Technical aspects of quality assurance in mammography: Preliminary results from Serbia

Mammography is the method of choice for early detection of breast cancer. In Serbia, mammography is performed only clinically, although there is a plan to introduce mammography as a screening method. Currently, there are 60 mammographic units in practice, resulting in 70 000 mammographies annually....

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Main Authors: Živković Monika M., Stantić Tomislav J., Ciraj-Bjelac Olivera F.
Format: Article
Language:English
Published: VINCA Institute of Nuclear Sciences 2010-01-01
Series:Nuclear Technology and Radiation Protection
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/1451-3994/2010/1451-39941001055Z.pdf
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author Živković Monika M.
Stantić Tomislav J.
Ciraj-Bjelac Olivera F.
author_facet Živković Monika M.
Stantić Tomislav J.
Ciraj-Bjelac Olivera F.
author_sort Živković Monika M.
collection DOAJ
description Mammography is the method of choice for early detection of breast cancer. In Serbia, mammography is performed only clinically, although there is a plan to introduce mammography as a screening method. Currently, there are 60 mammographic units in practice, resulting in 70 000 mammographies annually. The survey was conducted in order to investigate mammographic practice in Serbia, identify weak points and suggest appropriate corrective measures. Basic technical parameters of the X-ray tube and generator, processing, image quality, and patient doses in 20 mammographic units were studied. The survey demonstrated considerable variations in technical parameters that affect image quality, and patients doses. Patient dose levels, in terms of the mean glandular dose, were fairly consistent with current European reference levels: 1.8 (0.40-4.3) mGy. However, due to inappropriate image receptors, image processing and viewing conditions and automatic exposure control adjustment, suboptimal image quality was a common finding. Simple improvements of the radiographic technique and maintenance procedure, along with the rigid implementation of the quality control procedure and training of the operating staff, would improve the performance levels of mammographic practice in Serbia, i. e. result in the production of high quality images with a reasonably low radiation risk to patients.
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spelling doaj.art-c24a9d5f016d4452b81a3048095380a12022-12-22T02:47:35ZengVINCA Institute of Nuclear SciencesNuclear Technology and Radiation Protection1451-39942010-01-01251556110.2298/NTRP1001055ZTechnical aspects of quality assurance in mammography: Preliminary results from SerbiaŽivković Monika M.Stantić Tomislav J.Ciraj-Bjelac Olivera F.Mammography is the method of choice for early detection of breast cancer. In Serbia, mammography is performed only clinically, although there is a plan to introduce mammography as a screening method. Currently, there are 60 mammographic units in practice, resulting in 70 000 mammographies annually. The survey was conducted in order to investigate mammographic practice in Serbia, identify weak points and suggest appropriate corrective measures. Basic technical parameters of the X-ray tube and generator, processing, image quality, and patient doses in 20 mammographic units were studied. The survey demonstrated considerable variations in technical parameters that affect image quality, and patients doses. Patient dose levels, in terms of the mean glandular dose, were fairly consistent with current European reference levels: 1.8 (0.40-4.3) mGy. However, due to inappropriate image receptors, image processing and viewing conditions and automatic exposure control adjustment, suboptimal image quality was a common finding. Simple improvements of the radiographic technique and maintenance procedure, along with the rigid implementation of the quality control procedure and training of the operating staff, would improve the performance levels of mammographic practice in Serbia, i. e. result in the production of high quality images with a reasonably low radiation risk to patients.http://www.doiserbia.nb.rs/img/doi/1451-3994/2010/1451-39941001055Z.pdfmammographyquality controlimage qualitydose
spellingShingle Živković Monika M.
Stantić Tomislav J.
Ciraj-Bjelac Olivera F.
Technical aspects of quality assurance in mammography: Preliminary results from Serbia
Nuclear Technology and Radiation Protection
mammography
quality control
image quality
dose
title Technical aspects of quality assurance in mammography: Preliminary results from Serbia
title_full Technical aspects of quality assurance in mammography: Preliminary results from Serbia
title_fullStr Technical aspects of quality assurance in mammography: Preliminary results from Serbia
title_full_unstemmed Technical aspects of quality assurance in mammography: Preliminary results from Serbia
title_short Technical aspects of quality assurance in mammography: Preliminary results from Serbia
title_sort technical aspects of quality assurance in mammography preliminary results from serbia
topic mammography
quality control
image quality
dose
url http://www.doiserbia.nb.rs/img/doi/1451-3994/2010/1451-39941001055Z.pdf
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