Dose evaluation of simultaneous breast radiography and mechanical imaging

Anna Bjerkén; Hanna Tomic; Christian Bernhardsson; Sophia Zackrisson; Anders Tingberg; Magnus Dustler; Predrag Bakic

doi:10.1117/12.2655776

Dose evaluation of simultaneous breast radiography and mechanical imaging

Anna Bjerkén, Hanna Tomic, Christian Bernhardsson, Sophia Zackrisson, Anders Tingberg, Magnus Dustler, Predrag Bakic

Skåne University Hospital

Research output: Chapter in Book/Report/Conference proceeding › Paper in conference proceeding › peer-review

Abstract

This study investigates the impact in terms of radiation dose when performing simultaneous digital breast tomosynthesis
(DBT) and mechanical imaging (MI) – DBTMI. DBTMI has demonstrated the potential to increase specificity of cancer
detection, and reduce unnecessary biopsies, as compared to digital mammography (DM) screening. The presence of the
MI sensor during simultaneous image acquisition may increase the radiation dose when automatic exposure control is used.
In this project, a radiation dose study was conducted on clinically available breast imaging systems with and without the
MI sensor. We have investigated three approaches to analyse the dose increase in DBTMI, using (i) the estimates of average
glandular dose (AGD) reported in DICOM headers of radiography images; (ii) AGD measured by a conventional
dosemeter; and (iii) AGD measured by optically stimulated luminescence using NaCl pellets. The relative increase in AGD
estimated from DICOM headers when using the MI sensor was on average 10.7% and 12.4%, for DM and DBT
measurements, respectively. The relative increase in AGD using the conventional dosemeter was 11.2% in DM mode and
12.2% in DBT mode. The relative increase in AGD using NaCl pellets was 14.6% in DM mode. Our measurements suggest
that the use of simultaneous breast radiography and MI increases the AGD by 13% on average. The increase in dose is still
below the acceptable values in mammography screening recommended by the European Guidelines.

Original language	English
Title of host publication	Medical Imaging 2023
Subtitle of host publication	Physics of Medical Imaging
Editors	Lifeng Yu, Rebecca Fahrig, John M. Sabol
Publisher	SPIE
Volume	12463
DOIs	https://doi.org/10.1117/12.2655776
Publication status	Published - 2023 Apr 28
Event	SPIE Medical Imaging 2023 - Duration: 2023 Feb 19 → 2023 Feb 23

Conference

Conference	SPIE Medical Imaging 2023
Period	2023/02/19 → 2023/02/23

Bibliographical note

This work was supported by grants from the European Commission H2020 Marie Skłodowska Curie Actions Fellowship
(IF 846540), Cancerfonden, the Swedish Breast Cancer Association, Region Skåne (Regionalt forskningsstöd), and
Stiftelsen för Cancerforskning vid Onkologiska kliniken vid Universitetssjukhuset MAS.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Subject classification (UKÄ)

Radiology and Medical Imaging

Free keywords

Digital breast tomosynthesis
Mechanical imaging
DBTMI
radiation dose measurement
OSL
NaCl pellets

Access to Document

10.1117/12.2655776

Cite this

@inproceedings{d1813ce76bee49c39a394162425029f1,

title = "Dose evaluation of simultaneous breast radiography and mechanical imaging",

abstract = "This study investigates the impact in terms of radiation dose when performing simultaneous digital breast tomosynthesis (DBT) and mechanical imaging (MI) – DBTMI. DBTMI has demonstrated the potential to increase specificity of cancer detection, and reduce unnecessary biopsies, as compared to digital mammography (DM) screening. The presence of the MI sensor during simultaneous image acquisition may increase the radiation dose when automatic exposure control is used. In this project, a radiation dose study was conducted on clinically available breast imaging systems with and without the MI sensor. We have investigated three approaches to analyse the dose increase in DBTMI, using (i) the estimates of average glandular dose (AGD) reported in DICOM headers of radiography images; (ii) AGD measured by a conventional dosemeter; and (iii) AGD measured by optically stimulated luminescence using NaCl pellets. The relative increase in AGD estimated from DICOM headers when using the MI sensor was on average 10.7\% and 12.4\%, for DM and DBT measurements, respectively. The relative increase in AGD using the conventional dosemeter was 11.2\% in DM mode and 12.2\% in DBT mode. The relative increase in AGD using NaCl pellets was 14.6\% in DM mode. Our measurements suggest that the use of simultaneous breast radiography and MI increases the AGD by 13\% on average. The increase in dose is still below the acceptable values in mammography screening recommended by the European Guidelines. ",

keywords = "Digital breast tomosynthesis, Mechanical imaging, DBTMI, radiation dose measurement, OSL, NaCl pellets",

author = "Anna Bjerk{\'e}n and Hanna Tomic and Christian Bernhardsson and Sophia Zackrisson and Anders Tingberg and Magnus Dustler and Predrag Bakic",

note = "This work was supported by grants from the European Commission H2020 Marie Sk{\l}odowska Curie Actions Fellowship (IF 846540), Cancerfonden, the Swedish Breast Cancer Association, Region Sk{\aa}ne (Regionalt forskningsst{\"o}d), and Stiftelsen f{\"o}r Cancerforskning vid Onkologiska kliniken vid Universitetssjukhuset MAS.; SPIE Medical Imaging 2023 ; Conference date: 19-02-2023 Through 23-02-2023",

year = "2023",

month = apr,

day = "28",

doi = "10.1117/12.2655776",

language = "English",

volume = "12463",

editor = "Lifeng Yu and Rebecca Fahrig and \{M. Sabol\}, John",

booktitle = "Medical Imaging 2023",

publisher = "SPIE",

address = "United States",

}

Dose evaluation of simultaneous breast radiography and mechanical imaging. / Bjerkén, Anna ; Tomic, Hanna ; Bernhardsson, Christian et al.
Medical Imaging 2023: Physics of Medical Imaging. ed. / Lifeng Yu; Rebecca Fahrig; John M. Sabol. Vol. 12463 SPIE, 2023. 124634D.

Research output: Chapter in Book/Report/Conference proceeding › Paper in conference proceeding › peer-review

TY - GEN

T1 - Dose evaluation of simultaneous breast radiography and mechanical imaging

AU - Bjerkén, Anna

AU - Tomic, Hanna

AU - Bernhardsson, Christian

AU - Zackrisson, Sophia

AU - Tingberg, Anders

AU - Dustler, Magnus

AU - Bakic, Predrag

N1 - This work was supported by grants from the European Commission H2020 Marie Skłodowska Curie Actions Fellowship (IF 846540), Cancerfonden, the Swedish Breast Cancer Association, Region Skåne (Regionalt forskningsstöd), and Stiftelsen för Cancerforskning vid Onkologiska kliniken vid Universitetssjukhuset MAS.

PY - 2023/4/28

Y1 - 2023/4/28

N2 - This study investigates the impact in terms of radiation dose when performing simultaneous digital breast tomosynthesis (DBT) and mechanical imaging (MI) – DBTMI. DBTMI has demonstrated the potential to increase specificity of cancer detection, and reduce unnecessary biopsies, as compared to digital mammography (DM) screening. The presence of the MI sensor during simultaneous image acquisition may increase the radiation dose when automatic exposure control is used. In this project, a radiation dose study was conducted on clinically available breast imaging systems with and without the MI sensor. We have investigated three approaches to analyse the dose increase in DBTMI, using (i) the estimates of average glandular dose (AGD) reported in DICOM headers of radiography images; (ii) AGD measured by a conventional dosemeter; and (iii) AGD measured by optically stimulated luminescence using NaCl pellets. The relative increase in AGD estimated from DICOM headers when using the MI sensor was on average 10.7% and 12.4%, for DM and DBT measurements, respectively. The relative increase in AGD using the conventional dosemeter was 11.2% in DM mode and 12.2% in DBT mode. The relative increase in AGD using NaCl pellets was 14.6% in DM mode. Our measurements suggest that the use of simultaneous breast radiography and MI increases the AGD by 13% on average. The increase in dose is still below the acceptable values in mammography screening recommended by the European Guidelines.

AB - This study investigates the impact in terms of radiation dose when performing simultaneous digital breast tomosynthesis (DBT) and mechanical imaging (MI) – DBTMI. DBTMI has demonstrated the potential to increase specificity of cancer detection, and reduce unnecessary biopsies, as compared to digital mammography (DM) screening. The presence of the MI sensor during simultaneous image acquisition may increase the radiation dose when automatic exposure control is used. In this project, a radiation dose study was conducted on clinically available breast imaging systems with and without the MI sensor. We have investigated three approaches to analyse the dose increase in DBTMI, using (i) the estimates of average glandular dose (AGD) reported in DICOM headers of radiography images; (ii) AGD measured by a conventional dosemeter; and (iii) AGD measured by optically stimulated luminescence using NaCl pellets. The relative increase in AGD estimated from DICOM headers when using the MI sensor was on average 10.7% and 12.4%, for DM and DBT measurements, respectively. The relative increase in AGD using the conventional dosemeter was 11.2% in DM mode and 12.2% in DBT mode. The relative increase in AGD using NaCl pellets was 14.6% in DM mode. Our measurements suggest that the use of simultaneous breast radiography and MI increases the AGD by 13% on average. The increase in dose is still below the acceptable values in mammography screening recommended by the European Guidelines.

KW - Digital breast tomosynthesis

KW - Mechanical imaging

KW - DBTMI

KW - radiation dose measurement

KW - OSL

KW - NaCl pellets

UR - https://www.scopus.com/pages/publications/85160752941

U2 - 10.1117/12.2655776

DO - 10.1117/12.2655776

M3 - Paper in conference proceeding

VL - 12463

BT - Medical Imaging 2023

A2 - Yu, Lifeng

A2 - Fahrig, Rebecca

A2 - M. Sabol, John

PB - SPIE

T2 - SPIE Medical Imaging 2023

Y2 - 19 February 2023 through 23 February 2023

ER -

Dose evaluation of simultaneous breast radiography and mechanical imaging

Abstract

Conference

Bibliographical note

UN SDGs

Subject classification (UKÄ)

Free keywords

Access to Document

Other files and links

Fingerprint

AI together with MI in mammography and breast tomosynthesis

DBTMI: Simultaneous Digital Breast Tomosynthesis and Mechanical Imaging

Lund Luminescence centre for Dating and Dosimetry

Cite this

Dose evaluation of simultaneous breast radiography and mechanical imaging

Abstract

Conference

Bibliographical note

UN SDGs

Subject classification (UKÄ)

Free keywords

Access to Document

Other files and links

Fingerprint

Projects

AI together with MI in mammography and breast tomosynthesis

DBTMI: Simultaneous Digital Breast Tomosynthesis and Mechanical Imaging

Equipment

Lund Luminescence centre for Dating and Dosimetry

Cite this