WO2014001925A1 - Optically adaptable breast compression element - Google Patents

Optically adaptable breast compression element Download PDF

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Publication number
WO2014001925A1
WO2014001925A1 PCT/IB2013/054445 IB2013054445W WO2014001925A1 WO 2014001925 A1 WO2014001925 A1 WO 2014001925A1 IB 2013054445 W IB2013054445 W IB 2013054445W WO 2014001925 A1 WO2014001925 A1 WO 2014001925A1
Authority
WO
WIPO (PCT)
Prior art keywords
breast
compression element
compression
mammography
layer
Prior art date
Application number
PCT/IB2013/054445
Other languages
French (fr)
Inventor
André GOOSSEN
Kars-Michiel Hubert Lenssen
Thomas Pralow
Original Assignee
Koninklijke Philips N.V.
Philips Deutschland Gmbh
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Koninklijke Philips N.V., Philips Deutschland Gmbh filed Critical Koninklijke Philips N.V.
Priority to MX2014015236A priority Critical patent/MX2014015236A/en
Priority to US14/407,977 priority patent/US10238343B2/en
Priority to JP2015519391A priority patent/JP2015522337A/en
Priority to BR112014031967A priority patent/BR112014031967A2/en
Priority to RU2015102138A priority patent/RU2015102138A/en
Priority to EP13737860.0A priority patent/EP2863804B1/en
Priority to CN201380033921.1A priority patent/CN104411247B/en
Publication of WO2014001925A1 publication Critical patent/WO2014001925A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/70—Means for positioning the patient in relation to the detecting, measuring or recording means
    • A61B5/708—Breast positioning means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/04—Positioning of patients; Tiltable beds or the like
    • A61B6/0407—Supports, e.g. tables or beds, for the body or parts of the body
    • A61B6/0414—Supports, e.g. tables or beds, for the body or parts of the body with compression means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves 
    • A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves  involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6843—Monitoring or controlling sensor contact pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
    • A61B5/7445—Display arrangements, e.g. multiple display units
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/02—Arrangements for diagnosis sequentially in different planes; Stereoscopic radiation diagnosis
    • A61B6/03—Computed tomography [CT]
    • A61B6/037—Emission tomography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/46—Arrangements for interfacing with the operator or the patient
    • A61B6/461—Displaying means of special interest
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
    • A61B6/502—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of breast, i.e. mammography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/08—Detecting organic movements or changes, e.g. tumours, cysts, swellings
    • A61B8/0825—Detecting organic movements or changes, e.g. tumours, cysts, swellings for diagnosis of the breast, e.g. mammography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B8/00—Diagnosis using ultrasonic, sonic or infrasonic waves
    • A61B8/40—Positioning of patients, e.g. means for holding or immobilising parts of the patient's body
    • A61B8/403—Positioning of patients, e.g. means for holding or immobilising parts of the patient's body using compression means

Definitions

  • the present invention relates to compression of breasts during mammography, and relates in particular to a compression element for a breast holding arrangement for mammography examinations, to a mammography imaging system and to a method for mammography examinations, as well as to a computer program element and to a computer readable medium.
  • compression paddles For mammography examinations, compression paddles, or compression elements, are used to transfer a compression force onto a breast.
  • the paddles may be flat or curved.
  • the compression paddles are transparent.
  • the technician can visually control the applied compression.
  • US 6,682,484 Bl describes a breast imaging system including compression plates for retaining a breast during examination.
  • One of the compression plates is formed by a polymeric membrane, which is stretched under tension to provide a rigid but compliant retention surface.
  • the compression element for a breast holding arrangement for mammography examinations for the mammography imaging system, for the method for mammography examinations, for the computer program element and for the computer readable medium.
  • a compression element for a breast holding arrangement for mammography examinations comprising a supporting structure, a first surface, and a second surface.
  • the supporting structure is attachable to a mounting structure, i.e. the structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination.
  • the first and second surfaces are attached to the support structure.
  • the first and second surfaces are arranged facing in opposite directions.
  • the second surface is provided to compress the breast under examination.
  • the first surface is provided to be visible to a user. Further, the first surface is provided as an optically adaptable surface.
  • the first and second surfaces are provided to be at least temporarily partly transparent.
  • compression element is also referred to as compression paddle or compression panel.
  • the temporal grade of transparency is provided to allow a view of the breast for aiding in positioning, for example. Instead of the transparency, the position of the breast, i.e. contacting surface and contour, as well as the overall contour of the breast, or the breast outline, can be detected with other means and displayed on the first surface.
  • the term "surface” refers to the layer providing the outer surface.
  • the layer may have several sub-layers, i.e. it can be multilayered.
  • the first and second surface can be provided as two separate panels or may be integrated on two opposite sides of a common panel.
  • the second surface may be provided with a curved profile or being adaptable to a breast contour, for example as a flexible paddle.
  • a transparent cover may be provided on top of either surface.
  • Optical adaptability may be provided on the first side, but also on the second side in case of a transparent first side.
  • the optically adaptable surface is provided with a controllable pixel matrix configured to provide textual and/or graphical data visualization.
  • the textual or graphical data may comprise pressure information, patient name and data, or instructions for the procedure.
  • the graphical and textual information is presented also at least partly during a part of the second state, i.e. during the opaque state.
  • the pixels are provided in an imaging area of the compression element, and the pixels are provided as a passive-matrix with switching elements arranged outside the imaging area.
  • the passive-matrix is free of switching elements like transistors.
  • the "imaging area” refers to the area that is used for image acquisition purposes, i.e. for example the area where electromagnetic or sound waves pass the compression element for image acquisition.
  • the imaging area refers to an area where X-ray radiations are passing the compression element in direction of a detector in order to generate X-ray image data.
  • the imaging area refers to an area where ultrasound waves are passing the compression element in direction of a detector in order to generate ultrasound data.
  • the compression element in a first state, is provided with a first grade of light transmission, in which the compression element is at least partly transparent such that a patient's compressed breast is visible to a user and/or the patient, and in a second state, the compression element is provided with a second grade of light transmission, in which the light transmission is reduced such that the breast is invisible to a user and/or the patient.
  • different grades of light transmission are provided in order to regulate the visibility of the breast of the patient.
  • the compression element in a first state, is at least partly transparent, and in a second state, the compression element is non-transparent.
  • the second surface may be at least partly transparent. Further, in a first state, the first surface is at least partly transparent, and in a second state this first surface is non- transparent. In another example, the first surface is at least partly transparent and the second surface is configured to achieve first and second state of at least partly transparency and non- transparency.
  • the first surface is provided as an adaptable display surface for providing positioning and/or compression information to the user.
  • the first surface is configured to provide graphical positioning information in accordance with a determined mammography examination, wherein the mammography examination comprises i) X-ray mammography image acquisition, ii) ultrasound mammography image acquisition, iii) positron emission mammography imaging, and/or iv) magnetic resonance mammography imaging.
  • the mammography examination comprises i) X-ray mammography image acquisition, ii) ultrasound mammography image acquisition, iii) positron emission mammography imaging, and/or iv) magnetic resonance mammography imaging.
  • the mammography examination can comprise magnetic resonance tomography or tomosynthesis.
  • the first surface is provided as a layer comprising electronic ink, wherein the change of the optical appearance is based on in-plane electrophoresis.
  • the first surface may be provided in Philips e-skin technology.
  • the first surface is provided with an adaptable display layer with a plurality of first sub-areas arranged in a distance to each other.
  • the first surface is also provided with a switchable layer to regulate a grade of transparency of second sub-areas provided between the first sub-areas.
  • the first sub-areas are provided with an e-paper technology, wherein the optical appearance can be adjusted to different colours or grey-scale values.
  • the first sub-areas are provided with an e-skin technology, in another example, wherein the optical appearance can be adjusted to different colours or grey-scale values and a grade of transparency can be adjusted.
  • the switchable surface may be provided as an electro-kinetic layer or as an electro-chromic layer.
  • an LCD can be provided.
  • the first surface is provided as an interactive surface for control of mammography examinations.
  • the compression element provides the possibility for control of an examination apparatus for the mammography examination.
  • the first surface is provided as a touch sensitive surface or touch screen, at least for some areas or as a complete touch sensitive surface.
  • the second surface is provided with pressure-sensitive sensors for measuring touch and/or pressure acting on the breast to be examined.
  • the pressure sensitive sensors are provided as a resistive or capacitive touch- sensing layer, or a pressure sensitive layer with electronic ink, to which ink an alternate current (AC) field is applied.
  • AC alternate current
  • a first layer with electronic ink is provided as the optically adaptable surface, and a second layer with electronic ink is provided as the pressure sensitive layer.
  • a mammography imaging system comprising an imaging device, a processing unit, and a breast holding arrangement.
  • the imaging device is configured to acquire image data of a breast to be examined.
  • the breast holding arrangement comprises a support element supporting the breast during the imaging procedure, and a compression element for applying a compression force during the imaging procedure.
  • the compression element is provided as a compression element according to one of the above-mentioned examples.
  • the breast holding arrangement is provided with measurement sensors for measuring a compression force F applied to the breast between the support element and the compression element.
  • a method for mammography examinations comprising the following steps:
  • the compression element and compressing the breast; wherein during the arranging, the compression element is provided in a first at least partly transparent state;
  • the compression applied to the breast is measured and compression information is provided on the optically adaptable surface at least during steps a) and b).
  • the compression element is provided as an interactive breast compression element, for example by using an e-paper/e- skin display that can be used to guide positioning, reproduce diagnostic quality for contra lateral views and may show diagnostic information, such as dense areas, location of suspicions marked by the radiologist, etc. Furthermore, such an interactive breast compression element, for example by using an e-paper/e- skin display that can be used to guide positioning, reproduce diagnostic quality for contra lateral views and may show diagnostic information, such as dense areas, location of suspicions marked by the radiologist, etc. Furthermore, such an interactive breast
  • compression element can also be used to blind the patients view onto the breast during biopsy or image acquisition. Thus, the user's feeling of comfort is increased. Especially for biopsies, a non-transparent compression element is helpful for conducting the biopsy itself. However, for positioning, it is at least partly transparent to allow a better view to the breast. A visual positioning and compression aid on the panel improves the positioning.
  • the displayed information and positioning information can be individualized for the respective
  • the adaptable paddle instead of being static information, the adaptable paddle also helps in preventing that important spots are covered by the instructions displayed thereon.
  • An e-paper such as Philips e-skin technology, is transparent to X-ray radiation and therefore does not provide any further intensity modulations and also does not introduce additional patterns to the X-ray image. It can be switched between a highly optically transparent state and opaque states. In contrast to other displays, it is highly resistant to external forces and pressure. E- skin can also be bent and is thus also suited for curved compression elements. For example, in case of an acrylic glass vat used as compression element, the bottom layer can be replaced by an e-skin element.
  • the e-skin element can be a pixel matrix that controls any graphical type of information in several grey levels between fully transparent and fully opaque.
  • non-image-related visualization is possible, such as distribution of compression force/pressure throughout the breast, non-compressed tissue at the border but especially within the interior parts of the breast, contour upon image formation for comparison and movement detection, e.g. for biopsies, patient information and patient distraction (the patient seeing something happens), or any combination of the above.
  • Providing an e-skin pixelated display with a passive-matrix backplane meaning that no switching elements like transistors are needed within the X-ray imaging area, a damage by X-ray radiation on the long term run is prevented.
  • the e-skin technology could be at least partially consisting of a segmented display, i.e. for parts of the paddle, only combinations of predetermined elements can be switched to transparent or dark state.
  • the attenuation filter material in the tube may be adapted to the attenuation properties of the e-skin material, for example, thus insuring the spectrum passing through the patient's breast is still optimal for breast imaging.
  • means to identify or measure touch or pressure either globally or spatially distributed are provided.
  • both information visualization and pressure sensing are done using the same e-skin layer but with direct current (DC) respectively alternating current (AC) driving signals.
  • DC direct current
  • AC alternating current
  • the e-skin can be arranged on or integrated in the paddle provided in front of the breast tissue (viewed in direction of the X-ray radiation), such that once the breast has been radiated, no medically relevant intensity modulations are changed by absorption of the paddle with an e-skin layer.
  • the correct amount of breast compression for a specific patient's breast can be determined. For example, the current pressure and the breast outline can be used to predict a target outline with assumed optimum pressure and this can be visualized on the compression element.
  • the technician would not have to deal with the force or pressure as an indirect physical property anymore, but could perform compression directly matching the actual and optimum contour of the breast.
  • the touch sensor could identify skin folds, e.g. areas where the skin overlaps and as the result produces dips within the breast height. This would avoid two consequences: i) skin folding is especially painful under high pressure, ii) diagnostic image quality, but especially quantitative or physical measurements related from the mammogram, e.g. breast density assessment, suffering from skin folds. According to an aspect, it is possible to provide the information visualization and the pressure sensing using the same e-skin layer. An integrated touch sensing is of particular interest because no additional components are needed which could attenuate or modulate the X-ray.
  • Fig. 1 shows an exemplary embodiment of a compression element in a schematic illustration in perspective view
  • Fig. 2 shows a further embodiment of a compression element
  • Figs. 3 and 4 show perspective views of a compression element in relation with a mammography imaging system during an examination of a patient
  • Fig. 5 shows a schematic cross section of a compression element in a further exemplary embodiment
  • Fig. 6 shows a section of a plan view of a compression element in an exemplary embodiment
  • Figs. 7 to 9 show further cross sections through exemplary embodiments of a compression element
  • Fig. 10 shows a further exemplary embodiment of a compression element in relation with a mammography system during an examination of a patient
  • Fig. 11 shows a schematic setup of a mammography imaging system according to an exemplary embodiment
  • Fig. 12 shows basic steps of an exemplary method for mammography examinations
  • Figs. 13 to 15 show photographic illustrations of the drawings of Figs. 3, 4, and 10.
  • Fig. 1 shows a perspective view of a compression element 10 for a breast holding arrangement for mammography examinations.
  • the compression element 10 comprises a supporting structure 12, indicated with dotted lines only, and a first surface 14 and a second surface 16.
  • the supporting structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination.
  • the first and second surfaces 14, 16 are attached to the support structure 12.
  • the first and second surfaces 14, 16 are arranged facing in opposite directions, for example in the Fig. 1 showing the first surface facing upwards and the second surface facing downwards.
  • the second surface 16 is provided to compress the breast under examination.
  • the first surface 14 is provided to be visible to a user.
  • At least one of the first surface 14 and the second surface 16 is provided as an optically adaptable surface 18, and the first and second surfaces are provided to be at least temporarily partly transparent.
  • the first surface 14 is provided as the optically adaptable surface 18 and the second surface 16 is at least partly transparent.
  • the second surface 16 is provided as the optically adaptable surface 18 and the first surface 14 is at least partly transparent.
  • the optically adaptable surface 18 is provided with a controllable pixel matrix 20 configured to provide textual and/or graphical data visualization, not further shown.
  • the pixels are provided in an imaging area 22 of the compression element 10, wherein the pixels are provided as a passive-matrix with switching elements 24, i.e. transistor elements or circuit components, arranged outside the imaging area 22.
  • the switching elements are provided for controlling the pixels of the pixel array.
  • the switching elements are shown, they are hidden behind a housing or other structure and are thus not visible to a user. It is further noted that the switching elements are indicated schematically only; in reality they are much smaller than shown in Fig. 2.
  • the compression element in a first state is at least partly transparent, and in a second state, the compression element is non-transparent.
  • the compression element in a second state, the compression element is non-transparent.
  • the compression element in Figs. 3 and 4, where in Fig. 3 the compression element shows graphical and textual information 26, whereas in Fig. 4, the compression element 10 is opaque.
  • the compression element can have a reduced transparency in which the breast is hardly visible.
  • the lower light transmission may be provided with respect to a certain part of the optical spectrum, for example, to the range of visible light wavelengths.
  • the graphical and textual information 26 is presented also at least partly during a part of the second state.
  • the first surface 14 is provided as an adaptable display surface for providing positioning and/or compression information to the user as shown in Fig. 3.
  • the textual and/or graphical data visualization is provided in the transparent or partly transparent state and in the non-transparent state, too.
  • the non-transparent state the patient's view onto the breast is blinded.
  • the first surface non-transparent in the second state as indicated above.
  • non-transparent refers to an opaque state, i.e. a state with no light transmission.
  • the term also refers to a state with no direct light transmission, but with indirect light transmission such that light is transmitted in a diffuse manner, which is also referred to as translucent.
  • the first surface is at least partly transparent.
  • the second surface is at least partly transparent, and in a second state, the second surface is non-transparent.
  • the information may comprise positioning and compression aid.
  • the information is provided in a graphical manner, e.g. text or graphic instructions, such as outlines of a breast, contacting surfaces of a breast and the like.
  • the optically adaptable surface is configured to show, e.g., a coarse visualization of a previous examination, as mentioned above.
  • the optically adaptable surface is configured to show patient information in a further example.
  • the optically adaptable surface may also be configured to show distraction to the user.
  • the first surface may be configured to provide graphical positioning information, as the one shown in Fig. 3, indicated with reference numeral 26, in accordance with a determined mammography examination, that may comprise an X-ray mammography image acquisition, ultrasound mammography image acquisition, positron emission mammography imaging, and/or magnetic resonance mammography imaging.
  • Fig. 5 shows a schematic cross-section of an example, where the first surface 14 is provided with a layer comprising electronic ink 28, wherein the change of the optical appearance is based on in-plane electrophoresis.
  • the electronic ink is driven, although not further shown, i.e. controlled by applying an external DC electric field.
  • the first surface may be provided as a bi-stable display, wherein the power supply is required only for the change of the display content.
  • the display content is maintained without applying electric power.
  • the first surface may be provided as a layer with electronic ink, wherein the change of the optical appearance is based on electro -wetting.
  • photovoltaic cells or battery power supply can be integrated in the compression element.
  • a wireless power supply via inductive coupling with a mounting structure may be provided.
  • the first surface 14 is provided with an adaptable display layer 30 with a plurality of first sub-areas 32 arranged in a distance to each other.
  • the first surface is also provided with a switchable layer 34 to regulate a grade of transparency of second sub-areas 36, provided between the first sub-areas 32.
  • the second surface 16 is provided with pressure sensitive sensors 38 for measuring touch and/or pressure acting on the breast to be examined.
  • the pressure sensitive sensors 38 are provided as a resistive or capacitive touch sensing layer 40, as shown in Fig. 7.
  • transparent carbon-nanotube based pressure sensors are provided.
  • a stretchable capacitor with transparent electrode is provided. Under ressure, for example when stretched or pressed, the distance of the capacitor layers is changed, and a pressure can be determined based on a change in capacitance.
  • the first surface is provided as an interactive surface for control of mammography examinations.
  • the surface is provided at least with some touch sensitive areas which are provided for entering commands in relation with a mammography examination.
  • a pressure force can be manually adapted or set.
  • the interactive surface can be provided for manual feedback or for entering a response to indicated issues or questions, e.g. while being guided through the preparation steps for the mammography scan.
  • the interactive surface is provided to be activated by the staff member(s) operating the mammography system.
  • the interactive surface is provided to be activated by the person currently examined.
  • Fig. 8 shows a further example, wherein the pressure sensitive sensors 38 are provided as a pressure sensitive layer 42 with electronic ink 44, to which ink an AC field is applied.
  • the applied pressure can be directly estimated from the movement and count of e-ink particles within the observed areas of the pressure sensitive layer.
  • more than one layer of e-skin could be employed to directly measure the pressure onto the breast during compression and visualize it to the technician. By that, critical areas with high pressure can be identified soon, and the breast can be
  • the current pressure and the breast outline can be used to predict a target outline with assumed optimum pressure.
  • the target outline is presented on the optically adaptable surface.
  • the pressure sensitive layer is configured to detect and identify skin folds, i.e. areas where the skin overlaps.
  • a first layer 46 with electronic ink is provided as the optically adaptable surface
  • a second layer 48 is provided with electronic ink as the pressure sensitive layer 42.
  • both layers are provided on the lower side, i.e. on the side of the second surface 16.
  • the upper side, i.e. the first surface 14 is only provided as a cover.
  • the arrangement is provided vice versa, i.e. the double electronic ink layers 46, 48 are provided on the first surface 14.
  • the pressure sensitive layer determines the applied pressure and the optically adaptable surface provides respective compression information and instructions to a user.
  • only one layer of electronic ink is provided with combining DC and AC current to provide different functions of the single electronic ink layer.
  • Fig. 10 shows a further example of the compression element 10 during examination.
  • Compression information is provided by the optically adaptable surface 18, for example indicating a pressure valve 50.
  • an outline 52 is indicated with a dashed line.
  • an image, for example a previously acquired or only recently acquired X-ray image 54 is shown overlaid to the breast arranged underneath the compression plates.
  • Fig. 11 shows a mammography imaging system 100, comprising an imaging device 110, a processing unit 112, and a breast holding arrangement 114.
  • the imaging device is configured to acquire image data of a breast to be examined.
  • the breast holding arrangement 114 is configured to acquire image data of a breast to be examined.
  • the arrangement 114 comprises a support element 116, supporting the breast during the imaging procedure, and a compression element 118 for applying a compression force during the imaging procedure.
  • the compression element is provided as a compression element according to one of the above-mentioned examples.
  • a base structure is indicated in form of a housing structure 120.
  • the imaging device 110 is an X-ray imaging system, radiating an X-ray beam, indicated with dotted lines 122. Further, a detector 124 is shown to be part of the imaging device 110.
  • a first double-arrow 125 indicates the height adaptability of the whole system, whereas a second double-arrow 126 indicates the movement possibility of the support element 116 in relation with the compression element 118.
  • the breast holding arrangement is provided with measurement sensors (not further shown) for measuring a compression force F applied to the breast between the support element 116 and the compression element 118.
  • Fig. 12 shows a method 200 for mammography examinations, comprising the following steps:
  • a breast to be examined is arranged between a support element and a compression element, and the breast is compressed in a second sub-step 212.
  • the first and second sub-steps are referred to as a first step.
  • an optically adaptable first surface is adapted, which first surface is provided to be visible to a user, such that the visible adaptable surface is changed.
  • the compression element is changed into a non-transparent second state.
  • a determined examination of the breast is conducted, wherein the examination comprises acquiring at least one image of the breast.
  • the first step with the first sub-step 210 and the second sub-step 212 is also referred to as step a), the second step 214 as step b), and the third step 216 as step c).
  • Fig. 13 shows a photographic illustration of the line drawing of Fig. 3
  • Fig. 14 shows a photographic illustration of Fig. 4
  • Fig. 15 shows a photographic representation of Fig. 10.
  • a computer program or a computer program element is provided that is characterized by being adapted to execute the method steps of the method according to one of the preceding embodiments, on an appropriate system.
  • the computer program element might therefore be stored on a computer unit, which might also be part of an embodiment of the present invention.
  • This computing unit may be adapted to perform or induce a performing of the steps of the method described above. Moreover, it may be adapted to operate the components of the above described apparatus.
  • the computing unit can be adapted to operate automatically and/or to execute the orders of a user.
  • a computer program may be loaded into a working memory of a data processor.
  • the data processor may thus be equipped to carry out the method of the invention.
  • This exemplary embodiment of the invention covers both, a computer program that right from the beginning uses the invention and a computer program that by means of an up-date turns an existing program into a program that uses the invention.
  • the computer program element might be able to provide all necessary steps to fulfil the procedure of an exemplary embodiment of the method as described above.
  • a computer readable medium such as a CD-ROM
  • the computer readable medium has a computer program element stored on it which computer program element is described by the preceding section.
  • a computer program may be stored and/or distributed on a suitable medium, such as an optical storage medium or a solid state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the internet or other wired or wireless telecommunication systems.
  • a suitable medium such as an optical storage medium or a solid state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the internet or other wired or wireless telecommunication systems.
  • the computer program may also be presented over a network like the World Wide Web and can be downloaded into the working memory of a data processor from such a network.
  • a medium for making a computer program element available for downloading is provided, which computer program element is arranged to perform a method according to one of the previously described embodiments of the invention.

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Abstract

The present invention relates to compression of breasts during mammography, and in particular to a compression element for a breast holding arrangement for mammography examinations. In order to ensure an increased user comfort and an improved application of pressure force, a compression element (10) for a breast holding arrangement for mammography examinations is provided, comprising a supporting structure (12), a first surface (14), and a second surface (16). The supporting structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination. The first and second surfaces are attached to the support structure; and the first and second surfaces are arranged facing in opposite directions. The second surface is provided to compress the breast under examination. The first surface is provided to be visible to a user, wherein the first surface is provided as an optically adaptable surface (18). The first and second surfaces are provided to be at least temporarily partly transparent.

Description

OPTICALLY ADAPTABLE BREAST COMPRESSION ELEMENT
FIELD OF THE INVENTION
The present invention relates to compression of breasts during mammography, and relates in particular to a compression element for a breast holding arrangement for mammography examinations, to a mammography imaging system and to a method for mammography examinations, as well as to a computer program element and to a computer readable medium.
BACKGROUND OF THE INVENTION
For mammography examinations, compression paddles, or compression elements, are used to transfer a compression force onto a breast. For example, the paddles may be flat or curved. In order to allow an evaluation of the positioning and compression, the compression paddles are transparent. Thus, the technician can visually control the applied compression. However, it has been shown that the application of the correct pressure is not only relevant for the reduction or minimization of pain on side of the examined person, but also for a proper image quality. US 6,682,484 Bl describes a breast imaging system including compression plates for retaining a breast during examination. One of the compression plates is formed by a polymeric membrane, which is stretched under tension to provide a rigid but compliant retention surface. SUMMARY OF THE INVENTION
There may be a need to provide a compression element ensuring an increased user comfort and an improved application of pressure force.
The object of the present invention is solved by the subject-matter of the independent claims, wherein further embodiments are incorporated in the dependent claims.
It should be noted that the following described aspects of the invention apply also for the compression element for a breast holding arrangement for mammography examinations, for the mammography imaging system, for the method for mammography examinations, for the computer program element and for the computer readable medium.
According to a first aspect of the present invention, a compression element for a breast holding arrangement for mammography examinations is provided, comprising a supporting structure, a first surface, and a second surface. The supporting structure is attachable to a mounting structure, i.e. the structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination. The first and second surfaces are attached to the support structure. The first and second surfaces are arranged facing in opposite directions. The second surface is provided to compress the breast under examination. The first surface is provided to be visible to a user. Further, the first surface is provided as an optically adaptable surface. The first and second surfaces are provided to be at least temporarily partly transparent.
The "compression element" is also referred to as compression paddle or compression panel. The temporal grade of transparency is provided to allow a view of the breast for aiding in positioning, for example. Instead of the transparency, the position of the breast, i.e. contacting surface and contour, as well as the overall contour of the breast, or the breast outline, can be detected with other means and displayed on the first surface.
The term "surface" refers to the layer providing the outer surface. The layer may have several sub-layers, i.e. it can be multilayered. The first and second surface can be provided as two separate panels or may be integrated on two opposite sides of a common panel. The second surface may be provided with a curved profile or being adaptable to a breast contour, for example as a flexible paddle. A transparent cover may be provided on top of either surface. Optical adaptability may be provided on the first side, but also on the second side in case of a transparent first side.
According to an exemplary embodiment, the optically adaptable surface is provided with a controllable pixel matrix configured to provide textual and/or graphical data visualization.
The textual or graphical data may comprise pressure information, patient name and data, or instructions for the procedure.
For example, the graphical and textual information is presented also at least partly during a part of the second state, i.e. during the opaque state.
According to an exemplary embodiment, the pixels are provided in an imaging area of the compression element, and the pixels are provided as a passive-matrix with switching elements arranged outside the imaging area.
The passive-matrix is free of switching elements like transistors. The "imaging area" refers to the area that is used for image acquisition purposes, i.e. for example the area where electromagnetic or sound waves pass the compression element for image acquisition. For example, the imaging area refers to an area where X-ray radiations are passing the compression element in direction of a detector in order to generate X-ray image data.
For example, the imaging area refers to an area where ultrasound waves are passing the compression element in direction of a detector in order to generate ultrasound data.
According to an exemplary embodiment, in a first state, the compression element is provided with a first grade of light transmission, in which the compression element is at least partly transparent such that a patient's compressed breast is visible to a user and/or the patient, and in a second state, the compression element is provided with a second grade of light transmission, in which the light transmission is reduced such that the breast is invisible to a user and/or the patient.
According to an example, different grades of light transmission are provided in order to regulate the visibility of the breast of the patient.
According to an example, in a first state, the compression element is at least partly transparent, and in a second state, the compression element is non-transparent.
The second surface may be at least partly transparent. Further, in a first state, the first surface is at least partly transparent, and in a second state this first surface is non- transparent. In another example, the first surface is at least partly transparent and the second surface is configured to achieve first and second state of at least partly transparency and non- transparency.
According to an exemplary embodiment, the first surface is provided as an adaptable display surface for providing positioning and/or compression information to the user.
According to an exemplary embodiment, the first surface is configured to provide graphical positioning information in accordance with a determined mammography examination, wherein the mammography examination comprises i) X-ray mammography image acquisition, ii) ultrasound mammography image acquisition, iii) positron emission mammography imaging, and/or iv) magnetic resonance mammography imaging.
In addition, or alternatively, the mammography examination can comprise magnetic resonance tomography or tomosynthesis.
According to an exemplary embodiment, the first surface is provided as a layer comprising electronic ink, wherein the change of the optical appearance is based on in-plane electrophoresis. For example, the first surface may be provided in Philips e-skin technology.
According to an exemplary embodiment, the first surface is provided with an adaptable display layer with a plurality of first sub-areas arranged in a distance to each other. The first surface is also provided with a switchable layer to regulate a grade of transparency of second sub-areas provided between the first sub-areas.
For example, the first sub-areas are provided with an e-paper technology, wherein the optical appearance can be adjusted to different colours or grey-scale values. The first sub-areas are provided with an e-skin technology, in another example, wherein the optical appearance can be adjusted to different colours or grey-scale values and a grade of transparency can be adjusted.
The switchable surface may be provided as an electro-kinetic layer or as an electro-chromic layer. Instead of the e-paper technology, an LCD can be provided.
According to an exemplary embodiment, the first surface is provided as an interactive surface for control of mammography examinations.
For example, the compression element provides the possibility for control of an examination apparatus for the mammography examination. In one example, the first surface is provided as a touch sensitive surface or touch screen, at least for some areas or as a complete touch sensitive surface.
According to an exemplary embodiment, the second surface is provided with pressure-sensitive sensors for measuring touch and/or pressure acting on the breast to be examined. The pressure sensitive sensors are provided as a resistive or capacitive touch- sensing layer, or a pressure sensitive layer with electronic ink, to which ink an alternate current (AC) field is applied.
According to an exemplary embodiment, a first layer with electronic ink is provided as the optically adaptable surface, and a second layer with electronic ink is provided as the pressure sensitive layer.
According to a second aspect of the present invention, a mammography imaging system is provided, comprising an imaging device, a processing unit, and a breast holding arrangement. The imaging device is configured to acquire image data of a breast to be examined. The breast holding arrangement comprises a support element supporting the breast during the imaging procedure, and a compression element for applying a compression force during the imaging procedure. The compression element is provided as a compression element according to one of the above-mentioned examples.
According to an exemplary embodiment, the breast holding arrangement is provided with measurement sensors for measuring a compression force F applied to the breast between the support element and the compression element.
According to a third aspect of the present invention, a method for mammography examinations is provided, comprising the following steps:
a) arranging a breast to be examined between a support element and a
compression element and compressing the breast; wherein during the arranging, the compression element is provided in a first at least partly transparent state;
b) adapting an optically adaptable first surface, which is provided to be visible to a user, such that the visible appearance is changed; for example, the compression element is transferred into a non-transparent second state;
c) conducting a determined examination of the breast; wherein the examination comprises acquiring at least one image of the breast.
In an example of the method, the compression applied to the breast is measured and compression information is provided on the optically adaptable surface at least during steps a) and b).
According to an aspect of the present invention, the compression element is provided as an interactive breast compression element, for example by using an e-paper/e- skin display that can be used to guide positioning, reproduce diagnostic quality for contra lateral views and may show diagnostic information, such as dense areas, location of suspicions marked by the radiologist, etc. Furthermore, such an interactive breast
compression element can also be used to blind the patients view onto the breast during biopsy or image acquisition. Thus, the user's feeling of comfort is increased. Especially for biopsies, a non-transparent compression element is helpful for conducting the biopsy itself. However, for positioning, it is at least partly transparent to allow a better view to the breast. A visual positioning and compression aid on the panel improves the positioning. The displayed information and positioning information can be individualized for the respective
examination. Thus, instead of being static information, the adaptable paddle also helps in preventing that important spots are covered by the instructions displayed thereon. An e-paper, such as Philips e-skin technology, is transparent to X-ray radiation and therefore does not provide any further intensity modulations and also does not introduce additional patterns to the X-ray image. It can be switched between a highly optically transparent state and opaque states. In contrast to other displays, it is highly resistant to external forces and pressure. E- skin can also be bent and is thus also suited for curved compression elements. For example, in case of an acrylic glass vat used as compression element, the bottom layer can be replaced by an e-skin element. For example, the e-skin element can be a pixel matrix that controls any graphical type of information in several grey levels between fully transparent and fully opaque. Thus, it is possible to display, for example, a coarse visualization of a previous mammogram, a map of breast density levels for different regions, suspicious regions marked in a previous mammogram, or all of the above after a registration and deformation of the outline of the previous mammogram with the actual outline of the compressed breast.
Furthermore, non-image-related visualization is possible, such as distribution of compression force/pressure throughout the breast, non-compressed tissue at the border but especially within the interior parts of the breast, contour upon image formation for comparison and movement detection, e.g. for biopsies, patient information and patient distraction (the patient seeing something happens), or any combination of the above. Providing an e-skin pixelated display with a passive-matrix backplane, meaning that no switching elements like transistors are needed within the X-ray imaging area, a damage by X-ray radiation on the long term run is prevented. Further, the e-skin technology could be at least partially consisting of a segmented display, i.e. for parts of the paddle, only combinations of predetermined elements can be switched to transparent or dark state. The attenuation filter material in the tube may be adapted to the attenuation properties of the e-skin material, for example, thus insuring the spectrum passing through the patient's breast is still optimal for breast imaging. According to an aspect, means to identify or measure touch or pressure either globally or spatially distributed are provided. For example, both information visualization and pressure sensing are done using the same e-skin layer but with direct current (DC) respectively alternating current (AC) driving signals. As the absorption and modulation of e-skin within the part of X-ray is very small, the element does not have to be exchanged, but can be used for any examination. Another advantage is that the e-skin can be arranged on or integrated in the paddle provided in front of the breast tissue (viewed in direction of the X-ray radiation), such that once the breast has been radiated, no medically relevant intensity modulations are changed by absorption of the paddle with an e-skin layer. Thus, instead of assessing the breast compression via the force applied to the arm pressing down the paddle, the correct amount of breast compression for a specific patient's breast can be determined. For example, the current pressure and the breast outline can be used to predict a target outline with assumed optimum pressure and this can be visualized on the compression element. Thus, the technician would not have to deal with the force or pressure as an indirect physical property anymore, but could perform compression directly matching the actual and optimum contour of the breast. Further, in another embodiment, the touch sensor could identify skin folds, e.g. areas where the skin overlaps and as the result produces dips within the breast height. This would avoid two consequences: i) skin folding is especially painful under high pressure, ii) diagnostic image quality, but especially quantitative or physical measurements related from the mammogram, e.g. breast density assessment, suffering from skin folds. According to an aspect, it is possible to provide the information visualization and the pressure sensing using the same e-skin layer. An integrated touch sensing is of particular interest because no additional components are needed which could attenuate or modulate the X-ray.
These and other aspects of the present invention will become apparent from and be elucidated with reference to the embodiments described hereinafter.
BRIEF DESCRIPTION OF THE DRAWINGS
Exemplary embodiments of the invention will be described in the following with reference to the following drawings:
Fig. 1 shows an exemplary embodiment of a compression element in a schematic illustration in perspective view;
Fig. 2 shows a further embodiment of a compression element;
Figs. 3 and 4 show perspective views of a compression element in relation with a mammography imaging system during an examination of a patient;
Fig. 5 shows a schematic cross section of a compression element in a further exemplary embodiment;
Fig. 6 shows a section of a plan view of a compression element in an exemplary embodiment;
Figs. 7 to 9 show further cross sections through exemplary embodiments of a compression element;
Fig. 10 shows a further exemplary embodiment of a compression element in relation with a mammography system during an examination of a patient;
Fig. 11 shows a schematic setup of a mammography imaging system according to an exemplary embodiment;
Fig. 12 shows basic steps of an exemplary method for mammography examinations;
Figs. 13 to 15 show photographic illustrations of the drawings of Figs. 3, 4, and 10. DETAILED DESCRIPTION OF EMBODIMENTS
Fig. 1 shows a perspective view of a compression element 10 for a breast holding arrangement for mammography examinations. The compression element 10 comprises a supporting structure 12, indicated with dotted lines only, and a first surface 14 and a second surface 16. The supporting structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination. The first and second surfaces 14, 16 are attached to the support structure 12. The first and second surfaces 14, 16 are arranged facing in opposite directions, for example in the Fig. 1 showing the first surface facing upwards and the second surface facing downwards. The second surface 16 is provided to compress the breast under examination. The first surface 14 is provided to be visible to a user. At least one of the first surface 14 and the second surface 16 is provided as an optically adaptable surface 18, and the first and second surfaces are provided to be at least temporarily partly transparent.
In one example, the first surface 14 is provided as the optically adaptable surface 18 and the second surface 16 is at least partly transparent. In another example, the second surface 16 is provided as the optically adaptable surface 18 and the first surface 14 is at least partly transparent.
For example, as shown in Fig. 2, the optically adaptable surface 18 is provided with a controllable pixel matrix 20 configured to provide textual and/or graphical data visualization, not further shown.
According to a further example, also shown in relation with the above- mentioned features, but not meaning a necessary component of the above described example, the pixels are provided in an imaging area 22 of the compression element 10, wherein the pixels are provided as a passive-matrix with switching elements 24, i.e. transistor elements or circuit components, arranged outside the imaging area 22. The switching elements are provided for controlling the pixels of the pixel array. Although the switching elements are shown, they are hidden behind a housing or other structure and are thus not visible to a user. It is further noted that the switching elements are indicated schematically only; in reality they are much smaller than shown in Fig. 2.
For example, in a first state the compression element is at least partly transparent, and in a second state, the compression element is non-transparent. This can be seen, for example, in Figs. 3 and 4, where in Fig. 3 the compression element shows graphical and textual information 26, whereas in Fig. 4, the compression element 10 is opaque. Instead of the non-transparency, the compression element can have a reduced transparency in which the breast is hardly visible. The lower light transmission may be provided with respect to a certain part of the optical spectrum, for example, to the range of visible light wavelengths.
In a further example (not shown), the graphical and textual information 26 is presented also at least partly during a part of the second state.
Thus, the first surface 14 is provided as an adaptable display surface for providing positioning and/or compression information to the user as shown in Fig. 3. For example, the textual and/or graphical data visualization is provided in the transparent or partly transparent state and in the non-transparent state, too. In the non-transparent state, the patient's view onto the breast is blinded. For example, the first surface non-transparent in the second state, as indicated above.
The term "non-transparent" refers to an opaque state, i.e. a state with no light transmission. The term also refers to a state with no direct light transmission, but with indirect light transmission such that light is transmitted in a diffuse manner, which is also referred to as translucent.
According to an alternative, the first surface is at least partly transparent. In a first state, the second surface is at least partly transparent, and in a second state, the second surface is non-transparent.
The information may comprise positioning and compression aid. The information is provided in a graphical manner, e.g. text or graphic instructions, such as outlines of a breast, contacting surfaces of a breast and the like. The optically adaptable surface is configured to show, e.g., a coarse visualization of a previous examination, as mentioned above. The optically adaptable surface is configured to show patient information in a further example. The optically adaptable surface may also be configured to show distraction to the user.
The first surface may be configured to provide graphical positioning information, as the one shown in Fig. 3, indicated with reference numeral 26, in accordance with a determined mammography examination, that may comprise an X-ray mammography image acquisition, ultrasound mammography image acquisition, positron emission mammography imaging, and/or magnetic resonance mammography imaging.
Fig. 5 shows a schematic cross-section of an example, where the first surface 14 is provided with a layer comprising electronic ink 28, wherein the change of the optical appearance is based on in-plane electrophoresis. The electronic ink is driven, although not further shown, i.e. controlled by applying an external DC electric field.
The first surface may be provided as a bi-stable display, wherein the power supply is required only for the change of the display content. The display content is maintained without applying electric power.
The first surface may be provided as a layer with electronic ink, wherein the change of the optical appearance is based on electro -wetting.
For providing electric energy, photovoltaic cells or battery power supply can be integrated in the compression element.
For providing electric energy, a wireless power supply via inductive coupling with a mounting structure may be provided.
According to a further example, indicated in Fig. 6, the first surface 14 is provided with an adaptable display layer 30 with a plurality of first sub-areas 32 arranged in a distance to each other. The first surface is also provided with a switchable layer 34 to regulate a grade of transparency of second sub-areas 36, provided between the first sub-areas 32.
According to a further example, the second surface 16 is provided with pressure sensitive sensors 38 for measuring touch and/or pressure acting on the breast to be examined. For example, the pressure sensitive sensors 38 are provided as a resistive or capacitive touch sensing layer 40, as shown in Fig. 7.
In another example, for at least partly transparent pressure sensing, transparent carbon-nanotube based pressure sensors are provided. For example, a stretchable capacitor with transparent electrode is provided. Under ressure, for example when stretched or pressed, the distance of the capacitor layers is changed, and a pressure can be determined based on a change in capacitance.
According to a further example (not shown in detail), the first surface is provided as an interactive surface for control of mammography examinations. For example, the surface is provided at least with some touch sensitive areas which are provided for entering commands in relation with a mammography examination. For example, a pressure force can be manually adapted or set. Further, the interactive surface can be provided for manual feedback or for entering a response to indicated issues or questions, e.g. while being guided through the preparation steps for the mammography scan. The interactive surface is provided to be activated by the staff member(s) operating the mammography system.
Alternatively or in addition, the interactive surface is provided to be activated by the person currently examined.
Fig. 8 shows a further example, wherein the pressure sensitive sensors 38 are provided as a pressure sensitive layer 42 with electronic ink 44, to which ink an AC field is applied.
The applied pressure is determined by a) measuring an area A where the breast touches the second surface; b) measuring a compression force F by the mounting structure that applies the compression force; c) computing an average pressure P via P = F/A; and as an option d) indicating to further compress or decompress via comparison with an optimum pressure, for example derived from empiric data.
Alternatively, the applied pressure can be directly estimated from the movement and count of e-ink particles within the observed areas of the pressure sensitive layer. In another embodiment, more than one layer of e-skin could be employed to directly measure the pressure onto the breast during compression and visualize it to the technician. By that, critical areas with high pressure can be identified soon, and the breast can be
repositioned or the compression force can be adapted in order to maintain patient comfort. The current pressure and the breast outline can be used to predict a target outline with assumed optimum pressure. The target outline is presented on the optically adaptable surface. The pressure sensitive layer is configured to detect and identify skin folds, i.e. areas where the skin overlaps.
According to a further example, shown in Fig. 9, a first layer 46 with electronic ink is provided as the optically adaptable surface, and a second layer 48 is provided with electronic ink as the pressure sensitive layer 42. For example, both layers are provided on the lower side, i.e. on the side of the second surface 16. Thus, the upper side, i.e. the first surface 14 is only provided as a cover.
According to a further example, although not further shown, the arrangement is provided vice versa, i.e. the double electronic ink layers 46, 48 are provided on the first surface 14.
In another example, the pressure sensitive layer determines the applied pressure and the optically adaptable surface provides respective compression information and instructions to a user.
In another example, only one layer of electronic ink is provided with combining DC and AC current to provide different functions of the single electronic ink layer.
Fig. 10 shows a further example of the compression element 10 during examination. Compression information is provided by the optically adaptable surface 18, for example indicating a pressure valve 50. Further, an outline 52 is indicated with a dashed line. Still further, an image, for example a previously acquired or only recently acquired X-ray image 54 is shown overlaid to the breast arranged underneath the compression plates.
Fig. 11 shows a mammography imaging system 100, comprising an imaging device 110, a processing unit 112, and a breast holding arrangement 114. The imaging device is configured to acquire image data of a breast to be examined. The breast holding
arrangement 114 comprises a support element 116, supporting the breast during the imaging procedure, and a compression element 118 for applying a compression force during the imaging procedure. The compression element is provided as a compression element according to one of the above-mentioned examples. Further, a base structure is indicated in form of a housing structure 120. The imaging device 110 is an X-ray imaging system, radiating an X-ray beam, indicated with dotted lines 122. Further, a detector 124 is shown to be part of the imaging device 110.
A first double-arrow 125 indicates the height adaptability of the whole system, whereas a second double-arrow 126 indicates the movement possibility of the support element 116 in relation with the compression element 118.
According to a further example, the breast holding arrangement is provided with measurement sensors (not further shown) for measuring a compression force F applied to the breast between the support element 116 and the compression element 118.
Further, Fig. 12 shows a method 200 for mammography examinations, comprising the following steps: In a first sub-step 210, a breast to be examined is arranged between a support element and a compression element, and the breast is compressed in a second sub-step 212. The first and second sub-steps are referred to as a first step. In a second step 214, an optically adaptable first surface is adapted, which first surface is provided to be visible to a user, such that the visible adaptable surface is changed. For example, the compression element is changed into a non-transparent second state. In a third step 216, a determined examination of the breast is conducted, wherein the examination comprises acquiring at least one image of the breast.
The first step with the first sub-step 210 and the second sub-step 212 is also referred to as step a), the second step 214 as step b), and the third step 216 as step c).
Fig. 13 shows a photographic illustration of the line drawing of Fig. 3, Fig. 14 shows a photographic illustration of Fig. 4, and Fig. 15 shows a photographic representation of Fig. 10. In another exemplary embodiment of the present invention, a computer program or a computer program element is provided that is characterized by being adapted to execute the method steps of the method according to one of the preceding embodiments, on an appropriate system.
The computer program element might therefore be stored on a computer unit, which might also be part of an embodiment of the present invention. This computing unit may be adapted to perform or induce a performing of the steps of the method described above. Moreover, it may be adapted to operate the components of the above described apparatus. The computing unit can be adapted to operate automatically and/or to execute the orders of a user. A computer program may be loaded into a working memory of a data processor. The data processor may thus be equipped to carry out the method of the invention.
This exemplary embodiment of the invention covers both, a computer program that right from the beginning uses the invention and a computer program that by means of an up-date turns an existing program into a program that uses the invention.
Further on, the computer program element might be able to provide all necessary steps to fulfil the procedure of an exemplary embodiment of the method as described above.
According to a further exemplary embodiment of the present invention, a computer readable medium, such as a CD-ROM, is presented wherein the computer readable medium has a computer program element stored on it which computer program element is described by the preceding section.
A computer program may be stored and/or distributed on a suitable medium, such as an optical storage medium or a solid state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the internet or other wired or wireless telecommunication systems.
However, the computer program may also be presented over a network like the World Wide Web and can be downloaded into the working memory of a data processor from such a network. According to a further exemplary embodiment of the present invention, a medium for making a computer program element available for downloading is provided, which computer program element is arranged to perform a method according to one of the previously described embodiments of the invention.
It has to be noted that embodiments of the invention are described with reference to different subject matters. In particular, some embodiments are described with reference to method type claims whereas other embodiments are described with reference to the device type claims. However, a person skilled in the art will gather from the above and the following description that, unless otherwise notified, in addition to any combination of features belonging to one type of subject matter also any combination between features relating to different subject matters is considered to be disclosed with this application.
However, all features can be combined providing synergetic effects that are more than the simple summation of the features.
While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive. The invention is not limited to the disclosed embodiments. Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practicing a claimed invention, from a study of the drawings, the disclosure, and the dependent claims.
In the claims, the word "comprising" does not exclude other elements or steps, and the indefinite article "a" or "an" does not exclude a plurality. A single processor or other unit may fulfil the functions of several items re-cited in the claims. The mere fact that certain measures are re-cited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. Any reference signs in the claims should not be construed as limiting the scope.

Claims

CLAIMS:
1. A compression element (10) for a breast holding arrangement for
mammography examinations, comprising:
a supporting structure (12);
a first surface (14); and
- a second surface (16);
wherein the supporting structure is configured to be attached to a mounting structure for exerting a compression force on a breast under examination;
wherein the first and second surfaces are attached to the support structure; and wherein the first and second surfaces are arranged facing in opposite directions;
wherein the second surface is provided to compress the breast under examination;
wherein the first surface is provided to be visible to a user;
wherein at least one of the first surface and the second surface is provided as an optically adaptable surface (18); and
wherein the first and second surfaces are provided to be at least temporarily partly transparent.
2. Compression element according to claim 1, wherein the optically adaptable surface is provided with a controllable pixel matrix (20) configured to provide textual and/or graphical data visualization.
3. Compression element according to claim 2, wherein the pixels are provided in an imaging area (22) of the compression element; and
wherein the pixels are provided as a passive-matrix with switching elements (24) arranged outside the imaging area.
4. Compression element according to claim 1, 2 or 3, wherein in a first state, the compression element is provided with a first grade of light transmission, in which the compression element is at least partly transparent such that a patient's compressed breast is visible to a user and/or the patient, and in a second state, the compression element is provided with a second grade of light transmission, in which the light transmission is reduced such that the breast is invisible to a user and/or the patient;
wherein preferably in a first state, the compression element is at least partly transparent, and in a second state, the compression element is non-transparent.
5. Compression element according to one of the preceding claims, wherein the first surface is configured to provide graphical positioning information (26) in accordance with a determined mammography examination comprising:
i) X-ray mammography image acquisition;
ii) ultrasound mammography image acquisition;
iii) positron emission mammography imaging; and/or
iv) magnetic resonance mammography imaging.
6. Compression element according to one of the preceding claims, wherein the first surface is provided as a layer comprising electronic ink (28), wherein the change of the optical appearance is based on in-plane electrophoresis.
7. Compression element according to one of the preceding claims, wherein the first surface is provided with an adaptable display layer (30) with a plurality of first sub-areas
(32) arranged in a distance to each other; and
wherein the first surface is also provided with a switchable layer (34) to regulate a grade of transparency of second sub-areas (36) provided between the first sub- areas.
8. Compression element according to one of the preceding claims, wherein the first surface is provided as an interactive surface for control of mammography examinations.
9. Compression element according to one of the preceding claims, wherein the second surface is provided with pressure sensitive sensors (38) for measuring touch and/or pressure acting on the breast to be examined; and
wherein the pressure sensitive sensors are provided as:
a resistive or capacitive touch sensing layer (40); or a pressure sensitive layer (42) with electronic ink (44), to which ink an AC field is applied.
10. Compression element according to claim 9, wherein a first layer (46) with electronic ink is provided as the optically adaptable surface and a second layer (48) with electronic ink is provided as the pressure sensitive layer.
1 1. A mammography imaging system (100), comprising:
an imaging device (1 10);
- a processing unit (1 12); and
a breast holding arrangement (1 14);
wherein the imaging device is configured to acquire image data of a breast to be examined;
wherein the breast holding arrangement comprises a support element (1 16) supporting the breast during the imaging procedure, and a compression element (1 18) for applying a compression force during the imaging procedure;
wherein the compression element is provided as a compression element according to one of the preceding claims.
12. Mammography imaging system according to claim 1 1 , wherein the breast holding arrangement is provided with measurement sensors for measuring a compression force (F) applied to the breast between the support element and the compression element.
13. A method (200) for mammography examinations, comprising the steps:
a) arranging (210) a breast to be examined between a support element and a compression element and compressing (212) the breast; wherein during the arranging, the compression element is provided in a first at least partly transparent state;
b) adapting (214) an optically adaptable of a first surface, which is provided to be visible to a user, such that the visible appearance is changed; and
c) conducting (216) a determined examination of the breast; wherein the examination comprises acquiring at least one image of the breast.
14. A computer program element for controlling an apparatus according to one of the claims 1 to 12, which, when being executed by a processing unit, is adapted to perform the method step of claim 13.
15. A computer readable medium having stored the program element of claim 14.
PCT/IB2013/054445 2012-06-25 2013-05-29 Optically adaptable breast compression element WO2014001925A1 (en)

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MX2014015236A MX2014015236A (en) 2012-06-25 2013-05-29 Optically adaptable breast compression element.
US14/407,977 US10238343B2 (en) 2012-06-25 2013-05-29 Optically adaptable breast compression element
JP2015519391A JP2015522337A (en) 2012-06-25 2013-05-29 Optically adaptable chest compression element
BR112014031967A BR112014031967A2 (en) 2012-06-25 2013-05-29 compression element for a breast-fixation arrangement for mammography examinations, mammography imaging system, method for mammography examinations, computer program element for device control, and computer readable media
RU2015102138A RU2015102138A (en) 2012-06-25 2013-05-29 OPTICALLY ADAPTABLE ELEMENT FOR BREAST COMPRESSION
EP13737860.0A EP2863804B1 (en) 2012-06-25 2013-05-29 Optically adaptable breast compression element
CN201380033921.1A CN104411247B (en) 2012-06-25 2013-05-29 Optics adaptability breast compression element

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US61/663,642 2012-06-25

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MX2014015236A (en) 2015-03-05
US20150164426A1 (en) 2015-06-18
BR112014031967A2 (en) 2017-06-27
CN104411247B (en) 2017-09-12
EP2863804B1 (en) 2016-11-30
US10238343B2 (en) 2019-03-26
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JP2015522337A (en) 2015-08-06
EP2863804A1 (en) 2015-04-29

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