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A preliminary study to improve the mammographic breast cancer screening with the implementation of a local pressure sensing system. Master Thesis Colloquium 18-2-2011. Introduction. Breast cancer. Most common cancer in women 1 out 8 women get any form of breast cancer
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A preliminary study to improve the mammographic breast cancer screening with the implementation of a local pressure sensing system Master Thesis Colloquium 18-2-2011
Introduction • Breast cancer • Most common cancer in women • 1 out 8 women get any form of breast cancer • 15% of all cancer deaths caused by breast cancer • Fairly treatable disease when detected early
Introduction • Mammography Breast cancer detection Screening (mammography) Diagnosing
Introduction • Mammography
Introduction • Mammography X-ray CC X-ray MLO
Introduction • Mammography
Objective • Title A preliminary study to improve mammographic breast cancer screeningwith the implementation of a local pressure sensing system. A preliminary study to improve mammographic breast cancer screening with the implementation of a local pressure sensing system. • Same protocol as used in standard mammography • No additional time and operation • Same compression A preliminary study to improve mammographic breast cancer screening with the implementation of a local pressure sensing system.
Objective • Pre-menopausal breast Fat Mammary gland Cooper’s ligaments Elasticity fat converges to elasticity glandular tissue in large deformations [1] [1] Azaret al.
Objective • Post-menopausal breast Fat Healthy breast tissue Mammary gland Cooper’s ligaments Glandular tissue atrophies
Objective • Cancerous breast • Tumor • Spherical shape • Higher stiffness (8-20 times)
Objective • Problem description Simplification of the problem: Geometry Physiology 30 mm Breast containing a tumor Cylinder containing an inclusion
Contents • Contents
Contents • Contents
Contents • Contents
Theoretical study • Finite Element Analysis Th R P
Theoretical study • Finite Element Analysis Input parameters: Relative elasticity (Ehealtytissue : Etumor ) Depth (P) Radius (R) Relative elasticity (E1/E2) Depth (P)
Theoretical study • Finite Element Analysis Input parameters: Relative elasticity (Ehealtytissue : Etumor ) Depth (P) Radius (R) Relative elasticity (E1/E2) Depth (P)
Theoretical study • Results Peak value Relative stress Depression Footprint (L) 0 -1 1
Theoretical study • Peak value Peak Peak Relative elasticity (E1/E2) Relative depth (P/R) Peak value E2 E1 P 2R
Theoretical study • Footprint Footprint (D/L) Footprint (D/L) Relative depth (P/R) Relative elasticity (E1/E2) E2 E1 2R P Footprint (L)
Contents • Contents
Experimental study • Setup Tensile tester Line-array pressure sensors Silicone tissue phantom
Experimental study • Setup Tensile tester Line-array pressure sensors Silicone tissue phantom
Experimental study • Setup Tensile tester Line-array pressure sensors Silicone tissue phantom
Experimental study • Setup
Experimental study • Problems during experimental study Lubrication layer to overcome shear stresses at the surface
Experimental study • Results Relative stress X (mm)
Experimental study • Results Relative stress X (mm)
Experimental study • Results Relative stress X (mm)
Experimental study • results 12mm inclusion Relative stress X (mm)
Contents • Contents
Conclusions • Conclusions Theoretical study • A peak is found in vertical stress distribution around an inclusion • Relative depth (P/R) Does influence the stress distribution • Relative elasticity (E1 / E2 ) Does not influence the stress distribution Experimental study • Inclusions smaller than 10 mm are not detected in the experimental study • Implementation in standard mammography is possible • Radio lucent pressure sensors • Filtering of shear stresses along surface Objective: Feasibility of implementing local pressure sensors in standard mammographic devices Promising feature to detect tumors
Conclusions • Where will this lead to..
Contents • Contents
Recommendations • Theoretical study • Better geometry of the breast • Extending material properties: • Absolute elastic behavior • Viscoelastic behavior • Analytical definition of stress behavior around inclusion • validate finite element analysis.
Recommendations • Experimental study • Improving pressure sensing system • Radio-lucent pressure sensing system • 2-dimensional instead of 1-dimensional • Higher accuracy of the sensors • Higher resolutions of the sensors
Experimental Study • results
Single sensor setup Single sensor circuit
Objective • Analytical problem