Deep-learning-based models have achieved state-of-the-art breast cancer risk (BCR) prediction performance. However, these models are highly complex, and the underlying mechanisms of BCR prediction are not fully understood. Key questions include whether these models can detect breast morphologic changes that lead to cancer.
View Article and Find Full Text PDFJ Med Imaging (Bellingham)
January 2025
Purpose: We characterize the flying focal spot (FFS) technology in digital breast tomosynthesis (DBT), designed to overcome source motion blurring.
Approach: A wide-angle DBT system with continuous gantry and focus motion ("uncompensated focus") and a system with FFS were compared for image sharpness and lesion detectability. The modulation transfer function (MTF) was assessed as a function of height in the projections and reconstructed images, along with lesion detectability using the contrast detail phantom for mammography (CDMAM) and the L1 phantom.
Background: Mammographic imaging is essential for breast cancer detection and diagnosis. In addition to masses, calcifications are of concern and the early detection of breast cancer also heavily relies on the correct interpretation of suspicious microcalcification clusters. Even with advances in imaging and the introduction of novel techniques such as digital breast tomosynthesis and contrast-enhanced mammography, a correct interpretation can still be challenging given the subtle nature and large variety of calcifications.
View Article and Find Full Text PDFPurpose: To investigate the impact of adding digital breast tomosynthesis (DBT) to full field digital mammography (FFDM) in screening asymptomatic women with an elevated breast cancer life time risk (BCLTR) but without known genetic mutation.
Methods: This IRB-approved single-institution multi-reader study on prospectively acquired FFDM + DBT images included 429 asymptomatic women (39-69y) with an elevated BC risk on their request form. The BCLTR was calculated for each patient using the IBISrisk calculator v8.
Objectives: Evaluate microcalcification detectability in digital breast tomosynthesis (DBT) and synthetic 2D mammography (SM) for different acquisition setups using a virtual imaging trial (VIT) approach.
Materials And Methods: Medio-lateral oblique (MLO) DBT acquisitions on eight patients were performed at twice the automatic exposure controlled (AEC) dose. The noise was added to the projections to simulate a given dose trajectory.