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基于连续波漫射光学成像方法的正常和患病人类乳房区分的改良源-探测器配置:一项模拟研究。

A modified source-detector configuration for the discrimination between normal and diseased human breast based on the continuous-wave diffuse optical imaging approach: a simulation study.

机构信息

Department of Biomedical Engineering, Faculty of Engineering, Helwan University, Cairo, Egypt.

Department of Electrical Engineering, Egyptian Academy for Engineering and Advanced Technology (EAE&AT) Affiliated to Ministry of Military Production, Cairo, Egypt.

出版信息

Lasers Med Sci. 2022 Apr;37(3):1855-1864. doi: 10.1007/s10103-021-03440-9. Epub 2021 Oct 14.

Abstract

Breast tumors are among the most common types of tumors that can affect both genders. It may spread to the whole breast without any symptoms. Therefore, the early detection and accurate diagnosis of breast tumors are significantly important. Current approaches for breast cancer screening such as positron emission tomography (PET) and magnetic resonance imaging (MRI) have some limitations of being time and money-consuming. In addition, mammography screening is not recommended for women under forty. Consequently, optical techniques have been introduced as safe and functional alternatives. Diffuse optical imaging is a non-invasive imaging technique that utilizes near-infrared light to examine biological tissues based on measuring the optical transmission and/or reflection at various locations on the tissue surface. In this paper, we propose a modified arrangement between the laser source and the detectors for distinguishing tumors from normal breast tissue. A three-dimensional model of the normal human breast with three types of tumors is developed using a COMSOL simulation software based on the finite element solution of Helmholtz equation to estimate optical fluence distribution. The breast model consists of four layers: skin, fat, glandular, and muscle, where the tumor is included in the glandular layer. Different wavelengths were used to determine the most proper wavelength for the discrimination between the normal tissue and tumor. The obtained results were verified using the receiver operating characteristic (ROC) method. The resultant fluence images show different features between normal breast and breast with tumor especially using 600-nm incident laser as demonstrated by the obtained ROC curves.

摘要

乳房肿瘤是最常见的肿瘤类型之一,可发生于两性。它可能在没有任何症状的情况下扩散到整个乳房。因此,早期发现和准确诊断乳房肿瘤非常重要。目前用于乳腺癌筛查的方法,如正电子发射断层扫描(PET)和磁共振成像(MRI),存在时间和金钱上的限制。此外,不建议四十岁以下的女性进行乳房 X 光筛查。因此,光学技术已被引入作为安全且功能替代的方法。漫射光学成像是一种非侵入性的成像技术,利用近红外光通过测量组织表面不同位置的光透射和/或反射来检查生物组织。在本文中,我们提出了一种在激光源和探测器之间的改进排列,用于区分肿瘤和正常乳房组织。使用 COMSOL 模拟软件基于亥姆霍兹方程的有限元解,针对三种类型的肿瘤,建立了正常人类乳房的三维模型,以估计光荧光分布。乳房模型由四层组成:皮肤、脂肪、腺体和肌肉,其中肿瘤包含在腺体层中。使用不同的波长来确定区分正常组织和肿瘤的最佳波长。使用接收器操作特征(ROC)方法验证了获得的结果。荧光图像显示了正常乳房和乳房肿瘤之间的不同特征,特别是使用 600nm 入射激光,ROC 曲线也证明了这一点。

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