Microwave imaging for monitoring breast cancer treatment: A pilot study.

BACKGROUND: Microwave imaging has been proposed for medical applications, creating maps related to water content of tissues. Breast imaging has emerged as a key application because the signals can be coupled directly into the breast and experience limited attenuation in fatty tissues. While the literature contains reports of tumor detection with microwave approaches, there is limited exploration of treatment monitoring. PURPOSE: This study aims to detect treatment-related changes in breast tissue with a low-resolution microwave scanner. METHODS: Microwave scans of 15 patients undergoing treatment for early-stage breast cancer are collected at up to 4 time points: after surgery (baseline), 6 weeks after accelerated partial breast radiation, as well as 1 and 2 years post-treatment. Both the treated and untreated breast are scanned at each time point. The microwave scanner consists of planar transmit and receive arrays and uses signals from 0.1 to 10 GHz. The average microwave frequency properties (permittivity) are calculated for each scan to enable quantitative comparison. Baseline and 6-week results are analyzed with a two-way ANOVA with blocking. RESULTS: Consistent properties are observed for the untreated breast over time, similar to a previous study. Comparison of the scans of the treated and untreated breast suggests increased properties related to treatment, particularly at baseline and 6-weeks following radiotherapy. Analysis of the average properties of the scans with ANOVA indicates statistically significant differences ( p < 0.05 $p < 0.05$ ) in the treated and untreated breast at these time points. CONCLUSIONS: Microwave imaging has the potential to track treatment-related changes in breast tissues.

Metrics for Assessing the Similarity of Microwave Breast Imaging Scans of Healthy Volunteers.

Microwave radar imaging is promising as a complementary medical imaging modality. However, the unique nature of the images means interpretation can be difficult. As a result, it is important to understand the sources of image differences, and how much variability is inherent in the imaging system itself. To address this issue, we compare the effectiveness of six different measures of image similarity for quantifying the similarity (or difference) between two microwave radar images. The structural similarity index has become the de facto standard for image comparison, but we propose that useful information can be acquired from a measure known as the Modified Hausdorff Distance. We apply each measure to image pairs from sequential scans of both phantoms and volunteers. We find that rather than using a single value to quantify the image similarity, by computing a number of values that are designed to capture different image aspects, we can better assess the ways in which the images differ.

Adaptive Monostatic System for Measuring Microwave Reflections from the Breast.

A second-generation monostatic radar system to measure microwave reflections from the human breast is presented and analyzed. The present system can measure the outline of the breast with an accuracy of ±1 mm and precisely place the microwave sensor in an adaptive matter such that microwaves are normally incident on the skin. Microwave reflections are measured between 10 MHz to 12 GHz with sensitivity of 65 to 75 dB below the input power and a total scan time of 30 min for 140 locations. The time domain reflections measured from a volunteer show fidelity above 0.98 for signals in a single scan. Finally, multiple scans of a breast phantoms demonstrate the consistency of the system in terms of recorded reflection, outline measurement, and image reconstruction.

Surface Estimation for Microwave Imaging.

Biomedical imaging and sensing applications in many scenarios demand accurate surface estimation from a sparse set of noisy measurements. These measurements may arise from a variety of sensing modalities, including laser or electromagnetic samples of an object's surface. We describe a state-of-the-art microwave imaging prototype that has sensors to acquire both microwave and laser measurements. The approach developed to translate sparse samples of the breast surface into an accurate estimate of the region of interest is detailed. To evaluate the efficacy of the method, laser and electromagnetic samples are acquired by sensors from three realistic breast models with varying sizes and shapes. A set of metrics is developed to assist with the investigation and demonstrate that the algorithm is able to accurately estimate the shape of a realistic breast phantom when only a sparse set of data are available. Moreover, the algorithm is robust to the presence of measurement noise, and is effective when applied to measurement scans of patients acquired with the prototype.

Measurement and Analysis of Microwave Frequency Signals Transmitted through the Breast.

Microwave approaches to breast imaging include the measurement of signals transmitted through and reflected from the breast. Prototype systems typically feature sensors separated from the breast, resulting in measurements that include the effects of the environment and system. To gain insight into transmission of microwave signals through the breast, a system that places sensors in direct contact with the breast is proposed. The system also includes a lossy immersion medium that enables measurement of the signal passing through the breast while significantly attenuating signals traveling along other paths. Collecting measurements at different separations between sensors also provides the opportunity to estimate the average electrical properties of the breast tissues. After validation through simulations and measurements, a study of 10 volunteers was performed. Results indicate symmetry between the right and left breast and demonstrate differences in attenuation, maximum frequency for reliable measurement, and average properties that likely relate to variations in breast composition.

Safety assessment of ultra-wideband antennas for microwave breast imaging.

This article deals with the safety assessment of several ultra-wideband (UWB) antenna designs for use in prototype microwave breast imaging systems. First, the performances of the antennas are validated by comparison of measured and simulated data collected for a simple test case. An efficient approach to estimating the specific energy absorption (SA) is introduced and validated. Next, SA produced by the UWB antennas inside more realistic breast models is computed. In particular, the power levels and pulse repetition periods adopted for the SA evaluation follow the measurement protocol employed by a tissue sensing adaptive radar (TSAR) prototype system. Results indicate that the SA for the antennas examined is below limits prescribed in standards for exposure of the general population; however, the difficulties inherent in applying such standards to UWB exposures are discussed. The results also suggest that effective tools for the rapid evaluation of new sensors have been developed.

Laser surface estimation for microwave breast imaging systems.

Microwave breast imaging techniques involve collecting measurements from a breast that is positioned in a scanner. While the patient interface typically includes a hole through which the breast is placed when the patient lies in the prone position, the exact location and shape of breast are not known. In this paper, we explore the addition of a laser sensor and associated algorithms in order to provide a rapid and accurate estimate of the breast surface location. We demonstrate that the laser is capable of estimating surfaces with improved accuracy compared to microwave measurements. The impact of accurate surface estimation on images is shown, and results obtained from human scans are presented.