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Updated: Mar 26, 2026

Clinical Imaging of Microwave Mammography
Published on: November 14, 2025
VALIDATION OF A SIMULATION PROCEDURE FOR GENERATING BREAST TOMOSYNTHESIS PROJECTION IMAGES
Hannie Petersson1, Lucy M Warren2, Anders Tingberg3
1Medical Radiation Physics Malmö, Department of Translational Medicine, Lund University, Skåne University Hospital Malmö, 205 02 Malmö, Sweden hannie.petersson@med.lu.se.
This study validated a breast tomosynthesis (BT) imaging simulation. While simulated images matched real ones for sharpness, simulated contrast was higher, indicating a need for further refinement.
Area of Science:
- Medical Imaging
- Radiological Physics
- Computational Imaging
Background:
- Optimizing diagnostic performance in breast tomosynthesis (BT) is crucial.
- Accurate simulation of BT imaging is essential for parameter evaluation.
- Existing simulation methods require validation against real-world data.
Purpose of the Study:
- To validate a simulation procedure for generating BT projection images.
- To compare contrast and sharpness between simulated and real BT images.
- To assess the fidelity of a Monte Carlo-based simulation for BT imaging.
Main Methods:
- Developed a simulation procedure using the Penelope Monte Carlo code.
- Modeled the geometry of a Siemens BT system.
- Acquired real BT images using the Siemens system for comparison.
- Quantitatively compared contrast and sharpness metrics between simulated and real images.
Main Results:
- Demonstrated good agreement in sharpness between simulated and real reconstructed image planes.
- Observed higher contrast in simulated projection images compared to real ones.
- Identified discrepancies in contrast that warrant further investigation.
Conclusions:
- The developed simulation procedure can generate BT images.
- Further modifications are needed to improve the realism of image noise and contrast in simulations.
- The simulation shows potential for BT system evaluation but requires refinement for contrast accuracy.
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