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Updated: May 6, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
Published on: September 11, 2011
Revisiting artifact spread function evaluation in digital breast tomosynthesis systems
Jesus G Ovejero1, Miguel Alarcia2, José Carlos Barba2
1Service of Dosimetry and Radioprotection, Hospital General Universitario Gregorio Marañón, C. Dr. Esquerdo, 46, 28007 Madrid, Spain; Department of Radiation Physics and Radiation Protection, Clínica Universidad de Navarra, Avda. Marquesado de Santa Marta, 1, 28027 Madrid, Spain.
Zipper artifacts in Digital Breast Tomosynthesis (DBT) imaging can hinder cancer detection. This study found that the best method to evaluate these artifacts varies by imaging system, highlighting the need for standardized, system-specific artifact assessment.
Area of Science:
- Medical Imaging
- Radiology
- Biomedical Engineering
Background:
- Digital Breast Tomosynthesis (DBT) is crucial for breast cancer detection.
- Zipper artifacts in DBT images complicate accurate diagnosis.
- A standardized methodology for evaluating zipper artifacts is lacking.
Purpose of the Study:
- To identify the optimal method for characterizing zipper artifacts.
- To use Full Width at Half Maximum (FWHM) of the Artifact Spread Function (ASF) as a metric.
- To employ aluminum sphere phantoms for generating zipper artifacts.
Main Methods:
- Compared zipper artifact characterization on GE Senographe Pristine (SP-GE) and Hologic Selenia Dimensions (SD-HO) systems.
- Calculated ASF using maximum value, mean value, and a hybrid method.
- Evaluated ASF generated by aluminum, lead, tungsten, and ceramic markers, and a commercial phantom.
Main Results:
- The hybrid ASF method was most reliable for the SP-GE system.
- The mean value ASF method best suited the SD-HO system.
- Ceramic and lead markers better replicated clinical zipper artifacts across most methods.
Conclusions:
- Selecting an appropriate artifact evaluation methodology depends on the specific DBT system.
- Standardized approaches are needed to account for system-specific differences in artifact assessment.
- Accurate artifact assessment is vital for reliable breast cancer diagnosis using DBT.

