The content on this page is intended to healthcare professionals and equivalents.
Tomosynthesis
High quality images for easier diagnosis
Tomosynthesis: making it possible to observe the internal structure of the breast
In breast tomosynthesis, the X-ray tube moves through an arc while acquiring a series of low-dose X-ray images.
The images taken from different angles are reconstructed into a range of Tomosynthesis slices where the structure of interest is always in focus.
The reconstructed tomographic images make it easier to identify lesions which might be difficult to visualize in routine mammography because of the presence of overlapping breast structures.
![[photo] 2D mammography image of breast tissue compared to Excellent-m 3D image of breast](https://asset.fujifilm.com/www/ca/files/2024-09/7e14c4018fc508a1df947bdabe9b35ca/pic_amulet-innovality_01.jpg)
S-View (synthesized 2D image) function is available
Tomosynthesis by ASPIRE Cristalle automatically produces not only tomograms obtained at 1 mm intervals but also a two- dimensional S-View image combining multiple slice images.
With the S-View image showing the overall view added to tomograms offering the views in detail, comprehensive image reading is possible.
![[photo] Multiple slice images of breast tissue combine into S-view image of tissue](https://asset.fujifilm.com/www/ca/files/2024-09/26d16e39a5eb97b28deabd4af851534d/pic_amulet-innovality_02.jpg)
ISR (Iterative Super Reconstruction)
The tomosynthesis iterative super-resolution reconstruction (ISR) method is applied to optimize image quality, achieving significant X-ray dosage reduction.
1. Reducing graininess of image in low-dose tomography
The image patterns are recognized to selectively suppress the patterns that do not exist in human body architectures as noise, to reduce distractive noises in the event of low-dose tomography.
2. Suppressing interference of human body architectures at different depths (as illustrated on the right)
In the process of reconstructing the 3D breast architecture from multiple 2D images, calcification, mass, spicula, mammary gland and other signals that emerge from different depths in the breast architecture are selected off to reproduce the breast architecture at the focus depth with greater fidelity.
3. Restoring the fine-structure
Our super-resolution technology is introduced to restore the fine-structure of calcification and other phenomena, the visibility of which is impaired by the movement of the X-ray tube, to facilitate interpretation of tomosynthesis images.
![[image] Example of Tomosynthesis process and Artifact by Calcification in breast tissue](https://asset.fujifilm.com/www/ca/files/2024-09/ab5f624afe583007edd64d04473bbfe4/fig_amulet-innovality_03.jpg)
Offers significantly lower doses than the conventional method
With combination of 2D and Tomosynthesis Dose of 2 or less mGy is available*2
- *1 Equivalent to an image of 40 mm PMMA compared with previous images (Breast thickness of 45 mm, 50% mammary gland, 50% fat)
- *2 IAEA guidance level: 3 mGy, guidelines of the Japan Association of Radiological Technicians: 2 mGy
- *In-house comparison
Static face guard for Tomosynthesis imaging (Face Guard T Comfort)
Fixing the face guard to the device instead of the tube part eliminates movement of the face guard during Tomosynthesis imaging. It can also be used as-is for normal mammography imaging.
Shortens the imaging cycle with a fast display and reconstruction
After a shot, the next shot in either 2D or 3D can be started with a cycle time of approx. 15 seconds.
![[image] Process of Standard mode imaging from start of first shot to finish](https://asset.fujifilm.com/www/ca/files/2024-09/3fda5bd565c7c8a65e65cc5819df0804/fig_amulet-innovality_08.png)
Advanced Biopsy Systems
Supports a variety of approach for patients
Biopsy Solution - 50μm image solution
The system is designed to support flexible positioning of tube and detector, from -90°to +90°. Ergonomically designed arm rests and disposable soft pads ensure patient comfort and safe positioning.
![[photo] Close-up view of Biopsy Positioner - 50μm image solution](https://asset.fujifilm.com/www/ca/files/2024-09/75859bd5404d761b5a4347d9cf37e2ab/pic_amulet-innovality_02.jpg)
- Irradiation field size can be easily adjusted, depending on breast size and procedure needs. Convenient spacers can be used in order to perform needle positioning in extremely thin breasts, too.
- Full AEC automatic function is available for both scout (2D) and Tomosynthesis exposures.
- Prior images and studies can be viewed during biopsy, to further improve accuracy.
- Variable image resolution for different needs
Lateral approach
Thanks to the adapter, needle positioning can be performed both vertically and laterally. Access to the compressed breast in two directions ensures precise targeting of lesions which might be to difficult position.
Supports a variety of needles
Both CNB/FNB/Hook wire and VAB needles can be used in a wide range of sizes, for various models and manufacturers.
- *Refer to technical specifications and to local representatives for further information.
Tomosynthesis Biopsy
Targeting is supported using both tomosynthesis and stereotatic images: the choice depends on operator confidence and lesion positioning.
- Using a tomosynthesis image, it makes it possible to target the lesion which cannot be found on 2D image.
- Thanks to easier lesion position identification, tomosynthesis targeting results in a more efficient workflow and operation.
![[photo] Tomosynthesis Biopsy in realtime simulation with sample 2D image and Tomo X-rays results](https://asset.fujifilm.com/www/ca/files/2024-09/bf42a9e6319a6e6931b27065f40ab265/pic_amulet-innovality_06_revised.jpg)
Stereo imaging
- Overlapping breast structures make lesions less visible
- Difficult to identify a particular region
Tomosynthesis
- Reconstructed images show overlapping structures separately
- Easier to locate a target than with the conventional method
- Both Tomosynthesis and stereotactic support for needle positioning
The highest image quality and workflow efficiency for interventional procedures.
- * Some items are optional, please contact your subsidiary for the details.