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The Characteristics of Malignant Breast Tumors Imaged Using a Prototype Mechanical Imaging System as an Adjunct to Mammography

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Breast Imaging (IWDM 2016)

Part of the book series: Lecture Notes in Computer Science ((LNIP,volume 9699))

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Abstract

Breast cancer is diagnosed by a combination of modalities. Measuring the elasto-mechanical properties of suspicious lesions, by e.g. ultrasound elastography, can help differentiate malignant from benign findings. Using a prototype Mechanical Imaging (MI) system as an adjunct to mammography, the aim of this study was to characterize tumors using MI and compare the readings to those from the contralateral breast. Thirteen bilateral MI sets from women with malignant breast lesions were included in this study, drawn from a larger set of 155 women recalled from screening. The results showed that mean lesion pressure was significantly greater than the mean pressure of the corresponding breast, 7.5 ± 7.0 kPa compared to 2.5 ± 1.6 kPa (P = 0.01). There was no evidence for a difference in mean pressure or standard deviation of the MI image between symptomatic and contralateral asymptomatic breasts (P = 0.24 and 0.68). The results support that it is possible to use MI to distinguish malignant cancers from normal breast tissue. Still, further investigations of the characteristics of benign lesions are necessary to ascertain the usefulness of the system.

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References

  1. Zhi, H., Ou, B., Luo, B.M., Feng, X., Wen, Y.L., Yang, H.Y.: Comparison of ultrasound elastography, mammography, and sonography in the diagnosis of solid breast lesions. J. Ultrasound Med. 26, 807–815 (2007)

    Google Scholar 

  2. Cespedes, I., Ophir, J., Ponnekanti, H., Maklad, N.: Elastography - elasticity imaging using ultrasound with application to muscle and breast in-vivo. Ultrason. Imaging 15, 73–88 (1993)

    Article  Google Scholar 

  3. Itoh, A., Ueno, E., Tohno, E., Kamma, H., Takahashi, H., Shiina, T., Yamakawa, M., Matsumura, T.: Breast disease: clinical application of US elastography for diagnosis. Radiology 239, 341–350 (2006)

    Article  Google Scholar 

  4. Sinkus, R., Lorenzen, J., Schrader, D., Lorenzen, M., Dargatz, M., Holz, D.: High-resolution tensor MR elastography for breast tumour detection. Phys. Med. Biol. 45, 1649–1664 (2000)

    Article  Google Scholar 

  5. Sinkus, R., Tanter, M., Xydeas, T., Catheline, S., Bercoff, J., Fink, M.: Viscoelastic shear properties of in vivo breast lesions measured by MR elastography. Magn. Reson. Imaging 23, 159–165 (2005)

    Article  Google Scholar 

  6. Engelken, F.J., Sack, I., Klatt, D., Fischer, T., Fallenberg, E.M., Bick, U., Diekmann, F.: Evaluation of tomosynthesis elastography in a breast-mimicking phantom. Eur. J. Radiol. 81, 2169–2173 (2012)

    Article  Google Scholar 

  7. Mahoney, L., Csima, A.: Efficiency of palpation in clinical detection of breast-cancer. Can. Med. Assoc. J. 127, 729–730 (1982)

    Google Scholar 

  8. Mathis, K.L., Hoskin, T.L., Boughey, J.C., Crownhart, B.S., Brandt, K.R., Vachon, C.M., Grant, C.S., Degnim, A.C.: Palpable presentation of breast cancer persists in the era of screening mammography. J. Am. Coll. Surg. 210, 314–318 (2010)

    Article  Google Scholar 

  9. Krouskop, T.A., Wheeler, T.M., Kallel, F., Garra, B.S., Hall, T.: Elastic moduli of breast and prostate tissues under compression. Ultrason. Imaging 20, 260–274 (1998)

    Article  Google Scholar 

  10. Wellman, P.S., Dalton, E.P., Krag, D., Kern, K.A., Howe, R.D.: Tactile imaging of breast masses: first clinical report. Arch. Surg. 136, 204–208 (2001)

    Article  Google Scholar 

  11. Sarvazyan, A.: Mechanical imaging: a new technology for medical diagnostics. Int. J. Med. Inform. 49, 195–216 (1998)

    Article  Google Scholar 

  12. Egorov, V., Kearney, T., Pollak, S.B., Rohatgi, C., Sarvazyan, N., Airapetian, S., Browning, S., Sarvazyan, A.: Differentiation of benign and malignant breast lesions by mechanical imaging. Breast Cancer Res. Treat. 118, 67–80 (2009)

    Article  Google Scholar 

  13. Fornvik, D., Andersson, I., Dustler, M., Ehrnstrom, R., Ryden, L., Tingberg, A., Zackrisson, S., Aaltonen, K.: No evidence for shedding of circulating tumor cells to the peripheral venous blood as a result of mammographic breast compression. Breast Cancer Res. Treat. 141, 187–195 (2013)

    Article  Google Scholar 

  14. Dustler, M., Andersson, I., Brorson, H., Frojd, P., Mattsson, S., Tingberg, A., Zackrisson, S., Fornvik, D.: Breast compression in mammography: pressure distribution patterns. Acta Radiol. 53, 973–980 (2012)

    Article  Google Scholar 

  15. Fornvik, D., Dustler, M., Andersson, I., Brorson, H., Timberg, P., Zackrisson, S., Tingberg, A.: Pressure distribution in mammography: compression of breasts with malignant tumor masses. In: SPIE Medical Imaging 2013: Physics of Medical Imaging, vol. 8668 (2013)

    Google Scholar 

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Acknowledgements

The authors would like to acknowledge the contributions of Dr. Ingvar Andersson. We would also like to acknowledge the Unilabs staff at the Malmö Breast Centre for their contribution to the acquisition of the data. This study was supported by a grant from Stiftelsen för cancerforskning vid onkologiska kliniken vid Universitetssjukhuset MAS.

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Correspondence to Magnus Dustler .

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Dustler, M., Förnvik, D., Timberg, P., Petersson, H., Tingberg, A., Zackrisson, S. (2016). The Characteristics of Malignant Breast Tumors Imaged Using a Prototype Mechanical Imaging System as an Adjunct to Mammography. In: Tingberg, A., Lång, K., Timberg, P. (eds) Breast Imaging. IWDM 2016. Lecture Notes in Computer Science(), vol 9699. Springer, Cham. https://doi.org/10.1007/978-3-319-41546-8_36

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  • DOI: https://doi.org/10.1007/978-3-319-41546-8_36

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-41546-8

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