Breast microwave imaging (BMI) is a potential breast cancer screening method. This manuscript presents a novel iterative delay-and-sum (DAS) based reconstruction algorithm for BMI. This iterative-DAS (itDAS) algorithm uses a forward radar model to iteratively update an image estimate. A variation of the itDAS reconstruction algorithm that uses the delay-multiply-and-sum (DMAS) beamformer was also implemented (the itDMAS algorithm). Both algorithms were used to reconstruct images from experimental scans of an array of 3D-printed MRI-based breast phantoms performed with a clinical BMI system. The signal-to-clutter ratio (SCR) and signal-to-mean ratio (SMR) were used to compare the performance of the itDAS and itDMAS methods to the DAS and DMAS beamformers. While no significant difference between the itDAS and itDMAS methods was observed in most images, the itDAS algorithm produced reconstructions that had significantly higher SMR than the non-iterative methods, increasing contrast by as much as 19 dB over DAS and 13 dB over DMAS. The itDAS algorithm also increased the SCR of reconstructions by up to 5 dB over DAS and 4 dB over DMAS, indicating that both high-intensity and background clutter are reduced in images reconstructed by the itDAS algorithm.
Breast microwave sensing (BMS) has been studied as a potential technique for cancer detection due to the observed microwave properties of malignant and healthy breast tissues. This work presents a novel radar-based image reconstruction algorithm for use in BMS that reframes the radar image reconstruction process as an optimization problem. A gradient descent optimizer was used to create an optimization-based radar reconstruction (ORR) algorithm. Two hundred scans of MRI-derived breast phantoms were performed with a preclinical BMS system. These scans were reconstructed using the ORR, delay-and-sum (DAS), and delay-multiply-and-sum (DMAS) beamformers. The ORR was observed to improve both sensitivity and specificity compared to DAS and DMAS. The estimated sensitivity and specificity of the DAS beamformer were 19% and 44%, respectively, while for ORR, they were 27% and 56%, representing a relative increase of 42% and 27%. The DAS reconstructions also exhibited a hot-spot image artifact, where a localized region of high intensity that did not correspond to any physical phantom feature would be present in an image. This artifact appeared like a tumour response within the image and contributed to the lower specificity of the DAS beamformer. This artifact was not observed in the ORR reconstructions. This work demonstrates the potential of an optimization-based conceptualization of the radar image reconstruction problem in BMS. The ORR algorithm implemented in this work showed improved diagnostic performance and fewer image artifacts compared to the widely employed DAS algorithm.
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