Campisi Matthew S, Barbre Curtis, Chola Aditya, Cunningham Gisselle, Woods Virginia, Viventi Jonathan
Annu Int Conf IEEE Eng Med Biol Soc. 2014;2014:1131-4. doi: 10.1109/EMBC.2014.6943794.
While mammography remains the gold standard for breast cancer screening, additional adjunctive tools for early detection of breast cancer are needed especially for young women, women with dense breast tissue and those at increased risk due to genetic factors. These patient populations, along with those populations for whom mammography is not readily available, require alternative technologies capable of effectively detecting breast cancer. One such adjunctive modality for breast cancer detection is Electrical Impedance Tomography (EIT). It is a non-invasive technique that measures tissue conductivity by injecting a small current through a surface electrode while measuring electrode voltage(s). The surface measurements are then used to reconstruct a conductivity mapping of the tissue. The difference in conductivities between healthy tissue and that of carcinoma enable EIT to detect cancer. Electrical Impedance Tomography does not subject the patient to ionizing radiation, and offers significant potential for detecting very small tumors in early stages of development at a low cost. While prior systems have demonstrated success using EIT for breast cancer detection, the resolution of the reconstructed image was limited by the spatial resolution of the sensing electrode array. Here, we report the use of higher density (3mm spacing) flexible micro-electrode arrays to obtain tissue impedance maps. Accurate EIT reconstruction is highly dependent on the spatial resolution and fidelity of the surface measurements. High-density, flexible arrays that conform to the breast surface can offer great potential in reconstructing higher resolution conductivity maps than have been previously achieved.
虽然乳腺钼靶摄影仍然是乳腺癌筛查的金标准,但仍需要额外的辅助工具来早期检测乳腺癌,特别是对于年轻女性、乳腺组织致密的女性以及因遗传因素而风险增加的女性。这些患者群体,以及那些无法轻易进行乳腺钼靶摄影的人群,需要能够有效检测乳腺癌的替代技术。一种用于乳腺癌检测的辅助方法是电阻抗断层成像(EIT)。它是一种非侵入性技术,通过表面电极注入小电流并测量电极电压来测量组织电导率。然后利用表面测量结果重建组织的电导率图谱。健康组织与癌组织之间的电导率差异使EIT能够检测癌症。电阻抗断层成像不会让患者受到电离辐射,并且在以低成本检测处于早期发展阶段的非常小的肿瘤方面具有巨大潜力。虽然先前的系统已证明使用EIT进行乳腺癌检测取得了成功,但重建图像分辨率受到传感电极阵列空间分辨率的限制。在此,我们报告使用更高密度(3毫米间距)的柔性微电极阵列来获取组织阻抗图。准确的EIT重建高度依赖于表面测量的空间分辨率和保真度。与乳房表面贴合的高密度柔性阵列在重建比以前更高分辨率的电导率图谱方面具有巨大潜力。