Abstract: Systems and methods for automatically and dynamically modifying an image acquisition parameter for use in tomosynthesis breast imaging. A selected image acquisition parameter is modified in response to a measured characteristic of an imaged object such as a breast, and thus tailored to provide the highest quality image for the particular object. For example, image quality in a breast tomosynthesis system can be improved by dynamically varying motion and other acquisition parameters of the tomosynthesis system in response to physical characteristics of the breast to be imaged (determined during image acquisition), such as the breast thickness, density or composition.

Abstract: The present invention is methods for processing medical images so as to remove certain effects of the physical characteristics of the object being imaged and/or of the apparatus used to form the images. The invention further provides for the formation of a standardized image from the processed image and for the use of the standardized image or the processed image in the training of computer-aided detection/diagnosis algorithms. These algorithms may then be used to detect abnormalities in other standardized or processed images derived from any of a variety of image acquisition systems.

Abstract: A system and method for processing mammographic data are described. The system includes a user input/output system adapted and configured to receive from a user a user-defined scanning protocol that identifies the laterality and view type for each mammographic film in a film case to be scanned. A storage system stores the user-defined scanning protocol for subsequent use in scanning film cases. A scanning system scans film cases and generates digitized versions of each mammographic film. A processor then assigns laterality and view types to the digitized versions of the mammographic film according to the user-defined scanning protocol. The system also receives user alterations to stored scanning protocols. The system can also re-assign a case scanned according to one scanning protocol to another scanning protocol in response to a user's instruction to do so.

Abstract: A system and method for processing mammographic data are described. The system includes a user input/output system adapted and configured to receive from a user a user-defined scanning protocol that identifies the laterality and view type for each mammographic film in a film case to be scanned. A storage system stores the user-defined scanning protocol for subsequent use in scanning film cases. A scanning system scans film cases and generates digitized versions of each mammographic film. A processor then assigns laterality and view types to the digitized versions of the mammographic film according to the user-defined scanning protocol. The system also receives user alterations to stored scanning protocols. The system can also re-assign a case scanned according to one scanning protocol to another scanning protocol in response to a user's instruction to do so.

Abstract: Methods, systems, and computer program products for facilitating temporal comparison of medical images is provided, with one exemplary application being for breast mammograms. In one embodiment, prior and subsequent mammographic images of a breast acquired using at least partially different mammogram acquisition systems are displayed for simultaneous viewing on a same mammogram display at an identical tissue distance per unit display distance without requiring a scale-adjusting viewer input. Also described are other embodiments for optimally scaling, windowing and/or otherwise advantageously processing and/or displaying prior and subsequent mammographic image sets in manners that facilitate temporal comparison therebetween.

Abstract: Methods, systems, and related computer program products for processing and displaying computer-aided detection (CAD) information associated with medical breast x-ray images, such as breast x-ray tomosynthesis volumes and conventional x-ray mammograms, are described. For one preferred embodiment, CAD findings for several cases (or several individual data volumes) are selectively designated for marking such that a predetermined number of CAD findings per case (or per data volume) are marked for display across all of the cases (or data volumes). In another preferred embodiment, localized breast fibroglandular tissue density information is used together with certainty-of-finding information as a basis for selecting which candidate CAD findings to designate as marked CAD findings, with increased certainty-of-finding being required to mark CAD findings in regions of higher fibroglandular tissue density.

Abstract: Methods, systems, and related computer program products for processing and displaying computer-aided detection (CAD) information associated with medical breast x-ray images, such as breast x-ray tomosynthesis volumes, are described. An interactive graphical user interface for displaying a tomosynthesis data volume is described that includes a display of a two-dimensional composited image having slabbed sub-images spatially localized to marked CAD findings.

Abstract: Methods, systems, and related computer program products for computer-aided detection (CAD) of anatomical abnormalities in medical images are described. A preexisting CAD environment includes a review workstation and a primary CAD processor programmed with a primary CAD algorithm. Installed into the preexisting CAD environment is an auxiliary processing system programmed to receive a first CAD report from the primary CAD processor, apply an auxiliary CAD algorithm that is independent of the primary CAD algorithm to the underlying medical image, apply a voting algorithm to the primary and auxiliary CAD findings, and generate a second CAD report that includes the voting results. The second CAD report is configured to result in a rendering by the review workstation that is highly similar to a rendering that would result from the first CAD report except that the voted CAD findings are substituted in place of the primary CAD findings.

Abstract: A system and method for processing mammographic data are described. The system includes a user input/output system adapted and configured to receive from a user a user-defined scanning protocol that identifies the laterality and view type for each mammographic film in a film case to be scanned. A storage system stores the user-defined scanning protocol for subsequent use in scanning film cases. A scanning system scans film cases and generates digitized versions of each mammographic film. A processor then assigns laterality and view types to the digitized versions of the mammographic film according to the user-defined scanning protocol. The system also receives user alterations to stored scanning protocols. The system can also re-assigns a case scanned according to one scanning protocol to another scanning protocol in response to a user's instruction to do so.

Abstract: Managing a patient worklist in a radiology environment is described, the patient worklist identifying a plurality of medical imaging cases to be reviewed at a radiology review workstation. For each case, a set of CAD-computed metrics is received, the CAD-computed metrics being derived from an operation of a CAD processing algorithm on that case. According to a preferred embodiment, the cases in the patient worklist are sorted according to at least one of the CAD-computed metrics. The reviewing radiologist is provided with greater insight into, and control over, patient workflow at the radiology review workstation. Also described is a graphical user interface for easy user customization of the case sorting criteria. Examples of case sorting criteria include a number of CAD markers per case metric, a maximum suspiciousness metric, and an anatomical complexity metric.

Abstract: Methods, systems, and computer program products for facilitating temporal comparison of medical images is provided, with one exemplary application being for breast mammograms. In one embodiment, prior and subsequent mammographic images of a breast acquired using at least partially different mammogram acquisition systems are displayed for simultaneous viewing on a same mammogram display at an identical tissue distance per unit display distance without requiring a scale-adjusting viewer input. Also described are other embodiments for optimally scaling, windowing and/or otherwise advantageously processing and/or displaying prior and subsequent mammographic image sets in manners that facilitate temporal comparison therebetween.

Abstract: Display and navigation for multiple computer-aided detection (CAD) detections is described. A medical image is displayed to a viewer, and a request is received to instantiate CAD-assisted viewing. A timewise presentation sequence for the CAD detections is automatically computed according to a predetermined sequencing criterion. For each CAD detection, an expanded presentation window is displayed for its associated location in the medical image, the expanded presentation windows being displayed according to the timewise presentation sequence. Also described is a navigational tool comprising a plot of an operating curve onto which a computed feature associated with the CAD algorithm can be mapped, the operating curve characterizing an application of the CAD algorithm to a reference database of mammographic cases having known diagnoses.

Abstract: Display and navigation for multiple computer-aided detection (CAD) detections is described. A medical image is displayed to a viewer, and a request is received to instantiate CAD-assisted viewing. A timewise presentation sequence for the CAD detections is automatically computed according to a predetermined sequencing criterion. For each CAD detection, an expanded presentation window is displayed for its associated location in the medical image, the expanded presentation windows being displayed according to the timewise presentation sequence. Also described is a navigational tool comprising a plot of an operating curve onto which a computed feature associated with the CAD algorithm can be mapped, the operating curve characterizing an application of the CAD algorithm to a reference database of mammographic cases having known diagnoses.

Abstract: Methods, systems, and related computer program products for computer-aided detection (CAD) of anatomical abnormalities in a breast volume based on a plurality of two-dimensional x-ray tomosynthesis projection images thereof is described. Each projection image is processed according to at least one predetermined feature extraction algorithm to generate at least one projection feature array corresponding thereto. For each of the at least one predetermined features extracted, the plurality of corresponding projection feature arrays is backprojected according to a predetermined tomosynthesis reconstruction algorithm to form a plurality of two-dimensional tomosynthesis reconstructed feature arrays. Each pixel in the three-dimensional breast geometry is then individually classified as being either a pixel of interest, or not a pixel of interest, based upon the at least one tomosynthesis reconstructed feature array value corresponding to that pixel.

Abstract: The present invention is methods for processing medical images so as to remove certain effects of the physical characteristics of the object being imaged and/or of the apparatus used to form the images. The invention further provides for the formation of a standardized image from the processed image and for the use of the standardized image or the processed image in the training of computer-aided detection/diagnosis algorithms. These algorithms may then be used to detect abnormalities in other standardized or processed images derived from any of a variety of image acquisition systems.

Abstract: The present invention is methods for processing medical images so as to remove certain effects of the physical characteristics of the object being imaged and/or of the apparatus used to form the images. The invention further provides for the formation of a standardized image from the processed image and for the use of the standardized image or the processed image in the training of computer-aided detection/diagnosis algorithms. These algorithms may then be used to detect abnormalities in other standardized or processed images derived from any of a variety of image acquisition systems.

Abstract: A method, system, and method of doing business in a standards-based medical imaging environment is described in relation to the communication of computer-aided detection (CAD) results among devices, with one embodiment relating to the DICOM standard. CAD results are fixably integrated into the pixels of a secondary image derived from a source image, and the secondary image is transferred using a DICOM Secondary Capture Image Information Object Instance (SCI-IOI). The DICOM SCI-IOI is transferred to a viewing workstation, whereby a clinician can open, manipulate, and view the secondary image in a side-by-side comparison with the source image or derivative images thereof. Advantageously, CAD results are communicated to the clinician in a DICOM-conforming manner independent of whether the viewing workstation supports standard DICOM accommodations, such as CAD Structured Report Information Object Instances (CAD SR-IOIs), for the type of CAD results that need to be presented.

Abstract: A review workstation for facilitating interpretation of a medical image by a user is described. The review workstation comprises a display device displaying the medical image to the user, and an input device receiving a graphical identification of a region of interest (ROI) in the medical image that is interesting to the user. Responsive to the identification of the ROI, a content-based image comparison is performed between the ROI and a resource database, the resource database comprising a collection of resource images previously analyzed by human interpreters and textual information associated with those previous analyses. The content-based image comparison comprises identifying a subset of the resource images similar to the ROI with respect to a preselected set of computed features. The display device subsequently displays to the user at least one of the identified subset of resource images and its associated textual information simultaneously with the ROI.

Abstract: Facilitating analysis of one or more mammography images on a review workstation is described. A point or region of interest is identified in a first mammography image of a human breast. The distance between the point or region of interest and a point of reference, preferably the breast nipple, on the first mammography image is determined. A locus of points in a second mammography image of the breast is calculated, the locus of points representing potential locations corresponding to the point or region of interest in the first mammography image, and the calculation being based at least in part on the distance between the point or region of interest and the point of reference. The locus of points is then highlighted a user so as to facilitate a determination by the user of one or more locations in the second mammography image corresponding to the point or region of interest in the first mammography image.

Abstract: A system and method for processing mammographic data are described. The system includes a user input/output system adapted and configured to receive from a user a user-defined scanning protocol that identifies the laterality and view type for each mammographic film in a film case to be scanned. A storage system stores the user-defined scanning protocol for subsequent use in scanning film cases. A scanning system scans film cases and generates digitized versions of each mammographic film. A processor then assigns laterality and view types to the digitized versions of the mammographic film according to the user-defined scanning protocol. The system also receives user alterations to stored scanning protocols. The system can also re-assigns a case scanned according to one scanning protocol to another scanning protocol in response to a user's instruction to do so.