Advantages of breast cancer visualization and characterization using synchrotron radiation phase-contrast tomography

J Synchrotron Radiat. 2018 Sep 1;25(Pt 5):1460-1466. doi: 10.1107/S1600577518010172. Epub 2018 Aug 13.

Abstract

The aim of this study was to highlight the advantages that propagation-based phase-contrast computed tomography (PB-CT) with synchrotron radiation can provide in breast cancer diagnostics. For the first time, a fresh and intact mastectomy sample from a 60 year old patient was scanned on the IMBL beamline at the Australian Synchrotron in PB-CT mode and reconstructed. The clinical picture was described and characterized by an experienced breast radiologist, who underlined the advantages of providing diagnosis on a PB-CT volume rather than conventional two-dimensional modalities. Subsequently, the image quality was assessed by 11 breast radiologists and medical imaging experts using a radiological scoring system. The results indicate that, with the radiation dose delivered to the sample being equal, the accuracy of a diagnosis made on PB-CT images is significantly higher than one using conventional techniques.

Keywords: breast cancer imaging; phase-contrast breast CT; synchrotron radiation.

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / surgery
  • Female
  • Humans
  • In Vitro Techniques
  • Mastectomy
  • Middle Aged
  • Radiation Dosage
  • Radiographic Image Interpretation, Computer-Assisted
  • Signal-To-Noise Ratio
  • Synchrotrons*
  • Tomography, X-Ray Computed / methods*