Proposed DRLs for mammography in Switzerland.

Details

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_027A64F88E39
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Proposed DRLs for mammography in Switzerland.
Journal
Journal of radiological protection
Author(s)
Dupont L., Aberle C., Botsikas D., Ith M., Lima TVM, Menz R., Monnin P., Poletti P.A., Presilla S., Schegerer A., Stoica L.C., Trueb P., Sans Merce M.
ISSN
1361-6498 (Electronic)
ISSN-L
0952-4746
Publication state
Published
Issued date
16/05/2024
Peer-reviewed
Oui
Volume
44
Number
2
Language
english
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: epublish
Abstract
The aim of this study is to propose diagnostic reference levels (DRLs) values for mammography in Switzerland. For the data collection, a survey was conducted among a sufficient number of centres, including five University hospitals, several cantonal hospitals, and large private clinics, covering all linguistic regions of Switzerland to be representative of the clinical practice. The data gathered contained the mean glandular dose (MGD), the compressed breast thickness (CBT), the mammography model and the examination parameters for each acquisition. The data collected was sorted into the following categories: 2D or digital breast tomosynthesis (DBT) examination, craniocaudal (CC) or mediolateral oblique (MLO) projection, and eight categories of CBT ranging from 20 mm to 100 mm in 10 mm intervals. A total of 24 762 acquisitions were gathered in 31 centres on 36 mammography units from six manufacturers. The analysis showed that the data reflects the practice in Switzerland. The results revealed that the MGD is larger for DBT than for 2D acquisitions for the same CBT. From 20-30 mm to 90-100 mm of CBT, the 75th percentile of the MGD values obtained increased from 0.81 mGy to 2.55 mGy for 2D CC acquisitions, from 0.83 mGy to 2.96 mGy for 2D MLO acquisitions, from 1.22 mGy to 3.66 mGy for DBT CC acquisitions and from 1.33 mGy to 4.04 mGy for DBT MLO acquisitions. The results of the survey allow us to propose Swiss DRLs for mammography according to the examination type (2D/DBT), projection (CC/MLO) and CBT. The proposed values are very satisfactory in comparison with other studies.
Keywords
Mammography, Switzerland, Humans, Female, Radiation Dosage, Diagnostic Reference Levels, Breast Neoplasms/diagnostic imaging, Reference Values, diagnostic reference levels, mammography, radiation protection
Pubmed
Web of science
Open Access
Yes
Create date
02/04/2024 8:41
Last modification date
26/07/2024 6:02
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