Chung Jae-Hoon, Rajagopal Vijay, Laursen Tod A, Nielsen Poul M F, Nash Martyn P
Bioengineering Institute, University of Auckland, Auckland, New Zealand.
J Biomech. 2008;41(1):69-77. doi: 10.1016/j.jbiomech.2007.07.016. Epub 2007 Aug 28.
Mammography is currently the most widely used screening and diagnostic tool for breast cancer. Because X-ray images are 2D projections of a 3D object, it is not trivial to localise features identified in mammogram pairs within the breast volume. Furthermore, mammograms represent highly deformed configurations of the breast under compression, thus the tumour localisation process relies on the clinician's experience. Biomechanical models of the breast undergoing mammographic compressions have been developed to overcome this limitation. In this study, we present the development of a modelling framework that implements Coulomb's frictional law with a finite element analysis using a C(1)-continuous Hermite mesh. We compared two methods of this contact mechanics implementation: the penalty method, and the augmented Lagrangian method, the latter of which is more accurate but computationally more expensive compared to the former. Simulation results were compared with experimental data from a soft silicon gel phantom in order to evaluate the modelling accuracy of each method. Both methods resulted in surface-deformation root-mean-square errors of less than 2mm, whilst the maximum internal marker prediction error was less than 3mm when simulating two mammographic-like compressions. Simulation results were confirmed using the augmented Lagrangian method, which provided similar accuracy. We conclude that contact mechanics on soft elastic materials using the penalty method with an appropriate choice of the penalty parameters provides sufficient accuracy (with contact constraints suitably enforced), and may thus be useful for tracking breast tumours between clinical images.
乳房X线摄影术是目前用于乳腺癌筛查和诊断的应用最为广泛的工具。由于X线图像是三维物体的二维投影,因此在乳房体积内定位乳房X线摄影图像对中识别出的特征并非易事。此外,乳房X线照片代表了乳房在加压状态下的高度变形形态,因此肿瘤定位过程依赖于临床医生的经验。为克服这一局限性,人们已开发出乳房在乳房X线摄影加压过程中的生物力学模型。在本研究中,我们展示了一种建模框架的开发过程,该框架通过使用C(1)连续埃尔米特网格进行有限元分析来实现库仑摩擦定律。我们比较了这种接触力学实现的两种方法:罚函数法和增广拉格朗日法,与前者相比,后者更精确,但计算成本更高。将模拟结果与来自软硅胶体模的实验数据进行比较,以评估每种方法的建模精度。两种方法的表面变形均方根误差均小于2毫米;在模拟两次类似乳房X线摄影的加压时, 最大内部标记预测误差小于3毫米。使用增广拉格朗日法对模拟结果进行了验证,其提供了相似的精度。我们得出结论,使用罚函数法并适当选择罚函数参数对软弹性材料进行接触力学分析可提供足够的精度(并适当执行接触约束),因此可能有助于在临床图像之间追踪乳腺肿瘤。