Three-dimensional quantitative ultrasound to guide pathologists towards metastatic foci in lymph nodes

Jonathan Mamou, Emi Saegusa-Beecroft, Alain Coron, Michael L. Oelze, Tadashi Yamaguchi, Junji MacHi, Masaki Hata, Eugene Yanagihara, Pascal Laugier, Ernest J. Feleppa

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The detection of metastases in freshly-excised lymph nodes from cancer patients during lymphadenectomy is critically important for cancer staging, treatment, and optimal patient management. Currently, conventional histologic methods suffer a high rate of false-negative determinations because pathologists cannot evaluate each excised lymph nodes in its entirety. Therefore, lymph nodes are undersampled and and small but clinically relevant metastatic regions can be missed. In this study, quantitative ultrasound (QUS) methods using high-frequency transducers (i.e., > 20 MHz) were developed and evaluated for their ability to detect and guide pathologists towards suspicious regions in lymph nodes. A custom laboratory scanning system was used to acquire radio-frequency (RF) data in 3D from excised lymph nodes using a 26-MHz center-frequency transducer. Overlapping 1-mm cylindrical regions-of-interest (ROIs) of the RF data were processed to yield 13 QUS estimates quantifying tissue microstructure and organization. These QUS methods were applied to more than 260 nodes from more than 160 colorectal-, gastric-, and breast-cancer patients. Cancer-detection performance was assessed for individual estimates and linear combinations of estimates. ROC results demonstrated excellent classification. For colorectal- and gastric-cancer nodes, the areas under the ROC curves (AUCs) were greater than 0.95. Slightly poorer results (AUC=0.85) were obtained for breast-cancer nodes. Images based on QUS parameters also permitted localization of cancer foci in some micrometastatic cases.

Original languageEnglish (US)
Title of host publication2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2012
Pages1114-1117
Number of pages4
DOIs
StatePublished - Dec 14 2012
Event34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2012 - San Diego, CA, United States
Duration: Aug 28 2012Sep 1 2012

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
ISSN (Print)1557-170X

Other

Other34th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS 2012
CountryUnited States
CitySan Diego, CA
Period8/28/129/1/12

ASJC Scopus subject areas

  • Signal Processing
  • Biomedical Engineering
  • Computer Vision and Pattern Recognition
  • Health Informatics

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