Breast dosimetry in alternative X-ray-based imaging modalities used in current clinical practices.

Breast dosimetry in alternative X-ray-based imaging modalities used in current clinical practices.
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当前临床实践中使用的基于 X 射线的替代成像模式的乳房剂量测定。

DOI:
10.1016/j.ejrad.2022.110509
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发表时间:
2022-10
影响因子:
3.3
通讯作者:
Vaz, P.
Vaz, P.
中科院分区:
医学3区
文献类型:
--
作者:
Di Maria, S.;Vedantham, S.;Vaz, P.

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在X射线乳腺成像中,数字乳腺X射线摄影(DM)和数字乳腺断层合成摄影(DBT)是标准的和广泛使用的技术,用于诊断和筛查目的。其他技术,如专用乳腺计算机断层扫描(BCT)和造影增强乳腺X射线摄影(CEM)已被开发作为替代或补充技术的既定。正在不断评估这些成像技术的性能,以提高图像质量并减少辐射剂量。这些成像模式主要用于诊断环境中,以解决传统筛查检查中检测到的不完整或不确定的结果,并且可能在选定人群中用作辅助或主要筛查工具,例如致密乳房女性。本综述的目的是描述这些成像技术的辐射剂量学,并将平均腺体剂量与标准乳腺成像模式(如DM和DBT)进行比较。
In X-ray breast imaging, Digital Mammography (DM) and Digital Breast Tomosynthesis (DBT), are the standard and largely used techniques, both for diagnostic and screening purposes. Other techniques, such as dedicated Breast Computed Tomography (BCT) and Contrast Enhanced Mammography (CEM) have been developed as an alternative or a complementary technique to the established ones. The performance of these imaging techniques is being continuously assessed to improve the image quality and to reduce the radiation dose. These imaging modalities are predominantly used in the diagnostic setting to resolve incomplete or indeterminate findings detected with conventional screening examinations and could potentially be used either as an adjunct or as a primary screening tool in select populations, such as for women with dense breasts. The aim of this review is to describe the radiation dosimetry for these imaging techniques, and to compare the mean glandular dose with standard breast imaging modalities, such as DM and DBT.
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