Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector
The aim of this patient dose review is to establish a thorough diagnostic reference level (DRL) system. This entails calculating a DRL value for each possible image technique/view considered to perform a diagnostic mammogram in our practice. Diagnostic mammographies from a total of 1191 patients who...
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MDPI AG
2025-03-01
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| author | Entesar Z. Dalah Maryam K. Alkaabi Nisha A. Antony Hashim M. Al-Awadhi |
| author_facet | Entesar Z. Dalah Maryam K. Alkaabi Nisha A. Antony Hashim M. Al-Awadhi |
| author_sort | Entesar Z. Dalah |
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| description | The aim of this patient dose review is to establish a thorough diagnostic reference level (DRL) system. This entails calculating a DRL value for each possible image technique/view considered to perform a diagnostic mammogram in our practice. Diagnostic mammographies from a total of 1191 patients who underwent a diagnostic mammogram study in our designated diagnostic mammography center were collected and retrospectively analyzed. The DRL representing our health sector was set as the median of the mean glandular dose (MGD) for each possible image technique/view, including the 2D standard bilateral craniocaudal (LCC/RCC) and mediolateral oblique (LMLO/RMLO), the 2D bilateral spot compression CC and MLO (RSCC/LSCC and RSMLO/LSMLO), the 2D bilateral spot compression with magnification (RMSCC/LMSCC and RMSMLO/LMSMLO), the 3D digital breast tomosynthesis CC and MLO (RCC/LCC and RMLO/LMLO), the 2D bilateral implant CC and MLO (RIMCC/LIMCC and RIMMLO/LIMMLO), the 2D bilateral contrast enhanced CC and MLO (RCECC/LCECC and RCEMLO/LCEMLO) and the 2D bilateral stereotactic biopsy guided CC (SBRCC/SBLCC). This patient dose review revealed that the highest MGD was associated with the 2D bilateral spot compression with magnification (MSCC/MSMLO) image view. For the compressed breast thickness (CBT) group 60–69 mm, the median and 75th percentile of the MGD values obtained were MSCC: 3.35 and 3.96, MSMLO: 4.14 and 5.25 mGy respectively. Obvious MGD variations were witnessed across the different possible views even for the same CBT group. Our results are in line with the published DRLs when using same statistical quantity and CBT group. |
| format | Article |
| id | doaj-art-12fc2200b8f94cf8aeb6c27558c4fe5d |
| institution | DOAJ |
| issn | 2313-433X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
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| series | Journal of Imaging |
| spelling | doaj-art-12fc2200b8f94cf8aeb6c27558c4fe5d2025-08-20T02:42:31ZengMDPI AGJournal of Imaging2313-433X2025-03-011137910.3390/jimaging11030079Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health SectorEntesar Z. Dalah0Maryam K. Alkaabi1Nisha A. Antony2Hashim M. Al-Awadhi3Central Diagnostic Imaging Department, Dubai Health, Dubai P.O. Box 2727, United Arab EmiratesMedical Imaging Department, Dubai Hospital, Dubai Health, Dubai P.O. Box 2727, United Arab EmiratesMedical Imaging Department, Dubai Hospital, Dubai Health, Dubai P.O. Box 2727, United Arab EmiratesMedical Imaging Department, Dubai Hospital, Dubai Health, Dubai P.O. Box 2727, United Arab EmiratesThe aim of this patient dose review is to establish a thorough diagnostic reference level (DRL) system. This entails calculating a DRL value for each possible image technique/view considered to perform a diagnostic mammogram in our practice. Diagnostic mammographies from a total of 1191 patients who underwent a diagnostic mammogram study in our designated diagnostic mammography center were collected and retrospectively analyzed. The DRL representing our health sector was set as the median of the mean glandular dose (MGD) for each possible image technique/view, including the 2D standard bilateral craniocaudal (LCC/RCC) and mediolateral oblique (LMLO/RMLO), the 2D bilateral spot compression CC and MLO (RSCC/LSCC and RSMLO/LSMLO), the 2D bilateral spot compression with magnification (RMSCC/LMSCC and RMSMLO/LMSMLO), the 3D digital breast tomosynthesis CC and MLO (RCC/LCC and RMLO/LMLO), the 2D bilateral implant CC and MLO (RIMCC/LIMCC and RIMMLO/LIMMLO), the 2D bilateral contrast enhanced CC and MLO (RCECC/LCECC and RCEMLO/LCEMLO) and the 2D bilateral stereotactic biopsy guided CC (SBRCC/SBLCC). This patient dose review revealed that the highest MGD was associated with the 2D bilateral spot compression with magnification (MSCC/MSMLO) image view. For the compressed breast thickness (CBT) group 60–69 mm, the median and 75th percentile of the MGD values obtained were MSCC: 3.35 and 3.96, MSMLO: 4.14 and 5.25 mGy respectively. Obvious MGD variations were witnessed across the different possible views even for the same CBT group. Our results are in line with the published DRLs when using same statistical quantity and CBT group.https://www.mdpi.com/2313-433X/11/3/79contrast-enhanced mammogramstereotactic biopsy-guided mammogramdigital breast tomosynthesisspot compression with magnificationimplant mammogramdiagnostic reference levels (DRLs) |
| spellingShingle | Entesar Z. Dalah Maryam K. Alkaabi Nisha A. Antony Hashim M. Al-Awadhi Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector Journal of Imaging contrast-enhanced mammogram stereotactic biopsy-guided mammogram digital breast tomosynthesis spot compression with magnification implant mammogram diagnostic reference levels (DRLs) |
| title | Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector |
| title_full | Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector |
| title_fullStr | Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector |
| title_full_unstemmed | Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector |
| title_short | Establishing Diagnostic Reference Levels for Mammography Digital Breast Tomosynthesis, Contrast Enhance, Implants, Spot Compression, Magnification and Stereotactic Biopsy in Dubai Health Sector |
| title_sort | establishing diagnostic reference levels for mammography digital breast tomosynthesis contrast enhance implants spot compression magnification and stereotactic biopsy in dubai health sector |
| topic | contrast-enhanced mammogram stereotactic biopsy-guided mammogram digital breast tomosynthesis spot compression with magnification implant mammogram diagnostic reference levels (DRLs) |
| url | https://www.mdpi.com/2313-433X/11/3/79 |
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