Free propagation phase-contrast breast CT provides higher image quality than cone-beam breast-CT at low radiation doses : a feasibility study on human mastectomies

S. Pacilè, C. Dullin, P. Baran, M. Tonutti, C. Perske, U. Fischer, J. Albers, F. Arfelli, D. Dreossi, K. Pavlov, A. Maksimenko, S. C. Mayo, Y. I. Nesterets, S. T. Taba, Sarah Lewis, P. C. Brennan, T. E. Gureyev, G. Tromba, S. Wienbeck

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

In this study we demonstrate the first direct comparison between synchrotron x-ray propagation-based CT (PB-CT) and cone-beam breast-CT (CB-CT) on human mastectomy specimens (N = 12) including different benign and malignant lesions. The image quality and diagnostic power of the obtained data sets were compared and judged by two independent expert radiologists. Two cases are presented in detail in this paper including a comparison with the corresponding histological evaluation. Results indicate that with PB-CT it is possible to increase the level of contrast-to-noise ratio (CNR) keeping the same level of dose used for the CB-CT or achieve the same level of CNR reached by CB-CT at a lower level of dose. In other words, PB-CT can achieve a higher diagnostic potential compared to the commercial breast-CT system while also delivering a considerably lower mean glandular dose. Therefore, we believe that PB-CT technique, if translated to a clinical setting, could have a significant impact in improving breast cancer diagnosis.
Original languageEnglish
Article number13762
Number of pages7
JournalScientific Reports
Volume9
Issue number1
DOIs
Publication statusPublished - 2019

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Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Cre- ative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not per- mitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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