A Finite Element Model of the Breast for Predicting Mechanical Deformations during Biopsy Procedures

  • Authors:
  • Fred S. Azar;Dimitris N. Metaxas;Mitchell D. Schnall

  • Affiliations:
  • -;-;-

  • Venue:
  • MMBIA '00 Proceedings of the IEEE Workshop on Mathematical Methods in Biomedical Image Analysis
  • Year:
  • 2000

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Abstract

Currently, High Field (1.5T) Superconducting MR image-guided needle breast procedures allow the physician only to calculate approximately the location and extent of a cancerous tumor in the compressed patient breast before inserting the needle. It can then become relatively uncertain that the tissue specimen removed during the biopsy actually belongs to the lesion of interest. A new method for guiding clinical breast biopsy is presented, based on a deformable finite element model of the breast. The geometry of the model is constructed from MR data, and its mechanical properties are modeled using a non-linear material model. This method allows imaging the breast without compression before the procedure, then compressing the breast and using the finite element model to predict the tumor's position during the procedure. A patient's breast was imaged in a 1.5T magnet, first uncompressed, then fewer than two different plate compression amounts (12% and 26%). A deformable model of that breast was constructed. The model was deformed using virtual compression plates, and the displacements of a cyst, and of two vitamin E pills attached to the surface of the breast were recorded both in the real breast and in the deformable model. All of the simulations were done using custom-written software, and took less that a half-hour to complete. The results suggest that it is possible to create a deformable model of the breast based on the use of finite elements with non-linear material properties capable of modeling and predicting the deformation of the breast.