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数字乳腺X线摄影平均腺体剂量与腺体密度及压迫厚度的关系研究

柳杰 刘佩芳 张连连 邵真真 张洪营

国际医学放射学杂志Issue(4):311-313,3.
国际医学放射学杂志Issue(4):311-313,3.DOI:10.3874/j.issn.1674-1897.2014.04.L0402

数字乳腺X线摄影平均腺体剂量与腺体密度及压迫厚度的关系研究

Relation between mammary gland density, thickness, and average glandular dose in digital mammography

柳杰 1刘佩芳 1张连连 1邵真真 1张洪营1

作者信息

  • 1. 300060,天津医科大学肿瘤医院乳腺影像诊断科 国家肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室 天津市肿瘤防治重点实验室
  • 折叠

摘要

Abstract

Objective To investigate the effect of mammographic density and compression thickness on average glandular dose (AGD). Methods Unilateral breast craniocaudal imaging data and adopt automatic exposure mode from 600 female patients which were collected in October 2008 in our hospital were retrospectively analyzed. According to the BI-RADS standard, the gland densities were divided into four types, including<25%, 25%~50%, 51%~75%, and>75%, with 150 cases each. Each type was divided into < 35 mm, 35~50 mm, and 51~64 mm, according to the breast compression thickness, 50 cases in each group. SPSS 17.0 was used to test the differences in AGD between types/groups of compression thickness and gland density with single factor analysis of variance. Spearman coefficient was used to test the correlation between different gland density, compression thickness, and AGD. Results AGD values were statistically significant different between types/groups of compression thickness and gland density(P<0.001). The values of AGD were increased when increasing breast compression thickness and glandular density. The gland density had greater influence on AGD (r=0.674, P<0.001) than compression thickness did (r=0.456, P<0.001). Conclusion Breast density and compression thickness have close relationship with the AGD in digital mammography. In manual exposure mode or some special circumstances, exposure parameters should be adjusted based on the breast type (gland density and thickness) to reduce the radiation injury without compromising image quality.

关键词

数字乳腺X线摄影/平均腺体剂量/腺体密度/压迫厚度

Key words

Digital mammography/Average glandular dose/Gland density/Compression thickness

引用本文复制引用

柳杰,刘佩芳,张连连,邵真真,张洪营..数字乳腺X线摄影平均腺体剂量与腺体密度及压迫厚度的关系研究[J].国际医学放射学杂志,2014,(4):311-313,3.

基金项目

天津市抗癌重大科技专项 ()

国际医学放射学杂志

OACSTPCD

1674-1897

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