Creation of Computational Breast Phantoms with Extracted Abnormalities from Real Patient Images

Abstract

The current contribution presents an approach for creation of complex computational breast phantoms, with included breast abnormalities. In-house developed and validated software tool, called BreastSimulator, is used to create different models of healthy breasts, by varying parameters like shape, size, duct tree features, Cooper ligaments, skin, etc. Separately, different 3D tumour models are constructed from segmented tumour regions on sets of real tomosynthesis images from real patients. A semi-automatic algorithm was developed to segment the abnormalities in the images. The algorithm applies a series of image processing operations and region-growing techniques with minimal interaction from the user to find the areas of the lesions. The flat tumour images are then correctly stacked and stored in a 3D voxel matrix, matching the desired resolution. Relevant information about the lesion (voxel size, matrix size, geometrical centre, etc.) is also saved. Selected tumour models are then inserted at various locations into the computational models of the healthy breasts. Examples of simulated mammographic and tomosynthesis images from such breast phantoms are presented to illustrate the potential of the proposed approach. Combining mathematical breast modelling with segmented real 3D tumour shapes results in the creation of realistic breast phantoms. The approach allows implementation of multiple scenarios and unlimited number of cases, which can be used for further software modelling and investigation of breast imaging techniques.