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使用 3D 打印乳房模型对双能乳腺 X 线摄影减影技术的剂量和图像质量评估进行分析。

Analysis of dual-energy mammography subtraction technique for the dose and image quality evaluation using 3D-printed breast phantom.

机构信息

Laboratory of Medical Physics and Biophysics, Institut Teknologi Sepuluh Nopember, Kampus ITS, Sukolilo, Surabaya, 60111, East Java, Indonesia.

Department of Radiodiagnostic, "Dharmais" National Cancer Center Hospital, Jakarta, Indonesia.

出版信息

Phys Eng Sci Med. 2023 Dec;46(4):1693-1701. doi: 10.1007/s13246-023-01330-8. Epub 2023 Sep 18.

DOI:10.1007/s13246-023-01330-8
PMID:37721685
Abstract

This study aimed to quantitatively assess the radiation dose using XR-QA2 and the image quality of the dual-energy subtraction mammography technique on an in-house phantom. The analysis was carried out to investigate the effect of targets/filters on dose value and image quality using an in-house phantom made of PLA + as an object representing compressed breasts. All irradiation parameters were performed in the craniocaudal position with manual mode. Mean glandular dose (MGD) was recorded, followed by the calculation of the signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and modulation transfer function (MTF) for image quality assessment parameters. The results showed that the image quality was accepted at dose levels within the IAEA and BAPETEN tolerance limit for 60 mm equivalent compressed breast using dual-energy mammography. Furthermore, the target/filter (W/Rh) reduced the dose by 1.03 mGy compared to the Mo/Mo and Mo/Rh with an enhancement in image quality. This indicated that the target/filter (W/Rh) combination was optimal due to the image quality improvement obtained with lower MGD.

摘要

本研究旨在使用 XR-QA2 定量评估辐射剂量,并对内部体模上的双能减影乳腺摄影技术的图像质量进行评估。该分析旨在研究目标/滤波器对剂量值和图像质量的影响,使用 PLA+制成的内部体模模拟压缩乳房。所有辐射参数均在头尾位手动模式下进行。记录平均腺体剂量(MGD),然后计算信噪比(SNR)、对比噪声比(CNR)和调制传递函数(MTF)以评估图像质量参数。结果表明,使用双能乳腺摄影,在 IAEA 和 BAPETEN 可接受的 60 毫米等效压缩乳房剂量水平内,图像质量可被接受。此外,与 Mo/Mo 和 Mo/Rh 相比,目标/滤波器(W/Rh)降低了 1.03 mGy 的剂量,同时提高了图像质量。这表明,由于获得了较低的 MGD,因此目标/滤波器(W/Rh)组合是最佳的。

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本文引用的文献

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Contrast-Enhanced Mammography: Reviewing the Past and Looking to the Future.对比增强乳腺摄影:回顾过去,展望未来。
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Comparison of Mean Glandular Dose between Full-Field Digital Mammography and Digital Breast Tomosynthesis.全视野数字乳腺摄影与数字乳腺断层合成平均腺体剂量的比较。
Healthcare (Basel). 2021 Dec 19;9(12):1758. doi: 10.3390/healthcare9121758.
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Does the use of self-compression in mammography affect compression force, breast thickness, and mean glandular dose?
乳腺摄影中使用自压迫是否会影响压迫力、乳房厚度和平均腺体剂量?
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Quantitative Assessment of Contrast Enhancement on Contrast Enhancement Spectral Mammography (CESM) and Comparison With Qualitative Assessment.对比增强光谱乳腺摄影术(CESM)上增强程度的定量评估及其与定性评估的比较。
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Contrast-Enhanced Spectral Mammography Versus Ultrasonography: Diagnostic Performance in Symptomatic Patients with Dense Breasts.对比增强频谱钼靶 X 线摄影与超声检查:致密型乳腺中症状患者的诊断性能。
Korean J Radiol. 2020 Apr;21(4):442-449. doi: 10.3348/kjr.2019.0393.
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Evaluation of average glandular dose and investigation of the relationship with compressed breast thickness in dual energy contrast enhanced digital mammography and digital breast tomosynthesis.双能增强数字乳腺摄影与数字乳腺断层合成中平均腺体剂量的评估及其与压缩乳腺厚度的关系研究。
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9
The effect of different exposure parameters on radiation dose in digital mammography and digital breast tomosynthesis: A phantom study.不同曝光参数对数字乳腺摄影和数字乳腺断层合成辐射剂量的影响:一项体模研究。
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Dual-energy contrast-enhanced spectral mammography (CESM) for breast cancer screening.用于乳腺癌筛查的双能对比增强光谱乳腺摄影(CESM)。
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