Improvement of Registration of 2D X-ray Mammograms and 3D Speed of Sound Images

Julie Bonn1, Torsten Hopp[1], Nicole V. Ruiter1, Neb Duric[2]

 

ABSTRACT: Breast cancer is the most common cancer in women in the US. It is known that early detection is key to survival rates. Currently, the standard screening method, X-ray mammography, has limited tumor visibility in dense breasts as it results in projection images of the deformed breast. A new imaging modality, Ultrasound Computer Tomography (USCT), generates 3D images of the non-deformed breast. Since USCT is still in development, a registration of the images from the two modalities is of interest to analyze the accuracy and quality of USCT. Previously, we presented a method of registration of mammograms and USCT speed of sound images; based on that, a larger dataset was registered in this work. The data files were received pre-segmented. Due to our need for a closely cropped and smoothed image and complete circumference alignment between the two modalities, manual corrections to the images were necessary: freehand corrections to the pre-segmented USCT images and manual angle of rotation setting due to different patient positioning. The preliminary accuracy of registration was improved by almost 10 mm per patient. For a total of 15 datasets, the final results showed a mean center of lesion displacement of 7.1 mm (SD = 5.4) and a mean lesion overlap of 91% between the two imaging modalities. This illustrates a high level of accuracy, affirming previous results and leading towards clinical applicability. Current research is focused on fully automating the registration.

 

[1] Institute for Data Processing and Electronics, Karlsruhe Institute of Technology, Germany

[1] Barbara Ann Karmanos Cancer Institute, Department of Radiation Oncology, Detroit, USA

 

 



[1] Institute for Data Processing and Electronics, Karlsruhe Institute of Technology, Germany

[2] Barbara Ann Karmanos Cancer Institute, Department of Radiation Oncology, Detroit, USA