Panoramic photoacoustic computed tomography with learning-based classification enhances breast lesion characterization
Abstract
Breast cancer diagnosis is crucial due to the high prevalence and mortality rate associated with the disease. However, mammography involves ionizing radiation and has compromised sensitivity in radiographically dense breasts, ultrasonography lacks specificity and has operator-dependent image quality, and magnetic resonance imaging faces high cost and patient exclusion. Photoacoustic computed tomography (PACT) offers a promising solution by combining light and ultrasound for high-resolution imaging that detects tumour-related vasculature changes. Here we introduce a workflow using panoramic PACT for breast lesion characterization, offering detailed visualization of vasculature irrespective of breast density. Analysing PACT features of 78 breasts in 39 patients, we develop learning-based classifiers to distinguish between normal and suspicious tissue, achieving a maximum area under the receiver operating characteristic curve of 0.89, which is comparable with that of conventional imaging standards. We further differentiate malignant and benign lesions using 13 features. Finally, we developed a learning-based model to segment breast lesions. Our study identifies PACT as a non-invasive and sensitive imaging tool for breast lesion evaluation.
Yide Zhang
Assistant Professor of ECEE and BME
I am an Assistant Professor of Electrical, Computer & Energy Engineering (ECEE) and Biomedical Engineering (BME) at the University of Colorado Boulder (CU Boulder). My long-term research goal is to pioneer optical imaging technologies that surpass current limits in speed, accuracy, and accessibility, advancing translational research. With a foundation in electrical engineering, particularly in biomedical imaging and optics, my PhD work at the University of Notre Dame focused on advancing multiphoton fluorescence lifetime imaging microscopy and super-resolution microscopy, significantly reducing image generation time and cost. I developed an analog signal processing method that enables real-time streaming of fluorescence intensity and lifetime data, and created the first Poisson-Gaussian denoising dataset to benchmark image denoising algorithms for high-quality, real-time applications in biomedical research. As a postdoc at the California Institute of Technology (Caltech), my research expanded to include pioneering photoacoustic imaging techniques, enabling noninvasive and rapid imaging of hemodynamics in humans. In the realm of quantum imaging, I developed innovative techniques utilizing spatial and polarization entangled photon pairs, overcoming challenges such as poor signal-to-noise ratios and low resolvable pixel counts. Additionally, I advanced ultrafast imaging methods for visualizing passive current flows in myelinated axons and electromagnetic pulses in dielectrics. My research is currently funded by the National Institutes of Health (NIH) K99/R00 Pathway to Independence Award.