Breast Radiation Exposure of 3D Digital Breast Tomosynthesis Compared to Full-Field Digital Mammography in a Clinical Follow-Up Setting

Autor:	Marcel Opitz, Sebastian Zensen, Katharina Breuckmann, Denise Bos, Michael Forsting, Oliver Hoffmann, Martin Stuschke, Axel Wetter, Nika Guberina
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	Medizinische Fakultät » Universitätsklinikum Essen » Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie radiation exposure digital breast tomosynthesis mammography Clinical Biochemistry radiation exposure -- digital breast tomosynthesis -- mammography Medizin ddc:610 Medizinische Fakultät » Universitätsklinikum Essen » Klinik für Strahlentherapie Medizinische Fakultät » Universitätsklinikum Essen » Klinik für Frauenheilkunde und Geburtshilfe
Zdroj:	Diagnostics; Volume 12; Issue 2; Pages: 456
ISSN:	2075-4418
DOI:	10.3390/diagnostics12020456
Popis:	According to a position paper of the European Commission Initiative on Breast Cancer (ECIBC), DBT is close to being introduced in European breast cancer screening programmes. Our study aimed to examine radiation dose delivered by digital breast tomosynthesis (DBT) and digital mammography (FFDM) in comparison to sole FFDM in a clinical follow-up setting and in an identical patient cohort. Retrospectively, 768 breast examinations of 96 patients were included. Patients received both DBT and FFDM between May 2015 and July 2019: (I) FFDM in cranio-caudal (CC) and DBT in mediolateral oblique (MLO) view, as well as a (II) follow-up examination with FFDM in CC and MLO view. The mean glandular dose (MGD) was determined by the mammography system according to Dance’s model. The MGD (standard deviation (SD), interquartile range (IQR)) was distributed as follows: (I) (CCFFDM+MLODBT) (a) left FFDMCC 1.40 mGy (0.36 mGy, 1.13–1.59 mGy), left DBTMLO 1.62 mGy (0.51 mGy, 1.27–1.82 mGy); (b) right FFDMCC 1.36 mGy (0.34 mGy, 1.14–1.51 mGy), right DBTMLO 1.59 mGy (0.52 mGy, 1.27–1.62 mGy). (II) (CCFFDM+MLOFFDM) (a) left FFDMCC 1.35 mGy (0.35 mGy, 1.10–1.60 mGy), left FFDMMLO 1.40 mGy (0.39 mGy, 1.12–1.59 mGy), (b) right FFDMCC 1.35 mGy (0.33 mGy, 1.12–1.48 mGy), right FFDMMLO 1.40 mGy (0.36 mGy, 1.14–1.58 mGy). MGD was significantly higher for DBT mlo views compared to FFDM (p < 0.001). Radiation dose was significantly higher for DBT in MLO views compared to FFDM. However, the MGD of DBT MLO lies below the national diagnostic reference level of 2 mGy for an FFDM view. Hence, our results support the use of either DBT or FFDM as suggested in the ECIBC’s Guidelines.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::72810c053137ce584f15dba84e3bdf6c Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.