[1]王忠周,刘素兰,王新怡,等.影响数字乳腺X线摄影辐射剂量因素研究[J].国际放射医学核医学杂志,2012,36(2):113-116.[doi:10.3760/cma.j.issn.1673-4114.2012.02.014]
 WANG Zhong-zhou,LIU Su-lan,WANG Xin-yi,et al.Study on factors of influence to radiation dose of digital mammography[J].International Journal of Radiation Medicine and Nuclear Medicine,2012,36(2):113-116.[doi:10.3760/cma.j.issn.1673-4114.2012.02.014]
点击复制

影响数字乳腺X线摄影辐射剂量因素研究(/HTML)
分享到:

《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
36
期数:
2012年第2期
页码:
113-116
栏目:
临床放射医学
出版日期:
2012-03-25

文章信息/Info

Title:
Study on factors of influence to radiation dose of digital mammography
作者:
王忠周 刘素兰 王新怡 李爱银 刘超
山东省千佛山医院放射科, 济南 250014
Author(s):
WANG Zhong-zhou LIU Su-lan WANG Xin-yi LI Ai-yin LIU Chao
Department of Radiology, Qianfoshan Hospital of Shandong Province, Jinan 250014, China
关键词:
乳房X线摄影术辐射剂量靶面/滤过自动曝光控制手动曝光控制
Keywords:
MammographyRadiation dosageTarget surface/filtrationAutomatie exposure controlManual exposure control
DOI:
10.3760/cma.j.issn.1673-4114.2012.02.014
摘要:
目的 对影响数字乳腺X线摄影辐射剂量的不同靶面/滤过组合以及不同曝光模式进行研究.方法 采用西门子MAMMOMAT NovationDR型数字乳腺摄影机,应用不同靶面/滤过组合和不同曝光模式对乳腺体模和X射线用矩形波测试卡进行照射,记录其辐射剂量并观察测试卡显示的线对数,再对临床病例进行对比研究,记录其辐射剂量并观察照片质量有无差别.结果 同等X线片质量下,三种不同靶面/滤过组合和两种不同曝光模式的辐射剂量差别较大,在体模试验中,钼靶/钼滤过组合达到2.2 mGy,钼靶/铑滤过组合达到1.5 mGy,而钨靶/铑滤过组合最小,只有1.0mGy;与自动曝光模式的辐射剂量3.0 mGy相比,手动曝光控制模式的辐射剂量可下降到1.5mGy.同时,临床病例测试结果与体模测试结果完全相符.结论 在实际工作中,应尽量选择手动曝光控制模式和钨靶/铑滤过组合进行摄影,以尽量减少患者的辐射剂量。
Abstract:
Objective To study different target surface/filtration combination and exposure modes which are influence factors to digital mammography radiation dose.Methods Phantom of breast and rectangular wave test card were exposed to Siemens MAMMOMAT NovationDR digital breast X-ray machine by different target surface/filtration combines and different exposure modes,radiation dose and line logarithms of test card was obtained.And then comparatively studied with clinical radiation does,observed the different quality of images.Results There are significant difference between three different target surface/filtration combines and two different exposure modes at the same X-ray image quality.The radiation dose of target surface/filtration combinations of molybdenum/molybdenum,molybdenum/rhodium,and tungsten/rhodium were 2.2 mGy,1.5 mGy,and 1.0 mGy in model test,respectively.Compared with 3 mGy of automatic exposure,manual exposure dose decreased to 1.5 mCy.The results of clinical case and model test were completely conformed.Conclusion Manual exposure mode and tungsten/rhodium target suface/filtration combination were advised to reduce the radiation dose in clinical application

参考文献/References:

[1] Rill LN, Huda W, Gkanatsios NA. View box luminance measure-ments and their effect on reader performance. Acad Radiol, 1999, 6(9):521-529.
[2] Kirchner J, Kollath J. Quality assurance measures within DIN 6856:the adaptation of film viewing boxes and their specifications in the radiology department of a university hospital. Deutsche Industrie-Norm. Rofo,1996,164(2):146-149.
[3] 彭卫军[1],顾雅佳[1].重视乳腺影像学检查技术和诊断水平的普及与提高为降低我国乳腺癌发病率而努力.中华放射学杂志,2009,43(5):453-454.
[4] White J. FAD approach system for digital mammography. J Natl Cancer Inst, 2000, 92(6):442.
[5] 燕树林,等.全国医用设备使用人员上岗考试指南——乳腺摄影技术分册[M].北京:国家行政学院音像出版社,2007.
[6] 潘自强.国际放射防护委员会2007年建议书.北京:原子能出版版社,2007.
[7] Hendrick RE, Pisano ED, Averbukh A, et al. Comparison of acqui-sition parameters and breast dose in digital mammography and screen-film mammography in the American College of Radiology Imaging Network digital mammographic imaging screening trial. AJR Am J Roentgenol, 2010, 194(2):362-369.
[8] 中华人民共和国卫生部,中国国家标准化管理委员会.GB16348-2010医用x射线诊断受检者放射卫生防护标准.北京:中国标准出版社,2011.

相似文献/References:

[1]杨雷,袁卫红,王家平,等.99Tcm-MIBI显像与钼靶X线对乳腺癌诊断的比较研究[J].国际放射医学核医学杂志,2016,40(2):111.[doi:10.3760/cma.j.issn.1673-4114.2016.02.005]
 Yang Lei,Yuan Weihong,Wang Jiaping,et al.Diagnostic value of technetium 99Tcm sestamibi and X-ray mammography in breast cancer: a comparison study[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):111.[doi:10.3760/cma.j.issn.1673-4114.2016.02.005]
[2]邓大平,卢峰,孙洪强,等.颅脑肿瘤放射治疗时射野外器官吸收剂量体模法测量与分析[J].国际放射医学核医学杂志,2016,40(4):272.[doi:10.3760/cma.j.issn.1673-4114.2016.04.007]
 Deng Daping,Lu Feng,Sun Hongqiang,et al.Test and analysis of out-of-field organ dose in intracranial tumor radiotherapy using phantom[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):272.[doi:10.3760/cma.j.issn.1673-4114.2016.04.007]
[3]马永忠,王宏芳,冯泽臣,等.回旋加速器工作场所辐射水平的调查与分析[J].国际放射医学核医学杂志,2015,39(5):407.[doi:10. 3760 / cma. j. issn. 1673-4114. 2015. 05. 013]
 ma yongzhong,wang hongfang,feng zechen,et al.investigation and analysis of radiation dose levels in a cyclotron room[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(2):407.[doi:10. 3760 / cma. j. issn. 1673-4114. 2015. 05. 013]
[4]张欣,孙志娟,赵永成.医用X射线工作者回顾性剂量估算进展[J].国际放射医学核医学杂志,2016,40(5):379.[doi:10.3760/cma.j.issn.1673-4114.2016.05.009]
 Zhang Xin,Sun Zhijuan,Zhao Yongcheng.Advances in retrospective dose estimation for medical X-ray workers[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):379.[doi:10.3760/cma.j.issn.1673-4114.2016.05.009]
[5]徐佳欢,孙凯.第二代双源CT大螺距模式低辐射剂量血管成像进展[J].国际放射医学核医学杂志,2016,40(5):389.[doi:10.3760/cma.j.issn.1673-4114.2016.04.011]
 Xu Jiahuan,Sun Kai.Application of high-pitch and low-dose mode using dual-source CT by computed tomography angiography[J].International Journal of Radiation Medicine and Nuclear Medicine,2016,40(2):389.[doi:10.3760/cma.j.issn.1673-4114.2016.04.011]
[6]林翠君,李丽红,陈惠莲,等.乳腺非典型增生的综合影像学表现[J].国际放射医学核医学杂志,2015,39(3):216.[doi:10.3760/cma.j.issn.1673-4114.2015.03.006]
 Lin Cuijun,Li Lihong,Chen Huilian,et al.Imaging features of digital mammography and sonography on mammary atypical hyperplasia[J].International Journal of Radiation Medicine and Nuclear Medicine,2015,39(2):216.[doi:10.3760/cma.j.issn.1673-4114.2015.03.006]
[7]郑玉明,程霞,郑棒.自制90Sr保持架在皮肤病敷贴治疗中的辐射防护作用[J].国际放射医学核医学杂志,2014,38(1):19.[doi:10.3760/cma.j.issn 1673-4114.2014.01.005]
 Zheng Yuming,Cheng Xia,Zheng Bang.Effects of serf-made 90Sr applicator retainer on radiation protection in treatment of skin disease[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(2):19.[doi:10.3760/cma.j.issn 1673-4114.2014.01.005]
[8]成钊汀,谭建.分化型甲状腺癌术后患者131I治疗的辐射剂量与防护[J].国际放射医学核医学杂志,2014,38(2):110.[doi:10.3760/cma.j.issn.1673-4114.2014.02.010]
 Cheng Zhaoting,Tan Jian.Radiation dose and protection of differentiated thyroid carcinoma postoperative patients with 131I treatment[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(2):110.[doi:10.3760/cma.j.issn.1673-4114.2014.02.010]
[9]王亮,张文艺,焦玲.CR-39固体探测器蚀刻后径迹分析和影响因素分析[J].国际放射医学核医学杂志,2014,38(2):130.[doi:10.3760/cma.j.issn.1673-4114.2014.02.013]
 Wang Liang,Zhang Wenyi,Jiao Ling.Track analysis and influencing factors analysis on CR-39 solid state detector after etching[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(2):130.[doi:10.3760/cma.j.issn.1673-4114.2014.02.013]
[10]董佳佳,章斌.多种影像学方法评价乳腺癌新辅助化疗疗效的价值比较[J].国际放射医学核医学杂志,2014,38(6):427.[doi:10.3760/cma.j.issn.1673-4114.2014.06.018]
 Dong Jia-jia,Zhang Bin.Comparision on the values of different image modalities in monitoring the response to neoadjuvant chemotherapy in breast cancer patients[J].International Journal of Radiation Medicine and Nuclear Medicine,2014,38(2):427.[doi:10.3760/cma.j.issn.1673-4114.2014.06.018]

备注/Memo

备注/Memo:
收稿日期:2012-02-06。
基金项目:山东省医药卫生科技发展计划项目(2009HZ071)
通讯作者:李爱银,Email:laydl@sina.com
更新日期/Last Update: 1900-01-01