Comparison of average glandular dose in mammography for patients with breast implants when using automatic or manual exposure technique

IF 3.3 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2025-09-23 DOI:10.1016/j.ejrad.2025.112444

Anja Šimunović Simić , Erna Alukić , Laura Jurša , Maja Marolt Mušič , Nejc Mekiš

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引用次数: 0

Abstract

Objective

The aim of this study was to evaluate the average glandular dose (AGD) in mammography screening of women with breast implants and to compare the AGD and image quality obtained with automatic exposure control (AEC) versus manual exposure settings with standard and Eklund techniques (implant displacement).

Methods

A retrospective analysis of 536 patients with breast implants from a national screening program using mammography equipment from a single vendor (Hologic Selenia Dimensions) was performed. Each patient underwent eight images; four standard (CC, MLO) and four Eklund (CCID, MLOID) projections. Exposure parameters, breast thickness, compression force and AGD were assessed. A subset of 35 patients (eight images each) who underwent two consecutive mammograms with different exposure settings (AEC and manual) underwent image quality assessment using a standardized PGMI classification, which was evaluated by three radiologists experienced in mammography reporting.

Results

AGD was significantly higher with AEC in standard projections (CC, MLO), but lower in Eklund projections (CCID, MLOID) than with manual exposure (p < 0.001). Manual exposure settings resulted in better image quality in standard projections, while no significant differences were observed in CCID images. For four out of six quality criteria, MLOID images were superior to manual settings.

Conclusion

AEC leads to lower AGD in implant displacement projections, but increases AGD in standard projections. Manual exposure settings resulted in better image quality for CC, MLO and MLOID projections, while IQ was at an acceptable level even when using AEC. The results emphasize that standard projection mammography in patients with breast implants should be performed with manual exposure settings, while ID projections should be performed with AEC while maintaining sufficient IQ.

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采用自动或手动照射技术对假体患者乳腺x光检查平均腺体剂量的比较

目的本研究的目的是评估乳房植入物女性乳房x线摄影筛查中的平均腺剂量（AGD），并比较自动曝光控制（AEC）与手动曝光设置(标准和Eklund技术（植入物位移）获得的AGD和图像质量。方法回顾性分析536例使用单一供应商（Hologic Selenia Dimensions）乳房x光检查设备的国家筛查项目假体患者。每位患者接受8张图像；4个标准（CC、MLO）和4个埃克伦（CCID、mlod）投影。评估暴露参数、乳房厚度、压缩力和AGD。35名患者（每人8张图像）连续两次接受不同曝光设置（AEC和手动）的乳房x光检查，使用标准化的PGMI分类进行图像质量评估，由三名在乳房x光检查报告方面经验丰富的放射科医生进行评估。结果AEC在标准投影（CC、MLO）中agd显著高于手工暴露（p < 0.001），而在Eklund投影（CCID、mlid）中agd显著低于手工暴露（p < 0.001）。手动曝光设置在标准投影中产生更好的图像质量，而在CCID图像中没有观察到显著差异。对于六项质量标准中的四项，MLOID图像优于手动设置。结论aec导致种植体移位投影的AGD降低，但增加了标准投影的AGD。手动曝光设置使CC、MLO和MLOID投影的图像质量更好，而IQ即使在使用AEC时也处于可接受的水平。结果强调，乳房植入患者的标准投影乳房x线摄影应在手动曝光设置下进行，而ID投影应在保持足够智商的情况下使用AEC进行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.