Abstract
This article presents the results of a pilot dose survey including fifty patients who underwent combined screening: full field digital mammography (FFDM) plus digital breast tomosynthesis (DBT). The study also aimed to demonstrate the different dosimetric outcome from using different glandularity assumptions and dosimetry methods. The mean glandular dose to each patient was computed using Dance’s method with UK glandularity assumption. The calculations were repeated using Wu/Boone’s method with the “50–50” breast assumption and the results compared to those using Dance’s method. For the typical breasts, the dose from combined examination was around 9.56 mGy: 4.26 mGy from two-view FFDM and 5.30 mGy from two-view DBT. Adopting UK glandularity assumption was believed to more realistically reflect the population dose. The comparison between Dance’s and Wu/Boone’s methods indicated that the latter tended to show lower dose values with mean differences of −3.6 % for FFDM and −5.5 % for DBT.
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References
Rose, S.L., et al.: Implementation of breast tomosynthesis in a routine screening practice: an observational study. AJR Am. J. Roentgenol. 200, 1401–1408 (2013)
Ciatto, S., et al.: Integration of 3D digital mammography with tomosynthesis for population breast-cancer screening (STORM): a prospective comparison study. Lancet Oncol. 14, 583–589 (2013)
Skaane, P., et al.: Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program. Radiology 267, 47–56 (2013)
Dance, D.R., Young, K.C., van Engen, R.E.: Further factors for the estimation of mean glandular dose using the United Kingdom, European and IAEA breast dosimetry protocols. Phys. Med. Biol. 54, 4361–4372 (2009)
Dance, D.R., Young, K.C., van Engen, R.E.: Estimation of mean glandular dose for breast tomosynthesis: factors for use with the UK, European and IAEA breast dosimetry protocols. Phys. Med. Biol. 56, 453–471 (2011)
Wu, X., Barnes, G.T., Tucker, D.M.: Spectral dependence of glandular tissue dose in screen-film mammography. Radiology 179, 143–148 (1991)
Wu, X., Gingold, E.L., Barnes, G.T., Tucker, D.M.: Normalized average glandular dose in molybdenum target-rhodium filter and rhodium target-rhodium filter mammography. Radiology 193, 83–89 (1994)
Boone, J.M.: Normalized glandular dose (DgN) coefficients for arbitrary X-ray spectra in mammography: computer-fit values of Monte Carlo derived data. Med. Phys. 29, 869–875 (2002)
Sechopoulos, I., Suryanarayanan, S., Vedantham, S., D’Orsi, C., Karellas, A.: Computation of the glandular radiation dose in digital tomosynthesis of the breast. Med. Phys. 34, 221–232 (2007)
Sechopoulos, I., D’Orsi, C.: Glandular radiation dose in tomosynthesis of the breast using tungsten targets. J. Appl. Clin. Med. Phys. 9, 161–171 (2008)
Sechopoulos, I., et al.: Radiation dosimetry in digital breast tomosynthesis: report of AAPM tomosynthesis subcommittee task group 223. Med. Phys. 41, 091501 (2014)
Dance, D.R., Skinner, C.L., Young, K.C., Beckett, J.R., Kotre, C.J.: Additional factors for the estimation of mean glandular breast dose using the UK mammography dosimetry protocol. Phys. Med. Biol. 45, 3225–3240 (2000)
Yaffe, M.J., et al.: The myth of the 50–50 breast. Med. Phys. 36, 5437–5443 (2009)
Vedantham, S., Shi, L., Karellas, A., O’Connell, A.M.: Dedicated breast CT: fibroglandular volume measurements in a diagnostic population. Med. Phys. 39, 7317–7328 (2012)
Dance, D.R., Strudley, C.J., Young, K.C., Oduko, J.M., Whelehan, P.J., Mungutroy, E.: Comparison of breast doses for digital tomosynthesis estimated from patient exposures and using PMMA breast phantoms. In: Maidment, A.D., Bakic, P.R., Gavenonis, S. (eds.) IWDM 2012. LNCS, vol. 7361, pp. 316–321. Springer, Heidelberg (2012)
Beckett, J.R., Kotre, C.J.: Dosimetric implications of age related glandular changes in screening mammography. Phys. Med. Biol. 45, 801–813 (2000)
Tromans, C.E., Highnam, R., Morrish, O., Black, R., Tucker, L., Gilbert, F., Brady, S.M.: Patient specific dose calculation using volumetric breast density for mammography and tomosynthesis. In: Fujita, H., Hara, T., Muramatsu, C. (eds.) IWDM 2014. LNCS, vol. 8539, pp. 158–165. Springer, Heidelberg (2014)
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Tse, J., Fulton, R., Rickard, M., Brennan, P., McLean, D. (2016). A Pilot Study on Radiation Dose from Combined Mammography Screening in Australia. In: Tingberg, A., Lång, K., Timberg, P. (eds) Breast Imaging. IWDM 2016. Lecture Notes in Computer Science(), vol 9699. Springer, Cham. https://doi.org/10.1007/978-3-319-41546-8_42
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DOI: https://doi.org/10.1007/978-3-319-41546-8_42
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