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Serra N, Cubeddu R, Maffeis G, Damagatla V, Pifferi A, Taroni P. In vivo optimization of the experimental conditions for the non-invasive optical assessment of breast density. Sci Rep 2024; 14:19154. [PMID: 39160254 PMCID: PMC11333589 DOI: 10.1038/s41598-024-70099-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 08/13/2024] [Indexed: 08/21/2024] Open
Abstract
In this study, time domain diffuse optical spectroscopy is performed in the range 600-1100 nm on 11 healthy volunteers with a portable system for the quantitative characterization of breast tissue in terms of optical properties and optically-derived blood parameters, tissue constituent concentrations, and scattering parameters. A measurement protocol involving different geometries (reflectance and transmittance), subject's positions (sitting and lying down), probing locations (outer, lower, and inner breast quadrants), and source-detector distances (2 and 3 cm) allowed us to investigate the effect of tissue heterogeneity and different measurement configurations on the results with the aim of identifying the best experimental conditions for the estimate of breast density (i.e., amount of fibro-glandular tissue in the breast) as a strong independent risk factor for breast cancer. Transmittance results, that in previous studies correlated strongly with mammographic density, are used as a reference for the initial test of the simpler and more comfortable reflectance measurement configuration. The higher source-detector distance, which probes deeper tissue, retrieves optical outcomes in agreement with higher average density tissue. Similarly, results on the outer quadrants indicate higher density than internal quadrants. These findings are coherent with breast anatomy since the concentration of dense fibro-glandular stroma is higher in deep tissue and towards the external portion of the breast, where the mammary gland is located. The dataset generated with this laboratory campaign is used to device an optimal measurement protocol for a future clinical trial, where optical results will be correlated with conventional mammographic density, allowing us to identify a subset of wavelengths and measurement configurations for an effective estimate of breast density. The final objective is the design of a simplified, compact and cost-effective optical device for a non-invasive, routine assessment of density-associated breast cancer risk.
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Affiliation(s)
- Nicola Serra
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy.
| | - Rinaldo Cubeddu
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
| | - Giulia Maffeis
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
| | - Vamshi Damagatla
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
| | - Antonio Pifferi
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
| | - Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133, Milan, Italy
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Perera D, Pirikahu S, Walter J, Cadby G, Darcey E, Lloyd R, Hickey M, Saunders C, Hackmann M, Sampson DD, Shepherd J, Lilge L, Stone J. The distribution of breast density in women aged 18 years and older. Breast Cancer Res Treat 2024; 205:521-531. [PMID: 38498102 PMCID: PMC11101556 DOI: 10.1007/s10549-024-07269-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 01/24/2024] [Indexed: 03/20/2024]
Abstract
PURPOSE Age and body mass index (BMI) are critical considerations when assessing individual breast cancer risk, particularly for women with dense breasts. However, age- and BMI-standardized estimates of breast density are not available for screen-aged women, and little is known about the distribution of breast density in women aged < 40. This cross-sectional study uses three different modalities: optical breast spectroscopy (OBS), dual-energy X-ray absorptiometry (DXA), and mammography, to describe the distributions of breast density across categories of age and BMI. METHODS Breast density measures were estimated for 1,961 Australian women aged 18-97 years using OBS (%water and %water + %collagen). Of these, 935 women had DXA measures (percent and absolute fibroglandular dense volume, %FGV and FGV, respectively) and 354 had conventional mammographic measures (percent and absolute dense area). The distributions for each breast density measure were described across categories of age and BMI. RESULTS The mean age was 38 years (standard deviation = 15). Median breast density measures decreased with age and BMI for all three modalities, except for DXA-FGV, which increased with BMI and decreased after age 30. The variation in breast density measures was largest for younger women and decreased with increasing age and BMI. CONCLUSION This unique study describes the distribution of breast density measures for women aged 18-97 using alternative and conventional modalities of measurement. While this study is the largest of its kind, larger sample sizes are needed to provide clinically useful age-standardized measures to identify women with high breast density for their age or BMI.
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Affiliation(s)
- Dilukshi Perera
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia
| | - Sarah Pirikahu
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia
| | - Jane Walter
- University Health Network, Toronto, ON, Canada
| | - Gemma Cadby
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia
| | - Ellie Darcey
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia
| | - Rachel Lloyd
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia
| | - Martha Hickey
- Department of Obstetrics and Gynaecology, University of Melbourne and the Royal Women's Hospital, Melbourne, VIC, Australia
| | - Christobel Saunders
- Department of Surgery, Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia
| | - Michael Hackmann
- School of Human Sciences, The University of Western Australia, Perth, WA, Australia
- Optical and Biomedical Engineering Laboratory School of Electrical, Electronic and Computer Engineering, The University of Western Australia, Perth, WA, Australia
| | - David D Sampson
- Surry Biophotonics, Advanced Technology Institute and School of Biosciences and Medicine, The University of Surrey, Guildford, Surrey, UK
| | - John Shepherd
- Epidemiology and Population Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA
| | - Lothar Lilge
- University Health Network, Toronto, ON, Canada
- Medical Biophysics, University of Toronto, Toronto, ON, Canada
| | - Jennifer Stone
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Perth, WA, 6009, Australia.
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3
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Kehm RD, Lilge L, Walter EJ, White M, Herbstman JB, Perera FP, Miller RL, Terry MB, Tehranifar P. Socioeconomic Status at Birth and Breast Tissue Composition in Adolescence and Adulthood. Cancer Epidemiol Biomarkers Prev 2023; 32:1294-1301. [PMID: 37436425 PMCID: PMC10804240 DOI: 10.1158/1055-9965.epi-23-0444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 06/15/2023] [Accepted: 07/10/2023] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND Socioeconomic status (SES) at birth is associated with breast cancer risk. Whether this association is driven by changes in breast tissue composition (BTC) prior to adulthood remains unclear. METHODS We used multivariable linear regression models to examine whether SES at birth is associated with BTC in adolescence and adulthood using data from a New York City cohort of daughters (n = 165, 11-20 years) and mothers (n = 160, 29-55 years). We used maternal-reported data on daughters' household income and maternal education at birth, analyzed individually and in combination (SES index). Women also reported their own mothers' education at birth. We used optical spectroscopy to evaluate BTC measures that positively (water content, collagen content, optical index) and negatively (lipid content) correlate with mammographic breast density, a recognized breast cancer risk factor. RESULTS Being in the highest versus lowest category of the SES index was associated with lower lipid content [βadjusted (βadj) = -0.80; 95% confidence interval (CI), -1.30 to -0.31] and higher collagen content (βadj = 0.54; 95% CI, 0.09-0.99) in adolescence. In women with a body mass index (BMI) <30 kg/m2, higher maternal education at birth (≥ vs. < high school degree) was associated with lower lipid content (βadj = -0.57; 95% CI, -0.97 to -0.17), higher water content (βadj = 0.70; 95% CI, 0.26-1.14), and higher optical index (βadj = 0.53; 95% CI, 0.10-0.95). CONCLUSIONS This study supports that SES at birth is associated with BTC in adolescence and adulthood, although the latter association may depend on adult BMI. IMPACT Further research is needed to identify the socially patterned early life factors influencing BTC.
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Affiliation(s)
- Rebecca D Kehm
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168 St, New York, NY 10032, USA
| | - Lothar Lilge
- Department of Medical Biophysics, University of Toronto, 101 College St, Toronto, ON M5G 0A3, Canada
- Princess Margaret Cancer Centre, University Health Network, 101 College St, Toronto, ON M5G 0A3, Canada
| | - E Jane Walter
- Princess Margaret Cancer Centre, University Health Network, 101 College St, Toronto, ON M5G 0A3, Canada
| | - Melissa White
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168 St, New York, NY 10032, USA
| | - Julie B Herbstman
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA
| | - Frederica P Perera
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA
| | - Rachel L Miller
- Division of Clinical Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY 10029, USA
| | - Mary Beth Terry
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168 St, New York, NY 10032, USA
- Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY 10032, USA
| | - Parisa Tehranifar
- Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168 St, New York, NY 10032, USA
- Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY 10032, USA
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Lloyd R, Pirikahu S, Walter J, Cadby G, Darcey E, Perera D, Hickey M, Saunders C, Karnowski K, Sampson DD, Shepherd J, Lilge L, Stone J. Alternative methods to measure breast density in younger women. Br J Cancer 2023; 128:1701-1709. [PMID: 36828870 PMCID: PMC10133329 DOI: 10.1038/s41416-023-02201-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 01/19/2023] [Accepted: 02/06/2023] [Indexed: 02/26/2023] Open
Abstract
BACKGROUND Breast density is a strong and potentially modifiable breast cancer risk factor. Almost everything we know about breast density has been derived from mammography, and therefore, very little is known about breast density in younger women aged <40. This study examines the acceptability and performance of two alternative breast density measures, Optical Breast Spectroscopy (OBS) and Dual X-ray Absorptiometry (DXA), in women aged 18-40. METHODS Breast tissue composition (percent water, collagen, and lipid content) was measured in 539 women aged 18-40 using OBS. For a subset of 169 women, breast density was also measured via DXA (percent fibroglandular dense volume (%FGV), absolute dense volume (FGV), and non-dense volume (NFGV)). Acceptability of the measurement procedures was assessed using an adapted validated questionnaire. Performance was assessed by examining the correlation and agreement between the measures and their associations with known determinants of mammographic breast density. RESULTS Over 93% of participants deemed OBS and DXA to be acceptable. The correlation between OBS-%water + collagen and %FGV was 0.48. Age and BMI were inversely associated with OBS-%water + collagen and %FGV and positively associated with OBS-%lipid and NFGV. CONCLUSIONS OBS and DXA provide acceptable and viable alternative methods to measure breast density in younger women aged 18-40 years.
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Affiliation(s)
- Rachel Lloyd
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Sarah Pirikahu
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Jane Walter
- University Health Network, Toronto, ON, Canada
| | - Gemma Cadby
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Ellie Darcey
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Dilukshi Perera
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia
| | - Martha Hickey
- Department of Obstetrics and Gynaecology, University of Melbourne and the Royal Women's Hospital, Melbourne, VIC, Australia
| | - Christobel Saunders
- Department of Surgery, Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC, Australia
| | - Karol Karnowski
- Optical and Biomedical Engineering Laboratory School of Electrical, Electronic and Computer Engineering, The University of Western Australia, Perth, WA, Australia
| | - David D Sampson
- Surry Biophotonics, Advanced Technology Institute and School of Biosciences and Medicine, The University of Surrey, Guildford, Surrey, UK
| | - John Shepherd
- Epidemiology and Population Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA
| | - Lothar Lilge
- University Health Network, Toronto, ON, Canada.,Medical Biophysics, University of Toronto, Toronto, ON, Canada
| | - Jennifer Stone
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, Perth, WA, Australia.
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Wada H, Yoshizawa N, Ohmae E, Ueda Y, Yoshimoto K, Mimura T, Nasu H, Asano Y, Ogura H, Sakahara H, Goshima S. Water and lipid content of breast tissue measured by six-wavelength time-domain diffuse optical spectroscopy. JOURNAL OF BIOMEDICAL OPTICS 2022; 27:105002. [PMID: 36229894 PMCID: PMC9556800 DOI: 10.1117/1.jbo.27.10.105002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 09/23/2022] [Indexed: 06/16/2023]
Abstract
SIGNIFICANCE The water and lipid content of normal breast tissue showed mammary gland characteristics with less influence from the chest wall using six-wavelength time-domain diffuse optical spectroscopy (TD-DOS) in a reflectance geometry. AIM To determine the depth sensitivity of a six-wavelength TD-DOS system and evaluate whether the optical parameters in normal breast tissue can distinguish dense breasts from non-dense breasts. APPROACH Measurements were performed in normal breast tissue of 37 breast cancer patients. We employed a six-wavelength TD-DOS system to measure the water and lipid content in addition to the hemoglobin concentration. The breast density in mammography and optical parameters were then compared. RESULTS The depth sensitivity of the system for water and lipid content was estimated to be ∼15 mm. Our findings suggest that the influence of the chest wall on the water content is weaker than that on the total hemoglobin concentration. In data with evaluation conditions, the water content was significantly higher (p < 0.001) and the lipid content was significantly lower (p < 0.001) in dense breast tissue. The water and lipid content exhibited a high sensitivity and specificity to distinguish dense from non-dense breasts in receiver-operating-characteristic curve analysis. CONCLUSIONS With less influence from the chest wall, the water and lipid content of normal breast tissue measured by a reflectance six-wavelength TD-DOS system, together with ultrasonography, can be applied to distinguish dense from non-dense breasts.
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Affiliation(s)
- Hiroko Wada
- Hamamatsu Photonics K.K., Central Research Laboratory, Hamamatsu, Japan
| | - Nobuko Yoshizawa
- Hamamatsu University School of Medicine, Department of Radiology, Hamamatsu, Japan
| | - Etsuko Ohmae
- Hamamatsu Photonics K.K., Central Research Laboratory, Hamamatsu, Japan
| | - Yukio Ueda
- Hamamatsu Photonics K.K., Central Research Laboratory, Hamamatsu, Japan
| | - Kenji Yoshimoto
- Hamamatsu Photonics K.K., Central Research Laboratory, Hamamatsu, Japan
| | - Tetsuya Mimura
- Hamamatsu Photonics K.K., Central Research Laboratory, Hamamatsu, Japan
| | - Hatsuko Nasu
- Hamamatsu University School of Medicine, Department of Radiology, Hamamatsu, Japan
| | - Yuko Asano
- Hamamatsu University School of Medicine, Department of Breast Surgery, Hamamatsu, Japan
| | - Hiroyuki Ogura
- Hamamatsu University School of Medicine, Department of Breast Surgery, Hamamatsu, Japan
| | - Harumi Sakahara
- Hamamatsu University School of Medicine, Department of Radiology, Hamamatsu, Japan
- Higashiomicity Gamo Medical Center, PET Center, Higashiomishi, Japan
| | - Satoshi Goshima
- Hamamatsu University School of Medicine, Department of Radiology, Hamamatsu, Japan
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A comparison of various methods for measuring breast density and breast tissue composition in adolescent girls and women. Sci Rep 2022; 12:13547. [PMID: 35941279 PMCID: PMC9360013 DOI: 10.1038/s41598-022-17800-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 07/31/2022] [Indexed: 01/26/2023] Open
Abstract
This study compared different approaches to measuring breast density and breast tissue composition (BTC) in adolescent girls (n = 42, aged 14-16 years) and their mothers (n = 39, aged 36-61 years) from a cohort in Santiago, Chile. Optical spectroscopy (OS) was used to measure collagen, water, and lipid concentrations, which were combined into a percent breast density index (%BDI). A clinical dual-energy X-ray absorptiometry (DXA) system calibrated to measure breast density provided percent fibroglandular volume (%FGV) from manually delineated images. After digitizing mammogram films, the percent mammographic breast density (%MBD) was measured using computer-assisted software. Partial correlation coefficients (rpartial) were used to evaluate associations between breast density measures and BTC from these three different measurement approaches, adjusting for age and body mass index. %BDI from OS was associated with %FGV from DXA in adolescent girls (rpartial = 0.46, p-value = 0.003), but not in mothers (rpartial = 0.17, p-value = 0.32). In mothers, %FGV from DXA was associated with %MBD from mammograms (rpartial = 0.60, p-value < 0.001). These findings suggest that data from OS, DXA, and mammograms provide related but distinct information about breast density and BTC. Future studies should explore how the information provided by these different devices can be used for breast cancer risk prediction in cohorts of adolescent girls and women.
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Yuan H, Liu C, Wang H, Wang L, Dai L. PLS-DA and Vis-NIR spectroscopy based discrimination of abdominal tissues of female rabbits. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2022; 271:120887. [PMID: 35063825 DOI: 10.1016/j.saa.2022.120887] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 12/08/2021] [Accepted: 01/09/2022] [Indexed: 06/14/2023]
Abstract
Using Vis-NIR spectroscopy to distinguish gestational sac from other abdominal tissues is the key to diagnosing female rabbits' pregnancy by optical means. This study aims to demonstrate the gestational sac and other abdominal tissues (hair, skin, breast, muscle, cecum, small intestine) of rabbits can be identified using Vis-NIR spectroscopy in vitro. These tissues' raw NIR spectra were recorded in the Vis-NIR range (490-940 nm) with interactive mode. The raw spectra of tissues were analyzed by the principal component analysis (PCA), and were pre-processed using five spectral pre-processing techniques (moving average filter (MF), De-trending (DT), first-order derivative (D1), Multivariate scattering correction (MSC), and standard normal variate (SNV)) to reduce signal noises. The raw and pre-processed spectra were classified using partial least squares discrimination analysis (PLS-DA). Two-way and multi-way PLS-DA model was conducted to understand the classification of each tissue from the gestational sac and to understand the classification of all tissues from the gestational sac, respectively. SNV-PLS-DA model had the best performance, and its multi-way accuracy (Ac), determination coefficients (R2), and Q2 were 0.89, 0.91, 0.77, respectively. The successive projection algorithm (SPA) and competitive adaptive reweighted sampling (CARS) were used to select characteristic wavelengths (CWs). The SNV-SPA-PLS-DA model with eighteen CWs was better than the SNV-CARS-PLS-DA model. The results showed that Vis-NIR spectroscopy technology combined with PLS-DA could discriminate the gestational sac from the abdominal tissues. This study may help develop an optical diagnosis system for pregnant rabbits.
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Affiliation(s)
- Hao Yuan
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Cailing Liu
- College of Engineering, China Agricultural University, Beijing 100085, China.
| | - Hongying Wang
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Liangju Wang
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Lei Dai
- College of Engineering, China Agricultural University, Beijing 100085, China
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Lloyd R, Walter J, Pirikahu S, Cadby G, Hickey M, Sampson DD, Karnowski K, Hackmann MJ, Saunders C, Lilge L, Stone J. Assessment of repeated reference measurements to inform the validity of optical breast spectroscopy. THE REVIEW OF SCIENTIFIC INSTRUMENTS 2022; 93:044101. [PMID: 35489887 DOI: 10.1063/5.0072223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 03/07/2022] [Indexed: 06/14/2023]
Abstract
Mammographic breast density is a strong breast cancer risk factor, and its routine clinical measurement could potentially be used to identify women at higher risk of breast cancer and/or monitor primary prevention strategies. Previous reports of optical breast spectroscopy (OBS), a novel approach to measuring breast density, demonstrated that it is safe (no ionizing radiation), portable, low-cost, and does not require image interpretation but have been limited to small, single-center studies. Reference measurements taken on a phantom breast prior to and after each woman's OBS assessment are required for the calibration of the system transfer function as a part of processing participant data. To inform the validity of participant data, a detailed description of the reference measurements and a repeatability analysis of these measurements taken before and after participant assessment is presented. Reference measurements for OBS from 539 women aged 18-40 years were obtained as a part of a high-throughput epidemiological pilot study. Of these, measurements from 20 women with no useable data due to device failure (3.7%) were excluded and from another 12 women due to user error. The intra-class correlation (ICC) within complete pairs of reference data (taken before and after assessment) was high (all ICC > 0.84). The analysis presented here confirms the OBS participant data as valid for use in ongoing epidemiological research, providing further supporting evidence of OBS as a measure of breast density. A novel method of measuring breast density is needed to bridge large gaps in the knowledge of breast density in younger women and its relation to later-life breast cancer risk.
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Affiliation(s)
- Rachel Lloyd
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Crawley, Western Australia 6009, Australia
| | - Jane Walter
- University Health Network, Toronto, Ontario M5G 2M9, Canada
| | - Sarah Pirikahu
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Crawley, Western Australia 6009, Australia
| | - Gemma Cadby
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Crawley, Western Australia 6009, Australia
| | - Martha Hickey
- Department of Obstetrics and Gynaecology, University of Melbourne and the Royal Women's Hospital, Melbourne, Victoria 3052, Australia
| | - David D Sampson
- Surry Biophotonics, Advanced Technology Institute and School of Biosciences and Medicine, The University of Surrey, Guildford, Surrey GU2 7XH, United Kingdom
| | - Karol Karnowski
- Optical and Biomedical Engineering Laboratory School of Electrical, Electronic and Computer Engineering, The University of Western Australia, Crawley, Western Australia 6009, Australia
| | - Michael J Hackmann
- Optical and Biomedical Engineering Laboratory School of Electrical, Electronic and Computer Engineering, The University of Western Australia, Crawley, Western Australia 6009, Australia
| | - Christobel Saunders
- Medical School, The University of Western Australia, Crawley, Western Australia 6009, Australia
| | - Lothar Lilge
- University Health Network, Toronto, Ontario M5G 2M9, Canada
| | - Jennifer Stone
- Genetic Epidemiology Group, School of Population and Global Health, The University of Western Australia, 35 Stirling Highway M431, Crawley, Western Australia 6009, Australia
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Yuan H, Liu C, Wang H, Wang L, Dai L. Early pregnancy diagnosis of rabbits: A non-invasive approach using Vis-NIR spatially resolved spectroscopy. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2022; 264:120251. [PMID: 34455387 DOI: 10.1016/j.saa.2021.120251] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 07/15/2021] [Accepted: 08/02/2021] [Indexed: 06/13/2023]
Abstract
Pregnancy diagnosis is essential for rabbit's reproductive management. The early identification of non-pregnant rabbits allows for earlier re-insemination, increases the service rate, and reduces the laboring interval in commercial operations. The objective of this study was to establish the feasibility of using a Vis-NIR spatially resolved spectroscopy for diagnosing pregnancy in female rabbits. A total of 141 female rabbits, including 67 pregnant female rabbits (PRs) and 74 non-pregnant female rabbits (NPRs), were measured spectrally between 350 and 1000 nm with different source-detector distances (SDD). Different preprocessing methods were used to transform and enhance the spectral signal. A partial least squares-discriminant analysis (PLS-DA) classification model of the original and preprocessed spectra was established. The highest accuracy of the calibration set and prediction set was 91.75% and 86.05%, respectively. Competitive adaptive reweighted sampling (CARS) and successive projection algorithm (SPA) were used to select characteristic wavelengths from the variables of VIP > 1 (Variable importance in projection),and four classification models were established based on selected wavelengths, including PLS-DA, support vector machine (SVM), K-Nearest Neighbor (KNN) and Naïve Bayes. SPA-SVM was the optimal classification model, the sensitivity, specificity, and accuracy of the validation set and prediction set were 93.18%, 94.44%, 93.88%, 86.96%, 90.00%, 90.69% respectively. The results showed that Vis-NIR spatially resolved spectroscopy combined with classification models could discriminate the PRs and NPRs.
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Affiliation(s)
- Hao Yuan
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Cailing Liu
- College of Engineering, China Agricultural University, Beijing 100085, China.
| | - Hongying Wang
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Liangju Wang
- College of Engineering, China Agricultural University, Beijing 100085, China
| | - Lei Dai
- College of Engineering, China Agricultural University, Beijing 100085, China
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Kehm RD, Walter EJ, Oskar S, White ML, Tehranifar P, Herbstman JB, Perera F, Lilge L, Miller RL, Terry MB. Exposure to polycyclic aromatic hydrocarbons during pregnancy and breast tissue composition in adolescent daughters and their mothers: a prospective cohort study. Breast Cancer Res 2022; 24:47. [PMID: 35821060 PMCID: PMC9277813 DOI: 10.1186/s13058-022-01546-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 07/01/2022] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Polycyclic aromatic hydrocarbons (PAH), which are found in air pollution, have carcinogenic and endocrine disrupting properties that might increase breast cancer risk. PAH exposure might be particularly detrimental during pregnancy, as this is a time when the breast tissue of both the mother and daughter is undergoing structural and functional changes. In this study, we tested the hypothesis that ambient PAH exposure during pregnancy is associated with breast tissue composition, measured one to two decades later, in adolescent daughters and their mothers. METHODS We conducted a prospective analysis using data from a New York City cohort of non-Hispanic Black and Hispanic mother-daughter dyads (recruited 1998-2006). During the third trimester of pregnancy, women wore backpacks containing a continuously operating air sampling pump for two consecutive days that measured ambient exposure to eight carcinogenic higher molecular weight nonvolatile PAH compounds (Σ8 PAH) and pyrene. When daughters (n = 186) and mothers (n = 175) reached ages 11-20 and 29-55 years, respectively, optical spectroscopy (OS) was used to evaluate measures of breast tissue composition (BTC) that positively (water content, collagen content, optical index) and negatively (lipid content) correlate with mammographic breast density, a recognized risk factor for breast cancer. Multivariable linear regression was used to evaluate associations between ambient PAH exposure and BTC, overall and by exposure to household tobacco smoke during pregnancy (yes/no). Models were adjusted for race/ethnicity, age, and percent body fat at OS. RESULTS No overall associations were found between ambient PAH exposure (Σ8 PAH or pyrene) and BTC, but statistically significant additive interactions between Σ8 PAH and household tobacco smoke exposure were identified for water content and optical index in both daughters and mothers (interaction p values < 0.05). Σ8 PAH exposure was associated with higher water content (βdaughters = 0.42, 95% CI = 0.15-0.68; βmothers = 0.32, 95% CI = 0.05-0.61) and higher optical index (βdaughters = 0.38, 95% CI = 0.12-0.64; βmothers = 0.38, 95% CI = 0.12-0.65) in those exposed to household tobacco smoke during pregnancy; no associations were found in non-smoking households (interaction p values < 0.05). CONCLUSIONS Exposure to ambient Σ8 PAH and tobacco smoke during pregnancy might interact synergistically to impact BTC in mothers and daughters. If replicated in other cohorts, these findings might have important implications for breast cancer risk across generations.
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Affiliation(s)
- Rebecca D. Kehm
- grid.21729.3f0000000419368729Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, Room 1605, New York, NY 10032 USA
| | - E. Jane Walter
- grid.231844.80000 0004 0474 0428Princess Margaret Cancer Centre, University Health Network, 101 College St, Toronto, ON M5G 0A3 Canada
| | - Sabine Oskar
- grid.21729.3f0000000419368729Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, Room 1605, New York, NY 10032 USA
| | - Melissa L. White
- grid.21729.3f0000000419368729Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, Room 1605, New York, NY 10032 USA
| | - Parisa Tehranifar
- grid.21729.3f0000000419368729Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, Room 1605, New York, NY 10032 USA ,grid.239585.00000 0001 2285 2675Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY 10032 USA
| | - Julie B. Herbstman
- grid.21729.3f0000000419368729Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032 USA
| | - Frederica Perera
- grid.21729.3f0000000419368729Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032 USA
| | - Lothar Lilge
- grid.231844.80000 0004 0474 0428Princess Margaret Cancer Centre, University Health Network, 101 College St, Toronto, ON M5G 0A3 Canada ,grid.17063.330000 0001 2157 2938Department of Medical Biophysics, University of Toronto, 101 College St, Toronto, ON M5G 0A3 Canada
| | - Rachel L. Miller
- grid.59734.3c0000 0001 0670 2351Division of Clinical Immunology, Department of Medicine, Icahn School of Medicine at Mount Sinai, 1 Gustave L Levy Place, New York, NY 10029 USA
| | - Mary Beth Terry
- grid.21729.3f0000000419368729Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W 168th St, Room 1605, New York, NY 10032 USA ,grid.239585.00000 0001 2285 2675Herbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY 10032 USA
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11
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Maffeis G, Ferocino E, Mora AD, Pifferi A, Cubeddu R, Taroni P. In vivo test-driven upgrade of a time domain multi-wavelength optical mammograph. BIOMEDICAL OPTICS EXPRESS 2021; 12:1105-1122. [PMID: 33680561 PMCID: PMC7901327 DOI: 10.1364/boe.412210] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 01/06/2021] [Accepted: 01/19/2021] [Indexed: 05/23/2023]
Abstract
A recent upgrade of the time domain multi-wavelength optical mammograph developed by Politecnico di Milano achieved good performance in laboratory tests [Biomed. Opt. Express9, 755 (2018).10.1364/BOE.9.000755]. However, it proved unsatisfactory when in vivo measurements were finally performed. That led to a further upgrade, including the replacement of the time-to-digital converter with a new model, and the related set-up changes. The new instrument version offers improved laboratory performance (as assessed through established protocols: BIP and MEDPHOT) and good in vivo performance (extension of the scanned breast area, repeatability, consistency of estimated tissue composition with physiology). Besides introducing the new set-up and detailing its laboratory and in vivo performance, we highlight the importance of systematic in vivo testing before entering clinical trials.
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Affiliation(s)
- Giulia Maffeis
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
| | - Edoardo Ferocino
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
| | - Alberto Dalla Mora
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
| | - Antonio Pifferi
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
- CNR-Istituto di Fotonica e Nanotecnologie, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
| | - Rinaldo Cubeddu
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
| | - Paola Taroni
- Politecnico di Milano, Department of Physics, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
- CNR-Istituto di Fotonica e Nanotecnologie, Piazza Leonardo da Vinci, 32, 20133, Milan, Italy
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12
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Vairavan R, Abdullah O, Retnasamy PB, Sauli Z, Shahimin MM, Retnasamy V. A Brief Review on Breast Carcinoma and Deliberation on Current Non Invasive Imaging Techniques for Detection. Curr Med Imaging 2020; 15:85-121. [PMID: 31975658 DOI: 10.2174/1573405613666170912115617] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 08/27/2017] [Accepted: 08/29/2017] [Indexed: 12/22/2022]
Abstract
BACKGROUND Breast carcinoma is a life threatening disease that accounts for 25.1% of all carcinoma among women worldwide. Early detection of the disease enhances the chance for survival. DISCUSSION This paper presents comprehensive report on breast carcinoma disease and its modalities available for detection and diagnosis, as it delves into the screening and detection modalities with special focus placed on the non-invasive techniques and its recent advancement work done, as well as a proposal on a novel method for the application of early breast carcinoma detection. CONCLUSION This paper aims to serve as a foundation guidance for the reader to attain bird's eye understanding on breast carcinoma disease and its current non-invasive modalities.
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Affiliation(s)
- Rajendaran Vairavan
- School of Microelectronic Engineering, Universiti Malaysia Perlis, Pauh Putra Campus, 02600 Arau, Perlis, Malaysia
| | - Othman Abdullah
- Hospital Sultan Abdul Halim, 08000 Sg. Petani, Kedah, Malaysia
| | | | - Zaliman Sauli
- School of Microelectronic Engineering, Universiti Malaysia Perlis, Pauh Putra Campus, 02600 Arau, Perlis, Malaysia
| | - Mukhzeer Mohamad Shahimin
- Department of Electrical and Electronic Engineering, Faculty of Engineering, National Defence University of Malaysia (UPNM), Kem Sungai Besi, 57000 Kuala Lumpur, Malaysia
| | - Vithyacharan Retnasamy
- School of Microelectronic Engineering, Universiti Malaysia Perlis, Pauh Putra Campus, 02600 Arau, Perlis, Malaysia
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13
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Improving Localization of Deep Inclusions in Time-Resolved Diffuse Optical Tomography. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9245468] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Time-resolved diffuse optical tomography is a technique used to recover the optical properties of an unknown diffusive medium by solving an ill-posed inverse problem. In time-domain, reconstructions based on datatypes are used for their computational efficiency. In practice, most used datatypes are temporal windows and Fourier transform. Nevertheless, neither theoretical nor numerical studies assessing different datatypes have been clearly expressed. In this paper, we propose an overview and a new process to compute efficiently a long set of temporal windows in order to perform diffuse optical tomography. We did a theoretical comparison of these large set of temporal windows. We also did simulations in a reflectance geometry with a spherical inclusion at different depths. The results are presented in terms of inclusion localization and its absorption coefficient recovery. We show that (1) the new windows computed with the developed method improve inclusion localization for inclusions at deep layers, (2) inclusion absorption quantification is improved at all depths and, (3) in some cases these windows can be equivalent to frequency based reconstruction at GHz order.
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14
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Broadband Time Domain Diffuse Optical Reflectance Spectroscopy: A Review of Systems, Methods, and Applications. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9245465] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This review presents recent developments and a wide overview of broadband time domain diffuse optical spectroscopy (TD-DOS). Various topics including physics of photon migration, advanced instrumentation, methods of analysis, applications covering multiple domains (tissue chromophore, in vivo studies, food, wood, pharmaceutical industry) are elaborated. The key role of standardization and recent studies in that direction are discussed. Towards the end, a brief outlook is presented on the current status and future trends in broadband TD-DOS.
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15
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Altoe ML, Marone A, Kim HK, Kalinsky K, Hershman DL, Hielscher AH, Ha RS. Diffuse optical tomography of the breast: a potential modifiable biomarker of breast cancer risk with neoadjuvant chemotherapy. BIOMEDICAL OPTICS EXPRESS 2019; 10:4305-4315. [PMID: 31453012 PMCID: PMC6701514 DOI: 10.1364/boe.10.004305] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 06/19/2019] [Accepted: 06/21/2019] [Indexed: 05/07/2023]
Abstract
The purpose of this study is to evaluate whether a diffuse optical tomography breast imaging system (DOTBIS) can provide a comparable optical-based image index of mammographic breast density, an established biomarker of breast cancer risk. Oxyhemoglobin concentration (ctO2Hb) measured by DOTBIS was collected from 40 patients with stage II-III breast cancer. The tumor-free contralateral breast was used for this evaluation. We observed a moderate positive correlation between the patient's mammogram density classification and ctO2Hb, rs = 0.486 (p = 0.001). In addition, significant reduction in ctO2Hb levels were noted during neoadjuvant chemotherapy treatment (p = 0.017). This observation indicates that ctO2Hb levels measured by DOTBIS could be a novel modifiable imaging biomarker of breast cancer risk and warrants further investigation.
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Affiliation(s)
- Mirella L. Altoe
- Department of Biomedical Engineering, Columbia University, 500 W 120th St, Mudd Bldg, ET351, New York, NY 10027, USA
| | - Alessandro Marone
- Department of Biomedical Engineering, Columbia University, 500 W 120th St, Mudd Bldg, ET351, New York, NY 10027, USA
| | - Hyun K. Kim
- Department of Radiology, Columbia University Irving Medical Center, 622 W 168th Street, New York, NY 10032, USA
| | - Kevin Kalinsky
- Department of Medicine, Division of Hematology/Oncology, Columbia University Irving Medical Center, 1130 St. Nicholas Avenue, New York, NY 10032, USA
| | - Dawn L. Hershman
- Department of Medicine, Division of Hematology/Oncology, Columbia University Irving Medical Center, 1130 St. Nicholas Avenue, New York, NY 10032, USA
| | - Andreas H. Hielscher
- Department of Biomedical Engineering, Columbia University, 500 W 120th St, Mudd Bldg, ET351, New York, NY 10027, USA
- Department of Radiology, Columbia University Irving Medical Center, 622 W 168th Street, New York, NY 10032, USA
- Department of Electrical Engineering, Columbia University, 500 W 120th St, Mudd Bldg, MC 8904, New York, NY 10027, USA
| | - Richard S. Ha
- Department of Radiology, Columbia University Irving Medical Center, 622 W 168th Street, New York, NY 10032, USA
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16
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Comparison of Lipid and Water Contents by Time-domain Diffuse Optical Spectroscopy and Dual-energy Computed Tomography in Breast Cancer Patients. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9071482] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
We previously compared time-domain diffuse optical spectroscopy (TD-DOS) with magnetic resonance imaging (MRI) using various water/lipid phantoms. However, it is difficult to conduct similar comparisons in the breast, because of measurement differences due to modality-dependent differences in posture. Dual-energy computed tomography (DECT) examination is performed in the same supine position as a TD-DOS measurement. Therefore, we first verified the accuracy of the measured fat fraction of fibroglandular tissue in the normal breast on DECT by comparing it with MRI in breast cancer patients (n = 28). Then, we compared lipid and water signals obtained in TD-DOS and DECT from normal and tumor-tissue regions (n = 16). The TD-DOS breast measurements were carried out using reflectance geometry with a source–detector separation of 3 cm. A semicircular region of interest (ROI), with a transverse diameter of 3 cm and a depth of 2 cm that included the breast surface, was set on the DECT image. Although the measurement area differed between the modalities, the correlation coefficients of lipid and water signals between TD-DOS and DECT were rs = 0.58 (p < 0.01) and rs = 0.90 (p < 0.01), respectively. These results indicate that TD-DOS captures the characteristics of the lipid and water contents of the breast.
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17
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Wilson KE, Bachawal SV, Willmann JK. Intraoperative Resection Guidance with Photoacoustic and Fluorescence Molecular Imaging Using an Anti-B7-H3 Antibody-Indocyanine Green Dual Contrast Agent. Clin Cancer Res 2018; 24:3572-3582. [PMID: 29712688 DOI: 10.1158/1078-0432.ccr-18-0417] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 03/21/2018] [Accepted: 04/23/2018] [Indexed: 01/12/2023]
Abstract
Purpose: Breast cancer often requires surgical treatment including breast-conserving surgical resection. However, with current postsurgical histologic margin analysis, one quarter of breast cancer patients undergo reexcision to achieve negative margins corresponding to decreased local recurrence and better outcomes. Therefore, a method with high resolution and specificity for intraoperative margin assessment is needed.Experimental Design: First, quantitative immunofluorescence staining of B7-H3 expression was assessed in four pathologic stages of breast cancer progression of the MMTV-PyMT transgenic murine model. Next, an antibody-dye contrast agent, B7-H3-ICG, was injected into mice prior to surgical resection of breast cancer. Anatomic ultrasound, spectroscopic photoacoustic (sPA), and fluorescence imaging were used to guide resection of mammary glands suspected of containing cancer. Resected tissues were processed for H&E staining and pathologic assessment and compared with sPA and fluorescence imaging signals.Results: Tissue containing DCIS (46.0 ± 4.8 a.u.) or invasive carcinoma (91.7 ± 21.4 a.u.) showed significantly higher (P < 0.05) B7-H3 expression than normal and hyperplastic tissues (1.3 ± 0.8 a.u.). During image-guided surgical resection, tissue pieces assessed as normal or hyperplastic (n = 17) showed lower average sPA (3.17 ± 0.48 a.u.) and fluorescence signal [6.83E07 ± 2.00E06 (p/s)/(μW/cm²)] than DCIS and invasive carcinoma tissue (n = 63) with an average sPA signal of 23.98 ± 4.88 a.u. and an average fluorescence signal of 7.56E07 ± 1.44E06 (p/s)/(μW/cm²) with AUCs of 0.93 [95% confidence interval (CI), 0.87-0.99] and 0.71 (95% CI, 0.57-0.85), respectively.Conclusions: It was demonstrated that sPA and fluorescence molecular imaging combined with B7-H3-ICG agent can assess the disease status of tissues with high diagnostic accuracy, intraoperatively, with high resolution, sensitivity, and specificity. Clin Cancer Res; 24(15); 3572-82. ©2018 AACR.
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Affiliation(s)
- Katheryne E Wilson
- Department of Radiology, Molecular Imaging Program at Stanford, Stanford University, School of Medicine, Stanford, California.
| | - Sunitha V Bachawal
- Department of Radiology, Molecular Imaging Program at Stanford, Stanford University, School of Medicine, Stanford, California
| | - Jürgen K Willmann
- Department of Radiology, Molecular Imaging Program at Stanford, Stanford University, School of Medicine, Stanford, California
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18
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RUIZ JESSICA, NOUIZI FAROUK, CHO JAEDU, ZHENG JIE, LI YIFAN, CHEN JEONHOR, SU MINYING, GULSEN GULTEKIN. Breast density quantification using structured-light-based diffuse optical tomography simulations. APPLIED OPTICS 2017; 56:7146-7157. [PMID: 29047975 PMCID: PMC6691974 DOI: 10.1364/ao.56.007146] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Accepted: 07/26/2017] [Indexed: 05/08/2023]
Abstract
We present the feasibility of structured-light-based diffuse optical tomography (DOT) to quantify the breast density with an extensive simulation study. This study is performed on multiple numerical breast phantoms built from magnetic resonance imaging (MRI) images. These phantoms represent realistic tissue morphologies and are given typical breast optical properties. First, synthetic data are simulated at five wavelengths using our structured-light-based DOT forward problem. Afterwards, the inverse problem is solved to obtain the absorption images and subsequently the chromophore concentration maps. Parameters, such as segmented volumes and mean concentrations, are extracted from these maps and used in a regression model to estimate the percent breast densities. These estimations are correlated with the true values from MRI, r=0.97, showing that our new technique is promising in measuring breast density.
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Affiliation(s)
- JESSICA RUIZ
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - FAROUK NOUIZI
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - JAEDU CHO
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - JIE ZHENG
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - YIFAN LI
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - JEON-HOR CHEN
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
- E-Da Hospital and I-Shou University, Kaohsiung, Taiwan
| | - MIN-YING SU
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
| | - GULTEKIN GULSEN
- Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, California 92697, USA
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19
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Di Sieno L, Nissinen J, Hallman L, Martinenghi E, Contini D, Pifferi A, Kostamovaara J, Mora AD. Miniaturized pulsed laser source for time-domain diffuse optics routes to wearable devices. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:1-9. [PMID: 28823112 DOI: 10.1117/1.jbo.22.8.085004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 07/27/2017] [Indexed: 05/23/2023]
Abstract
We validate a miniaturized pulsed laser source for use in time-domain (TD) diffuse optics, following rigorous and shared protocols for performance assessment of this class of devices. This compact source (12×6 mm2) has been previously developed for range finding applications and is able to provide short, high energy (∼100 ps, ∼0.5 nJ) optical pulses at up to 1 MHz repetition rate. Here, we start with a basic level laser characterization with an analysis of suitability of this laser for the diffuse optics application. Then, we present a TD optical system using this source and its performances in both recovering optical properties of tissue-mimicking homogeneous phantoms and in detecting localized absorption perturbations. Finally, as a proof of concept of in vivo application, we demonstrate that the system is able to detect hemodynamic changes occurring in the arm of healthy volunteers during a venous occlusion. Squeezing the laser source in a small footprint removes a key technological bottleneck that has hampered so far the realization of a miniaturized TD diffuse optics system, able to compete with already assessed continuous-wave devices in terms of size and cost, but with wider performance potentialities, as demonstrated by research over the last two decades.
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Affiliation(s)
- Laura Di Sieno
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
| | - Jan Nissinen
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
| | - Lauri Hallman
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
| | | | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Milan, Italy
- Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | - Juha Kostamovaara
- University of Oulu, Circuits and Systems Research Unit, Oulu, Finland
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Abstract
OBJECTIVE The objective of this article is to summarize the physical principles, technology features, and first clinical applications of optical imaging techniques to the breast. CONCLUSION Light-breast tissue interaction is expressed as absorption and scattering coefficients, allowing image reconstruction based on endogenous or exogenous contrast. Diffuse optical spectroscopy and imaging, fluorescence molecular tomography, photoacoustic imaging, and multiparametric infrared imaging show potential for clinical application, especially for lesion characterization, estimation of cancer probability, and monitoring the effect of neoadjuvant therapy.
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21
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Teng F, Cormier T, Sauer-Budge A, Chaudhury R, Pera V, Istfan R, Chargin D, Brookfield S, Ko NY, Roblyer DM. Wearable near-infrared optical probe for continuous monitoring during breast cancer neoadjuvant chemotherapy infusions. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:14001. [PMID: 28114449 PMCID: PMC5289133 DOI: 10.1117/1.jbo.22.1.014001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 12/21/2016] [Indexed: 05/04/2023]
Abstract
We present a new continuous-wave wearable diffuse optical probe aimed at investigating the hemodynamic response of locally advanced breast cancer patients during neoadjuvant chemotherapy infusions. The system consists of a flexible printed circuit board that supports an array of six dual wavelength surface-mount LED and photodiode pairs. The probe is encased in a soft silicone housing that conforms to natural breast shape. Probe performance was evaluated using tissue-simulating phantoms and in vivo normal volunteer measurements. High SNR (71 dB), low source-detector crosstalk ( ? 60 ?? dB ), high measurement precision (0.17%), and good thermal stability (0.22% V rms / ° C ) were achieved in phantom studies. A cuff occlusion experiment was performed on the forearm of a healthy volunteer to demonstrate the ability to track rapid hemodynamic changes. Proof-of-principle normal volunteer measurements were taken to demonstrate the ability to collect continuous in vivo breast measurements. This wearable probe is a first of its kind tool to explore prognostic hemodynamic changes during chemotherapy in breast cancer patients.
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Affiliation(s)
- Fei Teng
- Boston University, Department of Electrical and Computer Engineering and Photonics Center, 8 Saint Mary’s Street, Boston, Massachusetts 02215, United States
| | - Timothy Cormier
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Alexis Sauer-Budge
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Rachita Chaudhury
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - Vivian Pera
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - Raeef Istfan
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
| | - David Chargin
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Samuel Brookfield
- Boston University, Fraunhofer Center for Manufacturing Innovation, 15 Saint Mary’s Street, Brookline, Massachusetts 02446, United States
| | - Naomi Yu Ko
- Boston Medical Center, Section of Hematology and Oncology, Women’s Health Unit, 801 Massachusetts Avenue, First Floor, Boston, Massachusetts 02118, United States
| | - Darren M. Roblyer
- Boston University, Department of Biomedical Engineering, 44 Cummington Mall, Boston, Massachusetts 02215, United States
- Address all correspondence to: Darren M. Roblyer, E-mail:
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Pifferi A, Contini D, Mora AD, Farina A, Spinelli L, Torricelli A. New frontiers in time-domain diffuse optics, a review. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:091310. [PMID: 27311627 DOI: 10.1117/1.jbo.21.9.091310] [Citation(s) in RCA: 106] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 05/24/2016] [Indexed: 05/20/2023]
Abstract
The recent developments in time-domain diffuse optics that rely on physical concepts (e.g., time-gating and null distance) and advanced photonic components (e.g., vertical cavity source-emitting laser as light sources, single photon avalanche diode, and silicon photomultipliers as detectors, fast-gating circuits, and time-to-digital converters for acquisition) are focused. This study shows how these tools could lead on one hand to compact and wearable time-domain devices for point-of-care diagnostics down to the consumer level and on the other hand to powerful systems with exceptional depth penetration and sensitivity.
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Affiliation(s)
- Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, ItalybIstituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Alberto Dalla Mora
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Andrea Farina
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
| | - Alessandro Torricelli
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, Milan I-20133, ItalybIstituto di Fotonica e Nanotecnologie, Consiglio Nazionale per le Ricerche, Piazza Leonardo da Vinci 32, Milan I-20133, Italy
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Heijblom M, Piras D, van den Engh FM, van der Schaaf M, Klaase JM, Steenbergen W, Manohar S. The state of the art in breast imaging using the Twente Photoacoustic Mammoscope: results from 31 measurements on malignancies. Eur Radiol 2016; 26:3874-3887. [PMID: 26945762 PMCID: PMC5052314 DOI: 10.1007/s00330-016-4240-7] [Citation(s) in RCA: 75] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2015] [Revised: 01/09/2016] [Accepted: 01/22/2016] [Indexed: 12/28/2022]
Abstract
Objectives Photoacoustic mammography is potentially an ideal technique, however, the amount of patient data is limited. To further our understanding of the in vivo performance of the method and to guide further research and development, we imaged 33 breast malignancies using the research system – the Twente Photoacoustic Mammoscope (PAM). Methods Thirty-one patients participated in this retrospective, observational study. The study and informed consent procedure were approved by the local ethics committee. PAM uses 1,064 nm light for excitation with a planar, 588-element, 1-MHz ultrasound array for detection. Photoacoustic lesion visibility and appearance were compared with conventional imaging (x-ray mammography and ultrasonography) findings, histopathology and patient demographics. Results Of 33 malignancies 32 were visualized with high contrast and good co-localization with conventional imaging. The contrast of the detected malignancies was independent of radiographic breast density, and size estimation was reasonably good with an average 28 % deviation from histology. However, the presence of contrast areas outside the malignant region is suggestive for low specificity of the current system. Statistical analyses did not reveal any further relationship between PAM results and patient demographics nor lesion characteristics. Conclusions The results confirm the high potential of photoacoustic mammography in future breast care. Key Points • Photoacoustic breast imaging visualizes malignancies with high imaging contrast. • Photoacoustic lesion contrast is independent of the mammographically estimated breast density. • No clear relationship exists between photoacoustic characteristics and lesion type, grade, etc. • Photoacoustic specificity to breast cancer from some cases is not yet optimal.
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Affiliation(s)
- Michelle Heijblom
- Biomedical Photonic Imaging Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands.,Center for Breast Care, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA, Enschede, The Netherlands
| | - Daniele Piras
- Biomedical Photonic Imaging Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands
| | - Frank M van den Engh
- Center for Breast Care, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA, Enschede, The Netherlands
| | - Margreet van der Schaaf
- Center for Breast Care, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA, Enschede, The Netherlands
| | - Joost M Klaase
- Center for Breast Care, Medisch Spectrum Twente, P.O. Box 50.000, 7500 KA, Enschede, The Netherlands
| | - Wiendelt Steenbergen
- Biomedical Photonic Imaging Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands
| | - Srirang Manohar
- Biomedical Photonic Imaging Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands.
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Jalil B, Salvetti O, Righi M, Poti L, L’Abbate A. Phantom based point by point photon counting and imaging of human skin tissue. PATTERN RECOGNITION AND IMAGE ANALYSIS 2016. [DOI: 10.1134/s1054661816010107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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25
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Sak MA, Littrup PJ, Duric N, Mullooly M, Sherman ME, Gierach GL. Current and Future Methods for Measuring Breast Density: A Brief Comparative Review. BREAST CANCER MANAGEMENT 2015; 4:209-221. [PMID: 28943893 PMCID: PMC5609705 DOI: 10.2217/bmt.15.13] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Breast density is one of the strongest predictors of breast cancer risk. Women with the densest breasts are 4 to 6 times more likely to develop cancer compared with those with the lowest densities. Breast density is generally assessed using mammographic imaging; however, this approach has limitations. Magnetic resonance imaging and ultrasound tomography are some alternative imaging modalities that can aid mammography in patient screening and the measurement of breast density. As breast density becomes more commonly discussed, knowledge of the advantages and limitations of breast density as a marker of risk will become more critical. This review article discusses the relationship between breast density and breast cancer risk, lists the benefits and drawbacks of using multiple different imaging modalities to measure density and briefly discusses how breast density will be applied to aid in breast cancer prevention and treatment.
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Affiliation(s)
- Mark A Sak
- Karmanos Cancer Institute, Wayne State University, 4100 John R Street, Detroit MI 48201
| | - Peter J Littrup
- Delphinus Medical Technologies, 46701 Commerce Center Dr, Plymouth, MI, 48170
- Brown University, Rhode Island Hospital, 593 Eddy Street, Providence RI, 02903
| | - Neb Duric
- Karmanos Cancer Institute, Wayne State University, 4100 John R Street, Detroit MI 48201
- Delphinus Medical Technologies, 46701 Commerce Center Dr, Plymouth, MI, 48170
| | - Maeve Mullooly
- Hormonal and Reproductive Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
- Cancer Prevention Fellowship Program, Division of Cancer Prevention, National Cancer Institute, Bethesda, MD, USA
| | - Mark E Sherman
- Breast and Gynecologic Cancer Research Group, Division of Cancer Prevention, National Cancer Institute, Bethesda, MD, USA
| | - Gretchen L Gierach
- Hormonal and Reproductive Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA
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Taroni P, Quarto G, Pifferi A, Abbate F, Balestreri N, Menna S, Cassano E, Cubeddu R. Breast tissue composition and its dependence on demographic risk factors for breast cancer: non-invasive assessment by time domain diffuse optical spectroscopy. PLoS One 2015; 10:e0128941. [PMID: 26029912 PMCID: PMC4452361 DOI: 10.1371/journal.pone.0128941] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2015] [Accepted: 05/01/2015] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Breast tissue composition is recognized as a strong and independent risk factor for breast cancer. It is a heritable feature, but is also significantly affected by several other elements (e.g., age, menopause). Nowadays it is quantified by mammographic density, thus requiring the use of ionizing radiation. Optical techniques are absolutely non-invasive and have already proved effective in the investigation of biological tissues, as they are sensitive to tissue composition and structure. METHODS Time domain diffuse optical spectroscopy was performed at 7 wavelengths (635-1060 nm) on 200 subjects to derive their breast tissue composition (in terms of water, lipid and collagen content), blood parameters (total hemoglobin content and oxygen saturation level), and information on the microscopic structure (scattering amplitude and power). The dependence of all optically-derived parameters on age, menopausal status, body mass index, and use of oral contraceptives, and the correlation with mammographic density were investigated. RESULTS Younger age, premenopausal status, lower body mass index values, and use of oral contraceptives all correspond to significantly higher water, collagen and total hemoglobin content, and lower lipid content (always p < 0.05 and often p < 10-4), while oxygen saturation level and scattering parameters show significant dependence only on some conditions. Even when age-adjusted groups of subjects are compared, several optically derived parameters (and in particular always collagen and total hemoglobin content) remain significantly different. CONCLUSIONS Time domain diffuse optical spectroscopy can probe non-invasively breast tissue composition and physiologic blood parameters, and provide information on tissue structure. The measurement is suitable for in vivo studies and monitoring of changes in breast tissue (e.g., with age, lifestyle, chemotherapy, etc.) and to gain insight into related processes, like the origin of cancer risk associated with breast density.
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Affiliation(s)
- Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
- * E-mail:
| | - Giovanna Quarto
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
| | - Antonio Pifferi
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Milano, Italy
| | - Francesca Abbate
- European Institute of Oncology, Breast Imaging Unit, Milano, Italy
| | - Nicola Balestreri
- European Institute of Oncology, Department of Radiology, Milano, Italy
| | - Simona Menna
- European Institute of Oncology, Breast Imaging Unit, Milano, Italy
| | - Enrico Cassano
- European Institute of Oncology, Breast Imaging Unit, Milano, Italy
| | - Rinaldo Cubeddu
- Dipartimento di Fisica, Politecnico di Milano, Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Milano, Italy
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27
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Xu Y, Zhu Q. Estimation and imaging of breast lesions using a two-layer tissue structure by ultrasound-guided optical tomography. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:066002. [PMID: 26046722 PMCID: PMC4457415 DOI: 10.1117/1.jbo.20.6.066002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Accepted: 05/07/2015] [Indexed: 05/03/2023]
Abstract
A new two-step estimation and imaging method is developed for a two-layer breast tissue structure consisting of a breast tissue layer and a chest wall underneath. First, a smaller probe with shorter distance source-detector pairs was used to collect the reflected light mainly from the breast tissue layer. Then, a larger probe with 9×14 source-detector pairs and a centrally located ultrasound transducer was used to collect reflected light from the two-layer tissue structure. The data collected from the smaller probe were used to estimate breast tissue optical properties. With more accurate estimation of the average breast tissue properties, the second layer properties can be assessed from data obtained from the larger probe. Using this approach, the unknown variables have been reduced from four to two and the estimated bulk tissue optical properties are more accurate and robust. In addition, a two-step reconstruction using a genetic algorithm and conjugate gradient method is implemented to simultaneously reconstruct the absorption and reduced scattering maps of targets inside a two-layer tissue structure. Simulations and phantom experiments have been performed to validate the new reconstruction method, and a clinical example is given to demonstrate the feasibility of this approach.
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Affiliation(s)
- Yan Xu
- University of Connecticut, Electrical and Computer Engineering Department, 371 Fairfield Road, Unit 4157, Storrs, Connecticut 06269-4157, United States
| | - Quing Zhu
- University of Connecticut, Electrical and Computer Engineering Department, 371 Fairfield Road, Unit 4157, Storrs, Connecticut 06269-4157, United States
- University of Connecticut, Biomedical Engineering Department, Storrs, Connecticut 06269, United States
- Address all correspondence to: Quing Zhu, E-mail:
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Blackmore KM, Knight JA, Walter J, Lilge L. The association between breast tissue optical content and mammographic density in pre- and post-menopausal women. PLoS One 2015; 10:e0115851. [PMID: 25590139 PMCID: PMC4295879 DOI: 10.1371/journal.pone.0115851] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Accepted: 11/28/2014] [Indexed: 11/30/2022] Open
Abstract
Mammographic density (MD), associated with higher water and lower fat content in the breast, is strongly related to breast cancer risk. Optical attenuation spectroscopy (OS) is a non-imaging method of evaluating breast tissue composition by red and near-infrared light transmitted through the breast that, unlike mammography, does not involve radiation. OS provides information on wavelength dependent light scattering of tissue and on absorption by water, lipid, oxy-, deoxy-hemoglobin. We propose that OS could be an alternative marker of breast cancer risk and that OS breast tissue measures will be associated with MD. In the present analysis, we developed an algorithm to estimate breast tissue composition and light scattering parameters using a spectrally constrained global fitting procedure employing a diffuse light transport model. OS measurements were obtained from 202 pre- and post-menopausal women with normal mammograms. Percent density (PD) and dense area (DA) were measured using Cumulus. The association between OS tissue composition and PD and DA was analyzed using linear regression adjusted for body mass index. Among pre-menopausal women, lipid content was significantly inversely associated with square root transformed PD (β = -0.05, p = 0.0002) and DA (β = -0.05, p = 0.019); water content was significantly positively associated with PD (β = 0.06, p = 0.008). Tissue oxygen saturation was marginally inversely associated with PD (β = -0.03, p = 0.057) but significantly inversely associated with DA (β = -0.10, p = 0.002). Among post-menopausal women lipid and water content were significantly associated (negatively and positively, respectively) with PD (βlipid = -0.08, βwater = 0.14, both p<0.0001) and DA (βlipid = -0.10, p<0.0001; βwater = 0.11, p = 0.001). The association between OS breast content and PD and DA is consistent with more proliferation in dense tissue of younger women, greater lipid content in low density tissue and higher water content in high density tissue. OS may be useful for assessing physiologic tissue differences related to breast cancer risk, particularly when mammography is not feasible or easily accessible.
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Affiliation(s)
- Kristina M. Blackmore
- Lunenfeld Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
- * E-mail:
| | - Julia A. Knight
- Lunenfeld Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario, Canada
| | - Jane Walter
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
| | - Lothar Lilge
- Princess Margaret Cancer Centre and Department of Medical Biophysics, University of Toronto, Ontario, Canada
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Quarto G, Spinelli L, Pifferi A, Torricelli A, Cubeddu R, Abbate F, Balestreri N, Menna S, Cassano E, Taroni P. Estimate of tissue composition in malignant and benign breast lesions by time-domain optical mammography. BIOMEDICAL OPTICS EXPRESS 2014; 5:3684-98. [PMID: 25360382 PMCID: PMC4206334 DOI: 10.1364/boe.5.003684] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Revised: 09/10/2014] [Accepted: 09/11/2014] [Indexed: 05/03/2023]
Abstract
The optical characterization of malignant and benign breast lesions is presented. Time-resolved transmittance measurements were performed in the 630-1060 nm range by means of a 7-wavelength optical mammograph, providing both imaging and spectroscopy information. A total of 62 lesions were analyzed, including 33 malignant and 29 benign lesions. The characterization of breast lesions was performed applying a perturbation model based on the high-order calculation of the pathlength of photons inside the lesion, which led to the assessment of oxy- and deoxy-hemoglobin, lipids, water and collagen concentrations. Significant variations between tumor and healthy tissue were observed in terms of both absorption properties and constituents concentration. In particular, benign lesions and tumors show a statistically significant discrimination in terms of absorption at several wavelengths and also in terms of oxy-hemoglobin and collagen content.
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Affiliation(s)
- Giovanna Quarto
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Antonio Pifferi
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Alessandro Torricelli
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Rinaldo Cubeddu
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Francesca Abbate
- European Institute of Oncology, Breast Imaging Unit, Via G. Ripamonti, 435, 20141 Milano, Italy
| | - Nicola Balestreri
- European Institute of Oncology, Department of Radiology, Via G. Ripamonti, 435, 20141 Milano, Italy
| | - Simona Menna
- European Institute of Oncology, Breast Imaging Unit, Via G. Ripamonti, 435, 20141 Milano, Italy
| | - Enrico Cassano
- European Institute of Oncology, Breast Imaging Unit, Via G. Ripamonti, 435, 20141 Milano, Italy
| | - Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
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Leproux A, Durkin A, Compton M, Cerussi AE, Gratton E, Tromberg BJ. Assessing tumor contrast in radiographically dense breast tissue using Diffuse Optical Spectroscopic Imaging (DOSI). Breast Cancer Res 2014; 15:R89. [PMID: 24066941 PMCID: PMC3979060 DOI: 10.1186/bcr3485] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Accepted: 08/23/2013] [Indexed: 01/28/2023] Open
Abstract
Introduction Radiographic density adversely affects the performance of X-ray mammography and can be particularly problematic in younger and high-risk women. Because of this limitation, there is significant ongoing effort to develop alternative cancer screening and detection strategies for this population. This pilot study evaluates the potential of Diffuse Optical Spectroscopic Imaging (DOSI) to image known tumors in dense breast tissue. Methods We performed a retrospective analysis on 24 radiographically dense breast cancer subjects measured with DOSI over a four-year period (Breast Imaging Reporting and Data System - BI-RADS, category 3 and 4, average age = 39 ± 7.6, average maximum size 31 ± 17 mm). Two previously-described DOSI contrast functions, the tissue optical index (TOI) and the specific tumor component (STC), which are based upon the concentrations and spectral signatures of hemoglobin, water and lipids, respectively, were used to form 2D optical images of breast tumors. Results Using TOI and STC, 21 out of 24 breast tumors were found to be statistically different from the surrounding highly vascularized dense tissue and to be distinguishable from the areolar region. For these patients, the tumor to normal contrast was 2.6 ± 1.2 (range 1.3 to 5.5) and 10.0 ± 7.5 (range 3.3 to 26.4) for TOI and STC, respectively. STC images were particularly useful in eliminating metabolic background from the retroareolar region which led to identification of two out of four retroareolar tumors. Conclusions Using both the abundance and the disposition of the tissue chromophores recovered from the DOSI measurements, we were able to observe tumor contrast relative to dense breast tissue. These preliminary results suggest that DOSI spectral characterization strategies may provide new information content that could help imaging breast tumors in radiographically dense tissue and in particular in the areolar complex.
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31
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Wabnitz H, Taubert DR, Mazurenka M, Steinkellner O, Jelzow A, Macdonald R, Milej D, Sawosz P, Kacprzak M, Liebert A, Cooper R, Hebden J, Pifferi A, Farina A, Bargigia I, Contini D, Caffini M, Zucchelli L, Spinelli L, Cubeddu R, Torricelli A. Performance assessment of time-domain optical brain imagers, part 1: basic instrumental performance protocol. JOURNAL OF BIOMEDICAL OPTICS 2014; 19:086010. [PMID: 25121479 DOI: 10.1117/1.jbo.19.8.086010] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Accepted: 07/21/2014] [Indexed: 05/20/2023]
Abstract
Performance assessment of instruments devised for clinical applications is of key importance for validation and quality assurance. Two new protocols were developed and applied to facilitate the design and optimization of instruments for time-domain optical brain imaging within the European project nEUROPt. Here, we present the "Basic Instrumental Performance" protocol for direct measurement of relevant characteristics. Two tests are discussed in detail. First, the responsivity of the detection system is a measure of the overall efficiency to detect light emerging from tissue. For the related test, dedicated solid slab phantoms were developed and quantitatively spectrally characterized to provide sources of known radiance with nearly Lambertian angular characteristics. The responsivity of four time-domain optical brain imagers was found to be of the order of 0.1 m² sr. The relevance of the responsivity measure is demonstrated by simulations of diffuse reflectance as a function of source-detector separation and optical properties. Second, the temporal instrument response function (IRF) is a critically important factor in determining the performance of time-domain systems. Measurements of the IRF for various instruments were combined with simulations to illustrate the impact of the width and shape of the IRF on contrast for a deep absorption change mimicking brain activation.
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Affiliation(s)
- Heidrun Wabnitz
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | | | - Mikhail Mazurenka
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Oliver Steinkellner
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Alexander Jelzow
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Rainer Macdonald
- Physikalisch-Technische Bundesanstalt (PTB), Abbestraße 2-12, 10587 Berlin, Germany
| | - Daniel Milej
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Trojdena 4, 02-109 Warsaw, Poland
| | - Piotr Sawosz
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Trojdena 4, 02-109 Warsaw, Poland
| | - Michał Kacprzak
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Trojdena 4, 02-109 Warsaw, Poland
| | - Adam Liebert
- Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, ul. Trojdena 4, 02-109 Warsaw, Poland
| | - Robert Cooper
- University College London, Department of Medical Physics and Biomedical Engineering, Gower Street, London WC1E 6BT, United Kingdom
| | - Jeremy Hebden
- University College London, Department of Medical Physics and Biomedical Engineering, Gower Street, London WC1E 6BT, United Kingdom
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, ItalyeIstituto di Fotonica e Nanotecnologie, CNR, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Andrea Farina
- Istituto di Fotonica e Nanotecnologie, CNR, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Ilaria Bargigia
- Istituto Italiano di Tecnologia, Center for Nano Science and Technology @ PoliMi, via Pascoli 70/3, 20133 Milano, Italy
| | - Davide Contini
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Matteo Caffini
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Lucia Zucchelli
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, CNR, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Rinaldo Cubeddu
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, ItalyeIstituto di Fotonica e Nanotecnologie, CNR, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Alessandro Torricelli
- Politecnico di Milano, Dipartimento di Fisica, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
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Farzam P, Lindner C, Weigel UM, Suarez M, Urbano-Ispizua A, Durduran T. Noninvasive characterization of the healthy human manubrium using diffuse optical spectroscopies. Physiol Meas 2014; 35:1469-91. [DOI: 10.1088/0967-3334/35/7/1469] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Sun CW, Chuang CC, Lee CY, Chen CM. Diffuser-aided time-domain diffuse optical imaging: a phantom study. JOURNAL OF BIOMEDICAL OPTICS 2014; 19:046008. [PMID: 24723113 DOI: 10.1117/1.jbo.19.4.046008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Accepted: 02/26/2014] [Indexed: 06/03/2023]
Abstract
We present the first experimental results of time-resolved diffuser-aided diffuse optical imaging (DADOI) method in this paper. A self-manufactured diffuser plate was inserted between the optode and the surface of a scattering medium. The diffuser was utilized to enhance the multiple scattering that destroys the image information for baseline measurement of turbid medium. Therefore, the abnormality can be detected with the modified optical density calculation. The time-domain DADOI method can provide better imaging contrast and simpler imaging than the conventional diffuse optical tomography measurement. Besides, it also reveals rich depth information with temporal responses. Therefore, the DADOI offers a great potential to detect the breast tumor and chemotherapy monitoring in clinical diagnosis.
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Affiliation(s)
- Chia-Wei Sun
- National Chiao Tung University, Department of Photonics, Biomedical Optical Imaging Lab, Hsinchu 30010, Taiwan
| | - Ching-Cheng Chuang
- National Chiao Tung University, Department of Photonics, Biomedical Optical Imaging Lab, Hsinchu 30010, Taiwan
| | - Chia-Yen Lee
- National United University, Department of Electrical Engineering, Miaoli 36003, Taiwan
| | - Chung-Ming Chen
- National Taiwan University, Institute of Biomedical Engineering, Taipei 10617, Taiwan
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Busch DR, Choe R, Durduran T, Friedman DH, Baker WB, Maidment AD, Rosen MA, Schnall MD, Yodh AG. Blood flow reduction in breast tissue due to mammographic compression. Acad Radiol 2014; 21:151-61. [PMID: 24439328 DOI: 10.1016/j.acra.2013.10.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2013] [Revised: 10/08/2013] [Accepted: 10/14/2013] [Indexed: 10/25/2022]
Abstract
RATIONALE AND OBJECTIVES This study measures hemodynamic properties such as blood flow and hemoglobin concentration and oxygenation in the healthy human breast under a wide range of compressive loads. Because many breast-imaging technologies derive contrast from the deformed breast, these load-dependent vascular responses affect contrast agent-enhanced and hemoglobin-based breast imaging. METHODS Diffuse optical and diffuse correlation spectroscopies were used to measure the concentrations of oxygenated and deoxygenated hemoglobin, lipid, water, and microvascular blood flow during axial breast compression in the parallel-plate transmission geometry. RESULTS Significant reductions (P < .01) in total hemoglobin concentration (∼30%), blood oxygenation (∼20%), and blood flow (∼87%) were observed under applied pressures (forces) of up to 30 kPa (120 N) in 15 subjects. Lipid and water concentrations changed <10%. CONCLUSIONS Imaging protocols based on injected contrast agents should account for variation in tissue blood flow due to mammographic compression. Similarly, imaging techniques that depend on endogenous blood contrasts will be affected by breast compression during imaging.
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Khoptyar D, Subash AA, Johansson S, Saleem M, Sparén A, Johansson J, Andersson-Engels S. Broadband photon time-of-flight spectroscopy of pharmaceuticals and highly scattering plastics in the VIS and close NIR spectral ranges. OPTICS EXPRESS 2013; 21:20941-53. [PMID: 24103967 DOI: 10.1364/oe.21.020941] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
We present extended spectroscopic analysis of pharmaceutical tablets in the close near infrared spectral range performed using broadband photon time-of-flight (PTOF) absorption and scattering spectra measurements. We show that the absorption spectra can be used to perform evaluation of the chemical composition of pharmaceutical tablets without need for chemo-metric calibration. The spectroscopic analysis was performed using an advanced PTOF spectrometer operating in the 650 to 1400 nm spectral range. By employing temporal stabilization of the system we achieve the high precision of 0.5% required to evaluate the concentration of tablet ingredients. In order to further illustrate the performance of the system, we present the first ever reported broadband evaluation of absorption and scattering spectra from pure and doped Spectralon®.
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36
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Busch DR, Choe R, Durduran T, Yodh AG. Towards non-invasive characterization of breast cancer and cancer metabolism with diffuse optics. PET Clin 2013; 8. [PMID: 24244206 DOI: 10.1016/j.cpet.2013.04.004] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
We review recent developments in diffuse optical imaging and monitoring of breast cancer, i.e. optical mammography. Optical mammography permits non-invasive, safe and frequent measurement of tissue hemodynamics oxygen metabolism and components (lipids, water, etc.), the development of new compound indices indicative of the risk and malignancy, and holds potential for frequent non-invasive longitudinal monitoring of therapy progression.
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Quarto G, Pifferi A, Bargigia I, Farina A, Cubeddu R, Taroni P. Recipes to make organic phantoms for diffusive optical spectroscopy. APPLIED OPTICS 2013; 52:2494-502. [PMID: 23670779 DOI: 10.1364/ao.52.002494] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Three recipes are presented to make tissue constituent-equivalent phantoms of water and lipids. Different approaches to prepare the emulsion are proposed. Nature phantoms are made using no emulsifying agent, but just a professional disperser; instead Agar and Triton phantoms are made using agar or Triton X-100, respectively, as agents to emulsify water and lipids. Different water-to-lipid ratios ranging from 30% to 70% by mass were tested. A broadband time-resolved diffuse optical spectroscopy system was used to characterize the phantoms in terms of optical properties and composition. For some water/lipid ratios the emulsion fails or the phantom has limited lifetime, but in most cases the recipes provide phantoms with a high degree of homogeneity [coefficient of variation (CV) of 4.6% and 1.5% for the absorption and reduced scattering coefficient, respectively] and good reproducibility (CV of 8.3% and 12.4% for absorption and reduced scattering coefficient, respectively).
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Affiliation(s)
- Giovanna Quarto
- Politecnico di Milano, Dipartimento di Fisica, Milano 20133, Italy.
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38
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O'Sullivan TD, Leproux A, Chen JH, Bahri S, Matlock A, Roblyer D, McLaren CE, Chen WP, Cerussi AE, Su MY, Tromberg BJ. Optical imaging correlates with magnetic resonance imaging breast density and reveals composition changes during neoadjuvant chemotherapy. Breast Cancer Res 2013; 15:R14. [PMID: 23433249 PMCID: PMC3672664 DOI: 10.1186/bcr3389] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Accepted: 02/22/2013] [Indexed: 12/17/2022] Open
Abstract
Introduction In addition to being a risk factor for breast cancer, breast density has been
hypothesized to be a surrogate biomarker for predicting response to
endocrine-based chemotherapies. The purpose of this study was to evaluate whether
a noninvasive bedside scanner based on diffuse optical spectroscopic imaging
(DOSI) provides quantitative metrics to measure and track changes in breast tissue
composition and density. To access a broad range of densities in a limited patient
population, we performed optical measurements on the contralateral normal breast
of patients before and during neoadjuvant chemotherapy (NAC). In this work, DOSI
parameters, including tissue hemoglobin, water, and lipid concentrations, were
obtained and correlated with magnetic resonance imaging (MRI)-measured
fibroglandular tissue density. We evaluated how DOSI could be used to assess
breast density while gaining new insight into the impact of chemotherapy on breast
tissue. Methods This was a retrospective study of 28 volunteers undergoing NAC treatment for
breast cancer. Both 3.0-T MRI and broadband DOSI (650 to 1,000 nm) were obtained
from the contralateral normal breast before and during NAC. Longitudinal DOSI
measurements were used to calculate breast tissue concentrations of oxygenated and
deoxygenated hemoglobin, water, and lipid. These values were compared with
MRI-measured fibroglandular density before and during therapy. Results Water (r = 0.843; P < 0.001), deoxyhemoglobin (r =
0.785; P = 0.003), and lipid (r = -0.707; P = 0.010)
concentration measured with DOSI correlated strongly with MRI-measured density
before therapy. Mean DOSI parameters differed significantly between pre- and
postmenopausal subjects at baseline (water, P < 0.001;
deoxyhemoglobin, P = 0.024; lipid, P = 0.006). During NAC
treatment measured at about 90 days, significant reductions were observed in
oxyhemoglobin for pre- (-20.0%; 95% confidence interval (CI), -32.7 to -7.4) and
postmenopausal subjects (-20.1%; 95% CI, -31.4 to -8.8), and water concentration
for premenopausal subjects (-11.9%; 95% CI, -17.1 to -6.7) compared with baseline.
Lipid increased slightly in premenopausal subjects (3.8%; 95% CI, 1.1 to 6.5), and
water increased slightly in postmenopausal subjects (4.4%; 95% CI, 0.1 to 8.6).
Percentage change in water at the end of therapy compared with baseline correlated
strongly with percentage change in MRI-measured density (r = 0.864; P
= 0.012). Conclusions DOSI functional measurements correlate with MRI fibroglandular density, both
before therapy and during NAC. Although from a limited patient dataset, these
results suggest that DOSI may provide new functional indices of density based on
hemoglobin and water that could be used at the bedside to assess response to
therapy and evaluate disease risk.
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Erickson SJ, Martinez SL, DeCerce J, Romero A, Caldera L, Godavarty A. Three-dimensional fluorescence tomography of human breast tissues in vivo using a hand-held optical imager. Phys Med Biol 2013; 58:1563-79. [PMID: 23417060 DOI: 10.1088/0031-9155/58/5/1563] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Diffuse optical imaging using non-ionizing radiation is a non-invasive method that shows promise towards breast cancer diagnosis. Hand-held optical imagers show potential for clinical translation of the technology, yet they have not been used towards 3D tomography. Herein, 3D tomography of human breast tissue in vivo is demonstrated for the first time using a hand-held optical imager with automated coregistration facilities. Simulation studies are performed on breast geometries to demonstrate the feasibility of 3D tomographic imaging using a hand-held imager under perfect (1:0) and imperfect (100:1, 50:1) fluorescence absorption contrast ratios. Experimental studies are performed in vivo using a 1 µM ICG filled phantom target placed non-invasively underneath the flap of the breast tissue. Results show the ability to perform automated tracking and coregistered imaging of human breast tissue (with tracking accuracy on the order of ∼1 cm). Three-dimensional tomography results demonstrated the ability to recover a single target placed at a depth of 2.5 cm, from both the simulated (at 1:0, 100:1 and 50:1 contrasts) and experimental cases on actual breast tissues. Ongoing efforts to improve target depth recovery are carried out via implementation of transmittance imaging in the hand-held imager.
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Affiliation(s)
- Sarah J Erickson
- Department of Biomedical Engineering, Florida International University, 10555 West Flagler Street EC 2610, Miami, FL 33174, USA
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40
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Tavakoli B, Zhu Q. Two-step reconstruction method using global optimization and conjugate gradient for ultrasound-guided diffuse optical tomography. JOURNAL OF BIOMEDICAL OPTICS 2013; 18:16006. [PMID: 23296038 PMCID: PMC3538037 DOI: 10.1117/1.jbo.18.1.016006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2012] [Revised: 10/29/2012] [Accepted: 11/02/2012] [Indexed: 05/18/2023]
Abstract
Ultrasound-guided diffuse optical tomography (DOT) is a promising method for characterizing malignant and benign lesions in the female breast. We introduce a new two-step algorithm for DOT inversion in which the optical parameters are estimated with the global optimization method, genetic algorithm. The estimation result is applied as an initial guess to the conjugate gradient (CG) optimization method to obtain the absorption and scattering distributions simultaneously. Simulations and phantom experiments have shown that the maximum absorption and reduced scattering coefficients are reconstructed with less than 10% and 25% errors, respectively. This is in contrast with the CG method alone, which generates about 20% error for the absorption coefficient and does not accurately recover the scattering distribution. A new measure of scattering contrast has been introduced to characterize benign and malignant breast lesions. The results of 16 clinical cases reconstructed with the two-step method demonstrates that, on average, the absorption coefficient and scattering contrast of malignant lesions are about 1.8 and 3.32 times higher than the benign cases, respectively.
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Affiliation(s)
- Behnoosh Tavakoli
- University of Connecticut, Electrical and Computer Engineering Department, Storrs, Connecticut 06269
| | - Quing Zhu
- University of Connecticut, Electrical and Computer Engineering Department, Storrs, Connecticut 06269
- Address all correspondence to: Quing Zhu, University of Connecticut, Electrical and Computer Engineering Department, 371 Fairfield Road, U1157, Storrs, Connecticut 06269. Tel: 860-486-5523; Fax: 860-486-2447; E-mail:
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Carp SA, Sajjadi AY, Wanyo CM, Fang Q, Specht MC, Schapira L, Moy B, Bardia A, Boas DA, Isakoff SJ. Hemodynamic signature of breast cancer under fractional mammographic compression using a dynamic diffuse optical tomography system. BIOMEDICAL OPTICS EXPRESS 2013; 4:2911-24. [PMID: 24409390 PMCID: PMC3862147 DOI: 10.1364/boe.4.002911] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2013] [Revised: 10/24/2013] [Accepted: 10/25/2013] [Indexed: 05/03/2023]
Abstract
Near infrared dynamic diffuse optical tomography measurements of breast hemodynamics during fractional mammographic compression offer a novel contrast mechanism for detecting breast cancer and monitoring chemotherapy. Tissue viscoelastic relaxation during the compression period leads to a slow reduction in the compression force and reveals biomechanical and metabolic differences between healthy and lesion tissue. We measured both the absolute values and the temporal evolution of hemoglobin concentration during 25-35 N of compression for 22 stage II and III breast cancer patients scheduled to undergo neoadjuvant chemotherapy. 17 patients were included in the group analysis (average tumor size 3.2 cm, range: 1.3-5.7 cm). We observed a statistically significant differential decrease in total and oxy-hemoglobin, as well as in hemoglobin oxygen saturation in tumor areas vs. healthy tissue, as early as 30 seconds into the compression period. The hemodynamic contrast is likely driven by the higher tumor stiffness and different viscoelastic relaxation rate, as well as the higher tumor oxygen metabolism rate.
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Affiliation(s)
- Stefan A Carp
- Optics Division, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA 02129, USA ; Department of Radiology, Harvard Medical School, Charlestown, MA 02129, USA ; These authors contributed equally to this work
| | - Amir Y Sajjadi
- Optics Division, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA 02129, USA ; Department of Radiology, Harvard Medical School, Charlestown, MA 02129, USA ; These authors contributed equally to this work ;
| | - Christy M Wanyo
- Optics Division, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA 02129, USA
| | - Qianqian Fang
- Optics Division, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA 02129, USA ; Department of Radiology, Harvard Medical School, Charlestown, MA 02129, USA
| | - Michelle C Specht
- Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA ; Department of Surgery, Harvard Medical School, Boston, MA 02114, USA
| | - Lidia Schapira
- Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA ; Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
| | - Beverly Moy
- Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA ; Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
| | - Aditya Bardia
- Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA ; Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
| | - David A Boas
- Optics Division, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA 02129, USA ; Department of Radiology, Harvard Medical School, Charlestown, MA 02129, USA
| | - Steven J Isakoff
- Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA ; Department of Medicine, Harvard Medical School, Boston, MA 02114, USA
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Evers DJ, Nachabe R, Vranken Peeters MJ, van der Hage JA, Oldenburg HS, Rutgers EJ, Lucassen GW, Hendriks BHW, Wesseling J, Ruers TJM. Diffuse reflectance spectroscopy: towards clinical application in breast cancer. Breast Cancer Res Treat 2012; 137:155-65. [PMID: 23225143 DOI: 10.1007/s10549-012-2350-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2012] [Accepted: 11/18/2012] [Indexed: 10/27/2022]
Abstract
Diffuse reflectance spectroscopy (DRS) is a promising new technique for breast cancer diagnosis. However, inter-patient variation due to breast tissue heterogeneity may interfere with the accuracy of this technique. To tackle this issue, we aim to determine the diagnostic accuracy of DRS in individual patients. With this approach, DRS measurements of normal breast tissue in every individual patient are directly compared with measurements of the suspected malignant tissue. Breast tissue from 47 female patients was analysed ex vivo by DRS. A total of 1,073 optical spectra were collected. These spectra were analyzed for each patient individually as well as for all patients collectively and results were compared to the pathology analyses. Collective patient data analysis for discrimination between normal and malignant breast tissue resulted in a sensitivity of 90 %, a specificity of 88 %, and an overall accuracy of 89 %. In the individual analyses all measurements per patient were categorized as either benign or malignant. The discriminative accuracy of these individual analyses was nearly 100 %. The diagnosis was classified as uncertain in only one patient. Based on the results presented in this study, we conclude that the analysis of optical characteristics of different tissue classes within the breast of a single patient is superior to an analysis using the results of a cohort data analysis. When integrated into a biopsy device, our results demonstrate that DRS may have the potential to improve the diagnostic workflow in breast cancer.
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Affiliation(s)
- Daniel J Evers
- Department of Surgery, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX, Amsterdam, The Netherlands.
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43
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Taroni P, Pifferi A, Quarto G, Spinelli L, Torricelli A, Abbate F, Balestreri N, Ganino S, Menna S, Cassano E, Cubeddu R. Effects of tissue heterogeneity on the optical estimate of breast density. BIOMEDICAL OPTICS EXPRESS 2012; 3:2411-8. [PMID: 23082283 PMCID: PMC3469989 DOI: 10.1364/boe.3.002411] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2012] [Revised: 09/03/2012] [Accepted: 09/03/2012] [Indexed: 05/16/2023]
Abstract
Breast density is a recognized strong and independent risk factor for developing breast cancer. At present, breast density is assessed based on the radiological appearance of breast tissue, thus relying on the use of ionizing radiation. We have previously obtained encouraging preliminary results with our portable instrument for time domain optical mammography performed at 7 wavelengths (635-1060 nm). In that case, information was averaged over four images (cranio-caudal and oblique views of both breasts) available for each subject. In the present work, we tested the effectiveness of just one or few point measurements, to investigate if tissue heterogeneity significantly affects the correlation between optically derived parameters and mammographic density. Data show that parameters estimated through a single optical measurement correlate strongly with mammographic density estimated by using BIRADS categories. A central position is optimal for the measurement, but its exact location is not critical.
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Affiliation(s)
- Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da
Vinci 32, 20133 Milano, Italy
| | - Antonio Pifferi
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da
Vinci 32, 20133 Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle
Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Giovanna Quarto
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da
Vinci 32, 20133 Milano, Italy
| | - Lorenzo Spinelli
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle
Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - Alessandro Torricelli
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da
Vinci 32, 20133 Milano, Italy
| | - Francesca Abbate
- European Institute of Oncology, Division of Breast Radiology, Via
G. Ripamonti, 435, 20141 Milano, Italy
| | - Nicola Balestreri
- European Institute of Oncology, Department of Radiology, Via G.
Ripamonti, 435, 20141 Milano, Italy
| | - Serena Ganino
- European Institute of Oncology, Division of Breast Radiology, Via
G. Ripamonti, 435, 20141 Milano, Italy
| | - Simona Menna
- European Institute of Oncology, Division of Breast Radiology, Via
G. Ripamonti, 435, 20141 Milano, Italy
| | - Enrico Cassano
- European Institute of Oncology, Division of Breast Radiology, Via
G. Ripamonti, 435, 20141 Milano, Italy
| | - Rinaldo Cubeddu
- Dipartimento di Fisica, Politecnico di Milano, Piazza Leonardo da
Vinci 32, 20133 Milano, Italy
- Istituto di Fotonica e Nanotecnologie, Consiglio Nazionale delle
Ricerche, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
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44
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Choe R, Durduran T. Diffuse Optical Monitoring of the Neoadjuvant Breast Cancer Therapy. IEEE JOURNAL OF SELECTED TOPICS IN QUANTUM ELECTRONICS : A PUBLICATION OF THE IEEE LASERS AND ELECTRO-OPTICS SOCIETY 2012; 18:1367-1386. [PMID: 23243386 PMCID: PMC3521564 DOI: 10.1109/jstqe.2011.2177963] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Abstract
Recent advances in the use of diffuse optical techniques for monitoring the hemodynamic, metabolic and physiological signatures of the neoadjuvant breast cancer therapy effectiveness is critically reviewed. An extensive discussion of the state-of-theart diffuse optical mammography is presented alongside a discussion of the current approaches to breast cancer therapies. Overall, the diffuse optics field is growing rapidly with a great deal of promise to fill an important niche in the current approaches to monitor, predict and personalize neoadjuvant breast cancer therapies.
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Affiliation(s)
- Regine Choe
- Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA;
| | - Turgut Durduran
- ICFO- Institut de Ciències Fotòniques, Mediterranean Technology Park, 08860, Barcelona, Spain;
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45
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Heijblom M, Piras D, Xia W, van Hespen JCG, Klaase JM, van den Engh FM, van Leeuwen TG, Steenbergen W, Manohar S. Visualizing breast cancer using the Twente photoacoustic mammoscope: what do we learn from twelve new patient measurements? OPTICS EXPRESS 2012; 20:11582-97. [PMID: 22714144 DOI: 10.1364/oe.20.011582] [Citation(s) in RCA: 115] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We acquired images of breast malignancies using the Twente photoacoustic mammoscope (PAM), to obtain more information about the clinical feasibility and limitations of photoacoustic mammography. Results were compared with conventional imaging and histopathology. Ten technically acceptable measurements on patients with malignancies and two measurements on patients with cysts were performed. In the reconstructed volumes of all ten malignant lesions, a confined region with high contrast with respect to the background could be seen. In all malignant cases, the PA contrast of the abnormality was higher than the contrast on x-ray mammography. The PA contrast appeared to be independent of the mammographically estimated breast density and was absent in the case of cysts. Technological improvements to the instrument and further studies on less suspicious lesions are planned to further investigate the potential of PAM.
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Affiliation(s)
- M Heijblom
- Biomedical Photonic Imaging Group, MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, 7500 AE Enschede, the Netherlands.
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46
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Taroni P. Diffuse optical imaging and spectroscopy of the breast: a brief outline of history and perspectives. Photochem Photobiol Sci 2011; 11:241-50. [PMID: 22094324 DOI: 10.1039/c1pp05230f] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Breast cancer is the most common cancer among women in industrialized countries. At present, X-ray mammography is the gold standard for breast imaging, but has limitations, especially when dense breasts are imaged, as typically occurs in young women. Optical imaging can non-invasively provide information on tissue composition, structure and physiology that can be beneficially exploited for breast lesion detection and identification. In the last few decades optical breast imaging has been investigated, using different geometries (projection imaging and tomography) and measurement techniques (continuous wave, frequency resolved and time resolved approaches). Also, data analysis and display varies significantly, ranging from intensity images to maps of the optical properties (absorption and scattering), tissue composition, and physiological parameters (typically blood volume and oxygenation). This paper outlines the historical evolution of optical imaging and spectroscopy of the breast, highlighting potentialities and limitations, and presents an overview of the main applications and perspectives of the field.
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Affiliation(s)
- Paola Taroni
- Dipartimento di Fisica, Politecnico di Milano, piazza Leonardo da Vinci 32, 20133, Milan, Italy.
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47
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Near-infrared optical mammography for breast cancer detection with intrinsic contrast. Ann Biomed Eng 2011; 40:398-407. [PMID: 21971964 DOI: 10.1007/s10439-011-0404-4] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2011] [Accepted: 09/09/2011] [Indexed: 12/25/2022]
Abstract
Optical methods to detect breast cancer on the basis of its increased opacity have been explored for some time. These methods have matured to a point in which they are capable of quantifying the optical properties of breast tissue and translating them into measures of concentrations of relevant tissue components. In particular, near-infrared spectroscopy has been employed to determine the concentrations of hemoglobin, water, and lipids, as well as oxygen saturation of hemoglobin and optical scattering properties in normal and cancerous breast tissue. Dynamic optical measurements can also identify abnormal hemodynamic patterns associated with breast cancer. We review, in this article, a number of results in the field, which show that cancerous tissue is associated with higher hemoglobin and water concentrations, and a lower lipid concentration with respect to normal breast tissue. Indications that breast cancers are characterized by lower hemoglobin saturation and stronger scattering decay as a function of wavelength are less robust, with variable results reported in the literature. Intrinsic sources of optical contrast associated with breast cancer can also be used to monitor individual response to neoadjuvant therapy.
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48
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Nachabé R, Evers DJ, Hendriks BHW, Lucassen GW, van der Voort M, Rutgers EJ, Peeters MJV, Van der Hage JA, Oldenburg HS, Wesseling J, Ruers TJM. Diagnosis of breast cancer using diffuse optical spectroscopy from 500 to 1600 nm: comparison of classification methods. JOURNAL OF BIOMEDICAL OPTICS 2011; 16:087010. [PMID: 21895337 DOI: 10.1117/1.3611010] [Citation(s) in RCA: 91] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
We report on the use of diffuse optical spectroscopy analysis of breast spectra acquired in the wavelength range from 500 to 1600 nm with a fiber optic probe. A total of 102 ex vivo samples of five different breast tissue types, namely adipose, glandular, fibroadenoma, invasive carcinoma, and ductal carcinoma in situ from 52 patients were measured. A model deriving from the diffusion theory was applied to the measured spectra in order to extract clinically relevant parameters such as blood, water, lipid, and collagen volume fractions, β-carotene concentration, average vessels radius, reduced scattering amplitude, Mie slope, and Mie-to-total scattering fraction. Based on a classification and regression tree algorithm applied to the derived parameters, a sensitivity-specificity of 98%-99%, 84%-95%, 81%-98%, 91%-95%, and 83%-99% were obtained for discrimination of adipose, glandular, fibroadenoma, invasive carcinoma, and ductal carcinoma in situ, respectively; and a multiple classes overall diagnostic performance of 94%. Sensitivity-specificity values obtained for discriminating malignant from nonmalignant tissue were compared to existing reported studies by applying the different classification methods that were used in each of these studies. Furthermore, in these reported studies, either lipid or β-carotene was considered as adipose tissue precursors. We estimate both chromophore concentrations and demonstrate that lipid is a better discriminator for adipose tissue than β-carotene.
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Affiliation(s)
- Rami Nachabé
- Minimally Invasive Healthcare, Philips Research, 5656AE Eindhoven, The Netherlands.
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