39 results about "Breast tomosynthesis" patented technology

Systems and methods that facilitate the presentation and assessment of selected features in projection and / or reconstructed breast images, such as calcifications that meet selected criteria of size, shape, presence in selected slice images, distribution of pixels that could be indicative of calcification relative to other pixels or of other image features of clinical interest.

Methods, systems, and related computer program products for processing and displaying computer-aided detection (CAD) results in conjunction with breast x-ray tomosynthesis data are described. For one preferred embodiment, as a user pages through a notional stack of tomosynthesis reconstructed slice images (Tr images), including a detection-containing Tr image on which a CAD marker is to be displayed at an identified coordinate location, one or more CAD proximity markers is displayed at that coordinate location on one or more neighboring Tr images. While not themselves indicative of CAD findings on their respective Tr images, the CAD proximity markers encourage user attention toward the coordinate location of the CAD detection marker of the detection-containing Tr image. Preferably, the CAD proximity markers are of noticeably different size from each other and from the CAD detection marker to promote their perception in the peripheral vision of the user during the paging process.

Systems and methods that facilitate the presentation and assessment of selected features in projection and / or reconstructed breast images, such as calcifications that meet selected criteria of size, shape, presence in selected slice images, distribution of pixels that could be indicative of calcification relative to other pixels or of other image features of clinical interest.

Stationary x-ray digital breast tomosynthesis systems and related methods are disclosed. According to one aspect, the subject matter described herein can include an x-ray tomosynthesis system having a plurality of stationary field emission x-ray sources configured to irradiate a location for positioning an object to be imaged with x-ray beams to generate projection images of the object. An x-ray detector can be configured to detect the projection images of the object. A projection image reconstruction function can be configured to reconstruct tomography images of the object based on the projection images of the object.

Breast imaging using any one of a mammography system, a tomosynthesis system, or a fused system that selectively takes either or both of mammography images and tomosynthesis images, further uses a patient shield that moves closer to and further away from the patient's chest and head, between (1) an access position that facilitates the technologist's access to adjust the patient's breast while the breast is being compressed and (b) a protective position in which the shield helps protect the patient from collision with moving components and from x-ray exposure of tissue other than the tissue that is to be imaged.

Methods, systems, and related computer program products for processing and displaying computer-aided detection (CAD) information associated with medical breast x-ray images, such as breast x-ray tomosynthesis volumes, are described. An interactive graphical user interface for displaying a tomosynthesis data volume is described that includes a display of a two-dimensional composited image having slabbed sub-images spatially localized to marked CAD findings. Also described is a graphical navigation tool for optimized CAD-assisted viewing of the data volume, comprising a plurality of CAD indicator icons running near and along a slice ruler, each CAD indicator icon spanning a contiguous segment of the slice ruler and corresponding in depthwise position and extent to a subset of image slices spanned by the associated CAD finding, each CAD indicator icon including at least one single-slice highlighting mark indicating a respective image slice containing viewable image information corresponding to the associated CAD finding.

Some embodiments are associated with generation of a volumetric image representing an imaged object associated with a patient. According to some embodiments, tomosynthesis projection data may be acquired. A computer processor may then automatically generate the volumetric image based on the acquired tomosynthesis projection data. Moreover, distances between voxels in the volumetric image may be spatially varied.

Breast imaging using any one of a mammography system, a tomosynthesis system, or a fused system that selectively takes either or both of mammography images and tomosynthesis images, further uses a patient shield that moves closer to and further away from the patient's chest and head, between (1) an access position that facilitates the technologist's access to adjust the patient's breast while the breast is being compressed and (b) a protective position in which the shield helps protect the patient from collision with moving components and from x-ray exposure of tissue other than the tissue that is to be imaged.

A computer-aided detection system to detect clustered microcalcifications in digital breast tomosynthesis (DBT) is disclosed. The system performs detection in 2D images and a reconstructed 3D volume. The system may include an initial prescreening of potential microcalcifications by using one or more 3D calcification response function (CRF) values modulated by an enhancement method to identify high response locations in the DBT volume as potential signals. Microcalcifications may be enhanced using a Multi-Channel Enhancement method. Locations detected using these methods can be identified and the potential microcalcifications may be extracted. The system may include object segmentation that uses region growing guided by the enhancement-modulated CRF values, gray level voxel values relative to a local background level, or the original DBT voxel values. False positives may be reduced by descriptors of characteristics of microcalcifications. Detected locations of clusters and a cluster significance rating of each cluster may be output and displayed.

Methods, systems, and related computer program products for processing and displaying computer-aided detection (CAD) results in conjunction with breast x-ray tomosynthesis data are described. For one preferred embodiment, as a user pages through a notional stack of tomosynthesis reconstructed slice images (Tr images), including a detection-containing Tr image on which a CAD marker is to be displayed at an identified coordinate location, one or more CAD proximity markers is displayed at that coordinate location on one or more neighboring Tr images. While not themselves indicative of CAD findings on their respective Tr images, the CAD proximity markers encourage user attention toward the coordinate location of the CAD detection marker of the detection-containing Tr image. Preferably, the CAD proximity markers are of noticeably different size from each other and from the CAD detection marker to promote their perception in the peripheral vision of the user during the paging process.

A system and method using an inflatable jacket over the compression paddle of a mammography and / or tomosynthesis system to enhance imaging and improve patient comfort in x-ray breast imaging.

An x-ray breast imaging system comprising a compression paddle in which the compression paddle comprises a front wall and a bottom wall. The front wall is configured to be adjacent and face a chest wall of a patient during imaging and the bottom wall configured to be adjacent a length of a top of a compressed breast. The bottom wall extends away from the patient's chest wall, wherein the bottom wall comprises a first portion and a second portion such that the second portion is between the front wall and the first portion. The first portion is generally non- coplanar to the second portion, wherein the compression paddle is movable along a craniocaudal axis. The x-ray breast imaging system also comprises a non-rigid jacket releasably secured to the compression paddle, the non-rigid jacket positioned between the compression paddle and the patient.

A method for generating a synthetic two-dimensional mammogram with enhanced contrast for structures of interest includes acquiring a three-dimensional digital breast tomosynthesis volume having a plurality of voxels. A three-dimensional relevance map that encodes for the voxels the relevance of the underlying structure for a diagnosis is generated. A synthetic two-dimensional mammogram is calculated based on the three-dimensional digital breast tomosynthesis volume and the three-dimensional relevance map.

A peripheral equalization (PE) method and apparatus for compensating for thickness reduction in outer edges of the breast in a mammogram (i.e. a two-dimensional image) while keeping the central area substantially unchanged. The PE method and apparatus can also be applied to three dimensional (tomosynthesis) images of a breast. The peripheral equalization is achieved by segmenting the image of the breast into at least two regions and using a multi-threshold technique to process the data in at least one of the two regions.

A method for generating a synthetic two-dimensional mammogram with enhanced contrast for structures of interest includes acquiring a three-dimensional digital breast tomosynthesis volume having a plurality of voxels. A three-dimensional relevance map that encodes for the voxels the relevance of the underlying structure for a diagnosis is generated. A synthetic two-dimensional mammogram is calculated based on the three-dimensional digital breast tomosynthesis volume and the three-dimensional relevance map.

A system and method using an inflatable jacket over the compression paddle of a mammography and / or tomosynthesis system to enhance imaging and improve patient comfort in x-ray breast imaging.

Image processing techniques may include a methodology for normalizing medical image and / or voxel data captured under different acquisition protocols and a methodology for suppressing selected anatomical structures from medical image and / or voxel data, which may result in improved detection and / or improved rendering of other anatomical structures. The technology presented here may be used, e.g., for improved nodule detection within computed tomography (CT) scans. While presented here in the context of nodules within the lungs, these techniques may be applicable in other contexts with little modification, for example, the detection of masses and / or microcalcifications in full field mammography or breast tomosynthesis based on the suppression of glandular structures, parenchymal and vascular structures in the breast.

An x-ray breast imaging system comprising a compression paddle in which the compression paddle comprises a front wall and a bottom wall. The front wall is configured to be adjacent and face a chest wall of a patient during imaging and the bottom wall configured to be adjacent a length of a top of a compressed breast. The bottom wall extends away from the patient's chest wall, wherein the bottom wall comprises a first portion and a second portion such that the second portion is between the front wall and the first portion. The first portion is generally non- coplanar to the second portion, wherein the compression paddle is movable along a craniocaudal axis. The x-ray breast imaging system also comprises a non-rigid jacket releasably secured to the compression paddle, the non-rigid jacket positioned between the compression paddle and the patient.

Methods and systems for medical imaging including synthesizing virtual projections from acquired real projections and generating reconstruction models and images based on the synthesized virtual projections and acquired real projections. For example, first x-ray imaging data is generated from a detected first x-ray emission at a first angular location and second x-ray imaging data is generated from a detected second x-ray emission at a second angular location. Based on at least the first x-ray imaging data and the second x-ray imaging data, third x-ray imaging data for a third angular location relative to the breast may be synthesized. An image of the breast may be displayed or generated from the third x-ray imaging data.

The invention provides x-ray-based breast imaging systems and related methods that are, for example, applicable to contrast enhanced digital mammography and contrast enhanced digital breast tomosynthesis and allow fast, cost-effective and accurate x-ray imaging.

A test phantom for tomographic imaging, the phantom comprising an assembly of elementary structures defining a 3D mesh, wherein each elementary structure comprises a chief constituent material corresponding to an X-ray attenuation simulating a glandularity, wherein the elementary structures are in at least two types of chief constituent materials corresponding to different X-ray attenuations.

An x-ray breast imaging system comprising a compression paddle in which the compression paddle comprises a front wall and a bottom wall. The front wall is configured to be adjacent and face a chest wall of a patient during imaging and the bottom wall configured to be adjacent a length of a top of a compressed breast. The bottom wall extends away from the patient's chest wall, wherein the bottom wall comprises a first portion and a second portion such that the second portion is between the front wall and the first portion. The first portion is generally non- coplanar to the second portion, wherein the compression paddle is movable along a craniocaudal axis. The x-ray breast imaging system also comprises a non-rigid jacket releasably secured to the compression paddle, the non-rigid jacket positioned between the compression paddle and the patient.

Some embodiments are associated with generation of a volumetric image representing an imaged object associated with a patient. According to some embodiments, tomosynthesis projection data may be acquired. A computer processor may then automatically generate the volumetric image based on the acquired tomosynthesis projection data. Moreover, distances between voxels in the volumetric image may be spatially varied.

A computer-aided detection system to detect clustered microcalcifications in digital breast tomosynthesis (DBT) is disclosed. The system performs detection in 2D images and a reconstructed 3D volume. The system may include an initial prescreening of potential microcalcifications by using one or more 3D calcification response function (CRF) values modulated by an enhancement method to identify high response locations in the DBT volume as potential signals. Microcalcifications may be enhanced using a Multi-Channel Enhancement method. Locations detected using these methods can be identified and the potential microcalcifications may be extracted. The system may include object segmentation that uses region growing guided by the enhancement-modulated CRF values, gray level voxel values relative to a local background level, or the original DBT voxel values. False positives may be reduced by descriptors of characteristics of microcalcifications. Detected locations of clusters and a cluster significance rating of each cluster may be output and displayed.

A peripheral equalization (PE) method and apparatus for compensating for thickness reduction in outer edges of the breast in a mammogram (i.e. a two-dimensional image) while keeping the central area substantially unchanged. The PE method and apparatus can also be applied to three dimensional (tomosynthesis) images of a breast. The peripheral equalization is achieved by segmenting the image of the breast into at least two regions and using a multi-threshold technique to process the data in at least one of the two regions.

A method of breast image reconstruction includes positioning a breast on an imaging system support plate, compressing the breast with a flexible paddle, obtaining imaging data, estimating a breast thickness profile by at least one of placing markers on the breast, performing an image-based analysis of the obtained data, using an auxiliary system, and performing a model-based computation. The three-dimensional (3D) reconstruction including using a thickness profile of the breast surface in at least one of an iterative reconstruction, a filtered back-projection reconstruction, and a joint reconstruction performed using information obtained from an ultrasound scan. A non-transitory medium having executable instructions to cause a processor to perform the method is also disclosed.

An x-ray breast imaging system comprising a compression paddle in which the compression paddle comprises a front wall and a bottom wall. The front wall is configured to be adjacent and face a chest wall of a patient during imaging and the bottom wall configured to be adjacent a length of a top of a compressed breast. The bottom wall extends away from the patient's chest wall, wherein the bottom wall comprises a first portion and a second portion such that the second portion is between the front wall and the first portion. The first portion is generally non-coplanar to the second portion, wherein the compression paddle is movable along a craniocaudal axis. The x-ray breast imaging system also comprises a non-rigid jacket releasably secured to the compression paddle, the non-rigid jacket positioned between the compression paddle and the patient.