Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom

Objective. To compare the detection of microcalcifications on mammograms of an anthropomorphic breast phantom acquired by a direct digital flat-panel detector mammography system (FPM) versus a stereotactic breast biopsy system utilizing CCD (charge-coupled device) technology with either a 1024 or 51...

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Main Authors: Kathrin Barbara Krug, Hartmut Stützer, Peter Frommolt, Julia Boecker, Henning Bovenschulte, Volker Sendler, Klaus Lackner
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.4061/2011/701054
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author Kathrin Barbara Krug
Hartmut Stützer
Peter Frommolt
Julia Boecker
Henning Bovenschulte
Volker Sendler
Klaus Lackner
author_facet Kathrin Barbara Krug
Hartmut Stützer
Peter Frommolt
Julia Boecker
Henning Bovenschulte
Volker Sendler
Klaus Lackner
author_sort Kathrin Barbara Krug
collection DOAJ
description Objective. To compare the detection of microcalcifications on mammograms of an anthropomorphic breast phantom acquired by a direct digital flat-panel detector mammography system (FPM) versus a stereotactic breast biopsy system utilizing CCD (charge-coupled device) technology with either a 1024 or 512 acquisition matrix (1024 CCD and 512 CCD). Materials and Methods. Randomly distributed silica beads (diameter 100–1400 𝜇m) and anthropomorphic scatter bodies were applied to 48 transparent films. The test specimens were radiographed on a direct digital FPM and by the indirect 1024 CCD and 512 CCD techniques. Four radiologists rated the monitor-displayed images independently of each other in random order. Results. The rate of correct positive readings for the “number of detectable microcalcifications” for silica beads of 100–199 𝜇m in diameter was 54.2%, 50.0% and 45.8% by FPM, 1024 CCD and 512 CCD, respectively. The inter-rater variability was most pronounced for silica beads of 100–199 𝜇m in diameter. The greatest agreement with the gold standard was observed for beads >400 𝜇m in diameter across all methods. Conclusion. Stereotactic spot images taken by 1024 matrix CCD technique are diagnostically equivalent to direct digital flat-panel mammograms for visualizing simulated microcalcifications >400 𝜇m in diameter.
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spelling doaj-art-2cca945cb50d41e9be42b56f49ca087b2025-08-20T03:55:12ZengWileyInternational Journal of Breast Cancer2090-31892011-01-01201110.4061/2011/701054701054Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast PhantomKathrin Barbara Krug0Hartmut Stützer1Peter Frommolt2Julia Boecker3Henning Bovenschulte4Volker Sendler5Klaus Lackner6Department of Radiology, Medical School, University of Cologne, Kerpenerstraße 62, 50924 Cologne, GermanyInstitute of Medical Statistics, Informatics and Epidemiology, University of Cologne, 50931 Cologne, GermanyInstitute of Medical Statistics, Informatics and Epidemiology, University of Cologne, 50931 Cologne, GermanyDepartment of Radiology, Medical School, University of Cologne, Kerpenerstraße 62, 50924 Cologne, GermanyDepartment of Radiology, Medical School, University of Cologne, Kerpenerstraße 62, 50924 Cologne, GermanyTesting Office for Radiation Protection, Deisterstraße 9, 30974 Wennigsen, GermanyDepartment of Radiology, Medical School, University of Cologne, Kerpenerstraße 62, 50924 Cologne, GermanyObjective. To compare the detection of microcalcifications on mammograms of an anthropomorphic breast phantom acquired by a direct digital flat-panel detector mammography system (FPM) versus a stereotactic breast biopsy system utilizing CCD (charge-coupled device) technology with either a 1024 or 512 acquisition matrix (1024 CCD and 512 CCD). Materials and Methods. Randomly distributed silica beads (diameter 100–1400 𝜇m) and anthropomorphic scatter bodies were applied to 48 transparent films. The test specimens were radiographed on a direct digital FPM and by the indirect 1024 CCD and 512 CCD techniques. Four radiologists rated the monitor-displayed images independently of each other in random order. Results. The rate of correct positive readings for the “number of detectable microcalcifications” for silica beads of 100–199 𝜇m in diameter was 54.2%, 50.0% and 45.8% by FPM, 1024 CCD and 512 CCD, respectively. The inter-rater variability was most pronounced for silica beads of 100–199 𝜇m in diameter. The greatest agreement with the gold standard was observed for beads >400 𝜇m in diameter across all methods. Conclusion. Stereotactic spot images taken by 1024 matrix CCD technique are diagnostically equivalent to direct digital flat-panel mammograms for visualizing simulated microcalcifications >400 𝜇m in diameter.http://dx.doi.org/10.4061/2011/701054
spellingShingle Kathrin Barbara Krug
Hartmut Stützer
Peter Frommolt
Julia Boecker
Henning Bovenschulte
Volker Sendler
Klaus Lackner
Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
International Journal of Breast Cancer
title Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
title_full Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
title_fullStr Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
title_full_unstemmed Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
title_short Image Quality of Digital Direct Flat-Panel Mammography Versus an Indirect Small-Field CCD Technique Using a High-Contrast Phantom
title_sort image quality of digital direct flat panel mammography versus an indirect small field ccd technique using a high contrast phantom
url http://dx.doi.org/10.4061/2011/701054
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