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[乳腺X线摄影中相干X射线的应用。相衬技术的发展与前景]

[Application of brilliant x-rays in mammography. Development and perspectives of phase contrast techniques].

作者信息

Schneider T, Coan P, Habs D, Reiser M

机构信息

Institut für Klinische Radiologie, Klinikum Ludwig-Maximilians-Universität München, München.

出版信息

Radiologe. 2008 Apr;48(4):345-50. doi: 10.1007/s00117-008-1637-6.

DOI:10.1007/s00117-008-1637-6
PMID:18311554
Abstract

The early and reliable detection of breast cancer is often difficult with conventional mammography, especially within dense breast parenchyma. An alternative approach using x-rays are phase-sensitive imaging techniques, which are able to visualize the borders of tissues with different refraction indices with very high contrast. These phase contrast imaging techniques can generate projection images with much less glandular dose than conventional mammography. Even the acquisition of phase contrast CT data sets with an acceptable exposure dose is possible. As brilliant x-ray beams are required for phase contrast imaging, which up to now were only available at synchrotron facilities, these methods were restricted to only a few laboratories. However, with the advent of newly developed high intensity lasers which are also able to produce such radiation, a widespread and affordable use of this technique seems realistic. The further development of phase contrast imaging is funded by the excellence cluster MAP of the Munich universities.

摘要

对于传统乳腺钼靶检查而言,早期且可靠地检测乳腺癌往往很困难,尤其是在乳腺实质致密的情况下。一种使用X射线的替代方法是相敏成像技术,该技术能够以非常高的对比度可视化具有不同折射率的组织边界。这些相衬成像技术可以产生比传统乳腺钼靶检查腺体剂量少得多的投影图像。甚至有可能以可接受的曝光剂量采集相衬CT数据集。由于相衬成像需要高亮度X射线束,而到目前为止只有在同步加速器设施中才能获得,因此这些方法仅限于少数实验室。然而,随着新开发的高强度激光的出现,其也能够产生这种辐射,这项技术的广泛且经济适用的应用似乎是现实可行的。相衬成像的进一步发展由慕尼黑大学卓越集群MAP资助。

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本文引用的文献

1
High-resolution CT by diffraction-enhanced x-ray imaging: mapping of breast tissue samples and comparison with their histo-pathology.基于衍射增强X射线成像的高分辨率CT:乳腺组织样本的成像及其与组织病理学的比较
Phys Med Biol. 2007 Apr 21;52(8):2197-211. doi: 10.1088/0031-9155/52/8/011. Epub 2007 Mar 29.
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Visualisation of calcifications and thin collagen strands in human breast tumour specimens by the diffraction-enhanced imaging technique: a comparison with conventional mammography and histology.采用衍射增强成像技术对人类乳腺肿瘤标本中的钙化和细胶原纤维束进行可视化:与传统乳腺X线摄影及组织学的比较
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Improved image contrast of calcifications in breast tissue specimens using diffraction enhanced imaging.
使用衍射增强成像技术提高乳腺组织标本中钙化灶的图像对比度。
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Phys Rev Lett. 2001 Jun 18;86(25):5827-30. doi: 10.1103/PhysRevLett.86.5827.
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Objective comparison of image quality and dose between conventional and synchrotron radiation mammography.传统乳腺X线摄影与同步辐射乳腺X线摄影图像质量和剂量的客观比较。
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Mammography with synchrotron radiation: phase-detection techniques.同步辐射乳腺摄影:相位检测技术
Radiology. 2000 Apr;215(1):286-93. doi: 10.1148/radiology.215.1.r00ap10286.
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Human breast cancer specimens: diffraction-enhanced imaging with histologic correlation--improved conspicuity of lesion detail compared with digital radiography.人类乳腺癌标本:衍射增强成像与组织学相关性——与数字X线摄影相比,病变细节的清晰度更高。
Radiology. 2000 Mar;214(3):895-901. doi: 10.1148/radiology.214.3.r00mr26895.
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Phase mammography--a new technique for breast investigation.相位乳腺摄影术——一种用于乳腺检查的新技术。
Phys Med Biol. 1998 Sep;43(9):2555-67. doi: 10.1088/0031-9155/43/9/009.