Evaluation of tomosynthesis elastography in a breast-mimicking phantom. Engelken, F‥, Sack, I., Klatt, D., Fischer, T., Fallenberg, E‥, Bick, U., & Diekmann, F. European Journal of Radiology, 81(9):2169-2173, 2012. cited By (since 1996)1
Evaluation of tomosynthesis elastography in a breast-mimicking phantom [link]Paper  doi  abstract   bibtex   
Objective: To evaluate whether measurement of strain under static compression in tomosynthesis of a breast-mimicking phantom can be used to distinguish tumor-simulating lesions of different elasticities and to compare the results to values predicted by rheometric analysis as well as results of ultrasound elastography. Materials and methods: We prepared three soft breast-mimicking phantoms containing simulated tumors of different elasticities. The phantoms were imaged using a wide angle tomosynthesis system with increasing compression settings ranging from 0 N to 105 N in steps of 15 N. Strain of the inclusions was measured in two planes using a commercially available mammography workstation. The elasticity of the phantom matrix and inclusion material was determined by rheometric analysis. Ultrasound elastography of the inclusions was performed using two different ultrasound elastography algorithms. Results: Strain at maximal compression was 24.4%/24.5% in plane 1/plane 2, respectively, for the soft inclusion, 19.6%/16.9% for the intermediate inclusion, and 6.0%/10.2% for the firm inclusion. The strain ratios predicted by rheometrical testing were 0.41, 0.83 and 1.26 for the soft, intermediate, and firm inclusions, respectively. The strain ratios obtained for the soft, intermediate, and firm inclusions were 0.72 ± 0.13, 1.02 ± 0.21 and 2.67 ± 1.70, respectively for tomosynthesis elastography, 0.91, 1.64 and 2.07, respectively, for ultrasound tissue strain imaging, and 0.97, 2.06 and 2.37, respectively, for ultrasound real-time elastography. Conclusions: Differentiation of tumor-simulating inclusions by elasticity in a breast mimicking phantom may be possible by measuring strain in tomosynthesis. This method may be useful for assessing elasticity of breast lesions tomosynthesis of the breast. © 2011 Elsevier Ireland Ltd.
@article{ Engelken20122169,
  author = {Engelken, F.J. and Sack, I. and Klatt, D. and Fischer, T. and Fallenberg, E.M. and Bick, U. and Diekmann, F.},
  title = {Evaluation of tomosynthesis elastography in a breast-mimicking phantom},
  journal = {European Journal of Radiology},
  year = {2012},
  volume = {81},
  number = {9},
  pages = {2169-2173},
  note = {cited By (since 1996)1},
  url = {http://www.scopus.com/inward/record.url?eid=2-s2.0-84864670343&partnerID=40&md5=d0749a6d81c6490df946003d8ae657ca},
  affiliation = {Department of Radiology, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany},
  abstract = {Objective: To evaluate whether measurement of strain under static compression in tomosynthesis of a breast-mimicking phantom can be used to distinguish tumor-simulating lesions of different elasticities and to compare the results to values predicted by rheometric analysis as well as results of ultrasound elastography. Materials and methods: We prepared three soft breast-mimicking phantoms containing simulated tumors of different elasticities. The phantoms were imaged using a wide angle tomosynthesis system with increasing compression settings ranging from 0 N to 105 N in steps of 15 N. Strain of the inclusions was measured in two planes using a commercially available mammography workstation. The elasticity of the phantom matrix and inclusion material was determined by rheometric analysis. Ultrasound elastography of the inclusions was performed using two different ultrasound elastography algorithms. Results: Strain at maximal compression was 24.4%/24.5% in plane 1/plane 2, respectively, for the soft inclusion, 19.6%/16.9% for the intermediate inclusion, and 6.0%/10.2% for the firm inclusion. The strain ratios predicted by rheometrical testing were 0.41, 0.83 and 1.26 for the soft, intermediate, and firm inclusions, respectively. The strain ratios obtained for the soft, intermediate, and firm inclusions were 0.72 ± 0.13, 1.02 ± 0.21 and 2.67 ± 1.70, respectively for tomosynthesis elastography, 0.91, 1.64 and 2.07, respectively, for ultrasound tissue strain imaging, and 0.97, 2.06 and 2.37, respectively, for ultrasound real-time elastography. Conclusions: Differentiation of tumor-simulating inclusions by elasticity in a breast mimicking phantom may be possible by measuring strain in tomosynthesis. This method may be useful for assessing elasticity of breast lesions tomosynthesis of the breast. © 2011 Elsevier Ireland Ltd.},
  author_keywords = {Breast;  Elastography;  Phantom study;  Tomosynthesis},
  keywords = {article;  breast;  controlled study;  elasticity;  elastography;  flow measurement;  mammography;  outcome assessment;  phantom;  priority journal;  tomosynthesis elastography;  ultrasound elastography, Breast Neoplasms;  Elastic Modulus;  Elasticity Imaging Techniques;  Female;  Humans;  Phantoms, Imaging;  Reproducibility of Results;  Sensitivity and Specificity;  Ultrasonography, Mammary},
  references = {Andersson, I., Ikeda, D.M., Zackrisson, S., Breast tomosynthesis and digital mammography: A comparison of breast cancer visibility and BIRADS classification in a population of cancers with subtle mammographic findings (2008) Eur Radiol, 18, pp. 2817-2825; Poplack, S.P., Tosteson, T.D., Kogel, C.A., Nagy, H.M., Digital breast tomosynthesis: Initial experience in 98 women with abnormal digital screening mammography (2007) AJR Am J Roentgenol, 189, pp. 616-623; Diekmann, F., Bick, U., Tomosynthesis and contrast-enhanced digital mammography: Recent advances in digital mammography (2007) Eur Radiol, 17, pp. 3086-3092; Schaefer, F.K., Heer, I., Schaefer, P.J., Breast ultrasound elastography - Results of 193 breast lesions in a prospective study with histopathologic correlation (2009) Eur J Radiol; Burnside, E.S., Hall, T.J., Sommer, A.M., Differentiating benign from malignant solid breast masses with US strain imaging (2007) Radiology, 245, pp. 401-410; Regner, D.M., Hesley, G.K., Hangiandreou, N.J., Breast lesions: Evaluation with US strain imaging - Clinical experience of multiple observers (2006) Radiology, 238, pp. 425-437; Sinkus, R., Tanter, M., Catheline, S., Imaging anisotropic and viscous properties of breast tissue by magnetic resonance-elastography (2005) Magn Reson Med, 53, pp. 372-387; Bamber, J.C., Ultrasound elasticity imaging: Definition and technology (1999) Eur Radiol, 9 (SUPPL. 3), pp. 327-S330; Fornvik, D., Zackrisson, S., Ljungberg, O., Breast tomosynthesis: Accuracy of tumor measurement compared with digital mammography and ultrasonography (2010) Acta Radiol, 51, pp. 240-247; Cespedes, I., Ophir, J., Ponnekanti, H., Maklad, N., Elastography: Elasticity imaging using ultrasound with application to muscle and breast in vivo (1993) Ultrason Imaging, 15, pp. 73-88; Landau, L., Lifschitz, E., (1986) Theory of Elasticity, , Pergamon Press Oxford; Thomas, A., Fischer, T., Frey, H., Real-time elastography - An advanced method of ultrasound: First results in 108 patients with breast lesions (2006) Ultrasound Obstet Gynecol, 28, pp. 335-340; Thomas, A., Warm, M., Hoopmann, M., Diekmann, F., Fischer, T., Tissue Doppler and strain imaging for evaluating tissue elasticity of breast lesions (2007) Acad Radiol, 14, pp. 522-529; Kim, G.W., Han, B.H., Cho, M.H., Lee, S.Y., X-ray elastography: A feasibility study (2009) Conf Proc IEEE Eng Med Biol Soc, 2009, pp. 3513-3516; Venkatesh, S.K., Yin, M., Glockner, J.F., MR elastography of liver tumors: Preliminary results (2008) AJR Am J Roentgenol, 190, pp. 1534-1540; Saunders Jr., R.S., Samei, E., Lo, J.Y., Baker, J.A., Can compression be reduced for breast tomosynthesis?. Monte carlo study on mass and microcalcification conspicuity in tomosynthesis (2009) Radiology, 251, pp. 673-682; Fornvik, D., Andersson, I., Svahn, T., The effect of reduced breast compression in breast tomosynthesis: Human observer study using clinical cases (2010) Radiat Prot Dosimetry, 139, pp. 118-123; Carton, A.K., Gavenonis, S.C., Currivan, J.A., Conant, E.F., Schnall, M.D., Maidment, A.D., Dual-energy contrast-enhanced digital breast tomosynthesis - A feasibility study (2010) Br J Radiol, 83, pp. 344-350},
  correspondence_address1 = {Engelken, F.J.; Department of Radiology, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany; email: florian.engelken@charite.de},
  issn = {0720048X},
  coden = {EJRAD},
  doi = {10.1016/j.ejrad.2011.06.033},
  pubmed_id = {21724357},
  language = {English},
  abbrev_source_title = {Eur. J. Radiol.},
  document_type = {Article},
  source = {Scopus}
}

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