Reliable detection of abnormalities – with CAD

In the process of image interpretation, it is paramount to detect even the most subtle lesions, including clustered microcalcifications, spiculated and non-spiculated masses as well as architectural distortions.

Computer-aided detection (CAD) is a widely accepted clinical tool serving as a “second reader,” assisting clinicians by drawing their attention to suspicious areas in mammograms that require further review. With its ever-increasing accuracy, CAD has become an integral part of the digital mammography workflow, assisting you in the detection of cancer in its earliest and most easily treatable stage.

And with the newest version of syngo MammoCAD*, up to 40 percent** of normal cases show no false positive CAD marks, saving the clinician valuable interpretation time during the second read phase.

In combination with the syngo MammoReport, you will benefit from additional optional syngo MammoCAD features including: breast density in the MammoBrowser; customized display of CAD markers; additional CAD information that provides the number of calcifications in a cluster; and a corridor of interest for the identification of marked lesions in a second view using CAD findings.
syngo MammoReport

“Using syngo MammoCAD is really helpful going through the 40-60 mammograms and screenings I review every morning. I used to review all the possibilitiesto find even smaller lesions. The second reader tool is beneficial and helps me with my second review.”
Karsten Ridder, MD, Radiological Group Practice, Outpatient Clinic Professor Dr. Uhlenbrock and Partners, Diagnostic Breast Center, St. Josefs-Hospital, Dortmund-Hoerde, Germany

Clinical cases

Obvious mass
This case demonstrates a small spiculated mass (15 mm), in the right breast. The breast contains scattered fibro-glandular densities (breast density 2), allowing for easy identification of the mass. The mass is detected in both views. There are no false marks.

Subtle small mass
(seen fully in only one view) There is a subtly spiculated 10 mm mass deep in the left breast. This case is interesting because the mass is so deep that it is only partially visualized in the CC view. In spite of this, the algorithm detected the mass in both views. The breast is fatty (breast density 1). There are no false marks.

Subtle cluster
(in extremely dense breast) This is a case of a cluster of mamma carcinomas. The breast is extremely dense (breast density 4), with a very low contrast between the breast tissue and the calcifications, making the finding subtle. The cluster is detected in both views of the left breast. There are 2 false mass marks in the left CC view, representing normal parenchyma, and one false mass mark in the left MLO view overlying the head of the humorus in the left shoulder.

Subtle asymmetric density
(in dense breast) This is a case of asymmetric density, with ill defined area of increased density in the right breast. The breast is heterogeneously dense (breast density 3), making the finding subtle. The asymmetric density was detected in both views, with an ellipse that is somewhat smaller than the area of asymmetry. There is one false mass in the left breast which represents an area of normal breast parenchyma.
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* Not available for sale in the U.S.
** Results may vary. Data on file.

Clear analysis of dense breast tissue – with Ultrasound

Another challenge in breast screening is the imaging of dense breast tissue.
According to the New England Journal of Medicine, women with dense breasts have an increased risk for breast cancer. Using ultrasound as an adjunct to mammography may increase the detection of abnormalities that may not have been visualized using other diagnostic procedures.

Unlike the conventional, handheld ultrasound acquisition technique, where the user moves a transducer over the breast, clinician scan now utilize an automated, single-sweep volume acquisition technique with the ACUSON S2000 Automated Breast Volume Scanner (ABVS) that produces standardized, reproducible ultrasound volumes for improved diagnostic confidence, especially for women with dense breast tissue. The system also features the intuitive, anatomical coronal plane, not available with conventional ultrasound. This view provides a more understandable representation of the global anatomy and architecture of the breast.
ACUSON S2000™ Automated Breast Volume Scanner

An innovative, mobile in-suite design combines the advanced ACUSON S2000™ ultrasound system with a transducer specifically designed for automated ultrasound breast volume imaging.
To further optimize high-volume patient care, the system also supports innovative breast imaging applications, such as fatty tissue and eSie Touch™ elasticity imaging. In addition, Advanced SieClear™ spatial compounding with Dynamic TCE™ contrast enhancement technology enhances the image resolution of ultrasound.
ACUSON S2000™ ultrasound system

Clarification of eventualities – with Magnetic Resonance

There are more patients with screening or early diagnosis challenges such as patients with breast implants and patients who are considered high-risk for breast cancer based on their genetic predispositions. In such cases, a solution is needed that provides high accuracy in differentiating soft tissues; a solution that can also be used for biopsies, and that supports real-time analysis data as well as interventional procedure planning.

All the magnetic resonance systems from our MAGNETOM® family, equipped with our syngo VIEWS (Volume Imaging with Enhanced Water Signal) and powered by Tim® (Total imaging matrix), offer that – and much more, such as pristine image quality for excellent imaging and increased diagnostic confidence.