Introduction

Breast cancer is believed as one of the significant health issues across the world that develops from breast tissue. About 25% of cases of diseases among women are the causes of breast cancer globally each year1,2. Above 2 million breast cancer cases are diagnosed worldwide every year, and the death rate is alarming. The survival rate can be drastically increased by early detection that allows urgent treatment for recovery as well as a comfortable diagnosis. In 2018, GLOBALCAN recorded 8.6 million cancer cases for women, among them, maximum cancer cases (24.2%) were identified from breast cancer, as shown in Fig. 1.

Figure 1
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Pie Chart of recorded 2018 woman cancer cases7.

X-ray mammography, ultrasound imaging (USI), magnetic resonance imaging (MRI) are the conventional methods for the detection of breast cancer. But the missed detection rate is quite high in some cases up to 4% to 34%3. Likewise, ionization from the X-ray mammography has a severe threat to health; even repeated examination could develop cancer inside women’s body4. In most cases, patients feel uncomfortable for unusual breast compression during the diagnosis process. A non-ionizing and more sensitive way of detection is introduced as an MRI for detecting breast cancer with high efficiency, but the main drawbacks are expensiveness and low specificity, which cause inaccurate diagnoses5. Another alternative method is USI that has 17% of false detection record6. Consequently, an easy, inexpensive, and non-ionizing method is highly desirable for the systematic assessment of breast health.

Recent studies show that the electrical properties of normal and malignant cells have a significant difference3,8. This key factor is exploited in microwave imaging (MI) techniques in breast health monitoring for its wide range of advantages9,10,11. Because of having no ionizing radiation, it can be a promising candidate as a replacement for X-ray mammography. Primarily two significant types of imaging are used for various purposes, one is microwave tomography12, which maps the distribution of dielectric properties of the object; and another one is radar-based imaging13,14 that maps the position of brightest scattering objects in the imaging domain. The antenna acts as the transducer in the MI system where one antenna transmits a low power microwave signal through the target, and the other antennas receive the scattered signals. The scattered signals vary due to the different dielectric properties of healthy and cancerous tissue. Microwave imaging draws attention to this field as it can detect the tumors with different sizes and locations with an accuracy of up to 90%15.

Microwave imaging works on two principal methods, radar-based techniques, and microwave tomography. The radar-based technologies work on mapping the breast tissue by analyzing backscattering signals affected by a different dielectric of tissues. In microwave tomography, nonlinear and ill-posed contrary scattering signals are calculated to reconstruct the breast properties. The practical measurements can be inspected in both the frequency domain and the time domain16. Among them, the frequency domain method is better because the inadequate signal to noise ratio is displayed in the time domain. Currently, two types of systems used for breast cancer detection, which are multistatic and monostatic radar-based systems, are being investigated widely. The multistatic system consists of an antenna array and a complex switching network17. Most of the cases, more than four antenna units are used to collect scattered signals to form a high-resolution image. Additionally, the accuracy is enhanced by using lower frequency signals that can penetrate deep inside the human tissue, but this results in lower resolution image. To overcome this problem, the multi-static radar-based system helps to improve the resolution with a complex switching network, which captures more data and additional features. On the other hand, the monostatic system uses a single or a pair of antennas and works on a higher frequency above 4 GHz. Therefore, the antenna performance relates to bandwidth, gain, radiation pattern directionality, and antenna efficiency.

In recent years, researchers reported several body area networks18,19 and broadband antenna based health monitoring system, including breast tumor detection10,17,20,21,22. Up-To-Date technology is the reflection of the recent comprehensive imaging system for medical applications. A tomography system consisting of an array of 16 monopole antenna were developed by Meaney et al. in 201423, where the authors propose an updated rotating bi-static angle-bent antenna24. In the system, the patient lies in the horizontal posture, and the antenna array is set to vertical orientation surrounding the breast to collect the monotonous microwave signals. A forward solver then calculates the simulated signals and compares to the measured data to estimate the property of the breast. A multi-static radar-based imaging system was proposed by Klemm et al. where the UWB antenna array was used for sensing25,26. The antennas are positioned in a semicircular layout, and while running the experiment, an integrated short pulse is generated with a vector network analyzer. The Delay and Sum (DAS) algorithm is used to reconstruct the breast image to identify the tumor from the reflected signals. Preece et al. reported the breast tumor detection prototype for clinical evaluation27. A mono-static radar-based imaging system has been proposed by Fear et al. using a single Vivaldi antenna that is attached to a mechanical arm28,29. By using the DAS algorithm, the image is generated from the signals recorded from multiple antenna positions like the multi-static method. Several clinical trials have been run using the system and the results were presented in literature30. Furthermore, Porter et al. have developed a time-domain system consisting of an antenna array for breast examination31. The received signals are analyzed, and the relative permittivity of the breast tissue is estimated. By determining the variation in dielectric properties, the presence of malignant cells is predicted.

Different kinds of methods like metamaterial structures32,33,46,47, metalens34, electromagnetic bandgap structure (EBG)35, artificial magnetic conductor (AMC)36, metadeflectors37, and metasurfaces38,39 have been introduced to modify the Electromagnetic wave for performance improvement. For the enhancement of the bandwidth, gain and isolation capabilities of antenna parameter, metamaterial structure, and split ring resonators are drawing attention day by day. Metamaterial denotes an artificial material construction with a special kind of electromagnetic properties that do not exist in nature. A metamaterial structure can be fitted in the antenna ground for increasing isolation between the antenna radiators that results in either negative permeability, permittivity or both (double negative metamaterial) at the same time. It can control the electromagnetic waves and efficiently transmits the signals due to its negative properties. Several additional designs with different behaviors have been proposed earlier, including near-zero permittivity or Epsilon-Near-Zero (ENZ)32. Near zero permeability is familiar as mu-near zero (MNZ), which is a special property of metamaterial that draws much interest in microwave applications33. This structure has the frequency-dispersive efficient permeability that can turn out to be zero at a specific frequency. This properties of MNZ makes the structure well suited for several attractive microwave application, including metamaterial lens and absorbers. Several left-handed metamaterials were reported having different types of structure like SRRs40, Multiple SRRs41, fishnet structures42, spiral SRRs43, double-sided SRRs44, cut wire pairs45, broadside-coupled SRRs46, etc. The substantial broad bandwidth is achieved by using non-resonant metamaterial structures47,48. By implementing metasurfaces the antenna gain has improved38. The MS was used to manipulate the main and side lobes of the Vivaldi antenna. An alternative for a beamforming array antenna is proposed by introducing MS that is simpler and economical39. The design of arbitrary bifunctional CP meta-devices was introduced by implementing unit cell of four-layer metallic patches49. To achieve the narrow frequency band, the unit cell spectrum and the range are being curbed and make the complexity of fabricating and implementing in antennas. However, these problems have been investigated and addressed with varying degrees of success, resulting in expansion of the metamaterial utilization on various aspects electromagnetic applications including antenna performance enhancement.

In this paper, the authors presented an imaging system prototype for monitoring breast health and early detection of breast tumors. The system employs a 16-antenna array, where eight antennas act as transmitters and another eight antennas act as receivers. The antenna is inspired by index near zero metasurfaces, which helps to achieve high gain and directional radiation. The proposed IC-DMAS algorithm is used to generate the high-resolution images from the lab-made heterogeneous breast phantom screening. The images with identified multiple tumor objects are also presented. The numerical SMR values are also presented to validate system performance.

Imaging System Setup

System design

The imaging system aims to recognize the variations in backscattered signal with the lab-made heterogeneous phantom that holds different dielectric properties of human breast tissue (skin, fat, gland), including the tumor with high dielectric. A computerized system is developed where a single computer controls all the units where antenna work as a transceiver and the scattered signals are accumulated by a Vector Network Analyzer (VNA). The block diagram of the proposed imaging system is shown in Fig. 2. The MI system comprises of a 16-metasurface loaded antenna array, two switching matrices (9-port each), a mechanical rotating platform, VNA, the MATLAB based signal processing as well as image reconstruction algorithm. The antennas are installed in a cylindrical arrangement where the transmitting and receiving antennas are interleaved. The lab-based breast phantom is placed inside the array. The turntable rotates the array in a complete rotation around the phantom for taking every 7.2-degree scanned position of in total (8 × 8 × 50) data. Nφ = 50 equally spaced points then collect the data. The complex S-parameters (frequency domain), S (f, tx, rx, φ) data is captured, where f denotes the frequency, rx = 1, 2… 8 and tx = 1, 2… 8 are the receiving and transmitting antennas, respectively, and φ is the orientation of the rotating platform. The system operates in the 2.7 to 8.0 GHz bandwidth with 201 points evenly spaced through the band.

Figure 2
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Imaging system block diagram.

Antenna design

Metasurface unit cell design

The antenna design starts with designing a metasurface (MS) unit cell. The main target is to design a unit cell allowing resonance in the ultra-wideband (UWB) frequency range (3.1–10.6 GHz). The miniature structure is achieved by employing a complementary split-ring resonator (CSRR). The split-ring resonator (SRR) is conventional in metasurface that is artificially produced to generate anticipated magnetic predisposition in numerous kinds of MS up to 200 THz50. Two opposite concentric split rings construct the SRR structure that is magnetically resonant and induces a vertical magnetic field. This vertical magnetic field often infers negative permittivity values. The split gap between the ring produces capacitance that helps to control the resonance of the structure. The CSRR proposed in this paper is the combination of multiple SRR structures, which gives more control over resonance and is illustrated in Fig. 3(a). The simulation is conducted using Computer Simulation Technology (CST) software in the finite-difference time-domain (FDTD) method to analyze S-parameters. Rogers RT5880 is used as a substrate which has a permittivity, loss tangent, and thickness of 2.2, 0.0009 and 1.57 mm, respectively. Figure 3b shows orientation of the simulation setup. The equivalent circuit diagram of the unit cell is illustrated in Fig. 3(c). This unit cell has been developed in terms of the transmission line principle, where a single patch act as a series RLC circuit. This type of structure is analyzed and utilized as a passive LC circuit that interacts with a single resonant frequency, which is governed by the following equation,

$$f=\frac{1}{\pi \sqrt{{\rm{LC}}}}$$
(1)

where L denotes the lumped inductance, and C denotes the lumped capacitance. The split inside the metal loop represents capacitance, and the metal loops form inductance.

Figure 3
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(a) Top view of MS unit cell, (b) Simulation setup, (c) Equivalent circuit diagram. (Optimized parameters: W = 5 mm, L = 5 mm, L1 = 4 mm, L2 = 3 mm, L3 = 1.5 mm, L4 = 0.43 mm, t1 = 0.25 mm, t2 = 0.5 mm, t3 = 0.25 mm, t4 = 0.5 mm, g1 = g2 = g3 = 0.25 mm).

The combination of the split and electric field generates electric resonance; on the other hand, the magnetic fields and the metal loops form magnetic resonances when electromagnetic wave illuminates the structure. The formation of capacitance between the split can be explained with the following equation,

$$C={\varepsilon }_{0}{\varepsilon }_{r}\frac{A}{d}(F)$$
(2)

here, ε0 represents free space, and εr is relative permittivity, the area of the split is A, and d stands for the split length which is “g” in the proposed structure. The equivalent inductance is calculated according to the transmission line principle mentioned in literature51.

$$L(nH)=2\times {10}^{-4}l\,[\mathrm{ln}(\frac{l}{w+t})+1.193+0.02235\frac{w+t}{l}]\,{K}_{g}$$
(3)

where, l = length of microstrip line, w = width of microstrip line, t = thickness of microstrip line, correction factor = Kg = 0.57–0.145 ln \({\rm{In}}\frac{w^{\prime} }{h^{\prime} },w^{\prime} \) means the thickness of the substrate and h′ means the width of the substrate. Both the external and internal inductance must be considered to determine the total inductance.

The S-parameters of the unit cell are illustrated in Fig. 4a. The transmission peak is obtained at 7.2 GHz. The Nicolson-Ross-Weir method is used to extract the constitutive parameters from S-parameters. Among the parameters, permittivity (εr), permeability (µr), and the refractive index (ηr) is shown in Figs. 4b, 5a,b, respectively. The equations used to calculate the values are provided in literature52. It is proving that the zero-index point is recorded throughout the UWB band, and the area of |re(n)| < 1 is in a wideband frequency span at the diagonal incident. It is prominent that the metasurfaces exhibit 0 < μ < 1 (MNZ) in the non-resonant regions, which can be non-dispersive through the wideband frequency. It helps the equivalent efficient refractive index to become near-zero as much of the operating band as possible. Therefore, the proposed metasurface can be represented as an index near zero metasurfaces (INZ).

Figure 4
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(a) S-parameters, (b) Permittivity.

Figure 5
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(a) Permeability, (b) Refractive Index.

Integration of MS with antenna

The directional radiation and high gain antenna that operates in lower frequency are preferable for microwave breast imaging system. The design starts with a conventional Vivaldi antenna. Rogers RT5880 substrate is used as the middle layer between the radiating elements in which permittivity, loss tangent, and thickness are 2.2, 0.0009 and 1.57 mm, respectively. A total of 12 MS unit is placed at the bottom radiator on an alignment of 5–3–3–1 from the top. The tapered slot is printed on the top, which acts as a radiator. To match the impedance, several side slots are etched from both ends of the bottom radiator where they help prevent reflected power. Zohu et. al.53 and Sun et. al.54 describe how metasurface can be used to enhance the gain of the directional antenna.

Thus, the first target of designing high gain Vivaldi antenna based on MS is to choose proper MS structure. Figure 6 shows the design geometry and fabricated prototype with a top and bottom view. Figure 7(a) shows the effect of introducing the MS structure into the antenna. It is observed that without affecting the bandwidth, the gain has increased at a significant rate. Being an INZ structure, most of the radiated power can be transmitted through the MS that increases the electrical length of the signal and largely impacts on gain enhancements. From the measured reflection coefficient (S11) illustrated in Fig. 7(b), the operating bandwidth is recorded from 2.7–11.2 GHz at −10dB scale. The realized gain curve is also presented in Fig. 7(c) for both the prototype with and without MS. It is observed that the average realized gain is 7.4dBi with a maximum of 9.3dBi at 5 GHz, where the average gain was 6.9dBi with a maximum of 8.4dBi before the implementation of the metasurface at the frequency range of 2.7 GHz to 8 GHz.

Figure 6
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Antenna design geometry and fabricated prototype. (a) Top view, (b) Back view, (c) Fabricated top side and (d) Fabricated back side. (Optimized parameters: f1 = 27.07 mm, f2 = 12.13 mm, r = 9.46 mm, d = 12.76 mm, L = 77.72 mm, W = 60 mm, d1 = 26.72 mm, g = 2 mm, d2 = 7 mm, d3 = 25.72 mm, d4 = 18 mm, d5, d12 = 16 mm, d6 = 13 mm, d7 = 11 mm, d8 = 8 mm, d9 = 4 mm, d10, d11 = 18 mm, d13 = 14 mm, d14 = 12 mm).

Figure 7
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Effects of MS and without MS on reflection coefficient and realized gain (a) Simulated result (b) Measured reflection coefficient, (c) Measured peak realized gain.

To clarify the antenna radiation performance, the normalized 2D and 3D radiation pattern of the prototype is plotted in Fig. 8 for two non-identical frequencies of 3.2 and 6.4 GHz. Here, the XZ (ϕ = 0) is considered E-plane. The near field measurement shows that the antenna radiation is directional, and the primary radiation is directed towards the boresight. The main lobes are stable to the end-fire direction for both lower and higher frequencies, which is desirable for MI applications.

Figure 8
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Simulated and measured radiation pattern at (a) 3.2 GHz and (b) 6.4 GHz.

Phantom fabrication and measurement

The heterogeneous phantom is fabricated and measured using the methods described in literature55. The dielectric properties of several tissues are characterized by permittivity, which is the mean of complex-valued dielectric,

$$\varepsilon (\varepsilon ={\varepsilon }_{r}+i\sigma /\omega {\varepsilon }_{0})$$
(4)

where εr stands for dielectric constant, and σ means the conductivity of the tissue in contradiction of frequency. ε0 is the dielectric permittivity of vacuum, and ω is angular frequency. The heterogeneous phantom is fabricated. The preparation method and materials are the same, but the concentration of the materials is varied to match the dielectric constant of the tissue type being represented. For heterogeneous phantom, propylene glycol, gelatin, distilled water, safflower oil, surfactant (xanthan gum), and formalin (37% formaldehyde solution) are used. Distilled water is used to control the dielectric properties of each layer. After the preparation of each layer, the construction procedure is given in step by step format in Fig. 9. The measured dielectric constant and conductivity of each layer against frequency are shown in Fig. 10.

Figure 9
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Heterogeneous phantom: (a) initial phantom with skin and fat layer (b) insertion of glandular layer (c) phantom with skin, fat and gland layer (Phantom A) and (d) phantom with single tumor inserted (Phantom B), (e) phantom with two tumors inserted (Phantom C).

Figure 10
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(a) Dielectric constant and (b) conductivity of each layer of the heterogeneous phantom.

Image reconstruction algorithm

The process of eliminating the reflections from the skin is critical as the scattered signal from the air-skin interface is orders of magnitude stronger in terms of power than the scattered reflections from the tumors. Rotation subtraction depends on a contrast within an original illumination, and at best single rotated illumination56. In such systems, the antenna array is positioned around the region of interest. The offset data is collected by rotating the phantom once the data is recorded for the original radiance.

The S (f, tx, rx, φ) is divided into two different matrices on the origin of φ being even and odd, or Seven (f, tx, rx, φeven) and Sodd (f, tx, rx, φodd), respectively, where φeven = 2,4,6, … Nφ and φodd = 1,3,5, … Nφ−1. Thus, Sodd can be considered original illumination while Seven is the ‘offset’ illumination. Then, rotation subtraction is applied by just calculating the variance between the matrices.

$${{S}}_{{skin}{\_}{removed}}(f,\,tx,rx,\,{\phi }_{odd})={{S}}_{{odd}}(f,\,tx,rx,\,{\phi }_{odd})-{{S}}_{{even}}(f,\,tx,rx,\,{\phi }_{even}).$$
(5)

After adjusting for the skin reflections, the signals are converted to the time domain using the Inverse Fourier Transform to create Γ(t, tx, rx, φodd). Then, the data in the Γ(t, tx, rx, φodd) is processed via the Delay-Multiply and-Sum (DMAS) algorithm57 for the reconstruction of image58.

Typically, DAS based methods perform poorly in environments where reflections off more than one scattering object must be considered. Typically DMAS produces higher contrast images using the correlation process compared to other DAS based methods59. But the previous studies show that the algorithm performance is degraded in high noise environments and multi-cyst scenarios. It also has comparatively low-resolution aspects against minimum variance60. So, in this work, we modify the conventional DMAS algorithm by approaching delay calculation correction and iteration of the corrected values up to convergence.

The 3D Cartesian coordinates of every single point of imaging domain are demonstrated as i’ by three matrices C, where the total number of points is denoted by i’. The patterns ATx and ARx suppress the coordinates of the transmitting and receiving antennas, individually. Being static, in the imaging domain, the rotating antennas alter their position from the points that need to be recreated. Therefore, ATxφodd and ARxφodd are created by defining the antenna positions for all units while setting in initial orientation. From C, ATxφodd, and ARxφodd, the PTxφodd-C and PC-Rxφodd are evaluated by considering the distance from every single point towards the transmitting as well as receiving antennas. In this study, air (theoretically speed of light) is considered as the background medium and divided by the overall distance to generate the proper delay, τ(i, tx, rx, φodd).

$$\tau (i,tx,rx,{\phi }_{odd})=\frac{\sqrt{{\varepsilon }_{b}}({P}_{Tx{\phi }_{odd}-C}(i,tx,l)+{p}_{C-Rx{\phi }_{odd}}(i,rx,l))}{c}$$
(6)

where εb is the background medium dielectric constant. The delay is resulting from the projected smallest distance and reflected the signal from C(i). After that, the delays are employed to the signals to deliver the appropriately delayed signals. Then, the delayed signals are pairwise multiplied, as illustrated in eq. Seven and summed to determine the scattering intensity at the given point in the region of interest. The pairwise multiplication rewards coherent signals with higher values, thus improving its performance over conventional DAS31.

$${\varUpsilon }_{DMAS}(i)={\int }_{-\infty }^{\infty }\mathop{\sum }\limits_{{\phi }_{odd}=1}^{N/2}\mathop{\sum }\limits_{tx=1}^{Tx}\mathop{\sum }\limits_{rx=1}^{Rx}\mathop{\sum }\limits_{{\phi ^{\prime} }_{odd}={\phi }_{odd}}^{N/2}\mathop{\sum }\limits_{tx^{\prime} =tx}^{Tx}\mathop{\sum }\limits_{rx^{\prime} =rx+1}^{Rx}[\begin{array}{c}\varGamma (t-\frac{\tau (i,tx,rx,{\phi }_{odd})}{\Delta t},tx,rx,{\phi }_{odd})\\ \times \varGamma (t-\frac{\tau (i,tx^{\prime} ,rx^{\prime} ,{\phi ^{\prime} }_{odd})}{\Delta t},tx^{\prime} ,rx^{\prime} ,{\phi ^{\prime} }_{odd})\end{array}]dt$$
(7)

Calculation correction

As the dielectric materials lessen the signal propagation speed, the resulting time delay must be higher. As a result, in a region of C, a higher value of ϒ can be referred to as the region with increased dielectric constant. The additional time can be adjusted by suitably increasing the distances in τ calculations. An iterative approach is introduced for determining the most fitted delay and scattering intensity map (SIM) valuation since the adjustments of τ render to an enhanced estimation of the SIM. Though, the direct use of ϒ can lead the iterative process to become vulnerable and sensitive to noise levels. To overcome this scenario, a distance inverse weighted integral averaging is considered for the reproduction of leveled SIM, ϒ ′(i). This technique is used to reflect the 3D Green function for electromagnetic signals.

$${\Upsilon }^{\prime} (i)={\int }_{C}\frac{{{\Upsilon }}_{DMAS}^{n-1}(i)}{1+{p}_{C-C}(i,j)}dj.$$
(8)

Then, the modified delay is calculated using the subsequent equation:

$$\tau ^{\prime} (i,tx,rx,{\phi }_{odd})=\tau (i,tx,rx,{\phi }_{odd})+\frac{{\Upsilon }^{\prime} (i)}{c}$$
(9)
$${\varUpsilon }_{DMAS}(i)={\int }_{-\infty }^{\infty }\mathop{\sum }\limits_{{\phi }_{odd}=1}^{N/2}\mathop{\sum }\limits_{tx=1}^{Tx}\mathop{\sum }\limits_{rx=1}^{Rx}\mathop{\sum }\limits_{{\phi ^{\prime} }_{odd}={\phi }_{odd}}^{N/2}\mathop{\sum }\limits_{tx^{\prime} =tx}^{Tx}\mathop{\sum }\limits_{rx^{\prime} =rx+1}^{Rx}[\begin{array}{c}\varGamma (t-\frac{\tau ^{\prime} (i,tx,rx,{\phi }_{odd})}{\varDelta t},tx,rx,{\phi }_{odd})\\ \times \varGamma (t-\frac{\tau ^{\prime} (i,tx^{\prime} ,rx^{\prime} ,{\phi ^{\prime} }_{odd})}{\varDelta t},tx^{\prime} ,rx^{\prime} ,{\phi ^{\prime} }_{odd})\end{array}]dt.$$
(10)

The SIM is reconstructed based on the new set of delays. Finally, the termination criterion inspects for convergence. Equations 9,10 are iteratively evaluated for n = 1, 2…. 7.

$${E}_{\varUpsilon }={\varSigma }_{\forall i}|{{\Upsilon }}_{DMAS}^{n}-{{\Upsilon }}_{DMAS}^{n-1}.$$
(11)

The iterative process is precipitately terminated when Eϒ reduces to the anticipated level of precision as convergence has already been achieved. In this work, Eϒ < 10−5 is used.

Imaging results and numerical analysis

The experimental imaging system, while taking data, is shown in Fig. 11. Two heterogeneous phantoms having different numbers of tumor inserted are considered for measurements. Sixteen antenna array elements are placed surrounding the phantom. The data is collected for further post-processing to generate images. The post-processed images are presented in Fig. 12. The tumor regions are indicated in the figure using red circles. The images on the left side show results from conventional DMAS and the images on the right show the iterative variant of DMAS results.

Figure 11
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Imaging system setup for data collection.

Figure 12
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Imaging results for DMAS(Left) and Proposed IC-DMAS algorithm for two different phantoms using antenna without MS, (a) Phantom with a single tumor and (b) Phantom having two tumors.

The iterative correction technique converged after only seven iterations as the original values of ϒ were low, resulting in only minor delay variation. Thus, the iterated images were enhanced slightly over DMAS on the left and the modified delay DMAS on the right. Here we present the imaging data using our two antenna prototype with and without MS. Figure 12 shows the imaging data for the antenna without MS. In Fig. 12(a), a point of high contrast to the fat material together with some lower intensity clutter for DMAS on the left. The highest contrast is formed slightly further from the center than expected resulting in some localization error. This occurs potentially due to the underestimation of the average dielectric constant of the imaging domain. The image on the right visibly shows the noise reduction attained by applying the iterative technique while enhancing the tumor response. Furthermore, the peak response is shifted more towards the center, which reduces the localization error. Figure 12(b) shows two distinct clutters indicating the presence of two tumors along with some ‘halo effect’ and ‘ghosting’ around tumors potentially due to multiple reflections from the tumors for normal DMAS. For normal DMAS the screening is unable to detect the 2nd tumor. The ghosting complicates diagnosis and tumor localization significantly. The enhanced image is much clearer than the left side in terms of ghosting and also manages to detect the second tumor.

In the 2nd scenario of screening using the proposed antenna with MS the imaging results are presented in Fig. 13. More prominent and noise free images are achieved in this case. Figure 13(a) shows the single tumor response for both DMAS and IC-DMAS algorithm. The images are identical but in the 2 tumor phantom images IC-DMAS perform well by eliminating noise and ghosting and successfully detecting two tumors after removing localization errors. Furthermore, tumor size and shape are more easily recognizable. The overall signal to mean ratio (SMR) results show noticeable improvements for tumor detection in both cases (with and without MS antenna) using the iterative method, as highlighted in Table 1 and Table 2.

Figure 13
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Imaging results for DMAS(Left) and Proposed IC-DMAS algorithm for two different phantoms using the proposed antenna with MS, (a) Phantom with a single tumor and (b) Phantom having two tumors.

Table 1 Signal to Mean Ratio, in dB, for phantoms B, C for antenna without MS.
Table 2 Signal to Mean Ratio, in dB, for phantoms B, C for antenna with MS.

The performance of the reconstruction algorithms can be evaluated by the Signal to Mean ratio (SMR). The calculation is shown in the following equation.

$$SMR=\frac{MaximumTumorEnergy}{MeanEnergy}$$
(12)

The SMR defines the ratio of maximum backscattered tumor energy to the average energy response from backscattering signals at the same sample.

The signal to mean ratio for the DMAS and IC-DMAS is compared to the modified algorithm in Table 1 and Table 2 below. The signal to mean ratio is substantially improved in both phantoms studied. The signal to mean ratio is calculated by averaging the values of ϒ across the volume of the tumor and determining its ratio to the overall average of ϒ in the reconstructed image. The antenna with MS shows better performance in this numerical study for both single and double tumor detection scenarios.

A detailed comparison of the proposed system with literature is presented in Table 3. The parameters considered of comparison are the type of antenna, operating frequency, No. of antenna element/scanning position, type of system, Frequency/Time-domain measurement, and Types of phantom and number of tumors detected. The proposed system can successfully detect multiple objects.

Table 3 Comparison of the different imaging system with the proposed one.

Conclusion

The design of a microwave imaging system comprising of metasurface loaded high gain antenna array is presented in this work. The proposed antenna achieved high gain with directive radiation after loading 12 complementary split-ring resonators (CSRR) structure index-near-zero metasurface on the ground plane. The antenna operates between 2.7–11.2 GHz, which covers the operating band of the switching matrix (10 MHz–8 GHz), and maximum gain 9.2dBi is achieved at 5 GHz. A cylindrical arrangement of 16 antenna elements fitted on a mechanical rotating platform is used for screening. A set of realistic heterogeneous breast phantoms is fabricated, measured and compared with the real human breast tissue dielectric properties. After achieving a good agreement, the phantoms are used for testing the system efficiency. A single PC unit controls the rotating and switching mechanism through a customized MATLAB based imaging program. An iterative variant of delay multiply and sum (IC-DMAS) algorithm is used for getting a clearer image and remove skin artifact, ghosting and halo effect around the tumors. After collecting the scattered signal from the proposed system, the data is further processed and analyzed. The imaging results from the testing system are presented and the MS based system can detect multiple abnormalities. By using the proposed INZ metasurface loaded antenna, 16 array element system, and IC-DMAS algorithm, the work presented in this article can detect tumor clusters inside the human breast that can be efficient, viable and low-cost complement to the conventional imaging systems.