John V, Ewen K, Kurz E, Teske H J
Strahlentherapie. 1978 Feb;154(2):101-6.
We learned from our examinations that, if there were optimum conditions, the combination Medichrome MR50 as a form of low dose method offers the same information content as the film without intensifying screens PE 4006. We found out that the discernibleness of details of 70 non selected mammographies which had each been taken by both systems was absolutely identical. By xeroradiography, however, a more precise representation of details, especially if there are microcalcifications, is possible because of its effect which renders the edges more visible. If the Medichrome low dose method was applied, the exposure to radiation of the breast was, depending on the density and width or the organ, only 1/12 to 1/14 of the dose measured if the film without intensifying screens was used. The exposure to radiation connected with xeroradiography is between these two values. We came to the following conclusion: the low dose method is recommended for routine mammographies, and only if there are special problems or if suspicious findings are to be clarified, xeroradiography is applied as supplementary examination method. Before using the film without intensifying screens, one should consider the high radiation exposure which, however, does not involve a greater information content.
我们从检查中得知,如果存在最佳条件,作为一种低剂量方法的Medichrome MR50组合所提供的信息内容与不使用增感屏的PE 4006胶片相同。我们发现,由这两种系统分别拍摄的70例未经挑选的乳腺X线照片的细节清晰度完全相同。然而,通过干板X线摄影术,由于其能使边缘更清晰可见的效果,对于细节,尤其是存在微钙化的情况,能实现更精确的呈现。如果采用Medichrome低剂量方法,根据乳房的密度、宽度或器官不同,乳房所接受的辐射剂量仅为使用不带有增感屏胶片时所测剂量的1/12至1/14。与干板X线摄影术相关的辐射剂量介于这两个值之间。我们得出以下结论:低剂量方法推荐用于常规乳腺X线摄影,只有在存在特殊问题或需要澄清可疑发现时,才将干板X线摄影术作为补充检查方法应用。在使用不带有增感屏的胶片之前,应考虑到其高辐射剂量,不过其并未带来更多的信息内容。