Technical note: perspex blocks for estimation of dose to a standard breast--effect of variation in block thickness

Mean glandular dose in mammography may be deduced from measurements made using Perspex blocks. This method is almost universally used in the National Health Service Breast Screening Programme. The effect on the estimated mean glandular dose of variations in the measured thickness of Perspex from a nominal thickness of 40 mm was investigated. Results are presented from three UK Regions. Variations in measured Perspex thicknesses ranged from almost 8% below to about 2% above the 40 mm nominal, causing errors in dose estimation, if uncorrected, of about +20% to -6.5%. A means of correcting dose estimates for measured differences in block thickness is presented. An alternative method of ensuring consistent dosimetry would be to use accurately machined Perspex blocks.