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Comparison of Breast Percent Density Estimated from Digital Mammograms and Central Reconstructed Tomosynthesis Slice Images

Predrag R. BakicContact Information, Despina KontosContact Information, Andrea B. TroxelContact Information and Andrew MaidmentContact Information

(1)  Dept. Radiology, University of Pennsylvania, 3400 Spruce St., 19104 Philadelphia, PA
(2)  Dept. Biostatistics and Epidemiology, University of Pennsylvania, 632 Blockley Hall – 423 Guardian Drive, Philadelphia, PA, 19104-6021
Abstract
We analyzed breast percent density (PD) estimated from 35 women with existing or recently detected abnormalities. Analyzed were digital mammograms (DM) and the central digital breast tomosynthesis (DBT) reconstructed slices. PD was estimated from the breast contralateral to cancer. We have examined the effect of modifying the DBT reconstruction filter on the accuracy of dense tissue segmentation; we selected the filter that effectively reduced image intensity overshoot near the breast edge, which interfered with segmentation. The Pearson correlation coefficient between PD estimates from DM and the central reconstructed DBT slices was r = 0.90. The corresponding quadratic-weighted kappa coefficient was κ = 0.78, indicating substantial agreement. The observed results are comparable with the agreement between PD estimates from DM and the central DBT projection images (r = 0.89 and κ = 0.74). This suggests that PD is robust to variations in acquisition conditions.

Keywords  Breast percent density - digital breast tomosynthesis - filtered backprojection - Pearson correlation - Kappa statistics


Contact Information Predrag R. Bakic
Email: Predrag.Bakic@uphs.upenn

Contact Information Despina Kontos
Email: Despina.Kontos@uphs.upenn

Contact Information Andrea B. Troxel
Email: ATroxel@mail.med.upenn.edu

Contact Information Andrew Maidment
Email: Andrew.Maidment@uphs.upenn
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