Aspects of forward scattering from the compression paddle in the dosimetry of mammography

The best compression paddle position during air kerma measurement in mammography dosimetry was studied. The amount of forward scattering as a function of the compression paddle distance was measured with different X-ray spectra and different types of paddles and dose meters. The contribution of forward scattering to the air kerma did not present significant dependency on the beam quality or of the compression paddle type. The tested dose meter types detected different amounts of forward scattering due to different internal collimation. When the paddle was adjusted to its maximum clinical distance, the proportion of the detected forward scattering was only 1 % for all dose meter types. The most consistent way of performing air kerma measurements is to position the compression paddle at the maximum distance from the dose meter and use a constant forward scattering factor for all dose meters. Thus, the dosimetric uncertainty due to the forward scatter can be minimised.