Ma WM, Li J, Chen SG, Cai PQ, Chen S, Chen JT, Zhou CY, He N, Wu Y. Correlation between contrast-enhanced cone-beam breast computed tomography features and prognostic staging in breast cancer. Br J Radiol. 2022 Apr 1;95(1132):20210466. doi: 10.1259/bjr.20210466. Epub 2022 Jan 7. PMID: 34930038; PMCID: PMC9153710.

    Abstract

    Objective: To evaluate whether contrast-enhanced cone-beam breast CT (CE-CBBCT) features can risk-stratify prognostic stage in breast cancer.

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    H. Xie et al., "Deep Efficient End-to-End Reconstruction (DEER) Network for Few-View Breast CT Image Reconstruction," in IEEE Access, vol. 8, pp. 196633-196646, 2020, doi: 10.1109/ACCESS.2020.3033795.

    Abstract

    Breast CT provides image volumes with isotropic resolution in high contrast, enabling detection of small calcification (down to a few hundred microns in size) and subtle density differences. Since breast is sensitive to x-ray radiation, dose reduction of breast CT is an important topic, and for this purpose, few-view scanning is a main approach. 

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    Kang W, Zhong W, Su D. The cone-beam breast computed tomography characteristics of breast non-mass enhancement lesions. Acta Radiol. 2021 Oct;62(10):1298-1308. doi: 10.1177/0284185120963923. Epub 2020 Oct 18. PMID: 33070636.

    Abstract

    Background: Cone-beam computed tomography (CBBCT) of the breast is emerging as a way of improving breast cancer diagnostic yield.

    Purpose: To find characteristics of non-mass enhancement (NME) lesions on breast CBBCT and to identify the characteristics that distinguish malignant and benign lesions.

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    Wienbeck, Susanne MDa,∗; Uhlig, Johannes MD, MPHa; Fischer, Uwe MDb; Hellriegel, Martin MDc; von Fintel, Eva MDa; Kulenkampff, Dietrich MDd; Surov, Alexey MDe; Lotz, Joachim MDa; Perske, Christina MDf. Breast lesion size assessment in mastectomy specimens: Correlation of cone-beam breast-CT, digital breast tomosynthesis and full-field digital mammography with histopathology. Medicine 98(37):p e17082, September 2019. | DOI: 10.1097/MD.0000000000017082 

    Abstract

    To compare the accuracy of breast lesion size measurement of cone-beam breast-CT (CBBCT), digital breast tomosynthesis (DBT) and full-field digital mammography (FFDM).

    Patients scheduled for mastectomy due to at least 1 malignant breast lesion were included. Mastectomy specimens were examined by CBBCT, DBT, FFDM, and histopathology.

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    Chen JT, Zhou CY, He N, Wu YP. Optimal acquisition time to discriminate between breast cancer subtypes with contrast-enhanced cone-beam CT. Diagn Interv Imaging. 2020 Jun;101(6):391-399. doi: 10.1016/j.diii.2020.01.001. Epub 2020 Jan 31. PMID: 32008993.

    Abstract

    Purpose: To identify the optimal acquisition time to best discriminate between benign and malignant breast lesions on contrast-enhanced cone beam CT (CE-CBCT) and evaluate the potential of CE-CBCT to differentiate between breast cancer subtypes.

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    Ma, Y., Liu, A., O’Connell, A.M. et al. Contrast-enhanced cone beam breast CT features of breast cancers: correlation with immunohistochemical receptors and molecular subtypes. Eur Radiol 31, 2580–2589 (2021). https://doi.org/10.1007/s00330-020-07277-8

    Abstract

    Objectives: To investigate the association of contrast-enhanced cone beam breast CT (CE-CBBCT) features, immunohistochemical (IHC) receptors, and molecular subtypes in breast cancer.

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    Wenxiang Cong, Hongming Shan, Xiaohua Zhang, Shaohua Liu, Ruola Ning, Ge Wang, "Deep-learning-based breast CT for radiation dose reduction," Proc. SPIE 11113, Developments in X-Ray Tomography XII, 111131L (10 September 2019)

    Abstract

    Cone-beam breast computed tomography (CT) provides true 3D breast images with isotropic resolution and highcontrast information, detecting calcifications as small as a few hundred microns and revealing subtle tissue differences. However, breast is highly sensitive to x-ray radiation. It is critically important for healthcare to reduce radiation dose. Few-view cone-beam CT only uses a fraction of x-ray projection data acquired by standard cone-beam breast CT, enabling significant reduction of the radiation dose. However, insufficient sampling data would cause severe streak artifacts in images reconstructed using conventional methods. We propose a deep-learning-based method for the image reconstruction to establish a residual neural network model, which is applied for few-view breast CT to produce high quality breast CT images.

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    Zhu, Y., Zhang, Y., Ma, Y. et al. Cone-beam breast CT features associated with HER2/neu overexpression in patients with primary breast cancer. Eur Radiol 30, 2731–2739 (2020). https://doi.org/10.1007/s00330-019-06587-w

    Abstract

    Objectives: To identify the relationship between human epidermal growth factor receptor 2 (HER2) status and cone-beam breast CT (CBBCT) characteristics in surgically resected breast cancer.

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    Uhlig J, Fischer U, Biggemann L, Lotz J, Wienbeck S. Pre- and post-contrast versus post-contrast cone-beam breast CT: can we reduce radiation exposure while maintaining diagnostic accuracy? Eur Radiol. 2019 Jun;29(6):3141-3148. doi: 10.1007/s00330-018-5854-8. Epub 2018 Nov 28. PMID: 30488110.

    Abstract

    Objectives: To evaluate whether post-contrast cone-beam breast CT (CBBCT) alone is comparable to the current standard of combined pre- and post-contrast CBBCT regarding diagnostic accuracy and superior regarding radiation exposure.

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    Johannes Uhlig, Uwe Fischer, Eva von Fintel, Vera Stahnke, Christina Perske, Joachim Lotz, Susanne Wienbeck, Contrast Enhancement on Cone-Beam Breast-CT for Discrimination of Breast Cancer Immunohistochemical Subtypes, Translational Oncology, Volume 10, Issue 6, 2017, Pages 904-910, ISSN 1936-5233,

    Abstract

    PURPOSE: To evaluate whether contrast enhancement on cone-beam breast-CT (CBBCT) could aid in discrimination of breast cancer subtypes and receptor status. METHODS: This study included female patients age >40 years with malignant breast lesions identified on contrast-enhanced CBBCT. Contrast enhancement of malignant breast lesions was standardized to breast fat tissue contrast enhancement. All breast lesions were approved via image-guided biopsy or surgery. Immunohistochemical staining was conducted for expression of estrogen (ER), progesterone (PR), human epidermal growth factor receptor-2 (HER2) and Ki-67 index.

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    Uhlig J, Fischer U, Surov A, Lotz J, Wienbeck S. Contrast-enhanced cone-beam breast-CT: Analysis of optimal acquisition time for discrimination of breast lesion malignancy. Eur J Radiol. 2018 Feb;99:9-16. doi: 10.1016/j.ejrad.2017.12.003. Epub 2017 Dec 6. PMID: 29362157.

    Abstract

    Objective: To investigate the optimal acquisition time of contrast-enhanced cone-beam breast-CT (CBBCT) for best discrimination of breast lesion malignancy and whether contrast enhancement can aid in classification of tumor histology.

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    Seifert PJ, Morgan RC, Conover DL, Arieno AL. Initial Experience with a Cone-beam Breast Computed Tomography-guided Biopsy System. J Clin Imaging Sci. 2017 Jan 27;7:1. doi: 10.4103/2156-7514.199055. PMID: 28217404; PMCID: PMC5288961.

    Abstract

    Objective: To evaluate our initial experience with a cone-beam breast computed tomography (BCT)-guided breast biopsy system for lesion retrieval in phantom studies for use with a cone-beam BCT imaging system.

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    Avice M. O’Connell, Andrew Karellas, Srinivasan Vedantham, Daniel T. Kawakyu-O’Connor, Newer Technologies in Breast Cancer Imaging: Dedicated Cone-Beam Breast Computed  Tomography,Seminars in Ultrasound, CT and MRI, Volume 39, Issue 1, 2018, Pages 106-113, ISSN 0887-2171, https://doi.org/10.1053/j.sult.2017.09.001.

    Abstract

    Dedicated breast computed tomography (CT) is the latest in a long history of breast imaging techniques dating back to the 1960s. Breast imaging is performed both for cancer screening as well as for diagnostic evaluation of symptomatic patients. Dedicated breast CT received US Food and Drug Administration approval for diagnostic use in 2015 and is slowly gaining recognition for its value in diagnostic 3-dimensional imaging of the breast, and also for injected contrast-enhanced imaging applications. 

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    Wienbeck S, Lotz J, Fischer U. Review of clinical studies and first clinical experiences with a commercially available cone-beam breast CT in Europe. Clin Imaging. 2017 Mar-Apr;42:50-59. doi: 10.1016/j.clinimag.2016.11.011. Epub 2016 Nov 17. PMID: 27875762.

    Abstract

    The dedicated cone-beam breast computed tomography (CBBCT) is a new and promising imaging modality which provides isotropic, 3D images of the breast with high spatial and contrast resolution. Non-contrast and contrast-enhanced CBBCT (CE-CBBCT) was superior to mammography for the visualization of breast masses, especially in patients with dense breast tissue. CE-CBBCT accurately detects DCIS and distinguishes it from benign causes of microcalcifications when compared with non-contrast CBBCT and mammography. The purpose of this report is to describe the technology and its possible indications, and to present the first results from recent clinical studies, illustrating these with our own image examples.

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    Elodia B. Cole, MS, Charleston, SC (Presenter) Consultant, FUJIFILM Holdings Corporation; Consultant, Koninklijke Philips NV; Consultant, Alan Penn & Associates, Inc Amy S. Campbell, MD, Washington, DC (Abstract Co-Author) Nothing to Disclose Srinivasan Vedantham, PhD, Worcester, MA (Abstract Co-Author) Research Grant, Koning Corporation Etta D. Pisano, MD, Charleston, SC (Abstract Co-Author) Founder, NextRay, Inc CEO, NextRay, Inc Research Grant, Koning Corporation Research Grant, Koninklijke Philips NV Research Grant, Zumatek, Inc Research Grant, FUJIFILM Holdings Corporation Equipment support, Siemens AG Research Grant, Siemens AG Equipment support, Koninklijke Philips NV Research Grant, Koninklijke Philips NV Andrew Karellas, PhD, Worcester, MA (Abstract Co-Author) Research collaboration, Koning Corporation

    Abstract

    Purpose: To compare the clinical performance of a three-dimensional dedicated breast computed tomography system requiring no breast compression alone (dBCT), dBCT as adjunct to two-dimensional standard view screening mammography (SM), and two-dimensional diagnostic mammography (DxM).

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    Seifert P, Conover D, Zhang Y, Morgan R, Arieno A, Destounis S, Somerville P, Murphy PF. Evaluation of malignant breast lesions in the diagnostic setting with cone beam breast computed tomography (Breast CT): feasibility study. Breast J. 2014 Jul-Aug;20(4):364-74. doi: 10.1111/tbj.12285. Epub 2014 Jun 17. PMID: 24934253.

    Abstract

    To investigate the feasibility of noncontrast and contrast-enhanced cone beam breast Computed Tomography (CT) in demonstrating malignant breast lesions in the diagnostic setting. This Institutional Review Board approved, Health Information Portability and Accountability Act compliant, prospective study enrolled BI-RADS four and five patients from 2008 to 2010. Eighty-seven subjects had noncontrast breast CT, 42 had contrast-enhanced breast CT (CE-breast CT) with 70 pathologically confirmed cancer diagnoses. All 70 comprise the study cohort for noncontrast breast CT, and 23 who had CE-breast CT comprise the cohort for CE-breast CT. All had diagnostic work-up.

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