Abstract
Digital breast tomosynthesis promises solutions to many of the problems currently associated with projection mammography, including elimination of artifactual densities from the superposition of normal tissues and increasing the conspicuity of true lesions that would otherwise be masked by superimposed normal tissue. We have investigated the performance of a novel tomosynthesis system in a clinical setup. The novel system uses 48 photon counting, orientation sensitive, linear detectors which are precisely aligned with the focal spot of the x-ray source. The x-ray source and the digital detectors are scanned in a continuous motion across the patient; each linear detector collecting an image at a distinct angle. The results from an assessment of image quality and the initial clinical trial of this device are presented. Initial results provide anecdotal evidence supporting the superiority of tomosynthesis over projection mammography.
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Ma, L., Fishell, E., Wright, B., et al.: Case-control study of factors associated with failure to detect breast cancer by mammography. Journal of the National Cancer Institute 84(10), 781–785 (1992)
Dobbins, J.T., Godfrey III, D.J.: Digital x-ray tomosynthesis: current state of the art and clinical potential. Physics in Medicine & Biology 2003 48(19), R65–R106 (2003)
Niklason, L.T., Christian, B.T., Niklason, L.E., et al.: Digital tomosynthesis in breast imaging. Radiology 205(2), 399–406 (1997)
Rafferty, E.A.: Tomosynthesis: New Weapon in Breast Cancer Fight. Decisions in Imaging Economics 17(4) (2004)
Wu, T., Moore, R.H., Rafferty, E.A., et al.: Breast tomosynthesis: Methods and applications. In: Karellas, A. (ed.) RSNA Categorical Course in Diagnostic Radiology Physics: Advances in Breast Imaging - Physics, Technology, and Clinical Applications, pp. 149–163 (2004)
Maidment, A.D.A., Albert, M., Thunberg, S., et al.: Evaluation of a Photon-Counting Breast Tomosynthesis Imaging System. In: Flynn, M.J. (ed.) SPIE Medical Imaging 2005, pp. 572–582 (2005)
Maidment, A.D.A., Adelow, L., Blom, O., et al.: Evaluation of a Photon-Counting Breast Tomosynthesis Imaging System. In: Flynn, M.J. (ed.) Physics of Medical Imaging, Proc. SPIE 6142 (2006)
Thunberg, S., et al.: Evaluation of a Photon Counting Mammography System. In: SPIE Medical Imaging, pp. 202–208 (2002)
Thunberg, S., Maidment, A.D.A., et al.: Dose reduction in Mammography with Photon Counting Imaging. In: SPIE Medical Imaging, pp. 457–465 (2004)
Thunberg, S., Maidment, A.D.A., et al.: Tomosynthesis with a Multi-line Photon Counting Camera. In: Pisano, E. (ed.) 7th International Workshop on Digital Mammography, pp. 459–465 (2004)
Kao, Y.-H., Maidment, A.D.A., Albert, M., et al.: Assessment of a software tool for measurement of the modulation transfer function. In: Flynn, M.J. (ed.) Medical Imaging 2005: Physics of Medical Imaging, pp. 1199–1208 (2005)
Myers, K.J., Barrett, H.H.: Foundations of Image Science. John Wiley & Sons, New York (2004)
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© 2006 Springer-Verlag Berlin Heidelberg
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Maidment, A.D.A. et al. (2006). Clinical Evaluation of a Photon-Counting Tomosynthesis Mammography System. In: Astley, S.M., Brady, M., Rose, C., Zwiggelaar, R. (eds) Digital Mammography. IWDM 2006. Lecture Notes in Computer Science, vol 4046. Springer, Berlin, Heidelberg. https://doi.org/10.1007/11783237_21
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DOI: https://doi.org/10.1007/11783237_21
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-35625-7
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