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DBT Nikita Mishra

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13 views17 pages

DBT Nikita Mishra

Uploaded by

Swapnil Satapathy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DIGITAL BREAST

TOMOSYNTHESIS(D
BT)
NAME- NIKITA MISHRA
REGISTRATION NO-201704210053
BRANCH-B.Sc.MRT(2020-23)
Subject- radiology physics and equipment
Guided by- Mr.jitendra Gupta and
Miss sashi tiwari
WHAT IS
TOMOSYNTHESIS
Tomosynthesis is a special type of ?
mammography that uses low dose
X-rays obtained at different angles
and computer reconstructions to
produce three-dimensional images
of the breast. Rather than the
standard 2D images. Therefore,
tomosynthesis can be also called
3D mammography or digital breast
tomosynthesis (DBT).
• Tomosynthesis serves to assist better in
early detection and diagnosis of breast
cancer, when it is most treatable.
• DBT was approved by the Food and
Drug Administration (FDA) in 2011 and
become the new gold standard in breast
imaging.
• This method is used to treat dense breast.
FFDM-Full Filled Digital
BREAST CANCER
Breast cancer is the
second most common
The “gold standard” for
cancer among women.
diagnosing breast cancer
Approximately one in eight is mammography.
women will develop breast
cancer at some point in their Not all breast cancers are
lives. seen on a mammogram,
especially if you have
“dense” breasts.
How does digital breast
tomosynthesis work?
During a During a DBT exam, the
mammogram, your breast is positioned and
breast is positioned compressed the same way
on a flat support it is for a mammogram.
and compressed However, during the DBT
(squeezed) exam, the x-ray tube
between two moves in an arc over your
plates. The x-ray breast, taking pictures as
tube takes a single it moves
image.
TECHNIQUES OF BREAST
TOMOSYNTHESIS MACHINE
• This DBT acquire multiple low-dose images at several angular
positions as the x-ray tube moves in an are about the breast.
• Each image projects the content in the breast volume with
different shifts depending on the distance of the object from the
detector.
• With high-speed digital readout, several projection images can
be acquired in under 10 s, and each image set is processed with
a limited-angle reconstruction mathematical algorithm to
synthesize a tomogram (in-focus plane) at a given depth in the
breast.
• For one vendors implementation, 15
projection images of the compressed breast
are acquired over a range of 15 degrees (1
image per degree) in 4s (270 ms per image),
using a W target with 0.7-mm Al filtered x-
ray beam 32 to 38 kV, with no antiscatter
grid, and 2 x 2 pixel binning of the digital
detector array (140-pum sampling).
• Average glandular dose for 15 image acquisition is approximately 2 mGy for
the accreditation phantom.

• Larger breast thicknesses will require larger doses for tomosynthesis


acquisition, but the dose is similar to that of a single view mammogram of the
same compressed thickness.

• The 15 images are used in the reconstruction process to create 1-mm focal
plane images (tomograms), where the location of the reconstructed plane ,
and the number of reconstructed images depends on the compressed breast
thickness.
Main Differences of
Conventional and
 Tomosynthesis
Mammography Mammography
and tomosynthesis are almost the
same, and are used to detect abnormal changes in
breast tissues.

 However, mammography may not detect all


breast cancer. And thus, the tomosynthesis option
has been developed for better outcomes.

 Regular mammography obtain standard 2D


images, while tomosynthesis utilize movement to
gain 3D pictures, in a similar way as a CT
scanner. However, tomosynthesis models can also
aquire 2D images.
• Breast imaging is performed while the system compresses the breast between the
clear plastic paddle and the imaging detector.
• This compression may cause overlapping of breast tissue – Which can hide some of
the abnormal tissues, or, on the other hand, superimposed normal tissues may appear
abnormal.
• In tomosynthesis mammography, the X-ray tube moves circularly around the
compressed breast, capturing several images of each breast from different angles.
This takes less than 10 seconds.
• The data acquired is sent to a computer that produces a focused three-dimensional
image of the breast.
What are the advantages of
digital breast
tomosynthesis?
DBT is especially useful in examining dense
breasts and can improve the radiologist’s
ability to find breast cancer. In addition, DBT
offers these advantages:-

 Reduces the rate of false positive readings


(a reading that identifies normal tissue as
an abnormality).

 Ensures that fewer women need to come


back for another mammogram.
Reduces the need for a biopsy.
Enables the healthcare
provider to more accurately
locate where the abnormality
is in the breast.
o May help reduce
long-term anxiety
while awaiting test
results.
What are the disadvantages of
digital breast tomosynthesis?
 There are a few downsides of using
tomosynthesis.
 With more images of each breast, there
is more exposure to radiation.
 Furthermore, the arc of movement of the
X-ray tube can vary, which may cause
variations in the images.
 Regarding prices, you can expect that
models with tomosynthesis are going to
be more expensive. Moreover, the
maintenance costs may be higher as
well.
How much radiation is used in
digital breast tomosynthesis?

DBT is performed at the same time as a


mammogram, so the procedure takes a Therefore, the total radiation
little longer (approximately 45 dose is just under three times
seconds). that of a mammogram. The
FDA considers this an
The FDA(Food and Drug acceptable and safe amount of
Administration ) has approved DBT to radiation exposure.
be used only in combination with
REFERENCE
• https://radiopaedia.org/articles/digital-breast-tomosynthesis.
• https://lbnmedical.com/pros-and-cons-of-tomosynthesis-mam
mography/
• https://my.clevelandclinic.org/health/diagnostics/15939-digital-
breast-tomosynthesis-and-breast-cancer-screening
• https://pubs.rsna.org/doi/full/10.1148/rg.2015140204
• http://www.slideshare.net/breastcancerupdatecongress/luc-rote
nberg-digital-breast-tomosynthesis?from_m_app=android
• CLARK’S positioning in radiography (12 edition)
THANK YOU

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