Estimation of adipose compartment volumes in CT images of a mastectomy specimen

Abdullah Al Zubaer Imran, David D. Pokrajac, Andrew D.A. Maidment, Predrag R. Bakic

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

8 Scopus citations


Anthropomorphic software breast phantoms have been utilized for preclinical quantitative validation of breast imaging systems. Efficacy of the simulation-based validation depends on the realism of phantom images. Anatomical measurements of the breast tissue, such as the size and distribution of adipose compartments or the thickness of Cooper's ligaments, are essential for the realistic simulation of breast anatomy. Such measurements are, however, not readily available in the literature. In this study, we assessed the statistics of adipose compartments as visualized in CT images of a total mastectomy specimen. The specimen was preserved in formalin, and imaged using a standard body CT protocol and high X-ray dose. A human operator manually segmented adipose compartments in reconstructed CT images using ITK-SNAP software, and calculated the volume of each compartment. In addition, the time needed for the manual segmentation and the operator's confidence were recorded. The average volume, standard deviation, and the probability distribution of compartment volumes were estimated from 205 segmented adipose compartments. We also estimated the potential correlation between the segmentation time, operator's confidence, and compartment volume. The statistical tests indicated that the estimated compartment volumes do not follow the normal distribution. The compartment volumes are found to be correlated with the segmentation time; no significant correlation between the volume and the operator confidence. The performed study is limited by the mastectomy specimen position. The analysis of compartment volumes will better inform development of more realistic breast anatomy simulation.

Original languageEnglish
Title of host publicationMedical Imaging 2016
Subtitle of host publicationPhysics of Medical Imaging
EditorsDespina Kontos, Joseph Y. Lo, Thomas G. Flohr
ISBN (Electronic)9781510600188
StatePublished - 2016
EventMedical Imaging 2016: Physics of Medical Imaging - San Diego, United States
Duration: Feb 28 2016Mar 2 2016

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
ISSN (Print)1605-7422


ConferenceMedical Imaging 2016: Physics of Medical Imaging
Country/TerritoryUnited States
CitySan Diego

Bibliographical note

Publisher Copyright:
© 2016 SPIE.


  • Anthropomorphic breast phantoms
  • anthropometry of adipose compartments
  • manual segmentation
  • mastectomy specimen
  • reconstructed CT image slices

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Biomaterials
  • Atomic and Molecular Physics, and Optics
  • Radiology Nuclear Medicine and imaging


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