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British Journal of Radiology (2005) 78, 1009-1017
© 2005 British Institute of Radiology
doi: 10.1259/bjr/14696165

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Optical transillumination spectroscopy to quantify parenchymal tissue density: an indicator for breast cancer risk

M K Simick, MSc1,2 and L Lilge, PhD1,3

1 Department of Medical Biophysics, University of Toronto, 2 Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada and 3 University Health Network, 610 University Avenue, Toronto, Ontario, M6G 2M9 Canada



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Figure 1. (a) Mammogram showing high parenchymal tissue density. (b) Mammogram with low parenchymal tissue density. Example of mammogram (c) with regions of interest (d) extracted, starting top left and going clockwise, centre medial, distal and lateral position.

 


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Figure 2. (a) Schematic of transmission measurement system. (b) Measurement of the C=centre position in volunteer. The other three measurement positions are denoted as D=distal, M=medial and L=lateral. Note: the minimal point compression of the breast between source optode and support plate.

 


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Figure 3. Sample spectra corresponding to regions of interest with (a) <10% (b) 45–55% and (c) >90% tissue density. All spectra were corrected for tissue thickness and the spectrophotometer transfer function.

 


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Figure 4. Partial least squares regression predicted vs actual tissue density for (a, b) Reader 1 and (c, d) Reader 2. (a, c) Results for the PLS training and (b, d) for the validation spectra. Regression line and 95% confidence intervals are indicated.

 


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Figure 5. Thickness-corrected transillumination spectra from a single volunteer. Shown are the bilateral four quadrant measurements, indicating a high degree of symmetry between the breast tissue in the respective bilateral quadrants.

 


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Figure 6. Symmetry tissue density for the centre region of interest (ROI) determined by mammography (open circles) and by partial least squares (PLS) prediction (solid squares) for reader 1.

 


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Figure 7. Graph of partial least squares analysis actual vs predicted plots for (a) reader 1 and (b) reader 2. Week 1 solid rhombus, week 2 solid square, week 3 open triangle and week 4 open circle.

 





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