted MRI slices of different patients’ in prone position with normal breast tissue (not malignant or abnormal). Each voxel in MRI data was mapped to the appropriate dielectric properties using several steps. First, bias field appears on each slice in MRI data was estimated and eliminated. After filtering of all slices, voxels belong to adipose and glandular tissues were classified into four categories. Then those tissue categories were related to electromagnetic properties of relative permittivity and conductivity by monotone piecewise polynomial cubic Hermite interpolation. Electromagnetic properties of the breast tissue are expanded to desired frequency using Debye dispersion models. Each voxel intensity value is nonlinearly mapped to the appropriate electromagnetic properties of the corresponding breast tissue. Later, the resultant slices of permittivity and conductivity are linearly interpolated to form a proper 3-D breast structure.Yüksek LisansM.Sc

Field Penetration in MRI-based Breast Models: a Numerical Investigation

The use of reliable computational tools is fundamental to investigate different aspects of microwave breast cancer imaging. From the development of high-definition and realistic numerical breast models, different coupling mechanisms and the reaction of different tissues to microwave signals can be characterized. In this paper, field penetration inside four numerical breast phantoms with varying adipose content is evaluated in the frequency range 0.5 - 10 GHz across sagittal cuts

Advanced ultrawideband imaging algorithms for breast cancer detection

Ultrawideband (UWB) technology has received considerable attention in recent years as it is regarded to be able to revolutionise a wide range of applications. UWB imaging for breast cancer detection is particularly promising due to its appealing capabilities and advantages over existing techniques, which can serve as an early-stage screening tool, thereby saving millions of lives. Although a lot of progress has been made, several challenges still need to be overcome before it can be applied in practice. These challenges include accurate signal propagation modelling and breast phantom construction, artefact resistant imaging algorithms in realistic breast models, and low-complexity implementations. Under this context, novel solutions are proposed in this thesis to address these key bottlenecks. The thesis first proposes a versatile electromagnetic computational engine (VECE) for simulating the interaction between UWB signals and breast tissues. VECE provides the first implementation of its kind combining auxiliary differential equations (ADE) and convolutional perfectly matched layer (CPML) for describing Debye dispersive medium, and truncating computational domain, respectively. High accuracy and improved computational and memory storage efficiency are offered by VECE, which are validated via extensive analysis and simulations. VECE integrates the state-of-the-art realistic breast phantoms, enabling the modelling of signal propagation and evaluation of imaging algorithms. To mitigate the severe interference of artefacts in UWB breast cancer imaging, a robust and artefact resistant (RAR) algorithm based on neighbourhood pairwise correlation is proposed. RAR is fully investigated and evaluated in a variety of scenarios, and compared with four well-known algorithms. It has been shown to achieve improved tumour detection and robust artefact resistance over its counterparts in most cases, while maintaining high computational efficiency. Simulated tumours in both homogeneous and heterogeneous breast phantoms with mild to moderate densities, combined with an entropy-based artefact removal algorithm, are successfully identified and localised. To further improve the performance of algorithms, diverse and dynamic correlation weighting factors are investigated. Two new algorithms, local coherence exploration (LCE) and dynamic neighbourhood pairwise correlation (DNPC), are presented, which offer improved clutter suppression and image resolution. Moreover, a multiple spatial diversity (MSD) algorithm, which explores and exploits the richness of signals among different transmitter and receiver pairs, is proposed. It is shown to achieve enhanced tumour detection even in severely dense breasts. Finally, two accelerated image reconstruction mechanisms referred to as redundancy elimination (RE) and annulus predication (AP) are proposed. RE removes a huge number of repetitive operations, whereas AP employs a novel annulus prediction to calculate millions of time delays in a highly efficient batch mode. Their efficacy is demonstrated by extensive analysis and simulations. Compared with the non-accelerated method, RE increases the computation speed by two-fold without any performance loss, whereas AP can be 45 times faster with negligible performance degradation

A Comprehensive Review on Design and Development of Human Breast Phantoms for Ultra-Wide Band Breast Cancer Imaging Systems

Microwave ultra-wide band UWB imaging system is a contemporary biomedical imaging technology for early detection of breast cancers. This imaging system requires the development of breast phantoms for experimental data analysis. In order to obtain realistic results, it is very important that these phantoms mimic the characteristics of real biological breast tissue as close as possible. For this purpose, scientists and engineers make use of the dielectric properties of human breast. This paper takes a survey of mathematical formulations used to determine biological dielectric properties and then takes a review of current breast phantoms being used in UWB imaging systems with reference to the analytical dielectric measurements. At present, breast phantoms are made, both, manually in laboratory utilizing different chemicals and also by using computational electromagnetic algorithms to introduce better heterogeneity in them. They can then easily be tested by doing computer simulations. In this review paper, emphasis is made on the phantoms which are made in laboratory for doing hardware experimentations.Microwave ultra-wide band UWB imaging system is a contemporary biomedical imaging technology for early detection of breast cancers. This imaging system requires the development of breast phantoms for experimental data analysis. In order to obtain realistic results, it is very important that these phantoms mimic the characteristics of real biological breast tissue as close as possible. For this purpose, scientists and engineers make use of the dielectric properties of human breast. This paper takes a survey of mathematical formulations used to determine biological dielectric properties and then takes a review of current breast phantoms being used in UWB imaging systems with reference to the analytical dielectric measurements. At present, breast phantoms are made, both, manually in laboratory utilizing different chemicals and also by using computational electromagnetic algorithms to introduce better heterogeneity in them. They can then easily be tested by doing computer simulations. In this review paper, emphasis is made on the phantoms which are made in laboratory for doing hardware experimentations

Advanced Computational Methods for Oncological Image Analysis

[Cancer is the second most common cause of death worldwide and encompasses highly variable clinical and biological scenarios. Some of the current clinical challenges are (i) early diagnosis of the disease and (ii) precision medicine, which allows for treatments targeted to specific clinical cases. The ultimate goal is to optimize the clinical workflow by combining accurate diagnosis with the most suitable therapies. Toward this, large-scale machine learning research can define associations among clinical, imaging, and multi-omics studies, making it possible to provide reliable diagnostic and prognostic biomarkers for precision oncology. Such reliable computer-assisted methods (i.e., artificial intelligence) together with clinicians’ unique knowledge can be used to properly handle typical issues in evaluation/quantification procedures (i.e., operator dependence and time-consuming tasks). These technical advances can significantly improve result repeatability in disease diagnosis and guide toward appropriate cancer care. Indeed, the need to apply machine learning and computational intelligence techniques has steadily increased to effectively perform image processing operations—such as segmentation, co-registration, classification, and dimensionality reduction—and multi-omics data integration.