The acceptance of a digital mammography system in a public hospital: Challenges and strategies applied in quality control tests

Authors

DOI:

https://doi.org/10.33448/rsd-v12i12.43938

Keywords:

Mammography; Acceptance tests; Quality control.

Abstract

Objective: To evaluate the applicability of different protocols for conducting tests related to average glandular dose (AGD), automatic exposure control compensation (AEC), contrast-to-noise ratio (CNR), image uniformity, and artifacts. Methodology: PMMA phantoms were used to simulate the patient. Tests were performed in both STD and STD+ modes. In determining AGD, the phantoms were used to obtain technical exposure parameters. Air kerma was measured using a solid-state detector. In AEC compensation verification, regions of interest were marked in the acquired images. For CNR, a thin layer of contrast material (aluminum) was placed on one of the phantoms; regions of interest (ROIs) were marked in the contrast regions and background. For determining image uniformity, five ROIs were marked in the images. Results: AGD was in compliance in STD mode but exceeded tolerance in STD+ mode for two thicknesses (4 cm and 5 cm) of PMMA. Operating the equipment in STD+ mode resulted in a 57% increase in AGD for the 6 cm thickness and an improvement in the results for the 6 cm and 7 cm thicknesses in the CNR test. Only the 2.5 cm thick phantom exhibited uniformity as stipulated in IN 92. Conclusion: Patients with compressed breast thickness exceeding 7.5 cm are exposed to higher doses due to equipment limitations.

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Published

12/11/2023

How to Cite

LISBOA, B. F. de O. .; OLIVEIRA, C. G. de .; ATTIE, M. R. P. . The acceptance of a digital mammography system in a public hospital: Challenges and strategies applied in quality control tests. Research, Society and Development, [S. l.], v. 12, n. 12, p. e43121243938, 2023. DOI: 10.33448/rsd-v12i12.43938. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/43938. Acesso em: 13 may. 2024.

Issue

Vol. 12 No. 12

Section

Exact and Earth Sciences

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Copyright (c) 2023 Bruno Fabricio de Oliveira Lisboa; Carolline Gomes de Oliveira; Márcia Regina Pereira Attie

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