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Numerical prediction of breast skin temperature based on thermographic and ultrasonographic data in healthy and cancerous breasts

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Korczak I. , Romowicz A. , Gambin B. , Palko T. , Kruglenko E. , Dobruch-Sobczak K.

tom Vol. 40, no. 4

1680--1692

Breast cancer is one of the most common women's cancers, so an available diagnostic modality, particularly non-invasive, is important. Infrared thermography (IRT) is a supporting diagnostic modality. Until now, many finite element methods (FEM) numerical models have been constructed to evaluate IRT's diagnostic value and to relate breast skin temperature characteristics with breast structural disorder presence, particularly to distinguish between cancerous types and normal structures. However, most of the models were not based on any clinical data, except for several papers based on clinical magnetic resonance imaging (MRI) data, wherein a three-dimensional (3D) breast model was studied. In our paper, we propose a very simplified numerical two-dimensional FEM model constructed based on clinical ultrasound data of breasts, which is much cheaper and available in real-time as opposed to MRI data. We show that our numerical simulations enabled us to distinguish between types of healthy breasts in agreement with the clinical classification and with thermographic results. The numerical breast models predicted the possibility of differentiation of cancerous breasts from healthy breasts by significantly different skin temperature variation ranges. The thermal variations of cancerous breasts were in the range of 0.5 °C–3.0 °C depending on the distance of the tumor from the skin surface, its size, and the cancer type. The proposed model, due to its simplicity and the fact that it was constructed based on clinical ultrasonographic data, can compete with the more sophisticated 3D models based on MRI.

Assessment of High Frequency Imaging and Doppler System for the Measurements of the Radial Artery Flow-Mediated Dilation

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Nowicki A. , Gambin B. , Secomski W. , Trawiński Z. , Szubielski M. , Tymkiewicz R. , Olszewski R.

tom Vol. 44, No. 4

637--644

Objectives: In the article we describe the new, high frequency, 20 MHz scanning/Doppler probe designed to measure the flow mediated dilation (FMD) and shear rate (SR) close to the radial artery wall. Methods: We compare two US scanning systems, standard vascular modality working below 12 MHz and high frequency 20 MHz system designed for FMD and SR measurements. Axial resolutions of both systems were compared by imaging of two closely spaced food plastic foils immersed in water and by measuring systolic/diastolic diameter changes in the radial artery. The sensitivities of Doppler modalities were also determined. The diagnostic potential of a high frequency system in measurements of FMD and SR was studied in vivo, in two groups of subjects, 12 healthy volunteers and 14 patients with stable coronary artery disease (CAD). Results: Over three times better axial resolution was demonstrated for a high frequency system. Also, the sensitivity of the external single transducer 20 MHz pulse Doppler proved to be over 20 dB better (in terms of a signal-to-noise ratio) than the pulse Doppler incorporated into the linear array. Statistically significant differences in FMD and FMD/SR values for healthy volunteers and CAD patients were confirmed, p-values < 0:05. The areas under Receiver Operating Characteristic (ROC) curves for FMD and FMD/SR for the prediction CAD had the values of 0.99 and 0.97, respectively. Conclusions: These results justify the usefulness of the designed high-frequency scanning system to determine the FMD and SR in the radial artery as predictors of coronary arterial disease.