Breast vibro-acoustography: initial results show promise

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Introduction: Vibro-acoustography (VA) is a recently developed imaging modality that is sensitive to the dynamic characteristics of tissue. It detects low-frequency harmonic vibrations in tissue that are induced by the radiation force of ultrasound. Here, we have investigated applications of VA for in vivo breast imaging.Methods: A recently developed combined mammography-VA system for in vivo breast imaging was tested on female volunteers, aged 25 years or older, with suspected breast lesions on their clinical examination. After mammography, a set of VA scans was acquired by the experimental device. In a masked assessment, VA images were evaluated independently by 3 reviewers who identified mass lesions and calcifications. The diagnostic accuracy of this imaging method was determined by comparing the reviewers' responses with clinical data.Results: We collected images from 57 participants: 7 were used for training and 48 for evaluation of diagnostic accuracy (images from 2 participants were excluded because of unexpected imaging artifacts). In total, 16 malignant and 32 benign lesions were examined. Specificity for diagnostic accuracy was 94% or higher for all 3 reviewers, but sensitivity varied (69% to 100%). All reviewers were able to detect 97% of masses, but sensitivity for detection of calcification was lower (≤ 72% for all reviewers).Conclusions: VA can be used to detect various breast abnormalities, including calcifications and benign and malignant masses, with relatively high specificity. VA technology may lead to a new clinical tool for breast imaging applications.

Original languageEnglish (US)
Article numberR128
JournalBreast Cancer Research
Volume14
Issue number5
DOIs
StatePublished - Sep 29 2012

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Elasticity Imaging Techniques
Breast
Mammography
Diagnostic Imaging
Vibration
Artifacts
Volunteers
Technology
Equipment and Supplies

Keywords

  • acoustic imaging
  • breast lesions
  • radiation force breast imaging
  • ultrasound
  • vibro-acoustography

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Breast vibro-acoustography : initial results show promise. / Alizad, Azra; Whaley, Dana H.; Urban, Matthew W; Carter, Rickey E.; Kinnick, Randall R.; Greenleaf, James F; Fatemi, Mostafa.

In: Breast Cancer Research, Vol. 14, No. 5, R128, 29.09.2012.

Research output: Contribution to journalArticle

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abstract = "Introduction: Vibro-acoustography (VA) is a recently developed imaging modality that is sensitive to the dynamic characteristics of tissue. It detects low-frequency harmonic vibrations in tissue that are induced by the radiation force of ultrasound. Here, we have investigated applications of VA for in vivo breast imaging.Methods: A recently developed combined mammography-VA system for in vivo breast imaging was tested on female volunteers, aged 25 years or older, with suspected breast lesions on their clinical examination. After mammography, a set of VA scans was acquired by the experimental device. In a masked assessment, VA images were evaluated independently by 3 reviewers who identified mass lesions and calcifications. The diagnostic accuracy of this imaging method was determined by comparing the reviewers' responses with clinical data.Results: We collected images from 57 participants: 7 were used for training and 48 for evaluation of diagnostic accuracy (images from 2 participants were excluded because of unexpected imaging artifacts). In total, 16 malignant and 32 benign lesions were examined. Specificity for diagnostic accuracy was 94{\%} or higher for all 3 reviewers, but sensitivity varied (69{\%} to 100{\%}). All reviewers were able to detect 97{\%} of masses, but sensitivity for detection of calcification was lower (≤ 72{\%} for all reviewers).Conclusions: VA can be used to detect various breast abnormalities, including calcifications and benign and malignant masses, with relatively high specificity. VA technology may lead to a new clinical tool for breast imaging applications.",
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