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Updated: Apr 7, 2026

Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
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Power-law Beta Calculations for Realistic Mammography Images from Egs_cbct Simulation.

Déte van Eeden1, F C P du Plessis1

  • 1Department of Medical Physics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

Journal of Medical Physics
|April 6, 2026
PubMed
Summary

The egs_cbct simulation code accurately replicates mammography images by analyzing anatomic noise. This validation helps ensure reliable breast cancer detection through virtual clinical trials.

Keywords:
Egs_cbctmammographypower spectrum

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Area of Science:

  • Medical Imaging
  • Computational Physics
  • Biophysics

Background:

  • Mammography is crucial for early breast cancer detection.
  • Glandular tissue in mammograms creates anatomic noise, potentially obscuring lesions.
  • Previous research characterized this noise using a power-law form with β-exponent values between 1.5 and 4.0.

Purpose of the Study:

  • To validate the egs_cbct simulation code's ability to replicate mammography images.
  • To quantitatively assess simulated mammography images by extracting β-values and comparing them to clinical data.

Main Methods:

  • Breast phantoms were modeled using in silico imaging software for the Virtual Clinical Trial for Regulatory Evaluation project.
  • The egs_cbct code simulated 400 mammography images of these phantoms.
  • Anatomical noise power spectrum analysis was performed on 200 regions of interest per image.

Main Results:

  • The mean β-value for simulated images was 3.42 (range: 2.36–4.41), consistent with clinical data.
  • The simulated American College of Radiology (ACR) phantom showed comparable image quality to a real mammography unit.
  • The extracted β-values from simulated images align with previously reported values from authentic mammograms.

Conclusions:

  • The egs_cbct software successfully simulates mammography images, as evidenced by the β-value analysis.
  • This validates the use of egs_cbct for generating realistic mammograms in virtual trials.
  • The findings support the use of egs_cbct in regulatory evaluation for mammography technologies.