Integrating clinical research in an operative screening and diagnostic breast imaging department: First experience, results and perspectives using microwave imaging.

Journal article

Álvarez Sánchez-Bayuela, D., Giovanetti González, R., Aguilar Angulo, P.M., Cruz Hernández, L.M., Sánchez-Camacho González-Carrato, M.D.P., Rodríguez Sánchez, A., Tiberi, G. and Romero Castellano, C. (2023). Integrating clinical research in an operative screening and diagnostic breast imaging department: First experience, results and perspectives using microwave imaging. Heliyon. 9 (11), p. e21904. https://doi.org/10.1016/j.heliyon.2023.e21904
AuthorsÁlvarez Sánchez-Bayuela, D., Giovanetti González, R., Aguilar Angulo, P.M., Cruz Hernández, L.M., Sánchez-Camacho González-Carrato, M.D.P., Rodríguez Sánchez, A., Tiberi, G. and Romero Castellano, C.
AbstractClinical research is crucial for evaluating new medical procedures and devices. It is important for healthcare units and hospitals to minimize the disruptions caused by conducting clinical studies; however, complex clinical pathways require dedicated recruitment and study designs.This work presents the effective introduction of novel microwave breast imaging (MBI), via MammoWave apparatus, into the clinical routine of an operative screening and diagnostic breast imaging department for conducting a multicentric clinical study. Microwave breast imaging, using MammoWave apparatus, was performed on volunteers coming from different clinical pathways. Clinical data, comprising demographics and conventional radiologic reports (used as reference standard), was collected; a satisfaction questionnaire was filled by every volunteer. Microwave images were analyzed by an automatic clinical decision support system, which quantified their corresponding features to discriminate between breasts with no relevant radiological findings (NF) and breasts with described findings (WF). Conventional breast imaging (DBT, US, MRI) and MBI were performed and adapted to assure best clinical practices and optimum pathways. 180 volunteers, both symptomatic and asymptomatic, were enrolled in the study. After microwave images' quality assessment, 48 NF (15 dense) and 169 WF (88 dense) breasts were used for the prospective study; 48 (18 dense) breasts suffered from a histology-confirmed carcinoma. An overall sensitivity of 85.8 % in breasts lesions' detection was achieved by the microwave imaging apparatus. An optimum recruitment strategy was implemented to assess MBI. Future trials may show the clinical usefulness of microwave imaging, which may play an important role in breast screening. [Abstract copyright: © 2023 The Authors.]
KeywordsBreast imaging research; Microwave imaging; Microwave breast imaging; Breast lesions; Breast cancer
Year2023
JournalHeliyon
Journal citation9 (11), p. e21904
PublisherElsevier
ISSN2405-8440
Digital Object Identifier (DOI)https://doi.org/10.1016/j.heliyon.2023.e21904
https://doi.org/S2405-8440(23)09112-0
Publication dates
Online03 Nov 2023
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Accepted31 Oct 2023
Deposited29 Jan 2024
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Open
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Tiberi, G., Costagli, M., Biagi, L., Ciantis, A.D., Fontana, N., Stara, R., Symms, M.R., Cosottini, M., Guerrini, R. and Tosetti, M. (2016). SAR prediction in adults and children by combining measured B1+ maps and simulations at 7.0 Tesla. Journal of Magnetic Resonance Imaging. 44 (4), pp. 1048-1055. https://doi.org/10.1002/jmri.25241
Finite element method-based approach for radiofrequency magnetic resonance coil losses estimation
Giovannetti, G., Tiberi, G. and Tosetti, M. (2016). Finite element method-based approach for radiofrequency magnetic resonance coil losses estimation. Concepts in Magnetic Resonance Part B: Magnetic Resonance Engineering. 46B (4), pp. 186-190. https://doi.org/10.1002/cmr.b.21348
Skin Effect Estimation in Radiofrequency Coils for Nuclear Magnetic Resonance Applications
Giovannetti, G. and Tiberi, G. (2016). Skin Effect Estimation in Radiofrequency Coils for Nuclear Magnetic Resonance Applications. Applied Magnetic Resonance. 47, pp. 601-612. https://doi.org/10.1007/s00723-016-0780-x
Huygens Principle based UWB Microwave Imaging Method for Skin Cancer Detection
Ghavami, N, Tiberi, G, Ghavami, M, Dudley, S and Lane, ME (2016). Huygens Principle based UWB Microwave Imaging Method for Skin Cancer Detection. 10th IEEE/IET International Symposium on Communication Systems, Networks and Digital Signal Processing. Prague, Czech Republic 20 - 22 Jul 2016 Institute of Electrical and Electronics Engineers (IEEE).
Quadrature birdcage coil with distributed capacitors for 7.0 T magnetic resonance data acquisition of small animals
Stara, R., Tiberi, G., Gabrieli, M., Buonincontri, G., Fontana, N., Monorchio, A., Costagli, M., Symms, M.R., Retico, A. and Tosetti, M. (2015). Quadrature birdcage coil with distributed capacitors for 7.0 T magnetic resonance data acquisition of small animals. Concepts in Magnetic Resonance Part B: Magnetic Resonance Engineering. https://doi.org/10.1002/cmr.b.21271
Evaluation of 3D radio-frequency electromagnetic fields for any matching and coupling conditions by the use of basis functions
Tiberi, G., Fontana, N., Monorchio, A., Stara, R., Retico, A. and Tosetti, M. (2015). Evaluation of 3D radio-frequency electromagnetic fields for any matching and coupling conditions by the use of basis functions. Journal of Magnetic Resonance. 261, pp. 38-42. https://doi.org/10.1016/j.jmr.2015.09.015
Non-iterative beamforming based on Huygens principle for multistatic ultrawide band radar: Application to breast imaging
Ghavami, N., Smith, P.P., Tiberi, G., Edwards, D. and Craddock, I. (2015). Non-iterative beamforming based on Huygens principle for multistatic ultrawide band radar: Application to breast imaging. IET Microwaves, Antennas and Propagation. 9 (12), pp. 1233-1240. https://doi.org/10.1049/iet-map.2014.0621
Non-invasive assessment of Neuromuscular Disorders by 7 tesla Magnetic Resonance Imaging and Spectroscopy: Dedicated radio-frequency coil development
Retico, A., Stara, R., Fantacci, M.E., Toncelli, A., Galante, A., Florio, T.M., Alecci, M., Cosottini, M., Astrea, G., Battini, R., Tiberi, G., Costagli, M. and Tosetti, M. (2015). Non-invasive assessment of Neuromuscular Disorders by 7 tesla Magnetic Resonance Imaging and Spectroscopy: Dedicated radio-frequency coil development. 2015 IEEE International Symposium on Medical Measurements and Applications, MeMeA 2015. Torino, Italy 07 - 09 May 2015 Institute of Electrical and Electronics Engineers (IEEE). https://doi.org/10.1109/memea.2015.7145174
Assessment of Silent T1-weighted head imaging at 7 T
Costagli, M., Symms, M.R., Angeli, L., Kelley, D.A.C., Biagi, L., Farnetani, A., Rua, C., Donatelli, G., Tiberi, G., Tosetti, M. and Cosottini, M. (2015). Assessment of Silent T1-weighted head imaging at 7 T. European Radiology. 26, pp. 1879-1888. https://doi.org/10.1007/s00330-015-3954-2
Design of Interference-Resilient Medium Access for High Throughput WLANs
Reggiani, L., Gola, A., Maggio, G.M. and Tiberi, G. (2015). Design of Interference-Resilient Medium Access for High Throughput WLANs. International Journal of Distributed Sensor Networks. https://doi.org/10.1155/2015/659569
Local SAR in adults and children at 7T MR: Realistic estimation by the using of simulations
Fontana, N., Tiberi, G., Stara, R., Monorchio, A., Retico, A. and Tosetti, M. (2014). Local SAR in adults and children at 7T MR: Realistic estimation by the using of simulations. 2014 International Conference on Electromagnetics in Advanced Applications (ICEAA). 03 - 08 Aug 2014 https://doi.org/10.1109/iceaa.2014.6903858
Tissue Border Enhancement by inversion recovery MRI at 7.0 Tesla.
Costagli M, Kelley DA, Symms MR, Biagi L, Stara R, Maggioni E, Tiberi G, Barba C, Guerrini R, Cosottini M and Tosetti M (2014). Tissue Border Enhancement by inversion recovery MRI at 7.0 Tesla. Neuroradiology. 56, pp. 517-523. https://doi.org/10.1007/s00234-014-1365-8
Short-term side-effects of brain MR examination at 7 T: a single-centre experience.
Cosottini M, Frosini D, Biagi L, Pesaresi I, Costagli M, Tiberi G, Symms M and Tosetti M (2014). Short-term side-effects of brain MR examination at 7 T: a single-centre experience. European Radiology. https://doi.org/10.1007/s00330-014-3177-y
STEAM-MiTiS: An MR spectroscopy method for the detection of scalar-coupled metabolites and its application to glutamate at 7 T
Toncelli, A., Noeske, R., Cosottini, M., Costagli, M., Domenici, V., Tiberi, G. and Tosetti, M. (2014). STEAM-MiTiS: An MR spectroscopy method for the detection of scalar-coupled metabolites and its application to glutamate at 7 T. Magnetic Resonance in Medicine. 74 (6), pp. 1515-1522. https://doi.org/10.1002/mrm.25556
Huygens principle based imaging of multilayered objects with inclusions
Ghavami, N., Tiberi, G., Edwards, D.J., Safaai-Jazi, A. and Monorchio, A. (2014). Huygens principle based imaging of multilayered objects with inclusions. Progress In Electromagnetics Research B. 58, pp. 139-149. https://doi.org/10.2528/pierb13121002