Jeffrey Wayne Eberhard

Tomographic mammography using a limited number of low-dose cone- beam projection images

A method is described for using a limited number (typically 10-50) of low-dose radiographs to reconstruct the three-dimensional (3D) distribution of x-ray attenuation in the breast. The method uses x-ray cone-beam imaging, an electronic digital detector, and constrained nonlinear iterative computational techniques. Images are reconstructed with high resolution in two dimensions and lower resolution in the third dimension. The 3D distribution of attenuation that is projected into one image in conventional mammography can be separated into many layers (typically 30-80 1-mm-thick layers, depending on breast thickness), increasing the conspicuity of features that are often obscured by overlapping structure in a single-projection view. Schemes that record breast images at nonuniform angular increments, nonuniform image exposure, and nonuniform detector resolution are investigated in order to reduce the total x-ray exposure necessary to obtain diagnostically useful 3D reconstructions, and to improve the quality of the reconstructed images for a given exposure. The total patient radiation dose can be comparable to that used for a standard two-view mammogram. The method is illustrated with images from mastectomy specimens, a phantom, and human volunteers. The results show how image quality is affected by various data-collection protocols.

A New Time Domain Technique for Velocity Measurements Using Doppler Ultrasound

A new technique for determining the Doppler frequency shift in a phase-coherent pulsed Doppler system is presented. In the new approach, the Doppler frequency shift is given directly in the time domain in terms of the measured I and Q components of the measured Doppler signal. The algorithm is based on an expression for the instantaneous rate of change of phase which separates rapidly varying from slowly varying terms. It permits noise smoothing in each term separately. Since the technique relies solely on signal processing in the time domain, it is significantly simpler to implement than the classic Fourier transform approach. In addition, the algorithm can be shown to give rigorously accurate values for instantaneous frequency and outperform the Fourier transform approach in poor signal-to-noise environments. Experimental results are presented which confirm the superiority of the new domain technique.

Generalized filtered back-projection reconstruction in breast tomosynthesis

Tomosynthesis reconstruction that produces high-quality images is a difficult problem, due mainly to the highly incomplete data. In this work we present a motivation for the generalized filtered backprojection (GFBP) approach to tomosynthesis reconstruction. This approach is fast (since non-iterative), flexible, and results in reconstructions with an image quality that is similar or superior to reconstructions that are mathematically optimal. Results based on synthetic data and patient data are presented.

Combination of digital mammography with semi-automated 3D breast ultrasound

This paper describes work aimed at combining 3D ultrasound with full-field digital mammography via a semi-automatic prototype ultrasound scanning mechanism attached to the digital mammography system gantry. Initial efforts to obtain high x-ray and ultrasound image quality through a compression paddle are proving successful. Registration between the x-ray mammogram and ultrasound image volumes is quite promising when the breast is stably compressed. This prototype system takes advantage of many synergies between the co-registered digital mammography and pulse-echo ultrasound image data used for breast cancer detection and diagnosis. In addition, innovative combinations of advanced US and X-ray applications are being implemented and tested along with the basic modes. The basic and advanced applications are those that should provide relatively independent information about the breast tissues. Advanced applications include x-ray tomosynthesis, for 3D delineation of mammographic structures, and non-linear elasticity and 3D color flow imaging by ultrasound, for mechanical and physiological information unavailable from conventional, non-contrast x-ray and ultrasound imaging.

Optimization of slice sensitivity profile for radiographic tomosynthesis

Similar to other tomographic imaging modalities, the slice sensitivity profile (SSP) is an important image quality metric for radiographic tomosynthesis. In this study, the relationship between the acquisition angular range (θ) and the SSP for the linear trajectory system was carefully investigated from both theoretical and experimental perspectives. A mathematical SSP model was derived for arbitrary points in the reconstructed volume. We used a newly developed flat-panel tomosynthesis prototype system to experimentally validate the mathematical model from 20°(±10°) to 60°(±30°) angular ranges. The SSP was measured by imaging an edge phantom placed at an angle with respect to the detector plane using the modulation transfer function degradation (MTF-d) method. In addition to the experiments, computer simulations were performed to investigate the relationship in a wider angular range (2.5° to 60°). Furthermore, image data from an anthropomorphic phantom were collected to corroborate the system analysis. All the images in this study were constructed using a 3D view-weighted cone-beam filtered backprojection algorithm (3D VW CB-FBP). The theoretical analysis reveals that the SSP of linear trajectory tomosynthesis is inversely proportional to tan(θ∕2). This theory was supported by both simulation (χ2=1.415, DF=7, p=0.985) and phantom experiment (r=0.999, p<0.001) and was further confirmed by an analysis of the reconstructed images of an anthropomorphic phantom. The results imply that the benefit of narrower SSP by increasing angular range quickly diminishes once beyond 40°. The advantages of the MTF-d method were also demonstrated.

Computed tomography part I: Introduction and industrial applications

X-ray computed tomography (CT) provides quantitative, readily interpretable data and enables the inspection of structures that are not amenable to any other nondestructive evaluation technique. As a result, CT has become well established as an inspection, evaluation, and analysis tool in industry. Many of the applications have been in the aerospace industry, where the high cost and performance requirements of components justifies the cost of CT inspection, but use in other industries is growing as equipment becomes increasingly available.

High-speed large-angle mammography tomosynthesis system

A new mammography tomosynthesis prototype system that acquires 21 projection images over a 60 degree angular range in approximately 8 seconds has been developed and characterized. Fast imaging sequences are facilitated by a high power tube and generator for faster delivery of the x-ray exposure and a high speed detector read-out. An enhanced a-Si/CsI flat panel digital detector provides greater DQE at low exposure, enabling tomo image sequence acquisitions at total patient dose levels between 150% and 200% of the dose of a standard mammographic view. For clinical scenarios where a single MLO tomographic acquisition per breast may replace the standard CC and MLO views, total tomosynthesis breast dose is comparable to or below the dose in standard mammography. The system supports co-registered acquisition of x-ray tomosynthesis and 3-D ultrasound data sets by incorporating an ultrasound transducer scanning system that flips into position above the compression paddle for the ultrasound exam. Initial images acquired with the system are presented.

Thickness-dependent scatter correction algorithm for digital mammography

We have implemented a scatter-correction algorithm (SCA) for digital mammography based on an iterative restoration filter. The scatter contribution to the image is modeled by an additive component that is proportional to the filtered unattenuated x-ray photon signal and dependent on the characteristics of the imaged object. The SCAs result is closer to the scatter-free signal than when a scatter grid is used. Presently, the SCA shows improved contrast-to-noise performance relative to the scatter grid for a breast thickness up to 3.6 cm, with potential for better performance up to 6 cm. We investigated the efficacy of our scatter-correction method on a series of x-ray images of anthropomorphic breast phantoms with maximum thicknesses ranging from 3.0 cm to 6.0 cm. A comparison of the scatter-corrected images with the scatter-free signal acquired using a slit collimator shows average deviations of 3 percent or less, even in the edge region of the phantoms. These results indicate that the SCA is superior to a scatter grid for 2D quantitative mammography applications, and may enable 3D quantitative applications in X-ray tomosynthesis.

Fusion of digital mammography with breast ultrasound: a phantom study

The objective of this work was to acquire co-registered digital tomosynthesis mammograms and 3-D breast ultrasound images of breast phantoms. A prototype mammography compression paddle was built for this application and installed on an x-ray tomosynthesis prototype system (GE). Following x-ray exposure, an automated two-dimensional ultrasound probe mover assembly is precisely positioned above the compression plate, and an attached high-frequency ultrasound transducer is scanned over the acoustically coupled phantom or localized region of interest within the phantom through computerized control. The co-ordinate system of one of the two data sets is then transformed into that of the other, and matching regions of interest on either image set can be simultaneously viewed on the x-ray and ultrasound images thus enhancing qualitative visualization, localization and characterization of regions of interest. The potentials of structured noise reduction, cyst versus solid mass differentiation and full 3-D visualization of multi-modality registered data sets in a single automated combined examination are realized for the first time. Elements of system design and required image correction algorithms will be described and phantom studies with this prototype, automated system on an anthropomorphic breast phantom will be presented.

Mammography tomosynthesis system for high performance 3D imaging

Tomosynthesis provides a major advance in image quality compared to conventional projection mammography by effectively eliminating the effects of superimposed tissue on anatomical structures of interest. Early tomosynthesis systems focused primarily on feasibility assessment by providing 3-dimensional images to determine performance advantages. However, tomosynthesis image quality depends strongly on three key parameters: 1) detector performance at low dose, 2) angular range and number of projections acquired in the tomosynthesis scan, and 3) reconstruction algorithm processing characteristics used to create slice images from the measured projections. In this work, a new GE mammo-graphy tomosynthesis research system was developed that incorporates key improvements in each of these three areas compared to an early feasibility prototype system in use at Massachusetts General Hospital from 2000 to 2004. The performance gains that can be achieved by these enhancements are cha-racterized, and clinical images acquired with the system at the University of Michigan Cancer and Geriatrics Center are presented. The advanced research system also provides the ability to acquire mechanically co-registered x-ray tomosynthesis and ultrasound images of the breast, and initial dual modality images are also presented.