• Title/Summary/Keyword: Breast dose

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Average Glandular Dose In Mammography

  • Kim, K.H.;Ryu, Y.C.;Oh, C.H.
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.319-321
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    • 2004
  • The average glandular dose (AGD) is determined by the breast entrance skin exposure, x-ray tube target material, beam quality (half-value layer), breast thickness, and breast composition. Almost breast cancer always arises in glandular breast tissue. As a result, the average radiation absorbed dose to glandular tissue is the preferred measure of the radiation risk associated with mammography. If the normalized average glandular dose is known, the average glandular dose can be computed from the product of the normalized average glandular dose and breast entrance skin exposure. In this study, AGD was calculated by the breast thickness and various x-ray energy (HVL) in 50% glandular 50% adipose breast by Mo.-Rh. assembly. AGD is 84 mrad in compressed 5 cm breast. These results show that as increasing the breast thickness, dose also increases. But as increasing the x-ray tube voltage, dose decreases because of high penetrating ratio through the object. But high tube voltage is reducing the subject contrast. From this result, we have to consider the trade-off between subject contrast of image and dose to the patient and choose proper x-ray energy range.

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The Effects of Nonmagnetic Bolus on Contralateral Breast Skin Dose during Tangential Breast Irradiation Therapy

  • Won, Young-Jin;Cho, Jae-Hwan;Kim, Sung-chul
    • Journal of Magnetics
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    • v.21 no.1
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    • pp.133-140
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    • 2016
  • In this study the contralateral breast skin dose was decreased. It was to apply the results to the clinical study after analysis of different radiation dose amounts to contralateral breast with nonmagnetic bolus and without nonmagnetic bolus. A Rando phantom was computed tomography (CT) simulated, five treatment plans were generated: open tangents, open field in field, wedge 15, wedge 30, and intensity-modulated radiotherapy (IMRT) plan with 50.4 Gy to cover sufficient breast tissue. Contralateral breast skin dose was measured at 8 points using a glass dosimeter. The average contralateral breast dose using nonmagnetic bolus showed better excellence in decreasing the absorbed dose in the order of $168{\pm}11.1$ cGy, $131{\pm}10.2$ cGy (29%), $112{\pm}9.7$ cGy (49%), and $102{\pm}9.5$ cGy (64%) than changing the treatment plan. This study focused on decreasing the effect of scattered dose by use of a nonmagnetic bolus on the contralateral breast during radiotherapy in breast cancer patients and an intriguingly significant decrease was observed parallel to the opposed beam.

Evaluation of Breast Dose by Breast Pressure Thickness of Breast Prosthesis Insertion (보형물 삽입 유방의 압박 두께에 따른 유방 선량 평가)

  • Lee, Hyeon-Yong;Kim, Ji-Soo
    • Journal of radiological science and technology
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    • v.43 no.6
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    • pp.469-473
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    • 2020
  • Breast cancer is growing rapidly year by year and has the highest incidence since 2001. As a result, the interest in mammography for early detection of breast cancer is increasing. However, mammography is accompanied by radiation exposure and therefore it is necessary to reduce exposure dose through appropriate test conditions. The significance of this study is that breast dose studies, which were limited to ordinary women, were applied to breast implant patient. Using MCNP simulation, the phantom with prosthesis inserted was developed to compare dose by tube voltage by pressure thickness. In addition phantom without prostheses has higher dose than phantom with prostheses. If these results were used as basic data, it would be possible to recommend test condition guideline only for breast implant patients.

Evaluation of the Dose According to the Movement of Breath During Field-in-Field Technique Treatment of Breast Cancer Patients (유방암 환자의 Field-in-Field Technique 치료 시 호흡의 움직임에 따른 선량 평가)

  • Kwon, Kyung-Tae
    • Journal of radiological science and technology
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    • v.41 no.6
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    • pp.561-566
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    • 2018
  • Field-in-Field Technique is applied to the radiation therapy of breast cancer patients, and it is possible to compensate the difference in breast thickness and deliver uniform dose in the breast. However, there are several fields in the treatment field that result in a more complex dose delivery than a single field dose delivery. If the patient's respiration is irregular during the delivery of the dose by several fields and the change of respiration occurs, the dose distribution in the breast changes. Therefore, based on the computed tomography images of breast cancer patients, a human model was created by using a 3D printer (Builder Extreme 1000) to describe the volume in the same manner. A computerized tomography (CT) of the human body model was performed and a treatment plan of 260 cGy / fx was established using a 6-MV field-in-field technique using a computerized treatment planning system (Eclipse 13.6, Varian, USA). The distribution of the dose in the breast according to the change of the respiration was measured using a moving phantom at 0.1 cm, 0.3 cm, 0.5 cm amplitude, using a MOSOXIDE Silicon Field Effect Transistor (MOSFET, Best Medical, Canada) Were measured and compared. The distribution of dose in the breast according to the change of respiration showed similar value within ${\pm}2%$ in the movement up to 0.3 cm compared to the treatment plan. In this experiment, we found that the dose distribution in the breast due to the change of respiration when the change of respiration was increased was not much different from the treatment plan.

Comparison of Shield of Breast, Thyroid, Eyes for Exposure Dose Reduction in Mammography (유방엑스선검사 시 유방, 갑상샘, 안구 피폭선량 감소를 위한 차폐체 비교)

  • An, Se-Jeong;Ahn, Sung-Min
    • Journal of radiological science and technology
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    • v.44 no.3
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    • pp.189-194
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    • 2021
  • This study was conducted to reduce the exposure dose to the breast and adjacent organs as the number of Mammography increased. Therefore, it has been designed a shield in lead, bismuth + tungsten, and bismuth that does not require to be equipped by the patient, in which each type of shield was compared and analyzed of radiation exposure dose to breast, thyroid, and eye. Using a mammography machine, optically stimulated luminescent dosimeter(OSLD) was inserted to bilateral breast, thyroid, and eye of a dosimetry phantom to measure dose radiated onto the phantom. Shielding device was made in different thickness of 2mm, 3mm, and 5mm and dose evaluation was performed by measuring the dose while using lead, bismuth, and bismuth + tungsten prosthesis. When each shields combined with shielding device, were compared of dose, all showed similar does reduction in the dose to breast, thyroid, and eye in both cranialcaudal and mediolateraloblique view. Based on the current study, bismuth and bismuth + tungsten can replace conventional lead shield and it is anticipated to safely and conveniently reduce radiation exposure to breast, thyroid, and eye with the shield that does not require to be equipped.

A Study on the Usefulness of Breast Shielding Apron for Reducing Exposure Dose in Mammography (유방X선촬영 시 피폭선량 감소를 위한 유방촬영용 차폐복의 유용성에 관한 연구)

  • Koo, Bon-Yeoul;Kim, Ji-Won
    • Journal of radiological science and technology
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    • v.42 no.2
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    • pp.99-104
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    • 2019
  • Mammography, conducted every two years, causes cancer due to regular exposure to radiation while reducing rate of death caused by breast cancer. The study evaluates the effect of breast shielding apron made to shield off scattered radiation that occurs to the breast when the opposite side breast is mammogramed. AGD was measured using ACR phantom, composed of 50% mammary glands and 50% fat, and radiation was measured before and after wearing the apron on the breast when the opposite side of the breast is mammogramed. When CC direction mammography was conducted to a breast, the AGD was 1.84 mGy. When CC direction and MLO direction mammography were done to a breast, the average dose detected from the opposite side breast from four directions(top to bottom and medial to lateral) was $140{\mu}Gy$ with maximum dose of $256{\mu}Gy$ at medial side. After putting on the apron, the dose, caused by scattered radiation, was not detected from any of the four directions. Using of breast shielding apron is expected to minimize the radiation exposure by blocking scattered radiation to the breast shielded, when mammography is done to the opposite side breast.

Comparison of the Breast Dose based on the Existence of the Bismuth Breast Protection Shield for Automatic Exposure Control and Manual Exposure Control with the Coronary Artery CT Angiography

  • Kim, Sang-Tae;Kang, Sang-Koo;Kim, Chong-Yeal
    • International Journal of Contents
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    • v.7 no.4
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    • pp.103-107
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    • 2011
  • The effective dose and the organ absorbed dose, which are given to a breast in the cases of using and not using the bismuth breast protection shield for the protection of a breast with the coronary artery CT angiography, have been measured and compared for the manual exposure control (MEC)and the automatic exposure control (AEC). In the cases of using and not using the bismuth breast protection shield, it has been found that the measured dose shows the reduction of about 23 to 26% for the MEC and about 22 to 25% for the AEC when the shield is used compared to the case of not using it. By comparing the shield and non-shield cases for the AEC and the MEC, it can be said that the value measured by carrying out the scanning process with the AEC mode has decreased by about 24 to 30% compared to the case of applying the MEC mode. Such a result shows that it is recommended to use the AEC mode for the reduction of the patient's exposure dose during the CT examination.

Selection of radiation treatment plan technique at breast cancer operating technique (유방암 수술기법에 따른 방사선치료계획 기법의 선택)

  • Kim, Jeong-Ho;Bae, Seok-Hwan;Kim, Ki-Jin;Yoo, Se-Jong
    • Journal of the Korea Safety Management & Science
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    • v.17 no.1
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    • pp.125-130
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    • 2015
  • Techniques, using physical wedge filter and using dynamic wedge filter and FIF(Field in Field) and ISCT(Irregular Surface Compensating Technique), have been developed according to progress of radiation therapy of breast cancer. Measurement of dose was done to judge the usefulness of technique using three cases, non tissue loss after breast conserving operating and tissue loss after breast conserving operating and mastectomy. Dose indexes of breast tissue, CI (Conformity Index), HI (Homogeneity Index) and QOC (Quality of Coverage), dose index of skin, or dose indexes of lung, volume of 50 percent dose and 20 percent dose were estimated and compared. Using dynamic wedge filter is useful plan at non tissue loss allowing for high dose of lung. FIF and ISCT are useful plan at tissue loss. ISCT is useful plan at mastectomy. Henceforth, we need to apply to valid plan and body type and thorax size.

Radiation Dose Calculation using MIRD TYPE PHANTOM in the Surrounding Organs during Brachytherapy of Breast Cancer (유방암의 근접치료 시 수학적 모의피폭체를 이용한 인접장기의 선량평가)

  • Park, Eun-tae;Kim, Jung-hoon;Im, In-chul
    • Journal of the Korean Society of Radiology
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    • v.10 no.4
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    • pp.271-278
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    • 2016
  • This study was fulfilled to evaluate the absorbed dose of breast and adjacent organs using MIRD type phantom in brachytherapy of breast cancer. The absorbed dose was analyzed assuming left or right breast is source organ which is $^{103}Pd$ or $^{192}Ir$. As a result, $^{192}Ir$ dose is higher than $^{103}Pd$ in source organ and also in contralateral breast. Particularly, significant adjacent organs are lung, liver, heart and contralateral breast in brachytherapy of breast cancer.

Evaluation of Breast Dose in Mammography for Breast Implant Patient using a Monte Carlo Simulation (몬테칼로 모의모사를 이용한 유방성형술 환자의 유방선량평가)

  • Kim, Ji-Soo;Cho, Yong-In;Kim, Jung-Hoon
    • Journal of the Korean Society of Radiology
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    • v.14 no.3
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    • pp.253-259
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    • 2020
  • Mammography has the advantage of being economical, simple and effective in detecting microcalcification, but breast is a highly sensitive organ and is accompanied by the risk of an over-exposure. While accurate dose assessments are important to prevent this, current breast dose assessments are limited to breast implant patients. This purpose of this study was to identify dose variations due to tube voltages by forming a mock-up with breast implants for an accurate dosimetric assessment on breast implant patients. As a result, doses from the presence of breast implants were smaller than those from the absence of the mammal. As the result of the change of the voltage to 26, 28, 30, and 32 kV, the imcreased tube voltage included larger dose regardless of the presence of Breast implant. Therefore, it is believed that diagnosis recommendations for breast implants will be possible if further studies on internal and external bioretical imaging and quality assessment are carried out as the basis for this study.