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Clinical Imaging of Microwave Mammography
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New diagnostic reference level for full-field digital mammography units.

I H R Hauge1, K Bredholt, H M Olerud

  • 1Faculty of Health Sciences, Department of Radiography and Dental Technology, Oslo and Akershus University College of Applied Sciences, P. O. Box 4, St. Olavs plass, NO-0130 Oslo, Norway.

Radiation Protection Dosimetry
|June 18, 2013
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Summary

This study proposes using the 95th percentile of mean glandular dose (MGD) as a national diagnostic reference level (DRL) for mammography units. The 75th percentile is suggested for identifying units needing optimization, alongside the figure of merit (FOM).

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Area of Science:

  • Radiological Physics
  • Medical Imaging Technology
  • Radiation Dosimetry

Background:

  • Diagnostic reference levels (DRLs) are typically the 75th percentile of patient doses, but mammography uses the 95th percentile.
  • Variations in mammography equipment can lead to differences in radiation dose and image quality.

Purpose of the Study:

  • To estimate the 75th and 95th percentiles of mean glandular dose (MGD) for full-field digital mammography (FFDM) units.
  • To investigate systematic differences in MGD and figure of merit (FOM) among different mammography models and manufacturers.
  • To propose a national DRL and an optimization metric for mammography units.

Main Methods:

  • Collected MGD data from 26 FFDM units across six models and four manufacturers.
  • Calculated 75th and 95th percentiles for overall MGD distributions.
  • Analyzed MGD and FOM variations across different equipment categories.

Main Results:

  • Overall MGDs ranged from 0.7 to 2.1 mGy.
  • The 75th and 95th percentiles for MGD were 1.4 mGy and 2.0 mGy, respectively.
  • Significant differences in dose distributions and FOMs were observed between different manufacturers and models.

Conclusions:

  • The 95th percentile of MGD is proposed as a national DRL for mammography to assess unit acceptability.
  • The 75th percentile of MGD, coupled with FOM, is recommended for identifying units requiring optimization.
  • Mammography equipment variations necessitate distinct DRLs and optimization strategies based on manufacturer and model.