tomosintesis elias

Upload: elias-sebelen

Post on 06-Jul-2018

237 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/17/2019 Tomosintesis Elias

    1/38

     TOMOSÍNTESIS MASTOGRAFÍA 3D

    FACTORES TÉCNICOS Y EL EQUIPO

    DR. ELÍAS B. SEBELÉNFUCAM - CPAEM UNAM

  • 8/17/2019 Tomosintesis Elias

    2/38

    PAZ!!!

  • 8/17/2019 Tomosintesis Elias

    3/38

    HISTORIA  PRIMEROSPASOS

    1930 - Z"## D# P$%&'#. (

    19)0 - D. G. G*%&'+ %,&% $ '*&/ T//#&'##2. (( A"#,4& *%"/5*67,% '*"/&%$.

    ( B. G. Z"## D# P$%&'# 8193: E& N M';/" Z* D

  • 8/17/2019 Tomosintesis Elias

    4/38

    HISTORIA  QUE OCURR D#'/*#4& *% " /,/. E Z2

    D*&,% " TAC ,/&'& &% *#/$,4& #/'*4>,% #>%,%$ " 3

    P%*% "%"/ " $/# @0#+ ,/&=%*/& % &#'5%* ,// *",*$/R/ et al.+ C;%J*%K/*' et al.+ R''%&& et al.+ D/KK et al.+ :. 8(

    * Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

  • 8/17/2019 Tomosintesis Elias

    5/38

    Breast Tomosynthesis: Present Considerations and Future Applications !eong Mi Par" M# et al$adio%raphics &''() )?S31S0 Pulished online 10.11@*5.)#0)11

  • 8/17/2019 Tomosintesis Elias

    6/38

    HISTORIA  QUE OCURR 19@0#  P%&'%$$%# &'7,%"/*%#.

    D#'/*#4& " 65&#.

    19@0#  TAC #>*%$.

    1990#  D','/*# " >%&'%$$% >$%&%. C/& #'/# &/# "','/*# 7&%$&' ;K/ & %$'/ "7&,4&+ ,/& K

    "#>/#'/ " 65&# %'/ #,%&%"/+ #& "#'/*#4& 5/'*,% %5& % $%# $/,"%"# &,#%*%# >%*% & #/ *%=/&%K$ " $% T//

    011  FK**/ 11+ # %>*K% >/* $% FDA #/ " T//#&'##. P%*% %*=/ " #' #/ %/ % & M%## G&*%$ " B/#'/& # *%$=

    >**% =. E& 01 &'*% ,// >%*' "$ >*/'/,/$/ " $% &"%" " %%.

    * Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

  • 8/17/2019 Tomosintesis Elias

    7/38

    PRIMEROS USOS

    * Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

  • 8/17/2019 Tomosintesis Elias

    8/38

    OTROS USOS A&5/5*%%

    I65&# "&'%$#

     I65&# /*'/>",%# '%K& # "#,*K& .

    Digital *+ray tomosyntesis c"rrent state of te art and clinical potential

     -ames Dobbins III/,& and Devon - !odfrey&, Article Breadcr"mb ile 0tart P"blised /1 0eptember &((2 3 0tart Copyrigt &((2 I4P P"blising Ltd -o"rnal lin# tile starts Pysics in Medicine and Biology -o"rnal lin# tile ends , 5ol"me 67, Iss"e %"mber ile 0tart %"mber /8

    M%#'/5*%%I65&# " T4*%

    http://iopscience.iop.org/journal/0031-9155http://iopscience.iop.org/journal/0031-9155http://iopscience.iop.org/0031-9155/48http://iopscience.iop.org/0031-9155/48/19http://iopscience.iop.org/0031-9155/48/19http://iopscience.iop.org/0031-9155/48http://iopscience.iop.org/journal/0031-9155

  • 8/17/2019 Tomosintesis Elias

    9/38

    GEOMETRÍA DELMOIMIENTO

      TOMOSÍNTESIS2

    * Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

    M/&'/ " *'% >%*%$$% M/&'/ #

    M/&'/ #/,&'*,/ ' - M/* ,%>'%,4& "$ '

  • 8/17/2019 Tomosintesis Elias

    10/38

    ALGORITMOS DERECONSTRUCCIN SAA? S;' A&" A""

    E#' # 7,&' >/* # #/$/ >%*% &% %$'% *#/$,4& " *,/'*,,4& & T//%*'%,'/# " K/**/#"%" *% " $/# >$%&/# " &'*#. D#'/*#4&.

     T//#&'## " %'*= &*#% 8MITS: 7$'*/ >/#' >*/,,4& 8FBP:.(

    E&/ " *#'%*%,4& '*%'/ >/* R''%&& C/$.((

    M% LJ$;//" E>,'%'/& M%=%'/& 8ML- EM:. T,&,% " *,/'*,,4& %$5K*%,% #$'%&% 8SART:.

    U& '*%K%/ *,&' &#'5%*/& &% &% 5/'*% &*#% & 65&# T//#&'##. F%;*5 ' %$ P&"% ' %$. (((

    G/''/ C%&/% S&'',.*R. J. Warp, D. J. Godfrey, and J. T. Dobbins III, “Applications of matrix

    inverse tomosynthesis,” Proc. SPIE 3977, 376–383 2000 .

    *D. J. Godfrey, A. Rader, and J. T. Dobbins III, “Practical strategies for the clinical implementation of matrix inversion tomosynthesis MITS ,” Proc.

    SPIE 5030, 379–390 2003 .

    **E. Ruttimann, R. A. J. Groenhuis, and R. L. Webber, “Restoration of digital multiplane tomosynthesis by a constrained iteration method,”IEEE Trans. Med. Imaging 3, 141–148 1984 .

  • 8/17/2019 Tomosintesis Elias

    11/38

    PARVMETROS DEADQUISICIN C%&'"%" " I65&#?

    11 % 9 65&# " >*/,,4&.

    A&5$/ '/'%$ " /&'/ "$ 'K/? R%&5/ " 1 W - 0 W

     T//#&'## " *%&5/ %&,;/ X 1

     T//#&'## " *%&5/ ,/*'/ 1

    E$ #>%,%&'/ " $/# >$%&/# *,/'*"%# '%K& %*% ,/& $% ,$&,% $ %$5/*'/ " *,/'*,,4&.

    E& 65&# " $% %% + # ,/& $ #/ " 1 " #>%,/.* Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

  • 8/17/2019 Tomosintesis Elias

    12/38

    OPTIMIZACIN DE DOSIS L% ,#'4& " $% "/## 4>'% >%*% $% '//#&'## &/ # ;% *#

    L%# "/## *>/*'%"%# >%*% &% #/$% #'% " '//#&'## " %%&% % "/# ,# $% " &% #/$% #4& " ,%>/ ,/>$'/ %/5"5'%$.

    M%/5*%% "5'%$ ,/& "/## " G R. (( G R. ((( ;%& #"/*>/*'%"/#. A,'%$&' $%# "/## */&"%& $/# 1.3 G & MD 1. & M

    E& &% %% & ,/>*#4& ,/& "6'*/ " , 0[ " *%,,4& 5$%&"&,*&'/ " & @[ " $% "/## " &% MD & >/# /"*&/#.

    * Tomosynthesis imaging: At a translational crossroads %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medical P!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* >M%*,; 009 >K$#;" M% 009 .

    (( S. P. P/>$%,J+ T. D. T/#'#/&+ C. A. \/5$+ %&" H. M. N%5+ D5'%$ K*%#' '//#&';##? I&'%$ >*&, & 9@ ]/& ]'; %K&/*%$ "5- '%$ #,*%/5*%>;+2 AR A. . R/&'5&/$. 1+9+ 13 00) .((( ̂ . F. G//"+ G. S. AK*%#+ . . C%'$$/+ D. M. C;/5;+ M. A. G%&/''+ C. M. H%J+ %&" D. G*+ D5'%$ K*%#' '//#&';##? A >$/' /K#** #'"+

  • 8/17/2019 Tomosintesis Elias

    13/38

    OPTIMIZACIN DE DOSIS U& ,/>/&&' >%*% $% />'=%,4& " $% "/## #*6 "'

    #>,'*/ " *%/# _ 4>'/ >%*% >*/",* $% 6# %$'% & *$%,*"/ >%*% $%# '%*%# " "%5&4#',/.(

    L/# #>,'*/# # &/*% & $% T//#&'## " %% ;%& #"$/# '$=%"/# & $% %/5*%% "5'%$ ,/&&,/&%$.

      P*/ $ #>,'*/ 4>'/ &/ >" #* ",""/ ;%#'% # "' T//#&'## " %% # >" '$=%* '%&'/ >%*% %#%# ,%$,7,%,>%*% $%# %#%#.(

    * Tomosynthesis imaging: At a translational crossroads

     %# T. D/KK III%+ Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Department of Biomedical Engineering, and Medica!rad"ate Program, D"#e $niversity Medical Center, D"ram, %ort Carolina &''(), R," 3 $ 00@ *#" FK*%* 009 %,,>'" /* M%*,; 009 >K$#;" M% 009

  • 8/17/2019 Tomosintesis Elias

    14/38

  • 8/17/2019 Tomosintesis Elias

    15/38

    EL DETECTOR H% " >*#&'%* &% %$'% $/,"%" " '*%*&,% " "%'/#.

    S '%%/ '& #* $/ #7,&'&' 5*%&" >%*% >/"* *%5& ,/>$'% " $% %% ,/& $%# >*/,,/&# " %/* 6&5

    S **& "','/*# ,/& $%"% 7,&,% " "',,4& ,6&",*+ >*'%& /K'&* 65&# ,/& $%"% *$%,4& #%$K%%# "/## " *%"%,4&.

    L/# "','/*# >"& #* #'%,/&%*/# / " /&'/ #&,*4&'K/ " *%/# _.

  • 8/17/2019 Tomosintesis Elias

    16/38

    POSICIONAMIENTO

  • 8/17/2019 Tomosintesis Elias

    17/38

    MOIMIENTO DEL TUBO S'/> %&" S;//'.(

    A"#,4& ,/&'&%.

    U& 6&5$/ " K%**"/ 6# >/ *", $% $/,"%" %&5$%* >%*% " K%**"/ "'*&%"/+ ,/&'*K&"/ % *",* $% K/**/#"%".

    P/* $ ,/&'*%*/+ & 6&5$/ " K%**"/ %/* ,/&'*K % &,*&'%* K/**/#"%" /,%$+ "#&&"/ $% &'"= " $%# ,*/ ,%$,7,%,/&#. (

    * Tomos,ntesis mamaria: ases ,sicas indicaciones y resultados Arlette Eli.alde P/re. $e0ista de enologia

    ;''>?"."/./*510.101.#&/$.01.10.0001-1@` 01 SESPM. PK$,%"/ >/* E$#* E#>%%+ S.L.U. T/"/# $/# "*,;/# *#*%"/#.

  • 8/17/2019 Tomosintesis Elias

    18/38

    DURACIN DE LAADQUISICIN %*%K$ /#,$% &'* #5&"/# "7* #5& %K*,%&'#

    E$ '>/ " K%**"/ "K #* ,/*'/ >/* *%=/&# &"%&'%$#?

    A,/*'%* $ '>/ " ,/>*#4&

    R",* $% K/**/#"%" ,%#%"% >/* $ /&'/ " $% >%,&'. M/&'/# &/# 8'%& >/# ,// 0+1 : >"& &'*** & $% %

    #%$=%,4& " ,*/ ,%$,7,%,/&# #>,$%,/&# '/*%$#.

     T>/# " K%**"/ $%*5/# &%,>'%K$# & $ ,/&''/ "$ ,*K%"/%/5*67,/.

    * Tomos,ntesis mamaria: ases ,sicas indicaciones y resultados Arlette Eli.alde P/re. $e0ista de enologia

    ;''>?"."/./*510.101.#&/$.01.10.0001-1@` 01 SESPM. PK$,%"/ >/* E$#* E#>%%+ S.L.U. T/"/# $/# "*,;/# *#*%"/#.

  • 8/17/2019 Tomosintesis Elias

    19/38

  • 8/17/2019 Tomosintesis Elias

    20/38

    DATOS TÉCNICOS DE LAADQUISICIN E$ '%%/ " >$ # *,/'*"/ 110 -10 M,*4'*/.

    G/''/ @ @

     T>/ " $,'*% "$ "','/* # " %>*/%"%&' 1 #5&" G/''/ 1 #5&"/.

    E$ '>/ '/'%$ " %"#,4& " #'% T//#&'## " %% # %>*/%"%&' 10 #5&"/#. G/''/ 11 #5&"/#

    P%*6'*/# " >/#,4& '>,/# #/& 9 J> A#+ $/ *#& %$/* '/'%$ " "/## " *%"%,4& " 1 R%" 81+ G : % &&/*%$ ,/& & #>#/* ,/>*"/ " + ,.

    Breast Tomosynthesis: Present Considerations and Future Applications !eong Mi Par" M# et al$adio%raphics &''() )?S31S0 Pulished online 10.11@*5.)#0)11

  • 8/17/2019 Tomosintesis Elias

    21/38

  • 8/17/2019 Tomosintesis Elias

    22/38

    ISUALIZACIN DE LAIMVGENES L%# 65&# &% = *,/'*"%# # &%& % $% #'%,4& " '*%

    "/&" #/& #%$=%"%#.

     L%# #'%,/&# " '*%K%/ &",%& $ 5*/#/* " ,/*' *,/'*"/ $% >/#,4& "$ ,/*' *#>,'/ "$ "','/*.

    #%$=%,4& >%#/ % >%#/

    #%$=%,4& '>/ C&.

     T//#&T##? $% &% *% " $% %/5*%%B*%#T T//#&T;##? T; &] %5 / T; %/5*%>;!loria Pala9"elos/ 0tepanie r":illo& -avier Romero2R. C/$/K. R%"/$. 01 8:? 39-33

  • 8/17/2019 Tomosintesis Elias

    23/38

    M T ';

  • 8/17/2019 Tomosintesis Elias

    24/38

    M%/ T//#&';##MP 8MDMG-1:S#'% " #%$=%,4& " 5%>$# >%*%%/5*%% "5'%$+ &,$"% '//#&'## %%*%

  • 8/17/2019 Tomosintesis Elias

    25/38

    ENTAAS D'*&%,4& "$ '%%/ '/*%$. MD b TMS

    A#'*%#  "#& $% '%#% " *-$$%%"/ %$ % >*/,#>,%$#.

    D#'/*#/&# " $% %*','*%  %$'/# %$#/# &5%'/# & M%#'/5

    S&/# "/? 1[ %# #K$.

    D#& *-$$%%"/ 810-30[:  D#& %"%" ,/#'/ "

    '%=%.

          D     !     &     #            "     %      "

     S - > !

     *   / *   "

     %

     T//#&T##? $% &% *% " $% %/5*%%B*%#T T//#&T;##? T; &] %5 / T; %/5*%>;!loria Pala9"elos/ 0tepanie r":illo& -avier Romero2

    R. C/$/K. R%"/$. 01 8:? 39-33

  • 8/17/2019 Tomosintesis Elias

    26/38

    ENTAAS A&'/ "$ PP & &",%,4& " K/>#%#  TMS #>,7,"%" 1

    ,/>%*%,4& ,/& ,/>*#4& /,%$ & MD 9[ & &",%,4& " K

    A&'/ $ PP "$ *-$$%%"/ % 10.1[ *#>,'/ % MD .)[.

    A&'% '%#% " "',,4& " ,6&,*  SK$"%" 90[ - E#>,"$ )9 E#'"/ S;%& %# " 10.1 D >/* $,'/*? TMS @ " C1000 MD .1 "

    8&,*&'/ " %# " 30[ & $% "',,/&:.

          D     !     &     #            "     %      "

     S - > !

     *   / *   "

     %

     T//#&T##? $% &% *% " $% %/5*%%B*%#T T//#&T;##? T; &] %5 / T; %/5*%>;!loria Pala9"elos/ 0tepanie r":illo& -avier Romero2

    R. C/$/K. R%"/$. 01 8:? 39-33

  • 8/17/2019 Tomosintesis Elias

    27/38

    ENTAAS D','%* %# ,6&,* &%#/ S/K*"%5&4#',/? D',,4& " ,

    %&'# >"% #* ,$&,%&' "&' >/* '%&'/ &&,% $$5$'%$. MD 30[ & '%=%.

    P/"*% "','%* %# " 0[ " ,6&,*. E#'"/ " M,;$$? 0 "%5&4#',/# " ,6&,*+

    3+3[ */& ,$%#7,%"/# ,// %$5&/# 8BIRADS : & $% MG %&6$/5%+ 39+)[ MG "5'%$ @+3[ MG ,/& T//#&'##

          D     !     &     #            "     %      "

     S - > !

     *   / *   "

     %

     T//#&T##? $% &% *% " $% %/5*%%B*%#T T//#&T;##? T; &] %5 / T; %/5*%>;!loria Pala9"elos/ 0tepanie r":illo& -avier Romero2

    R. C/$/K. R%"/$. 01 8:? 39-33

  • 8/17/2019 Tomosintesis Elias

    28/38

    DESENTAAS C/#'/ P/$',% " *K/$#/  #5*/# ",/#.

    M%/* '>/ " &'*>*'%,4&? 3-[ %#. E#'/ "#& #5>*&,%.

    MICROCALCIFICACIONES - )[ &/# #K$"%" " TMS MD. I65&# #&''=%"%# C-]# >/"*% %&'%*$% % %$/*# ,*,% "$ 3

    A>*/K%"/ >/* $% FDA.

  • 8/17/2019 Tomosintesis Elias

    29/38

     TOMOSÍNTESIS Y LASCALCIFICACIONES

    L% *#/$,4& *","% ,/& '//#&'## # *$%'%+ # "K % $% &,#"%" " ,%K%* $%

    65&# >/* >$ *%,,/&%"/# %#,&" %&'# "*%&' $% *,/'*,,4&.

    E#'% *#/$,4& *","% >" %,'%* % $% ,%>%,"%" " %>*,%* $% /*/$/5% " $%# >,%$,7,%,/&#+ $% >/*'%&,% " $/ #'6 %K*'/ % "K%' &'* $/# /K#*%"/*# ,$&

    P%*% $ 009 N#;J%]% ' %$ ( ;%& >*/>#'/ & #% ;K*"/ & $ # %$% &%*5$%* / >*/,,4& CC " %/5*%% "5'%$ % "/## &/*%$ >%*% ,*/ ,%$,7,%,/&#

     T//#&'## % "/## *","% *#/$,4& *","% >%*% $%# %#%#.

    S &,#'%& %/# ,$&,/# >%*% "'*&%* ,6$ " $$/# # $ #% " $% '$=%,4%",%"/.

    A*'%,'/ >/* %,*/ ,%$,7,%,/&#.

    * R. M. Nishikawa, I. Reiser, and P. Seifi, “A new approach to digital breast tomosynthesis for breast cancer screening,” Proc. SPIE 6510, 3C1–3C8 2007 .

  • 8/17/2019 Tomosintesis Elias

    30/38

    IMVGENES SINTETIZADASIE^S For tomosynthesis synthetic images could replace FF#M B \%' M%""& Y+ A&'M&&.,/ #'%< ]*'*+ D,K* 3+ 013

    D*. P* SJ%%&+ P;D+ " $% U&*#"%" " O#$/ ,/$5%# & 013 >K$,%& #'"/? C/>%*%,4& & "',,4& " ,*/ ,%$,7,%,/&# &'* MD " ,%>/ ,/>$'/ TMS # I

    #&''=%"%# C-]# TMS R#$'%"/#? N1+))1 S &,/&'*%*/& 8+3[: CA >/* MD 6# TMS+ & ,/>%*%,4& ,/& 1 8 +3 [ : ,/& C - R-$$%%"/#? 9)8 + [: >%*% MD 6# TMS )0 8 +[ : >%*% C - ]# 6# TMS. L% '%#% " "',,4& " ,6&,* $% #% >%*% ,%"% ,/K&%,4& + & $ 0+@1 [ 8 100 " 1

    E& 5&*%$ $%# '%#%# " "',,4& " ,6&,* */& " @)+3 [ ,/& MD 6# TMS $ @] TMS.

    c S&''=%"/ D %"6# DBT # %,>'%K$ >%*% # #/ *'&%*/ & $% %/5*%% " >"& ##''* % $% %/5*%% "5'%$ & $% >*6,',% ,$&,% 2.

    http://contacteditor.auntminnie.com/http://contacteditor.auntminnie.com/http://contacteditor.auntminnie.com/http://contacteditor.auntminnie.com/

  • 8/17/2019 Tomosintesis Elias

    31/38

  • 8/17/2019 Tomosintesis Elias

    32/38

  • 8/17/2019 Tomosintesis Elias

    33/38

  • 8/17/2019 Tomosintesis Elias

    34/38

  • 8/17/2019 Tomosintesis Elias

    35/38

  • 8/17/2019 Tomosintesis Elias

    36/38

  • 8/17/2019 Tomosintesis Elias

    37/38

  • 8/17/2019 Tomosintesis Elias

    38/38

    FIN