Effect of anode/filter combination on average glandular dose in mammography

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

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.

Monochromatic mammography using scanning multilayer X-ray mirrors

A prototype system for breast imaging using monochromatic X-rays has been developed using a scanning multilayer X-ray mirror in combination with a conventional mammography tube and an imaging detector. The X-ray mirror produces a monochromatic fan beam tuned near 19 keV, with an energy bandpass of approximately 1.5 keV. Rotating the mirror about the tube's focal spot in synchronization with the X-ray generator and detector enables the acquisition of monochromatic X-ray images over large areas. The X-ray mirror also can be rotated completely out of the beam so that conventional polychromatic images can be acquired using a K-edge filter, facilitating direct comparison between the two modes of operation. The system was used to image synthetic, tissue-equivalent breast phantoms in order to experimentally quantify the improvements in image quality and dose that can be realized using monochromatic radiation. Nine custom phantoms spanning a range of thicknesses and glandular/adipose ratios, each containing both glandular- and calcification-equivalent features, were used to measure contrast and signal-difference-to-noise ratio (SDNR). Mean glandular dose (MGD) was computed from measured entrance exposure, and a figure-of-merit (FOM) was computed as FOM = SDNR²/MGD in each case. Monochromatic MGD ranges from 0.606 to 0.134 of polychromatic MGD for images having comparable glandular SDNR, depending on breast thickness and glandularity; relative monochromatic dose decreases with increasing glandularity for all thicknesses. Monochromatic FOM values are higher than the corresponding polychromatic FOM values in all but one case. Additionally, the monochromatic contrast for glandular features is higher than the polychromatic contrast in all but one case as well. These results represent important steps toward the realization of clinically practical monochromatic X-ray breast imaging systems having lower dose and better image quality, including those for digital mammography, digital breast tomosynthesis, contrast-enhanced spectral mammography and other modalities, for safer, more accurate breast cancer detection, diagnosis and staging.