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We present a two-step reconstruction method that can qualitatively and quantitatively improve the reconstruction of tissue refractive index (RI) distribution by phase-contrast diffuse optical tomography (PCDOT). In this two-step method, we first recover the distribution of tissue absorption and scattering coefficients by conventional diffuse optical tomography to obtain the geometrical information of lesions, allowing the incorporation of geometrical information as a priori in the PCDOT reconstruction using a locally refined mesh. The method is validated by a series of phantom experiments and evaluated using in vivo data from 42 human subjects. The results demonstrate clear contrast of RI between the lesion and the surroundings, making the image interpretation straightforward. The sensitivity and specificity from these 42 cases are both 81% when RI is used as an imaging parameter for distinguishing between malignant and benign lesions. OCIS codes: 170.3010, 170.3830.

In this study, a series of imaging experiments on biological specimens, including human breast core biopsies, lumpectomy, and chicken tissues, as well as standard phantoms, were performed in an effort to investigate the feasibility of an in-line phase contrast X-ray imaging prototype. The prototype system employed in the study consists of a microfocus X-ray source with tungsten target and a digital flat panel detector, and it can be operated in both conventional attenuation-based imaging mode and in-line phase contrast imaging mode. Biological specimens were imaged in the conventional mode and phase contrast mode with the same source-to-image-detector distance (SID), and phase contrast images exhibited both improved image quality compared with conventional images, and the overshooting patterns along the boundaries in the specimens, which revealed the occurrence of the edge enhancement effect provided by the phase contrast technique. In addition, the performance of the phase contrast mode and conventional mode was compared based on the American College of Radiology (ACR) phantom imaging and contrast detail mammography (CDMAM) phantom-based contrast detail analysis with two experimental settings: one with the same SID and the other with the same object entrance exposure. In both pairs of comparison under our experimental conditions, the phase contrast imaging mode exhibited improved image quality as compared to the conventional mode, which further supported the feasibility of the prototype. Index Terms--Contrast detail, contrast detail mammography (CDMAM), human breast core biopsy, in-line phase contrast, lumpectomy specimen.

We present a new method to simultaneously reconstruct the images of oxyhemoglobin, deoxyhemoglobin, and water concentrations, as well as the volume fraction images of the scattering particles using continuous wave multispectral diffuse optical tomography with the absorption and scattering spectral prior constraints. In this method, the nonlinear relationship between the reduced scattering coefficient and the volume fraction and the size of the particles is linearized, allowing direct reconstruction of the volume fraction of scattering particles in tissues. The method is validated by a series of numerical simulations, phantom experiments, and in vivo clinical experiments. The initial clinical results indicate that the volume fraction of scattering particles in a malignant tumor is higher than that in a benign tumor. OCIS codes: 170.6960, 170.5280, 170.3010, 170.3660.

The use of digital mammography that would avoid some of the limitations of film mammography of limited sensitivity for the detection of breast cancer in women with radiographically dense breasts is assessed. The results reveal that digital mammography is significantly better than conventional film mammography at detecting breast cancer in young women, premenopausal and perimenopausal women, and women with dense breasts.

We report on in vivo absorption and scattering imaging of a human breast cyst and implant, using a reconstruction algorithm based on our third-order diffusion equations. To validate these in vivo images, a series of phantom experiments were conducted, in which we used low-absorbing and low-scattering heterogeneities to mimic a breast cyst or implant. These heterogeneities or targets were composed of pure water or a mixture of water and very dilute Intralipid (0.05% and 0.1%). The phantom experiments confirmed the quantitative imaging capability of our improved algorithm for reconstructing heterogeneities where the conventional diffusion approximation is inadequate. Pilot clinical results from female volunteers indicate that enhanced diffuse optical tomography can quantitatively image findings such as breast cysts or implants in which the absorption and scattering coefficients are usually low. Optical Society of America OCIS codes: 170.0170, 170.6960, 170.3010.

Autologous fat grafting (AFG) is a technique that is increasingly utilized in breast cosmetic and reconstructive surgery. In this procedure, fat is aspirated by liposuction from one area of the body and injected into the breast. The procedure and process of AFG has evolved over the last few decades, leading to more widespread use, though there is no standard method. Autologous fat grafting is generally considered a safe procedure but may result in higher utilization of diagnostic imaging due to development of palpable lumps related to fat necrosis. Imaging findings depend on surgical technique but typically include bilateral, symmetric, retromammary oil cysts and scattered dystrophic and/or coarse calcifications when AFG is used for primary breast augmentation. More focal findings occur when AFG is used to improve specific areas of cosmetic deformity, scarring, or pain following breast cancer surgery. As with any cause of fat necrosis, imaging features tend to appear more benign over time, with development of rim calcifications associated with oil cysts and a shift in echogenicity of oil cyst contents on ultrasound towards anechoic in some cases. This article reviews the AFG procedure, uses, complications, and imaging findings. [ABSTRACT FROM AUTHOR]