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Assessment of scatter radiation dose and absorbed doses in eye lens and thyroid gland during digital breast tomosynthesis

DOI:10.1002/acm2.12486 期刊:Journal of Applied Clinical Medical Physics 出版年份:2018 更新时间:2025-09-10 09:29:36
摘要: Digital breast tomosynthesis (DBT) is an alternative tool for breast cancer screening; however, the magnitude of peripheral organs dose is not well known. This study aimed to measure scattered dose and estimate organ dose during mammography under conventional (CM) and Tomo (TM) modes in a specific DBT system. Optically stimulated luminescence dosimeters (OSLDs), whose responses were corrected using a parallel‐plate ionization chamber, were pasted on the surface of custom‐made polymethyl methacrylate (PMMA) and RANDO phantoms to measure entrance surface air kerma (ESAK). ESAK measurements were also acquired with a 4.5‐cm thick breast phantom for a standard mammogram. Organ dose conversion factors (CFD) were determined as ratio of air kerma at a specific depth to that at the surface for the PMMA phantom and multiplied by the ratio of mass energy absorption coefficients of tissue to air. Normalized eye lens and thyroid gland doses were calculated using the RANDO phantom by multiplying CFD and ESAK values. Maximum variability in OSLD response to scatter radiation from the DBT system was 33% in the W/ Rh spectrum and variations in scattered dose distribution were observed between CM and TM. The CFD values for eye lens and thyroid gland ranged between 0.58 to 0.66 and 0.29 to 0.33, respectively. Mean organ doses for two‐view unilateral imaging were 0.24 (CM) and 0.18 (TM) μGy/mAs for the eye lens and 0.24 (CM) and 0.25 (TM) μGy/mAs for the thyroid gland. Higher organ doses were observed during TM compared to CM as the automatic exposure control (AEC) system resulted in greater total mAs values in TM.
作者: Thunyarat Chusin,Kosuke Matsubara,Akihiro Takemura,Rena Okubo,Yoshinori Ogawa
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This study aimed to measure and compare scatter doses between DM and DBT acquisitions from a specific DBT system and to estimate absorbed doses in the eye lens and the thyroid gland during two‐view mammography under both DM and DBT modes.

Entrance surface air kerma measurements using OSLDs in a specific DBT system showed variation between TM and CM due to the rotation of the x‐ray tube during tomosynthesis acquisition. Organ doses were higher in TM compared to CM due to greater number of image acquisitions leading to higher total mAs values under AEC operation.

The study used a specific breast phantom with a thickness of 4.5 cm and breast composition of 50% glandular tissue, which may not fully represent the clinical scenario with varying breast thicknesses and densities.

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