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新型辅助机电近场雷达系统用于三维乳房 X 光摄影术早期检测乳腺癌的初步结果。

Preliminary Results of a New Auxiliary Mechatronic Near-Field Radar System to 3D Mammography for Early Detection of Breast Cancer.

机构信息

Mechanical Engineering Department, Northeastern University, Boston, MA 02115, USA.

Electrical Engineering Department, Northeastern University, Boston, MA 02115, USA.

出版信息

Sensors (Basel). 2018 Jan 25;18(2):342. doi: 10.3390/s18020342.

DOI:10.3390/s18020342
PMID:29370106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5856184/
Abstract

Accurate and early detection of breast cancer is of high importance, as it is directly associated with the patients' overall well-being during treatment and their chances of survival. Uncertainties in current breast imaging methods can potentially cause two main problems: (1) missing newly formed or small tumors; and (2) false alarms, which could be a source of stress for patients. A recent study at the Massachusetts General Hospital (MGH) indicates that using Digital Breast Tomosynthesis (DBT) can reduce the number of false alarms, when compared to conventional mammography. Despite the image quality enhancement DBT provides, the accurate detection of cancerous masses is still limited by low radiological contrast (about 1%) between the fibro-glandular tissue and affected tissue at X-ray frequencies. In a lower frequency region, at microwave frequencies, the contrast is comparatively higher (about 10%) between the aforementioned tissues; yet, microwave imaging suffers from low spatial resolution. This work reviews conventional X-ray breast imaging and describes the preliminary results of a novel near-field radar imaging mechatronic system (NRIMS) that can be fused with the DBT, in a co-registered fashion, to combine the advantages of both modalities. The NRIMS consists of two antipodal Vivaldi antennas, an XY positioner, and an ethanol container, all of which are particularly designed based on the DBT physical specifications. In this paper, the independent performance of the NRIMS is assessed by (1) imaging a bearing ball immersed in sunflower oil and (2) computing the heat Specific Absorption Rate (SAR) due to the electromagnetic power transmitted into the breast. The preliminary results demonstrate that the system is capable of generating images of the ball. Furthermore, the SAR results show that the system complies with the standards set for human trials. As a result, a configuration based on this design might be suitable for use in realistic clinical applications.

摘要

准确且早期的乳腺癌检测非常重要,因为它直接关系到患者在治疗过程中的整体健康状况及其生存机会。当前的乳腺成像方法存在不确定性,可能会导致两个主要问题:(1)漏诊新形成或较小的肿瘤;(2)假警报,这可能会给患者带来压力。马萨诸塞州综合医院(MGH)的一项最新研究表明,与传统的乳房 X 光摄影相比,使用数字乳腺断层合成术(DBT)可以减少假警报的数量。尽管 DBT 提供了图像质量的提升,但癌症肿块的准确检测仍然受到 X 射线频率下纤维腺体组织和受影响组织之间的低放射对比度(约 1%)的限制。在较低的微波频率区域,上述组织之间的对比度要高得多(约 10%);然而,微波成像是以低空间分辨率为代价的。这项工作回顾了传统的 X 射线乳房成像,并描述了一种新型近场雷达成像机电系统(NRIMS)的初步结果,该系统可以与 DBT 融合,以协同方式结合两种模式的优势。NRIMS 由两个对极化的 Vivaldi 天线、一个 XY 定位器和一个乙醇容器组成,所有这些都是根据 DBT 的物理规格专门设计的。在本文中,通过(1)对浸入葵花籽油中的轴承球进行成像和(2)计算由于电磁功率传输到乳房而产生的热比吸收率(SAR),来评估 NRIMS 的独立性能。初步结果表明,该系统能够生成球的图像。此外,SAR 结果表明该系统符合人体试验设定的标准。因此,基于这种设计的配置可能适用于现实的临床应用。

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本文引用的文献

1
Preliminary imaging results and SAR analysis of a microwave imaging system for early breast cancer detection.用于早期乳腺癌检测的微波成像系统的初步成像结果及比吸收率分析。
Annu Int Conf IEEE Eng Med Biol Soc. 2016 Aug;2016:1066-1069. doi: 10.1109/EMBC.2016.7590887.
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Electromagnetic Performances Analysis of an Ultra-wideband and Flexible Material Antenna in Microwave Breast Imaging: To Implement A Wearable Medical Bra.在微波乳腺癌成像中实现一种超宽带和柔性材料天线的电磁性能分析:用于实施一种可穿戴医疗文胸。
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Increased Risk of Developing Breast Cancer after a False-Positive Screening Mammogram.
乳腺钼靶筛查假阳性后患乳腺癌风险增加。
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Direct Extraction of Tumor Response Based on Ensemble Empirical Mode Decomposition for Image Reconstruction of Early Breast Cancer Detection by UWB.基于集成经验模态分解的肿瘤反应直接提取用于超宽带早期乳腺癌检测的图像重建。
IEEE Trans Biomed Circuits Syst. 2015 Oct;9(5):710-24. doi: 10.1109/TBCAS.2015.2481940. Epub 2015 Nov 3.
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Mammography screening is harmful and should be abandoned.乳腺钼靶筛查有害,应予以摒弃。
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Accuracy of Digital Breast Tomosynthesis for Depicting Breast Cancer Subgroups in a UK Retrospective Reading Study (TOMMY Trial).数字乳腺断层合成在英国回顾性阅读研究(TOMMY 试验)中对乳腺癌亚组的描绘准确性。
Radiology. 2015 Dec;277(3):697-706. doi: 10.1148/radiol.2015142566. Epub 2015 Jul 15.
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Flexible 16 Antenna Array for Microwave Breast Cancer Detection.用于微波乳腺癌检测的柔性16天线阵列
IEEE Trans Biomed Eng. 2015 Oct;62(10):2516-25. doi: 10.1109/TBME.2015.2434956. Epub 2015 May 19.
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Current status of automated breast ultrasonography.自动乳腺超声检查的现状。
Ultrasonography. 2015 Jul;34(3):165-72. doi: 10.14366/usg.15002. Epub 2015 Mar 23.
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Breast Cancer Manag. 2015 Jan 1;4(1):33-40. doi: 10.2217/BMT.14.49.
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