Mass detectability in dedicated breast CT: A simulation study with the application of volume noise removal

Dedicated breast Computed Tomography (CT) is an emerging new technique for breast cancer imaging. Breast CT data can be acquired at a dose level as low as the conventional two-view mammography. Since the dose is equally split into hundreds of projection views, each projection image contains non-ignorable quantum noise. This study is aimed at investigating how volume noise removal affects the mass detectability in breast CT. A Partial Diffusion Equation (PDE) based denoising technique was applied before the reconstruction of either a simulated breast volume embedded with a contrast-detail mass phantom or a real human subject breast CT volume embedded with a simulated spherical mass. By applying a mathematical observer, it is found that the PDE volume noise removal technique improves the mass detectability in breast CT in a statistically significant sense.