Navigation Links
Breast cancer -- combining imaging techniques for quicker and gentler biopsies

How can you tell if a breast tumor is malignant? This isn't a question that ultrasound and X-rays, or even magnetic resonance scans, can answer alone. Doctors must often extract tissue samples from an affected area with a fine needle for detailed examination. This sort of biopsy is often undertaken with the help of ultrasound, with doctors observing a screen for needle guidance. Unfortunately, around 30 percent of all tumors are invisible to ultrasound. In some cases, magnetic resonance imaging (MRI) is used to ensure correct needle insertion. This process involves two steps: the imaging itself, which takes place inside the MRI scanner, and the insertion of the biopsy needle, for which the patient must be removed from the machine to insert the needle accurately. This process is often repeated several times before the sample is finally taken. This ex-hausts patients and is also costly, because the procedure occupies the MRI scanner for a significant period.

In the joint MARIUS project (Magnetic Resonance Imaging Using Ultrasound systems and processes for multimodal MR imaging), experts from both the Fraunhofer Institute for Biomedical Engineering IBMT in St. Ingbert and the Fraunhofer Institute for Medical Image Computing MEVIS in Bremen are working together towards a quicker and gentler alternative.

Combining imaging techniques intelligently

The new technique would require just one scan of the patient's entire chest at the beginning of the procedure, meaning that the patient only has to enter the scanner once. The subsequent biopsy is guided by ultrasound; the system would transform the initial MRI scan and accurately render it on screen. Doctors would have both the live ultrasound scan and a corresponding MR image available to guide the biopsy needle and display exactly where the tumor is located.

The biggest challenge is that the MRI is performed with the patient lying prone, while during the biopsy she lies on her back. This change of position alters the shape of the patient's breast and shifts the position of the tumor significantly. To track these changes accurately, researchers have applied a clever trick: While the patient is in the MRI chamber during the scan, ultrasound probes, which resemble ECG electrodes, are attached to the patient's skin to provide a succession of ultrasound images. This produces two comparable sets of data from two separate imaging techniques.

When the patient undergoes a biopsy in another examination room, the ultrasound probes remain attached and continually record volume data and track the changes to the shape of the breast. Special algorithms analyze these changes and update the MRI scan accordingly. The MR image changes analogously to the ultrasound scan. When the the biopsy needle is inserted into the breast tissue, the doctor can see the reconciled MRI scan along with the ultrasound image on the screen, greatly improving the accuracy of needle guidance towards the tumor.

Ultrasound equipment suitable for use in an MRI Scanner

To realize this vision, Fraunhofer researchers are developing a range of new components. "We're currently working on an ultrasound device that can be used within an MRI scanner," says IBMT project manager Steffen Tretbar. "These scanners generate strong magnetic fields, and the ultrasound device must work reliably without affecting the MRI scan." Ultrasound probes that can be attached to the body to provide 3D ultrasound imaging are also being developed by the team as part of the project.

The software developed for the technique is also completely new. "We're developing a way to track movements in real time by means of ultrasound tracking," explains MEVIS project manager Matthias Gnther. "This recognizes distended structures in the ultrasound images and tracks their movement. We also need to collate a wide range of sensor data in real time." Some of the sensors gather data about the position and orientation of the attached ultrasound probes while others track the position of the patient.

The team will showcase the entire concept and an initial demonstrator of the technology in November at the MEDICA 2013 trade fair in Dsseldorf at the joint Fraunhofer booth (Hall 10, Booth F05). The next version is set to be completed next year. Whereas the IBMT team is developing the hardware and new ultrasound techniques, the MEVIS working group is concentrating on the software.

The primary objective of MARIUS is to develop ultrasound tracking to aid breast biopsies. Nevertheless, the developed components could also be used in other applications. For instance, the MARIUS system and its movement-tracking software could allow slow imaging techniques such as MRI or positron emission tomography (PET) to accurately track the movements of organs that shift even when a patient is lying still. Aside from the liver and the kidneys, which change shape and position during breathing, this includes the heart, whose contractions also cause motion. Thanks to a technique applied to reconstruct the image, the heart would appear well defined on MRI scans instead of blurred. The jointly developed technology could also be applied to treatments that use particle or X-ray beams. For tumors located in or on a moving organ, the new technology could target the rays so that they follow the movement.These beams could hit the tumor with more precision than currently possible and reduce damage to healthy surrounding tissue.


Contact: Dipl.-Ing. FH Steffen Tretbar

Related medicine news :

1. Eliminating the good cholesterol receptor may fight breast cancer
2. Veggies Like Broccoli, Cabbage May Help Fight Breast Cancer: Study
3. Researchers develop a new cell and animal model of inflammatory breast cancer
4. Scientists uncover multiple faces of deadly breast cancer
5. Depo-Provera Birth Control Might Raise Breast Cancer Risk
6. Routine mammograms may result in significant overdiagnosis of invasive breast cancer
7. Mayo Clinic launches whole genome breast cancer study
8. Breast cancer patients suffer treatment-related side effects long after completing care
9. Teen Drinking May Boost Odds of Precancerous Breast Changes
10. Stress contributes to cognitive declines in women with breast cancer, researcher says
11. Breast Cancer Treatment Side Effects May Last for Years
Post Your Comments:
Related Image:
Breast cancer -- combining imaging techniques for quicker and gentler biopsies
(Date:11/28/2015)... ... 28, 2015 , ... StatRad , a leading provider ... and Claude Hooton to its board of directors. The announcement comes as the ... Annual Meeting and continues to strategically transform its focus from being a teleradiology ...
(Date:11/28/2015)... ... 2015 , ... Pixel Film Studios is back again with ProPanel: Pulse ... are endless. Users have full control over angle of view, speed method, start point, ... sure to get heads to turn. , ProPanel: Pulse offers fully customizable pulsating shape ...
(Date:11/27/2015)... ... 2015 , ... According to an article published November 15th by ... handling security in light of the recent terrorist attacks in Paris, other cities are ... an attack from reaching U.S. soil. Especially around special events that may be high-profile ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... ... filthy the toilets were," said an inventor from Hillside, N.J. "Many people catch ... seat cover so that individuals will always be protected from germs." , He ...
(Date:11/27/2015)... ... 2015 , ... MPWH, the No.1 Herpes-only dating community in the world, revealed that over 50% ... More than 3.7 billion people under the age of 50 – or 67% of the ... first global estimates of HSV-1 infection . , "The data shocks us highly!" said ...
Breaking Medicine News(10 mins):
(Date:11/27/2015)... , Nov. 27, 2015 Research and Markets ... "Global Intrauterine Devices Market 2015-2019" report to ... --> In this report, the author the present ... market for 2015-2019. To calculate the market size, the ... type of products: Hormonal IUDs and copper IUDs. The ...
(Date:11/26/2015)... the Netherlands , November 26, 2015 ... A new combination approach blends immunotherapy with ... A new combination approach blends immunotherapy with Bremachlorin-photodynamic ... A new combination approach blends immunotherapy with Bremachlorin-photodynamic ... the Netherlands has found that immunotherapy can ...
(Date:11/26/2015)... Nov. 26, 2015 Research and Markets ... the "2016 Future Horizons and Growth Strategies ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, Emerging ... --> --> This ... the Japanese therapeutic drug monitoring market, including emerging ...
Breaking Medicine Technology: