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Digital breast tomosynthesis: Image acquisition principles and artifacts.

Parvinder S Sujlana1, Mahadevappa Mahesh1, Srinivasan Vedantham2

  • 1Johns Hopkins Medical Institutions, The Russell H. Morgan Department of Radiology and Radiological Science, 601 N. Wolfe Street, Baltimore, MD 21287, United States of America.

Clinical Imaging
|September 22, 2018
PubMed
Summary
This summary is machine-generated.

Digital breast tomosynthesis (DBT) offers 3D imaging for improved cancer detection. Understanding DBT artifacts is crucial for accurate diagnosis and reducing false positives in breast cancer screening.

Keywords:
ArtifactsDigital breast tomosynthesisPhysicsSynthesized mammograms

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Area of Science:

  • Medical Imaging
  • Radiology
  • Biophysics

Background:

  • Digital breast tomosynthesis (DBT) is increasingly used for breast cancer screening and diagnosis.
  • DBT provides a 3D dataset, enhancing diagnostic accuracy by distinguishing lesions from tissue overlap compared to 2D mammography.
  • Synthesized mammograms (SM) from DBT data reduce radiation dose by eliminating the need for separate 2D FFDM acquisition.

Purpose of the Study:

  • To review the physics principles underlying DBT systems.
  • To explain the origin of artifacts in DBT and SM imaging.
  • To aid radiologists in artifact identification and reduction, improving diagnostic evaluation.

Main Methods:

  • Review of physics principles of DBT systems.
  • Analysis of how limited angular range and prolonged imaging contribute to artifacts.
  • Explanation of artifact etiology based on DBT system mechanics and reconstruction algorithms.

Main Results:

  • DBT systems utilize a movable X-ray tube and reconstruction algorithms to create 3D datasets.
  • Artifacts in DBT and SM are often caused by incomplete sampling due to limited angular range and prolonged imaging time.
  • Understanding artifact origins is key to differentiating true findings from imaging artifacts.

Conclusions:

  • DBT technology offers significant advantages in breast cancer detection.
  • Artifacts are an inherent challenge in DBT and SM imaging.
  • Knowledge of artifact etiology can decrease recall and false positive rates, enhancing diagnostic confidence.