Digital Mammography
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For internal use only DXR 2009 Playbook/
GE Company confidential - Do not copy or distribute 01/20/25
Image Quality- Summary
System Image Quality
Tube Grid DQE
(detector)
AOP/AEC Dose
MTF Noise Contrast
spatial resolution Dose dependent
transfer
Image Quality Measurement 9/
Contrast Detail Phantom
GE Title or job number /
01/20/25
The factors for a good image quality in dense
breasts
Detector Tube
DQE at low dose Bi metal Tube
AOP
Automatic
Measurement of
breast density to set
up right parameters
GE Unique features 10 /
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• DQE = Detective quantum efficiency 01/20/25
• AOP = Automatic Optimization of Parameters
Digital Mammography
Image Quality vs. Dose
Control
(AEC/AOP) Tube/Anode
Image Processing
and Display
Detector
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The factors for a good image quality in dense
breasts
Detector Tube
DQE at low dose Bi metal Tube
AOP
Automatic
Measurement of
breast density to
set up right
parameters
GE Unique features 12 /
GE Title or job number /
01/20/25
Revolution Flat panel detector
Complete Production Control
Panel Panel Absorber Electronics System
Production Preparation Deposition Integration Integration
GE GE GE GE GE
Design choices
Technology Improved CsI performance
Pixel size 100 micron
Field of view increased to
24x31 cm
Read out faster and noiseless
Low dose DQE increased by 20 %
Technological choices proven to be 13 /
the best GE Title or job number /
01/20/25
The factors for a good image quality in dense
breasts
Detector Tube
DQE at low dose Bi metal Tube
AOP
Automatic
Measurement of
breast density to
set up right
parameters
GE Unique features 15 /
GE Title or job number /
01/20/25
POLLON unique mammography tube design
Featuring:
• No cooling delays
• Unlimited patient throughput
• Reliable and oil free
• Image quality optimized on all types of breasts
(Rh and Mo dual target)
• Small focal spot (0.1 mm, in addition to 0.3 mm)
• Smallest and lightest tube in mammography
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GE Title or job number /
01/20/25
The factors for a good image quality in dense
breasts
Detector Tube
DQE at low dose Bi metal Tube
AOP
Automatic
Measurement of
breast density to
set up right
parameters
GE Unique features 20 /
GE Title or job number /
01/20/25
Purpose of AOP
The image quality you need
with
Low dose to the patient
As Low sA easonable
R A
chievable
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01/20/25
AOP in mammography
Mechanical Pre-exposure & Optimised
thickness attenuation exposure
measurement measurement
image quality
2 cm
4 cm
6 cm
8 cm
Thickness/composition
Optimum
anode,
anode filter,
Optimisation
kV, mAs
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Exposure Control, AOP (Automatic Optimization of Parameters)
Correct exposure for the densest region in the
breast for all breasts
You need the right exposure parameters (anode, filter, kV, mAs)…
•every
The time
system automatically scans
the whole breast and identifies the
location where it is the densest.
• Thickness + Density + Composites
AOP (Anode, filter, kV, mAs &
therefore the dose)
High Quality Image
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Senographe Exposure Control
AOP (Automatic Optimization of Parameters)
What if:
•Your exposure was automatically correct for the
densest region in the breast for all breasts?
•Your exposure was extremely consistent all the time
for all breast compositions
•Your exposure achieved optimized image quality at
minimized dose to the patient?
Digital mammography
Image Quality
Systems ergonomics
Digital Workflow
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Seno Essential
System
Ergonomics
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Ergonomics
• Intuitive user interface
• Customization of speed and compression
• Small tube head
• Compact footprint
• Wheelchair access
• Patient comfort
• Isocentric motorized gantry with two speeds
allows instantaneous fine and fast positioning
• Automatic CC and MLO positioning
• Mirror angle for MLO
• One second activation
• Automatic light switch on
• Ergonomic control console and optional control
exposure hand-switch…to reduce repetitive strains
• Immediate access to patient worklist
(with RIS connection) and easy selection
of patient details
• Quick and automatic image display
(<15 sec.) allows better positioning
control and quality assurance decisions
• Capability to push images from imaging
workstation to review workstation, printer
or CAD automatically at the completion
of the study
• Narrow tube head and face shield for more comfortable head and neck positions
• Ergonomic handles, secondary handles, and covers minimize the patient’s muscle contraction
• Ergonomic paddle design and a rounded
bucky shape – to optimize patient comfort
• Compression slows when contacting the breast
• • Maximum desired compression can be pre-set
by the operator
• • Automatic compression release is synchronized
with exposure completion
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Digital Maoography
Image Quality
Systems ergonomics
Digital Workflow
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01/20/25
Optimized workflow
Smart image management
Image file size according to Field of View used
Display optimized. Zoom factor and time
Processing time reduced accordingly
Transfer time and archiving space optimized
Display functions
Fit to screen will automatically display the whole
image on the screen
Printing Functions
Auto print function for diagnostic images.
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BIOPSY
Senographe Interventional: Image quality & easy access to lesions
Advantages:
• True Full Field Digital Stereotaxy (FFDS)
• Vertical & Lateral access to lesions
• Biopsy window: 14 x 7 cm
• Bard or Mammotome biopsy gun
• Decubitus Position: patient comfort
• No dedicated room needed !
Strength of 2 in 1 :
Same image quality from diagnosis to digital stereotaxy 34 /
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01/20/25
Both Vertical & Lateral approach available with Senographe
Interventional !!!
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Superior lesion accessibility
Biopsy window 5x4 cm
Scout field of view: 10x8 cm
Stereo field of view: 10x7 cm per image - total max 14x7
cm… the largest on the market
Every lesion in the biopsy window can be accessed
Biopsy
window
opening
Most CCD Senographe DS
stereotaxy devices maximum stereotaxy
have constraints on field of view is 14x7 cm
the volume for superior access to
accessible for lesions
stereotaxy target
designation due to
limited field of view
Biopsy Biopsy
volume volume
accessible accessible
Field of View Field of View
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Advanced Applications are in hands!
1) GE Tomosynthesis
A series of exposures at different angles
(Detector not moving)
Processing as multiple slices or 3D
2) Contrast Enhanced Spectral Mammography
Iodine Contrast Agent
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01/20/25
See more now.
GE Breast Tomosynthesis
“The Difference”
Sensitivity and specificity of mammography
are limited by several factors
1 2
Dense breast tissue can overlap with
lesions
3 4
Lesions are not always visible with x-
ray
Interpretation of images can vary
among radiologists
Kolb et al. Radiology 2002; 225:165-175.
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Volumetric imaging that helps to eliminate
Note: *acquisition time will be dependent of breast thickness and ≤ 10 sec is for an average thick
overlapping tissue with Tomosynthesis
Automated rotational acquisition
9 projections
Sweep angle 25° ( +/- 12.5)
Acquisition time: <10 sec
Source: Digital Breast Tomosynthesis Fundamentals – White
Low dose X-ray sweep – 1,1mGy
Compressed breast
Digital detector
.
.
.
.
paper
.
9
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3D volume imaging is reconstructed to
Source: Digital Breast Tomosynthesis Fundamentals – White paper Micro calcifications: Comparison of clinical cases
obtain a series of tomo-planes
Thickness of the tomo-plane is equal to 0
The distance between the tomographic
planes is equal to 0.5mm
0.5mm
reconstructed at 1mm vs. 0.5mm
Tomo-planes
Slabs = 1 cm thick
The 0,5mm distance between planes may improve the visualization
of the microcalcifications…
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01/20/25
Insightful technology with sense
Source: Digital Breast Tomosynthesis Fundamentals – 6-7-8 white
Tube: Beam Quality RH Track Detector: High DQE at low dose I.Q.: 25 angle 9 projections
Low patient dose Allows the visualization of small objects •Preserve small objects and masses
Dense breast penetration such as microcalcifications (no binning) tissue separation
Reconstruction: Iterative
Yields FFDM-like images
paper references
Positive IQ impact for microcalcs *Positioner: Step & Shoot
Artifact free
Target Dose: 3DMLO = 2DMLO
•Avoids image blur
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01/20/25
SenoBright*
Contrast-Enhanced Spectral Mammography
** Trademark
Trademark of
of the
the General
General Electric
Electric Company
Company
Today’s Mammography
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Can we fill this gap?
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01/20/25
SenoBright
Cancers cells create small new
blood vessels. This process is
called Angiogenesis
Iodine injection – Contrast agent will
tend to leak from these new vessels
into cancerous tissues
SenoBright uses multiple x-ray exposures
to reduce background signal, similar to how
cameras reduce red-eye by using a series of
flashes.
By suppression of the signal from the normal
tissue, SenoBright effectively highlights the
iodine absorption in the tissues affected by
angiogenesis
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SenoBright – Case 1
Clarification of mammographically equivocal lesion
79 yo w palpable
mass on left
breast
SenoBright
contrast-enhanced
images clearly
localize the lesion
CC @ 2min MLO @ 4 min
Low Energy Contrast-Enhanced Contrast-Enhanced Low Energy
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01/20/25
Images courtesy of Mikawa Breast Center, Mikawa, Japan
SenoBright – Case 1
Clarification of mammographically equivocal lesion
79 yo w palpable
mass on left
breast
Unsuspected
finding on right
breast with , 2
small
fibroadenomas
CC @ 3min MLO @ 5 min
Low Energy Contrast-Enhanced Contrast-Enhanced Low Energy
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Images courtesy of Mikawa Breast Center, Mikawa, Japan
SenoBright - Know more now.
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SenoEssential
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01/20/25
