Physical and clinical comparison between a screen-film system and a dual-side reading mammography-dedicated computed radiography system

Physical and clinical comparison between a screen-film system and a dual-side reading mammography-dedicated computed radiography system
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屏幕胶片系统与双面读取乳房X线摄影专用计算机放射线摄影系统之间的物理和临床比较

DOI:
10.3109/02841850903271333
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发表时间:
2009
期刊:
影响因子:
1.3
通讯作者:
P. Torricelli
P. Torricelli
中科院分区:
医学4区
文献类型:
--
作者:
S. Rivetti;B. Canossi;R. Battista;N. Lanconelli;E. Vetruccio;C. Danielli;G. Borasi;P. Torricelli

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Background: Digital mammography systems, thanks to a physical performance better than conventional screen-film units, have the potential of reducing the dose to patients, without decreasing the diagnostic accuracy. Purpose: To achieve a physical and clinical comparison between two systems: a screen-film plate and a dual-side computed radiography system (CRM; FUJIFILM FCR 5000 MA). Material and Methods: A unique feature of the FCR 5000 MA system is that it has a clear support medium, allowing light emitted during the scanning process to be detected on the "back" of the storage phosphor plate, considerably improving the system's efficiency. The system's physical performance was tested by means of a quantitative analysis, with calculation of the modulation transfer function, detective quantum efficiency, and contrast-detail analysis; subsequently, the results were compared with those achieved using a screen-film system (SFM; Eastmann Kodak MinR-MinR 2000). A receiver operating characteristic (ROC) analysis was then performed on 120 paired clinical images obtained in a craniocaudal projection with the conventional SFM system under standard exposure conditions and also with the CRM system working with a dose reduced by 35% (average breast thickness: 4.3 cm; mean glandular dose: 1.45 mGy). CRM clinical images were interpreted both in hard copy and in soft copy. Results: The ROC analysis revealed that the performances of the two systems (SFM and CRM with reduced dose) were similar (P>0.05): the diagnostic accuracy of the two systems, when valued in terms of the area underneath the ROC curve, was found to be 0.74 for the SFM, 0.78 for the CRM (hard copy), and 0.79 for the CRM (soft copy). Conclusion: The outcome obtained from our experiments shows that the use of the dual-side CRM system is a very good alternative to the screen-film system.
数字乳房X线照相术中剂量减少及其对诊断准确性和辐射风险的影响:使用拟人化乳房模型的观察者表现研究。
DOI: 10.1259/bjr/29933797
发表时间: 2007
期刊: The British journal of radiology
影响因子: --
作者:
Svahn,T;Hemdal,B;Ruschin,M;Chakraborty,DP;Andersson,I;Tingberg,A;Mattsson,S
通讯作者: Mattsson,S