This study reports on monthly scans of healthy patient volunteers with the clinical prototype of a microwave imaging system. The system uses time-domain measurements, and incorporates a multistatic radar approach to imaging. It operates in the 2-4 GHz range and contains 16 wideband sensors embedded in a hemispherical dielectric radome. The system has been previously tested on tissue phantoms in controlled experiments. With this system prototype, we scanned 13 patients (26 breasts) over an eight-month period, collecting a total of 342 breast scans. The goal of the study described in this paper was to investigate how the system measurements are impacted by multiple factors that are unavoidable in monthly monitoring of human subjects. These factors include both biological variability (e.g., tissue variations due to hormonal changes or weight gain) and measurement variability (e.g., inconsistencies in patient positioning, system noise). For each patient breast, we process the results of the monthly scans to assess the variability in both the raw measured signals and in the generated images. The significance of this study is that it quantifies how much variability should be anticipated when conducting microwave breast imaging of a healthy patient over a longer period. This is an important step toward establishing the feasibility of the microwave radar imaging system for frequent monitoring of breast health.
Radar-based microwave imaging has been widely studied for breast cancer detection in recent times. Sensing dielectric property differences of tissues has been studied over a wide frequency band for this application. We design single- and dual-polarization antennas for wireless ultrawideband breast cancer detection systems using an inhomogeneous multilayer model of the human breast. Antennas made from flexible materials are more easily adapted to wearable applications. Miniaturized flexible monopole and spiral antennas on a 50-μm Kapton polyimide are designed, using a high-frequency structure simulator, to be in contact with biological breast tissues. The proposed antennas are designed to operate in a frequency range of 2-4 GHz (with reflection coefficient (S11) below -10 dB). Measurements show that the flexible antennas have good impedance matching when in different positions with different curvature around the breast. Our miniaturized flexible antennas are 20 mm × 20 mm. Furthermore, two flexible conformal 4 × 4 ultrawideband antenna arrays (single and dual polarization), in a format similar to that of a bra, were developed for a radar-based breast cancer detection system. By using a reflector for the arrays, the penetration of the propagated electromagnetic waves from the antennas into the breast can be improved by factors of 3.3 and 2.6, respectively.
Abstract-In this work, we present a clinical prototype with a wearable patient interface for microwave breast cancer detection. The long-term aim of the prototype is a breast health monitoring application. The system operates using multistatic time-domain pulsed radar, with 16 flexible antennas embedded into a bra. Unlike the previously reported, table-based prototype with a rigid cup-like holder, the wearable one requires no immersion medium and enables simple localization of breast surface. In comparison with the table-based prototype, the wearable one is also significantly more cost-effective and has a smaller footprint. To demonstrate the improved functionality of the wearable prototype, we here report the outcome of daily testing of the new, wearable prototype on a healthy volunteer over a 28-day period. The resulting data (both signals and reconstructed images) is compared to that obtained with our table-based prototype. We show that the use of the wearable prototype has improved the quality of collected volunteer data by every investigated measure. This work demonstrates the proof-of-concept for a wearable breast health monitoring array, which can be further optimized in the future for use with patients with various breast sizes and tissue densities.
Abstract-This paper presents a novel resistively loaded antenna design for microwave breast cancer detection.The antenna is planar and ultra-compact, and can be easily manufactured using PCB technology with embedded thin-film resistive layers. Through numerical simulations, the antenna demonstrates a return loss below −10 dB over a wide frequency range from 2 to 35 GHz. For pulse radiation in the ultra-wideband (UWB) range in a biological medium, the antenna shows an excellent fidelity above 0.95 and a relatively high radiation efficiency of 39.21% in comparison to resistively loaded antennas. In addition, a design rule guideline is presented for designing the antenna to radiate in a specific background medium and with a given lower operating frequency. Finally, a complete microstrip feed design is presented for the antenna operating in the UWB range.
Abstract-In this work we examine, for the first time, the use of classification algorithms for earlystage tumor detection with an experimental time-domain microwave breast screening system. The experimental system contains a 16-element antenna array, and testing is done on breast phantoms that mimic breast tissue dielectric properties. We obtain experimental data from multiple breast phantoms with two possible tumor locations. In this work, we investigate a method for detecting the tumors within the breast but without the usual complexity inherent to image-generation methods, and confirm its feasibility on experimental data. The proposed method uses machine learning techniques, namely Support Vector Machines (SVM) and Linear Discriminant Analysis (LDA), to determine whether the current breast being scanned is tumor-free. Our results show that both SVM and LDA methods have promise as algorithms supporting early breast cancer microwave screening.
Many new clinical investigations of microwave breast imaging have been published in recent years. Trials with over one hundred participants have indicated the potential of microwave imaging to detect breast cancer, with particularly encouraging sensitivity results reported from women with dense breasts. The next phase of clinical trials will involve larger and more diverse populations, including women with no breast abnormalities or benign breast diseases. These trials will need to address clinical efficacy in terms of sensitivity and specificity. A number of challenges exist when using microwave imaging with broad populations: 1) addressing the substantial variance in breast composition observed in the population; and 2) achieving high specificity given differences between individuals. This work analyses these challenges using a diverse phantom set which models the variance in breast composition and tumour shape and size seen in the population. The data show that the sensitivity of microwave breast imaging in breasts of differing density can suffer if patient-specific beamforming is not used. Moreover, the results suggest that achieving high specificity in dense breasts may be difficult, but that patient-specific beamforming does not adversely affect the expected specificity. In summary, this work finds that patientspecific beamforming has a tangible impact on expected sensitivity in experimental cases and that achieving high specificity in dense breasts may be challenging.
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