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Kim HJ, Kim HH, Eom HJ, Choi WJ, Chae EY, Shin HJ, Cha JH, Choi YW, Choi YJ, Kim KH, Min J, Shim WH, Lee S, Cho S. Optimizing angular range in digital breast tomosynthesis: A phantom study investigating lesion detection across varied breast density and thickness. Phys Med 2024; 124:103419. [PMID: 38986262 DOI: 10.1016/j.ejmp.2024.103419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2024] [Revised: 05/29/2024] [Accepted: 06/28/2024] [Indexed: 07/12/2024] Open
Abstract
PURPOSE To determine the optimal angular range (AR) for digital breast tomosynthesis (DBT) systems that provides highest lesion visibility across various breast densities and thicknesses. METHOD A modular DBT phantom, consisting of tissue-equivalent adipose and glandular modules, along with a module embedded with test objects (speckles, masses, fibers), was used to create combinations simulating different breast thicknesses, densities, and lesion locations. A prototype DBT system operated at four ARs (AR±7.5°, AR±12.5°, AR±19°, and AR±25°) to acquire 11 projection images for each combination, with separate fixed doses for thin and thick combinations. Three blinded radiologists independently assessed lesion visibility in reconstructed images; assessments were averaged and compared using linear mixed models. RESULTS Speckle visibility was highest with AR±7.5° or AR±12.5°, decreasing with wider ARs in all density and thickness combinations. The difference between AR±7.5° and AR±12.5° was not statistically significant, except for the tube-side speckles in thin-fatty combinations (5.83 [AR±7.5°] vs. 5.39 [AR±12.5°], P = 0.019). Mass visibility was not affected by AR in thick combinations, while AR±12.5° exhibited the highest mass visibility for both thin-fatty and thin-dense combinations (P = 0.032 and 0.007, respectively). Different ARs provided highest fiber visibility for different combinations; however, AR±12.5° consistently provided highest or comparable visibility. AR±12.5° showed highest overall lesion visibility for all density and thickness combinations. CONCLUSIONS AR±12.5° exhibited the highest overall lesion visibility across various phantom thicknesses and densities using a projection number of 11.
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Affiliation(s)
- Hee Jeong Kim
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Hak Hee Kim
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Hye Joung Eom
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea
| | - Woo Jung Choi
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Eun Young Chae
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Hee Jung Shin
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Joo Hee Cha
- Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Young Wook Choi
- Electro-Medical Equipment Research Division, Korea Electrotechnology Research Institute (KERI), 111, Hanggaul-ro, Sangrok-gu, Ansan-si, Gyeonggi-do 15588, South Korea.
| | - Young Jin Choi
- Electro-Medical Equipment Research Division, Korea Electrotechnology Research Institute (KERI), 111, Hanggaul-ro, Sangrok-gu, Ansan-si, Gyeonggi-do 15588, South Korea.
| | - Kee Hyun Kim
- Electro-Medical Equipment Research Division, Korea Electrotechnology Research Institute (KERI), 111, Hanggaul-ro, Sangrok-gu, Ansan-si, Gyeonggi-do 15588, South Korea.
| | - Joongkee Min
- Department of Medical Science, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Woo Hyun Shim
- Department of Medical Science, Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
| | - Seoyoung Lee
- Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291, Daehak-ro, Yuseong-gu, Daejeon 34141, South Korea.
| | - Seungryong Cho
- Department of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291, Daehak-ro, Yuseong-gu, Daejeon 34141, South Korea.
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Boisselier A, Mandoul C, Monsonis B, Delebecq J, Millet I, Pages E, Taourel P. Reader performances in breast lesion characterization via DBT: One or two views and which view? Eur J Radiol 2021; 142:109880. [PMID: 34358811 DOI: 10.1016/j.ejrad.2021.109880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 07/21/2021] [Accepted: 07/22/2021] [Indexed: 11/25/2022]
Abstract
PURPOSE To compare the performance in breast lesion characterization of one-view mediolateral (MLO) digital mammography plus digital breast tomosynthesis (DM-DBT) versus one-view craniocaudal (CC) DM-DBT versus two-view DM-DBT. MATERIALS AND METHODS The institutional review board approved this retrospective study conducted on 138 women from the population of a previous prospective multicenter study, with 69 consecutive patients with benign or high-risk lesions and 69 randomized patients with breast cancer, all confirmed at pathology. Four radiologists (two senior and two junior) blinded to the clinical, mammographic and pathological data independently reviewed the MLO DM-DBT views, the CC DM-DBT views and the MLO + CC DM-DBT views using the American College of Radiology Breast Imaging-Reporting and Data System criteria for index lesion characterization. Areas under the receiver were calculated and compared for each reader and imaging protocol. RESULTS No significant differences in breast cancer characterization were observed between single MLO and CC views for all the readers. The added value of a second view was statistically significant for characterization in pooled data and for junior readers but not for senior readers (p ranging from 0.15 to 0.57 depending on the view and the senior reader). Finally, in 4 breast cancer cases, lesions were only detectable on the CC DM-DBT view in two cases and on the MLO DM-DBT view in the two other cases. CONCLUSION Our results support the use of two-view DM-DBT for breast lesion characterization when the readers are inexperienced. There is no significant difference between CC and MLO views when diagnosis is performed with one view.
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Affiliation(s)
- Antonia Boisselier
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Caroline Mandoul
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Benjamin Monsonis
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Jessica Delebecq
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Ingrid Millet
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Emma Pages
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
| | - Patrice Taourel
- Department of Medical Imaging, Montpellier University Hospital, Lapeyronie Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier, France.
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