The aim of the study is to assess the feasibility of a homemade phantom for image quality evaluation in Contrast Enhanced Spectral Mammography (CESM). The phantom was composed by a PMMA slab with holes of different diameters (10, 5 and 2.5 mm) and thicknesses (5, 4, 3 and 2 mm) filled with diluted iodine contrast medium, resulting in concentrations of 1.9, 1.5, 1.1 and 0.7 mg/cm2 (±0.2 mg/cm2 ), similar to the clinical concentrations. Furthermore, we added tissue-equivalent slabs with anatomical background and we simulated 3 different configurations equivalent to 32, 60 and 90 mm breast thicknesses. Image acquisitions were performed on a Hologic 3Dimensions mammography system using AEC clinical parameters. The acquisitions included a low energy exposure followed by an high energy one, and the resulting processed images were a subtraction of the 2 acquired images. For each configuration, the CNR on the low, high and subtracted images were calculated. The results showed that CNR values measured on the processed subtracted images were much higher respect to the CNR measured on the “for processing” low and high energy images. Furthermore, as expected, an increase in CNR for increasing iodine concentration was verified on the processed images, but not always on raw images that contained anatomical background. Preliminary results showed that the phantom is suitable for image quality evaluation in CESM but further studies with different acquisition parameters and on different mammography systems are necessary to assess the repeatability and the consistency of the measurements.
V. Ravaglia, L. Angelini, M. Bertolini, G. Della Gala, C. Fabbri, S. Fabbri, S. Farnedi, I. Vacchieri, P. Golinelli, G. Guerra, O. Ortenzia, L. Pagan, A. Savini, N. Scrittori, G. Venturi
The aim of the study is to compare the small-size objects detection of synthetic 2D (2D-S), breast tomosynthesis (DBT) and standard full-field digital mammography (FFDM) images for different mammography systems. 8 mammography systems of 6 different models and vendors were compared using a home-made phantom composed of CDMAM (Artinis), homogeneous PMMA slabs and BR3D tissue-equivalent slabs (Cirs) containing an anatomic noise. In this study we performed a 4AFC study relative to details with diameters ranging from 100 to 500 μm. We simulate different phantom configurations equivalent to small, standard and large breast adding homogeneous PMMA slabs in order to obtain 3 different equivalent thicknesses. Each phantom configuration was imaged with 2 different dose levels. The processed images were successively divided into squared sub-images, each containing a detail of different size and contrast. The sub-images were rotated and displayed in random order on a 5MP calibrated monitor to 4 trained readers. A percentage correct PC relative each detail was calculated for each mammography, modality and configuration. Preliminary results obtained for configuration A (small breast) and “fixed” dose show that FFDM and DBT images have a significant better detection rates respect to 2D-S for details in the whole range 100-500 μm (p<0.01) while no significant difference in detection for FFDM and DBT was found (p>0.06). Besides these general results, some different behaviours among mammography systems were found.
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