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Published in: European Radiology 4/2004

01-04-2004 | Physics

Patient dose in full-field digital mammography: an Italian survey

Authors: Gisella Gennaro, Paola Baldelli, Angelo Taibi, Cosimo Di Maggio, Mauro Gambaccini

Published in: European Radiology | Issue 4/2004

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Abstract

The aim of this study was to compare performance and patient dose of full-field digital mammography units for clinical use. Measurements of linearity and automatic exposure control stability were performed on four units installed in as many Italian sites. The tube output was also obtained by the same ionization chamber, permitting to evaluate ratios mGy/mAs for each available spectrum. The entrance air-kerma was calculated over a sample of 800 cranio-caudal mammograms and the average glandular dose obtained, assuming two mean glandular compositions of 50 and 30%, respectively. Digital systems showed very good linearity and comparable responses. The stability of the automatic exposure control was better than 5% for all systems. Regarding doses, the two mammography units that work mainly in contrast mode deliver, respectively, 17 and 28% more dose compared with those working in standard mode. For the latter mode, the mean average glandular dose was in the range 1.25–1.37 mGy and 1.37–1.49 mGy for the 50 and 30% glandular composition, respectively. Results of this study were compared with those of other surveys, showing that full-field digital mammography allows a significant clinical dose reduction compared with screen/film mammography.
Literature
1.
go back to reference Venta LA, Hendrick RE, Adler YT et al. (2001) Rates and causes of disagreement in interpretation of full-field digital mammography and film-screen mammography in a diagnostic setting. Am J Roentgenol 176:1241–1248 Venta LA, Hendrick RE, Adler YT et al. (2001) Rates and causes of disagreement in interpretation of full-field digital mammography and film-screen mammography in a diagnostic setting. Am J Roentgenol 176:1241–1248
2.
go back to reference Lewin JM, Hendrick RE, D'Orsi CJ et al. (2001) Comparison of full-field digital mammography with screen-film mammography for cancer detection: results of 4945 paired examinations. Radiology 218:873–880PubMed Lewin JM, Hendrick RE, D'Orsi CJ et al. (2001) Comparison of full-field digital mammography with screen-film mammography for cancer detection: results of 4945 paired examinations. Radiology 218:873–880PubMed
3.
go back to reference Obenauer S, Luftner-Nagel S, Heyden D von, Munzel U, Baum F, Grabbe E (2002) Screen-film vs full-field digital mammography: image quality, detectability and characterization of lesions. Eur Radiol 12:1697–1702CrossRefPubMed Obenauer S, Luftner-Nagel S, Heyden D von, Munzel U, Baum F, Grabbe E (2002) Screen-film vs full-field digital mammography: image quality, detectability and characterization of lesions. Eur Radiol 12:1697–1702CrossRefPubMed
4.
go back to reference Hermann KP, Obenauer S, Funke M, Grabbe E (2002) Magnification mammography: a comparison of full-field digital mammography and screen-film mammography for the detection of simulated small masses and microcalcifications. Eur Radiol 12:2188–2191PubMed Hermann KP, Obenauer S, Funke M, Grabbe E (2002) Magnification mammography: a comparison of full-field digital mammography and screen-film mammography for the detection of simulated small masses and microcalcifications. Eur Radiol 12:2188–2191PubMed
5.
go back to reference Baum F, Fischer U, Obenauer S, Grabbe E (2002) Computer-aided detection in direct digital full-field mammography: initial results. Eur Radiol 12:3015–3017PubMed Baum F, Fischer U, Obenauer S, Grabbe E (2002) Computer-aided detection in direct digital full-field mammography: initial results. Eur Radiol 12:3015–3017PubMed
6.
go back to reference Fischer U, Baum F, Obenauer S, Luftner-Nagel S, Heyden D von, Vosshenrich R, Grabbe E (2002) Comparative study in patients with microcalcifications: full-field digital mammography vs screen-film mammography. Eur Radiol 12:2679–2683PubMed Fischer U, Baum F, Obenauer S, Luftner-Nagel S, Heyden D von, Vosshenrich R, Grabbe E (2002) Comparative study in patients with microcalcifications: full-field digital mammography vs screen-film mammography. Eur Radiol 12:2679–2683PubMed
7.
go back to reference Vedantham S, Karellas A, Suryanarayanan S et al. (2000) Full breast digital mammography with an amorphous silicon-based flat panel detector: physical characteristics of a clinical prototype. Med Phys 27:558–567CrossRefPubMed Vedantham S, Karellas A, Suryanarayanan S et al. (2000) Full breast digital mammography with an amorphous silicon-based flat panel detector: physical characteristics of a clinical prototype. Med Phys 27:558–567CrossRefPubMed
8.
go back to reference Vedantham S, Karellas A, Suryanarayanan S, D'Orsi CJ, Hendrick RE (2000) Breast imaging using an amorphous silicon-based full-field digital mammographic system: stability of a clinical prototype. J Dig Imaging 13:191–199 Vedantham S, Karellas A, Suryanarayanan S, D'Orsi CJ, Hendrick RE (2000) Breast imaging using an amorphous silicon-based full-field digital mammographic system: stability of a clinical prototype. J Dig Imaging 13:191–199
9.
go back to reference Berns EA, Hendrick RE, Cutter GR (2002) Performance comparison of full-field digital mammography to screen-film mammography in clinical practice. Med Phys 29:830–834CrossRefPubMed Berns EA, Hendrick RE, Cutter GR (2002) Performance comparison of full-field digital mammography to screen-film mammography in clinical practice. Med Phys 29:830–834CrossRefPubMed
10.
go back to reference Yorker JG, Jeffrey G, Jeromin LS et al. (2002) Characterization of a full-field digital mammography detector based on direct conversion in selenium. SPIE Proc 4682:21–29 Yorker JG, Jeffrey G, Jeromin LS et al. (2002) Characterization of a full-field digital mammography detector based on direct conversion in selenium. SPIE Proc 4682:21–29
11.
go back to reference Besson GM, Guy M, Koch et al. (2002) Design and evaluation of a slot-scanning full-field digital mammography system. SPIE Proc 4682:457–468 Besson GM, Guy M, Koch et al. (2002) Design and evaluation of a slot-scanning full-field digital mammography system. SPIE Proc 4682:457–468
12.
go back to reference Arakawa S, Yasuda H, Hiroaki, Kohda K et al. (2000) Improvement of image quality in CR mammography by detection of emissions from dual-side of an imaging plate. SPIE Proc 3977:590–600 Arakawa S, Yasuda H, Hiroaki, Kohda K et al. (2000) Improvement of image quality in CR mammography by detection of emissions from dual-side of an imaging plate. SPIE Proc 3977:590–600
13.
go back to reference Pisano ED (2000) Current status of full-field digital mammography. Radiology 214:26–28PubMed Pisano ED (2000) Current status of full-field digital mammography. Radiology 214:26–28PubMed
14.
go back to reference Yaffe MJ (1992) Digital mammography. In: Haus AG, Yaffe MJ (eds) Categorical course in physics: technical aspects of breast imaging. Radiological Society of North America, Oak Brook, Ill., pp 245–255 Yaffe MJ (1992) Digital mammography. In: Haus AG, Yaffe MJ (eds) Categorical course in physics: technical aspects of breast imaging. Radiological Society of North America, Oak Brook, Ill., pp 245–255
15.
go back to reference Haus AG, Yaffe MJ (2000) Screen-film and digital mammography. Radiol Clin North Am 38:871–898PubMed Haus AG, Yaffe MJ (2000) Screen-film and digital mammography. Radiol Clin North Am 38:871–898PubMed
16.
go back to reference Suleiman OH, Spelic DC, McCrohan JL, Symonds GR, Houn F (1999) Mammography in the 1990s: the United States and Canada. Radiology 210:345–351PubMed Suleiman OH, Spelic DC, McCrohan JL, Symonds GR, Houn F (1999) Mammography in the 1990s: the United States and Canada. Radiology 210:345–351PubMed
17.
go back to reference Kruger RL, Schueler BA (2001) A survey of clinical factors and patient dose in mammography. Med Phys 28:1149–1454CrossRef Kruger RL, Schueler BA (2001) A survey of clinical factors and patient dose in mammography. Med Phys 28:1149–1454CrossRef
18.
go back to reference Feig SA (2002) Effect of service-screening mammography on population mortality from breast carcinoma. Cancer 95:451–457CrossRefPubMed Feig SA (2002) Effect of service-screening mammography on population mortality from breast carcinoma. Cancer 95:451–457CrossRefPubMed
19.
go back to reference Muller S (1999) Full-field digital mammography designed as a complete system. Eur J Radiol 31:25–34PubMed Muller S (1999) Full-field digital mammography designed as a complete system. Eur J Radiol 31:25–34PubMed
20.
go back to reference Gennaro G, Baldelli P, Di Maggio C, Taibi A, Gambaccini M (2003) A quality control first experience in full-field digital mammography. In: Peitgen HO (ed) Digital mammography, IWDM 2002. Springer, Berlin Heidelberg New York, pp 81–84 Gennaro G, Baldelli P, Di Maggio C, Taibi A, Gambaccini M (2003) A quality control first experience in full-field digital mammography. In: Peitgen HO (ed) Digital mammography, IWDM 2002. Springer, Berlin Heidelberg New York, pp 81–84
21.
go back to reference Senographe 2000 D Acquisition System Service Manual, GE Technical Publications 2302228–100, revision 1, Half-value layer measurement, pp 187–189 Senographe 2000 D Acquisition System Service Manual, GE Technical Publications 2302228–100, revision 1, Half-value layer measurement, pp 187–189
22.
go back to reference Dance DR, Skinner CL, Young KC, Beckett JR, Kotre CJ (2000) Additional factors for the estimation of mean glandular dose using the UK mammography dosimetry protocol. Phys Med Biol 45:3225–3240CrossRefPubMed Dance DR, Skinner CL, Young KC, Beckett JR, Kotre CJ (2000) Additional factors for the estimation of mean glandular dose using the UK mammography dosimetry protocol. Phys Med Biol 45:3225–3240CrossRefPubMed
23.
go back to reference Dance DR, Thilander-Klang A, Sandborg M, Skinner CL, Castellano Smith A, Alm-Carlsson G (2000) Influence of anode/filter material and tube potential on contrast, signal-to-noise ratio and average absorbed dose in mammography: a Monte Carlo study. Br J Radiol 73:1056–1067PubMed Dance DR, Thilander-Klang A, Sandborg M, Skinner CL, Castellano Smith A, Alm-Carlsson G (2000) Influence of anode/filter material and tube potential on contrast, signal-to-noise ratio and average absorbed dose in mammography: a Monte Carlo study. Br J Radiol 73:1056–1067PubMed
24.
go back to reference Burch A, Goodman DA (1998) A pilot survey of radiation doses received in the United Kingdom breast screening programme. Br J Radiol 71:517–527PubMed Burch A, Goodman DA (1998) A pilot survey of radiation doses received in the United Kingdom breast screening programme. Br J Radiol 71:517–527PubMed
25.
go back to reference Cranley K, Gilmore BJ, Fogarty GVA, Desponds L (1997) Catalog of diagnostic X-ray spectra and other data: report no. 78. Institute of Physics and Enginering in Medicine, York, UK Cranley K, Gilmore BJ, Fogarty GVA, Desponds L (1997) Catalog of diagnostic X-ray spectra and other data: report no. 78. Institute of Physics and Enginering in Medicine, York, UK
26.
go back to reference American College of Radiology (1994) Committee on Quality Assurance in Mammography: mammography quality control, revised edition. American College of Radiology, Reston, Virginia American College of Radiology (1994) Committee on Quality Assurance in Mammography: mammography quality control, revised edition. American College of Radiology, Reston, Virginia
27.
go back to reference The European Protocol for the Quality Control of the Technical Aspects of Mammography Screening (1993) CEC-Report EUR 14821 The European Protocol for the Quality Control of the Technical Aspects of Mammography Screening (1993) CEC-Report EUR 14821
28.
go back to reference European Protocol on Dosimetry in Mammography (1996) CEC-Report EUR 16263 European Protocol on Dosimetry in Mammography (1996) CEC-Report EUR 16263
29.
go back to reference European Guidelines for Quality Assurance in Mammography Screening (2001) European Commission, Luxembourg, 3rd edn European Guidelines for Quality Assurance in Mammography Screening (2001) European Commission, Luxembourg, 3rd edn
30.
go back to reference Fahrig R, Yaffe M (1994) A model for optimization of spectral shape in digital mammography. Med Phys 21:1463–1471CrossRefPubMed Fahrig R, Yaffe M (1994) A model for optimization of spectral shape in digital mammography. Med Phys 21:1463–1471CrossRefPubMed
31.
go back to reference Fahrig R, Yaffe M (1994) Optimization of spectral shape in digital mammography: dependence on anode material, breast thickness and lesion type. Med Phys 21:1473–1481CrossRefPubMed Fahrig R, Yaffe M (1994) Optimization of spectral shape in digital mammography: dependence on anode material, breast thickness and lesion type. Med Phys 21:1473–1481CrossRefPubMed
32.
go back to reference Kimme-Smith C (1999) New digital mammography systems may require different X-ray spectra and, therefore, more general normalized glandular dose values. Radiology 213:7–10PubMed Kimme-Smith C (1999) New digital mammography systems may require different X-ray spectra and, therefore, more general normalized glandular dose values. Radiology 213:7–10PubMed
33.
go back to reference Klein R, Aichinger H, Dierker J, Jansen JTM, Joite-Barfus S, Sabel M, Schulz-Wendtland R, Zoetelief J (1997) Determination of average glandular dose with modern mammography units for two large groups of patients. Phys Med Biol 42:651–671CrossRefPubMed Klein R, Aichinger H, Dierker J, Jansen JTM, Joite-Barfus S, Sabel M, Schulz-Wendtland R, Zoetelief J (1997) Determination of average glandular dose with modern mammography units for two large groups of patients. Phys Med Biol 42:651–671CrossRefPubMed
34.
go back to reference Stines J, Noël A, Estivalet S, Troufléau P, Netter E, Quinquis J (1998) Qualité image densité optique en mammographie: étude sur fantôme. J Radiol 79:331–335PubMed Stines J, Noël A, Estivalet S, Troufléau P, Netter E, Quinquis J (1998) Qualité image densité optique en mammographie: étude sur fantôme. J Radiol 79:331–335PubMed
35.
go back to reference Rosenberg RD, Kelsey CA, Williamson MR, Houston JD (2001) Computer-based collection of mammographic exposure data for quality assurance and dosimetry. Med Phys 28:1546–1551CrossRefPubMed Rosenberg RD, Kelsey CA, Williamson MR, Houston JD (2001) Computer-based collection of mammographic exposure data for quality assurance and dosimetry. Med Phys 28:1546–1551CrossRefPubMed
36.
go back to reference Hermann KP, Obenauer S, Marten K, Kehbel S, Fischer U, Grabbe E (2002) Average glandular dose with amorphous silicon full-field digital mammography: clinical results. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:696–699CrossRefPubMed Hermann KP, Obenauer S, Marten K, Kehbel S, Fischer U, Grabbe E (2002) Average glandular dose with amorphous silicon full-field digital mammography: clinical results. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:696–699CrossRefPubMed
Metadata
Title
Patient dose in full-field digital mammography: an Italian survey
Authors
Gisella Gennaro
Paola Baldelli
Angelo Taibi
Cosimo Di Maggio
Mauro Gambaccini
Publication date
01-04-2004
Publisher
Springer-Verlag
Published in
European Radiology / Issue 4/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-003-2010-9

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