Automatic Mammography Implant Detection for Adaptive Image Acquisition

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Solution Overview

Problem

Mammography systems struggle with accurately detecting breast implants, which can occlude underlying tissue and lead to missed cancers due to improper positioning or lack of experience among technologists, resulting in suboptimal image quality and increased recall rates.

Innovation Solution

An x-ray mammography system that automatically detects breast implants using a pre-exposure image analysis with an implant detection model, adjusts imaging parameters accordingly, and triggers specific workflows to ensure high-quality image acquisition and processing, including dual energy modes for different implant types.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If manual implant detection and positioning is used by technologists, then the system is simpler to operate, but image quality deteriorates due to improper positioning and tissue occlusion

Engineering Contradiction:
Improveimage qualityVSAvoidoperation complexity
Core Design Contradiction:
Manufacturing precisionVSEase of operation

Solution Approach 1:

The system automatically detects implants and adjusts imaging parameters without requiring technologist intervention. The automated implant detection and classification system performs the function of implant identification and positioning adjustment itself, eliminating reliance on technologist expertise while maintaining high image quality

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The patent replaces manual mechanical positioning and judgment by technologists with an automated image processing and detection system. The system uses pre-exposure images to automatically identify implants and trigger appropriate imaging protocols, substituting human operation with automated computational analysis

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

2Manufacturing precision

If automated implant detection is implemented, then image quality improves through accurate detection, but device complexity increases

Engineering Contradiction:
Improveimage qualityVSAvoidsystem complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The system performs implant detection using pre-exposure images taken before the main imaging procedure. This preliminary detection allows the system to identify implants early and automatically adjust subsequent imaging parameters, ensuring optimal image quality without requiring complex real-time adjustments during the main exposure

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The patent introduces an automated implant detection system as an intermediary between the technologist and the imaging process. This intermediary automatically analyzes pre-exposure images, identifies implants, and triggers appropriate imaging protocols, simplifying the overall system architecture while maintaining high image quality

Inventive Principle:
Principle #24Intermediary (Mediator)

3Productivity

If technologists with less training are used, then operational costs decrease, but recall rates increase due to improper imaging techniques

Engineering Contradiction:
Improveoperational efficiencyVSAvoiddiagnostic accuracy
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The automated system performs implant detection and protocol selection independently, eliminating the need for highly trained technologists to make these judgments. The system self-adjusts imaging parameters based on automatic implant classification, allowing less trained personnel to operate the equipment while maintaining high diagnostic accuracy

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system uses pre-exposure images to provide feedback about implant presence and type, which automatically triggers appropriate imaging protocol adjustments. This feedback mechanism ensures that correct imaging techniques are applied regardless of technologist expertise level, reducing recall rates while maintaining operational efficiency

Inventive Principle:
Principle #23Feedback

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances image quality by accurately identifying and classifying breast implants, preventing suboptimal imaging, and reducing missed cancers by ensuring appropriate acquisition and processing techniques are applied, thereby improving diagnostic accuracy.

Implementation Method 1

an x-ray mammography system... acquiring a pre-exposure image... before acquisition of one or more main images

Methodology Applied
Scientific EffectX-ray generation: X-Ray

Data Source

PatentEP4119057B1Methods and systems for automatic implant detection in mammography
Publication Date: 2025.08.27 GE PRECISION HEALTHCARE LLC
  • EP4119057B1 patent drawingFigure 1
  • EP4119057B1 patent drawingFigure 2
  • EP4119057B1 patent drawingFigure 3

AI summary

Various methods and systems are provided for mammogram imaging. In one example, a method for an x-ray mammography system includes determining, based on a pre-exposure image of a subject acquired with the x-ray mammography system before acquisition of one or more main images, that the subject has an implant; automatically adjusting one or more imaging parameters in response to determining that the subject has the implant; and acquiring the one or more main images with the adjusted one or more imaging parameters.