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Computer-Aided Detection (CAD) Mammography by iCAD

March 13th, 2006 Medgadget Editors Radiology

Siemens Medical Solutions has announced that it will offer Computer-Aided Detection (CAD) mammography system as an option for use with its MAMMOMAT® NovationDR full-field digital mammography system. The TotalLook system, manufactured by Nashua, NH based company iCAD, Inc., assists radiologists in comparing breast images year-to-year to detect even subtlest changes that may be indicative of breast cancer.
Company describes some of the options, available on its POWERLook™ machine:

Magnify
More than just a regional zoom. Magnify any area on the view by moving the area of interest box over the section, a high resolution view of the section will appear in the box to the right at your choice of 2X, 4X or 8X centered anywhere on the mammogram. Then power the section box around the view to see anywhere you want to take a closer look. Information about the area of interest is shown in text below the magnified view such as size of area and number of calcifications.
Window / Level
Window and level each image to see more detail at various levels of gray. The two monitors to the right show the area of interest at the normal window and level and at a darker one on the right. Window and Level can be achieved by three different methods: dynamically, via custom presets or automatically. To dynamically change W/L, move the mouse while holding the right mouse button down and roll up and down for window and left and right to change level. Four custom levels can be set for each of the buttons at the bottom left on the screen. Touch a button and the window and level automatically updates to the new value. Or Autorange with the Dmin/Dmax button. POWERLook automatically ranges the view between the brightest and darkest area shown. No need to glide through W/L changes.

Rules / Grids
Simply click once on the full-size view to see ruler tic marks or click twice to see grid marks. Actual metric sizes are shown in reference to the view and the magnified area of interest. And best of all the rules automatically track with the magnification so that you can track actual size even when under a tight magnification.
Flip
Flip allows you to flip the one view that was upside down right side up without having to redo the case.
Invert
Invert the grayscale and see the information from another perspective, it may be just the view that you need to pick up a subtle detail

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