Introduction
Currently, in the United Kingdom breast cancer is the most common type of cancer in women and early diagnosis is the key to reducing mortality rates (Skaane et al, 2007).
The National Health Service breast screening programme introduced digital mammography as the preferred option due to its increased sensitivity and specificity for denser breasts. Additionally, it has the ability to manipulate the images produced (NHSBSP, 2012). The aim of this study is to investigate the relationship between target/filter combinations, kilovoltage (kV), radiation dose and image quality using a mammographic phantom which is currently used for the quality assurance programme in the breast imaging department.
Digital x-ray technologies
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As the kV is reduced, scattered radiation is less penetrating. Therefore radiation dose to other radiosensitive organs can be reduced. However the skin radiation dose can increase as the kV is reduced (Allisy- Roberts and Williams, 2008). So by taking images at a higher kV should give a low contrast image which may not show the low density structures within the breast phantom.
If the kV is increased it is expected there are more photons reaching the detector resulting in an over exposed image which may possibly obscure small areas of micro calcifications and low density masses. However, digital mammography can compensate to some extent for over exposure. On the other hand over exposure should be avoided to comply with the ALARP (as low as reasonably practicable) principles (DoH, 2012).
Filter material
Filter materials in mammography are made of molybdenum or rhodium. The purpose of filters is to let through the useful photons and to absorb unwanted low and high energy photons so that they stop reaching the image detector thus contributing to the formulation of the radiographic image (Bushberg et al, 2002).
With the use of filters there is an increase in the quality of x-ray beam but a reduction in the intensity (Ball and Price, 1995). Therefore filtration is necessary but photons from the low end of spectrum if they are not
AEC maxed out: GE’s automatic exposure control (AEC) tools, SmartmA and AutomA, select tube current levels during an exam between minimum and maximum tube current limits based upon the patient habitus as interpreted from the last acquired CT localizer radiograph. If the noise index requested for an image is lower than is allowed by the maximum tube current, the AEC will choose the maximum tube current throughout the scan. This infrequent occurrence can happen due to patient positioning which increases patient dose [17, 18, 31, 32], improperly chosen or set-up protocol [21, 33], or large patient size. If a scan is maxed out in mA for the entire scan, then the average and the maximum mA values will be identical. In such a case, we classify the protocol as having either a manual mA technique or being “maxed out”. If the maximum mA and the average are not equal, then we classify the irradiation event as having utilized
In the article, Identifying Women with Dense Breasts at High Risk for Interval Cancer, it explains how that there are twenty-one states that passed a law on how women are to notified if they have dense breast and that they also need to be able to discuss supplemental imaging with their doctor. The doctors want to have direct discussions of supplemental imaging by determining which combinations of breast cancer risk and Breast Imaging Reporting and Data System are associated with breast density categories because of the fact that interval cancer rates are so high. By having high density risk can really be scaring, but it also can cause mask tumors and decrease the sensitivity of a mammography which is not good at all. In the twenty-one states that passed the law are the only
The purpose of this study is to determine the ability of Superflab to reduce the dose given to a contralateral breast during radiation treatment. Researchers believe Superflab is a great tissue equivalent that is easy to use and is successful in reducing the dose of scatter radiation. They believe that this bolus material will be effective in decreasing the dose to the contralateral breast. The energies used in this study included 6 MV with a total dose of 50 Gy in 25 fractions. Researchers chose six patients to participate in this study, each with various sized breasts. Researchers placed TLDs on each patient, then they placed 1 cm Superflab on top of the TLDs. Each patient received three treatments without Superflab and three with Superflab.
It results in the acquisition—in the same process of the routine study and contrast image
Breast cancer accounted for over 40,000 deaths in the United States in the year 2015. (Siegel, Miller & Jemal, 2015) Many of these deaths could have been prevented with early detection and treatment of the cancer with the use of mammograms. The use of routine mammograms was started in the late 1980’s and early 1990’s. Though this is the standard of care in todays healthcare, many people are not aware of the need for breast health screenings due to lack of education, economical status or ethnicity. By promoting breast health screenings and educating the populations we serve we can health reduce the number of breast cancer related deaths.
While rate of detection of large tumors fell after the introduction of mammography as a screening technique, technique also resulted in increased detection of small tumors. Overdiagnosis of preliminary screening meant women were more likely to have breast cancer that was
Gilgamesh is a brave demigod who goes on an adventure to kill a creature that all men fear a 6 week travel for normal man but a 3 day travel for Gilgamesh and his companion cause it talk's about how they walked there the desert and took a break were Gilgamesh travels to the top of a mountain and speaks to gods. Or when they are going threw the desert and have to dig up a well and fill up there water pouches thanks to the god of
Mammography is a kind of imaging technique in medical imaging science, which is frequently used in women for detecting breast cancer [reference]. It involves X-ray exams of breasts that are used to detect abnormalities and suspicious areas. Currently, mammograms are read by radiologists who visually investigate mammograms to find out the presence of abnormality. Manual reading may be includes false readings due to human errors. For instance: non-cancerous lesions can be interpreted as cancer that is called False Positive (FP) while cancer might be ignored wrongly; it is called False Negative (FN) [5]. In order to achieve reasonable accuracy detection, Computer-Aided Detection (CADe) and Computer-Aided Diagnosis (CADx) systems have been introduced
cancer. The use of film mammography can be very hard to recognize breast cancer in
Breast cancer is the most common cause of death in women and the second leading cause of cancer deaths worldwide. Primary prevention in the early stages of the disease becomes complex as the causes remain almost unknown. However, some typical signatures of this disease, such as masses and micro-calcifications appearing on mammograms, can be used to improve early diagnostic techniques, which is critical for women’s quality of life. X-ray mammography is the main test used for screening and early diagnosis, and its analysis and processing are the keys to improving breast cancer prognosis. As masses and benign glandular tissue typically appear with low contrast and often very blurred, several computer-aided diagnosis schemes have been developed
Radiodensity of the object plays a major role in the diagnostic process since the image
Florence, the winter of 1507, Leonardo da Vinci dissects a human body for the first time. Da Vinci, most well known for his artistry, was infatuated with the human anatomy. He produced a book titled “On the Human Figure” that entailed a sequence of drawings, mainly of the skull. Though through writing the book he became even more curious about the inter-workings of our bodies. So, this is where I would go given the chance to travel through time. When Leonardo da Vinci explored the anatomy of man that had passed in a hospital, in Florence. The build up of adrenaline as the abdomen was cut and pulled open. Having never seen even a picture of what an anatomical heart looked like, or given an idea of the shear mass of a liver. Not having any preconceived ideas, because it simply had never been
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The radiation dose was not given much thought during the beginning of conventional x-rays, as in conventional radiography the radiographer would expose the patient and then would have to process the film in a dark room before he/she would know whether the x-ray is acceptable or not, with digital they can see immediately and adjust exposure in post-processing. Although this is not ideal, because it can become time consuming, it is still a better alternative than exposing the patient again. Digital radiography systems have the new flat panel detectors that are similar to the film-screen system and can be substituted for
Breast cancer has been identified as the leading cause of diagnosed death in women worldwide (World Cancer Research International, 2016). Statistics from Australia predicted that a total of about 16, 084 people would be diagnosed in 2016 (Understanding Breast Cancer, 2016). Such