Utilizing post-imaging surveys to guide development of photoacoustic computed technology for breast imaging

Am J Surg. 2026 Apr:254:116828. doi: 10.1016/j.amjsurg.2026.116828. Epub 2026 Jan 17.

Abstract

Objective: Current breast imaging has limitations. Mammography uses radiation and compression; ultrasound depends on user expertise; MRI requires time and intravenous contrast. Development of novel technologies for breast imaging may be improved with patient surveys.

Methods: Breast cancer patients scheduled for breast operations or undergoing neoadjuvant therapy were enrolled in studies to evaluate photoacoustic computed tomography (PACT) at a single institution. After each imaging session, the patients were surveyed. The survey included Likert scale, multiple choice, and open-ended questions.

Results: Of 49 patients, 86 % completed at least one survey with 42 % completing three. Survey completion took <10 min. Features assessed specific to the imaging technology included water bath, duration, positioning, and environment. Patients overwhelmingly reported ease of PACT over mammography and MRI. Suggestions included better cushioning, improved head support, well-fitting laser safety glasses.

Conclusion: Photoacoustic breast imaging is feasible to breast cancer patients. User feedback informs on clinical technology improvement.

Keywords: Feedback; Photoacoustic computed tomography; Survey; User acceptance.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms* / diagnostic imaging
  • Female
  • Humans
  • Middle Aged
  • Patient Satisfaction
  • Photoacoustic Techniques* / methods
  • Surveys and Questionnaires
  • Tomography, X-Ray Computed* / methods