24–28 Jun 2018
Sundsvall
Europe/Zurich timezone

Dual asymmetric and high resolution detection heads of a novel compact Molecular Breast Imaging system for small breast cancer diagnosis

26 Jun 2018, 16:00
1h
Quality Hotel, Folkets Hus (Sundsvall)

Quality Hotel, Folkets Hus

Sundsvall

Esplanaden 29 Sundsvall, Sweden
Poster general Poster session

Speaker

Gaetano Elio Poma (INFN - National Institute for Nuclear Physics)

Description

Breast cancer is the most common cancer in women. Early diagnosis is a crucial point to achieve an efficient therapy.
In order to identify small-size tumours at the early stage, mammography is the most used technique for screening having showed to be able to decrease mortality from the breast cancer.
Nevertheless it showed reduced performance in case of dense breast [1].
Magnetic Resonance Imaging (MRI), Ultrasound (US) and Molecular Breast Imaging (MBI) techniques have been proposed as complementary to mammography.
The most promising among them is the MBI based on dedicated gamma camera, which provides functional, specific, information, particularly appropriated to dense breast.
It showed better sensitivity and specificity than mammography in case of dense breast.
A new compact system, consisting of a two asymmetric (different geometries and collimations) detectors, has been developed [2].
The two detector heads face each other in anti-parallel viewing direction, compressing, appropriately, the breast between them and allowing Limited-Angle Tomography.
The detectors provide somehow complementary planar images that shall be properly combined (fused) to get enhanced, diagnostic information with high specificity and sensitivity.
A full scale prototype based on matrices of Position Sensitive Photo-Multiplier Tube (PSPMT), coupled to segmented NaI(Tl) scintillators with parallel and pin holes optics has been constructed to test different design solutions, and evaluate the expected performances.
We will present the results of the measurements, in different modalities, including the Limited-Angle Tomography, with 99mTc on a rather complex perspex phantom simulating a woman breast with up to four spheric tumour lesions of different sizes, positions and uptakes.
First results on performance will be reported.
[1] Hruska C. et al., Medical Physics, June 2012, 39(6)
[2] Garibaldi F. et al., Nuclear Instruments and Methods in Physics Research A 617, 2010, 227–229

Author

Gaetano Elio Poma (INFN - National Institute for Nuclear Physics)

Co-authors

Evaristo Cisbani (INFN Rome Gruppo Sanità) Franco Garibaldi (Sezione Sanita(ISS)) Mr Fausto Giuliani (ISS-Roma) Dr Teresa Insero (Ospedale Pediatrico "Bambin Gesù") Mr Maurizio Lucentini (ISS-Roma) Paolo Musico (INFN e Universita Genova (IT)) Dr Adriana Marcucci (Aeronautica Militare) Mr Fabio Santavenere (ISS-Roma)

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