This paper presents preliminary results of an innovative microwave imaging apparatus for breast lesions detection. Specifically, a Huygens Principle based method is employed to process the microwave signals and to build the respective microwave images. The apparatus has been first tested on phantoms. Next, its performance has been verified through clinical examinations on 22 healthy breasts and on 29 breast having lesions, using as gold standard the output of the radiologist study review obtained using conventional techniques. Specifically, we introduce a metric, which is the ratio between maximum and average of the image intensity (MAX/AVG). We found that MAX/AVG of microwave images can be used for classifying breasts containing lesions. In addition, using MAX/AVG as classification parameter, receiver operating characteristic curves have been empirically determined. Furthermore, for one randomly selected breast having lesion, we have demonstrated that the localization of the inclusion acquired through microwave imaging is compatible with mammography images.

Microwave imaging has received increasing attention in the last decades, motivated by its application in diagnostic imaging. Such effort has been encouraged by the fact that, at microwave frequencies, it is possible to distinguish between tissues with different dielectric properties. In such framework, a novel microwave device is presented here. The apparatus, consisting of two antennas operating in air, is completely safe and non-invasive since it does not emit any ionizing radiation and it can be used for breast lesion detection without requiring any breast crushing. We use Huygens Principle to provide a novel understanding into microwave imaging; specifically, the algorithm based on this principle provides images which represent homogeneity maps of the dielectric properties (dielectric constant and/or conductivity). The experimental results on phantoms having inclusions with different dielectric constants are presented here. In addition, the capability of the device to detect breast lesions has been verified through clinical examinations on 51 breasts.We introduce a metric to measure the non-homogenous behaviour of the image, establishing a modality to detect the presence of inclusions inside phantoms and, similarly, the presence of a lesion inside a breast.

MammoWave is a microwave imaging device for breast lesions detection, which operates using two (azimuthally rotating) antennas without any matching liquid. Images, subsequently obtained by resorting to Huygens Principle, are intensity maps, representing the homogeneity of tissues’ dielectric properties. In this paper, we propose to generate, for each breast, a set of conductivity weighted microwave images by using different values of conductivity in the Huygens Principle imaging algorithm. Next, microwave images’ parameters, i.e. features, are introduced to quantify the non-homogenous behaviour of the image. We empirically verify on 103 breasts that a selection of these features may allow distinction between breasts with no radiological finding (NF) and breasts with radiological findings (WF), i.e. with lesions which may be benign or malignant. Statistical significance was set at p<0.05. We obtained single features Area Under the receiver operating characteristic Curves (AUCs) spanning from 0.65 to 0.69. In addition, an empirical rule-of-thumb allowing breast assessment is introduced using a binary score S operating on an appropriate combination of features. Performances of such rule-of-thumb are evaluated empirically, obtaining a sensitivity of 74%, which increases to 82% when considering dense breasts only.

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