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Sample records for diagnostic mammography facilities

  1. Mammography Facilities

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mammography Facility Database is updated periodically based on information received from the four FDA-approved accreditation bodies: the American College of...

  2. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  3. FDA Certified Mammography Facilities

    Science.gov (United States)

    ... Program Consumer Information (MQSA) Search for a Certified Facility Share Tweet Linkedin Pin it More sharing options ... Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on Search ...

  4. A Novel Hand-Held Optical Imager with Real-Time Co-Registration Facilities Towards Diagnostic Mammography

    Science.gov (United States)

    2012-01-01

    spectroscopy,” UCI Undergraduate Res. J. II, pp. 43–49, 1999. [11] B. J. Tromberg, N. Shah, R. Lanning, A. Cerussi, J. Espinoza , T. Pham, L. Svaasand, and J...mammography,” Acad. Ra- diol., vol. 8, pp. 211–218, 2001. [14] N. Shah, A. Cerussi, C. Eker, J. Espinoza , J. Butler, J. Fishkin, R. Hor- nung, and B

  5. Access to Mammography Facilities and Detection of Breast Cancer by Screening Mammography: A GIS Approach.

    Science.gov (United States)

    Rahman, Selina; Price, James H; Dignan, Mark; Rahman, Saleh; Lindquist, Peter S; Jordan, Timothy R

    2009-01-01

    OBJECTIVES: The objective of the study was to examine the association between access to mammography facilities and utilization of screening mammography in an urban population. METHODS: Data on female breast cancer cases were obtained from an extensive mammography surveillance project. Distance to mammography facilities was measured by using GIS, which was followed by measuring geographical access to mammography facilities using Floating Catchment Area (FCA) method (considering all available facilities within an arbitrary radius from the woman's residence by using Arc GIS 9.0 software). RESULTS: Of 2,024 women, 91.4% were Caucasian; age ranged from 25 to 98 years; most (95%) were non-Hispanic in origin. Logistic regression found age, family history, hormone replacement therapy, physician recommendation, and breast cancer stage at diagnosis to be significant predictors of having had a previous mammogram. Women having higher access to mammography facilities were less likely to have had a previous mammogram compared to women who had low access, considering all the facilities within 10 miles (OR=0.41, CI=0.22-0.76), 30 miles (OR=0.52, CI=0.29-0.91) and 40 miles (OR=0.51, CI=0.28-0.92) radiuses. CONCLUSIONS: Physical distance to mammography facilities does not necessarily predict utilization of mammogram and greater access does not assure greater utilizations, due to constraints imposed by socio economic and cultural barriers. Future studies should focus on measuring access to mammography facilities capturing a broader dimension of access considering qualitative aspect of facilities, as well as other travel impedances.

  6. Diagnostic performance of a near-infrared breast imaging system as adjunct to mammography versus X-ray mammography alone

    Energy Technology Data Exchange (ETDEWEB)

    Collettini, F.; Martin, J.C.; Diekmann, F.; Fallenberg, E.; Engelken, F.; Kroencke, T.J.; Hamm, B. [Charite Universitaetsmedizin Berlin, Department of Radiology, Berlin (Germany); Ponder, S. [Imaging Diagnostic Systems, Inc, Fort Lauderdale, FL (United States); Poellinger, A. [Charite Universitaetsmedizin Berlin, Department of Radiology, Berlin (Germany); Charite, Universitaetsmedizin Berlin, Department of Radiology, Berlin (Germany)

    2012-02-15

    Radiologist reader performance for breast cancer detection using mammography plus Near-Infrared Breast Imaging (NIBI) was compared with mammography alone. Two hundred seventy-six consecutive patients with suspected breast lesions underwent both mammography and NIBI. Four blinded radiologists independently first reviewed the mammograms alone. Readers subsequently reviewed the mammograms in combination with NIBI. The diagnostic benefit of NIBI as an adjunct to mammography was determined by performing receiver operating characteristics (ROC) analyses for each reader based on BI-RADS categories (Breast Imaging Reporting and Data System) and LOS (level of suspicion) scores. Additionally, a multireader-multicase (ROC) analysis of variance (ANOVA) was carried out. For the LOS-based analysis, the combination of mammography and NIBI resulted in a slightly larger area under the curve (AUC) for all four readers. The analysis based on BI-RADS categories also demonstrated a slight increase in AUC for three readers for the combination of mammography and NIBI compared with mammography alone. For the fourth reader, AUC was smaller for the combination compared with mammography alone. Neither for the separate ROC-analyses nor for the ANOVA, significant differences between the two methods were obtained. The combination of mammography and NIBI did not perform significantly better than mammography alone. (orig.)

  7. Different BIRADS Categories in Screening and Diagnostic Mammography

    Directory of Open Access Journals (Sweden)

    A. R. Ehsanbakhsh

    2009-11-01

    Full Text Available Background/Objective: Breast cancer is the most common cancer among Iranian women. The mean age of these cancer patients is one decade younger than that of other developing countries. The aim of this study was frequency determination of Breast Imaging Reporting and Data System (BIRADS subcategories, especially, higher categories and analysis of its related factors in the patients referred to the radiology department of Valie-Asr Hospital, Birjand."n"nPatients and Methods: The study was performed on 437 female patients from June 2006 to May 2007. Patients were divided into two groups; namely, those who underwent screening mammography and those who underwent diagnostic mammography. An expert radiologist reported the mammograms according to BIRADS classification. SPSS ver 12 software and Chi-square test were used for statistical analysis and P-value was significant under 0.05. Results: The mean age was 43.8±9 years. Eighty-one percent of the mammograms were diagnostic and only 19% of them were screening mammographies. Unilateral breast pain was the most common symptom (29% of which 68% were premenopausal. Fify-five percent of them had a history of OCP consumption. The overall BIRADS classification frequencies were: category 0: 9 (3%, category 1: 85 (19%, category 2: 268 (61%, category 3: 37 (8%, category 4: 22 (5%, category 5: 16 (4%. A positive test result (BIRADS categories 4 and 5 in our study was 10.7% in the diagnostic group and 1.2% in the screening group (p=0.007. Five percent of all patients had a familial history of breast cancer. Conclusion: Screening mammography is recommended for early evaluation and early diagnosis of breast cancer.     

  8. Performance of diagnostic mammography differs in the United States and Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Geller, Berta M; Gard, Charlotte C

    2010-01-01

    in the United States and Denmark. The performance of 93,585 diagnostic mammograms from 180 facilities contributing data to the US Breast Cancer Surveillance Consortium (BCSC) from 1999 to 2001 was compared to that of all 51,313 diagnostic mammograms performed at Danish clinics in 2000. We used the imaging...... workup's final assessment to determine sensitivity, specificity and an estimate of accuracy: area under the receiver-operating characteristics (ROCs) curve (AUC). Diagnostic mammography had slightly higher sensitivity in the United States (85%) than in Denmark (82%). In contrast, it had higher...... specificity in Denmark (99%) than in the United States (93%). The AUC was high in both countries: 0.91 in United States and 0.95 in Denmark. Denmark's higher accuracy may result from supplementary ultrasound examinations, which are provided to 74% of Danish women but only 37% to 52% of US women. In addition...

  9. Does Distance Matter? Distance to Mammography Facilities and Stage at Diagnosis of Breast Cancer in Kentucky

    Science.gov (United States)

    Huang, Bin; Dignan, Mark; Han, Daikwon; Johnson, Owen

    2009-01-01

    Background: National and regional data indicate that breast cancer early detection is low in Kentucky, especially rural regions, perhaps because access to mammography services can be problematic. Objective: This study examined the distance between residences of women diagnosed with breast cancer and the nearest mammography facility, as a risk…

  10. Ultrasonography as a diagnostic method in addition to mammography

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    Otto, H.; Roer, E.

    1988-05-01

    By using ultrasonography in addition to mammography, experienced diagnosticians essentially enhance the safety of their diagnosis of mammary gland diseases. The same applies to gynecomastia, the condition after plastic surgery, and mastitis.

  11. Diagnostic Invasiveness and Psychosocial Consequences of False-Positive Mammography

    DEFF Research Database (Denmark)

    Heleno, Bruno M.; Siersma, Volkert Dirk; Brodersen, John

    2015-01-01

    of a cohort study of 454 womenwith abnormal screening mammography and 908 matched control women withnormal results. Using a condition-specific questionnaire (Consequences of Screening in Breast Cancer), we assessed 12 psychosocial consequences at 5 time points (0, 1, 6, 18, and 36 months after final diagnosis......) and compared the 2 groups of women with false-positives (invasive and noninvasive management groups). RESULTS: Among the 252 women with false-positive mammography eligible forthis study, psychosocial consequences were similar for those managed invasivelyand those managed noninvasively during the 36 months...... between those of women withnormal mammography and those of women determined to have breast cancer. CONCLUSIONS: We found no evidence that use of more invasive diagnosticswas associated with worse psychosocial consequences. It is therefore reasonableto pool subgroups of women with false...

  12. Comparison of the diagnostic performance of digital breast tomosynthesis and magnetic resonance imaging added to digital mammography in women with known breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Won Hwa; Chang, Jung Min; Moon, Woo Kyung [Seoul National University Hospital, Department of Radiology, 101 Daehangno, Jongno-gu, Seoul (Korea, Republic of); Moon, Hyeong-Gon [Seoul National University Hospital, Department of Surgery, Seoul (Korea, Republic of); Yi, Ann [Seoul National University Hospital, Department of Radiology, Gangnan Healthcare Center, Seoul (Korea, Republic of); Koo, Hye Ryoung [Hanyang University College of Medicine, Department of Radiology, Seoul (Korea, Republic of); Gweon, Hye Mi [Yonsei University College of Medicine, Department of Radiology, Gangnam Severance Hospital, Seoul (Korea, Republic of)

    2016-06-15

    To compare the diagnostic performance of digital breast tomosynthesis (DBT) and magnetic resonance imaging (MRI) added to mammography in women with known breast cancers. Three radiologists independently reviewed image sets of 172 patients with 184 cancers; mammography alone, DBT plus mammography and MRI plus mammography, and scored for cancer probability using the Breast Imaging Reporting and Data System (BI-RADS). Jack-knife alternative free-response receiver-operating characteristic (JAFROC), which allows diagnostic performance estimation using single lesion as a statistical unit in a cancer-only population, was used. Sensitivity and positive predictive value (PPV) were compared using the McNemar and Fisher-exact tests. The JAFROC figures of merit (FOMs) was lower in DBT plus mammography (0.937) than MRI plus mammography (0.978, P = 0.0006) but higher than mammography alone (0.900, P = 0.0013). The sensitivity was lower in DBT plus mammography (88.2 %) than MRI plus mammography (97.8 %) but higher than mammography alone (78.3 %, both P < 0.0001). The PPV was significantly higher in DBT plus mammography (93.3 %) than MRI plus mammography (89.6 %, P = 0.0282). DBT provided lower diagnostic performance than MRI as an adjunctive imaging to mammography. However, DBT had higher diagnostic performance than mammography and higher PPV than MRI. (orig.)

  13. Is the closest facility the one actually used? An assessment of travel time estimation based on mammography facilities.

    Science.gov (United States)

    Alford-Teaster, Jennifer; Lange, Jane M; Hubbard, Rebecca A; Lee, Christoph I; Haas, Jennifer S; Shi, Xun; Carlos, Heather A; Henderson, Louise; Hill, Deirdre; Tosteson, Anna N A; Onega, Tracy

    2016-02-18

    Characterizing geographic access depends on a broad range of methods available to researchers and the healthcare context to which the method is applied. Globally, travel time is one frequently used measure of geographic access with known limitations associated with data availability. Specifically, due to lack of available utilization data, many travel time studies assume that patients use the closest facility. To examine this assumption, an example using mammography screening data, which is considered a geographically abundant health care service in the United States, is explored. This work makes an important methodological contribution to measuring access--which is a critical component of health care planning and equity almost everywhere. We analyzed one mammogram from each of 646,553 women participating in the US based Breast Cancer Surveillance Consortium for years 2005-2012. We geocoded each record to street level address data in order to calculate travel time to the closest and to the actually used mammography facility. Travel time between the closest and the actual facility used was explored by woman-level and facility characteristics. Only 35% of women in the study population used their closest facility, but nearly three-quarters of women not using their closest facility used a facility within 5 min of the closest facility. Individuals that by-passed the closest facility tended to live in an urban core, within higher income neighborhoods, or in areas where the average travel times to work was longer. Those living in small towns or isolated rural areas had longer closer and actual median drive times. Since the majority of US women accessed a facility within a few minutes of their closest facility this suggests that distance to the closest facility may serve as an adequate proxy for utilization studies of geographically abundant services like mammography in areas where the transportation networks are well established.

  14. ASSESSMENT OF THE BREAST MASSES WITH DIAGNOSTIC MAMMOGRAPHY AND FNAC CORRELATION

    Directory of Open Access Journals (Sweden)

    Varsha

    2016-06-01

    Full Text Available OBJECTIVES Diagnostic mammography is the basic imaging study employed to evaluate breast abnormalities. Our objective was to assess the role of diagnostic mammography in characterizing the breast lumps in correlation with cytopathology. STUDY DESIGN This prospective study of 63 patients of breast lumps and related complaints in the age group of 18-65 years, was done over a period of two years. Two standard radiological views Craniocaudal (CC and Mediolateral Oblique (MLO were taken. Additional views and ultrasound was done as and when required. Reporting of mammograms was done using standard ACR BIRADS 4th edition (2003 Lexicon followed by cytopathological correlation. RESULTS In 63 patients with 70 lesions, 44 were proved cytopathological benign and 19 were malignant; 3 male patients were also included. Lump was the commonest presenting complaint. Left breast and superolateral quadrant with the axillary tail region was more frequently affected. Infiltrating ductal Ca (17.14% was commonest malignant lesion and fibroadenoma the commonest benign lesion (30%; 21 patients were categorized in BIRADS 3, 19 in BIRADS 1, 6 in BIRADS 2, 12 in BIRADS 4 and 5 in BIRADS 5 categories. In BIRADS 1, 2, 3 which were benign category, 43 were true negative, but 3 patients were pathologically malignant and hence false negative. Similarly, out of 17 malignant cases in BIRADS 4 and 5, 1 was false positive and 16 proved to be true positive. The statistical analysis was done and parameters calculated. CONCLUSION Diagnostic mammography is highly sensitive and accurate in detection and characterization of breast lumps, especially the malignant and the ACR-BIRADS lexicon proved useful in uniform mammography reporting and consistency in lesion classification.

  15. Diagnostic Yield of High-Resolution Breast Sonography in Detecting Microcalcifications Compared to Mammography

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    N Ahmadinejad

    2009-08-01

    Full Text Available Background/Objective: Mammography remains the most suitable screening test in detecting microcalcifications as the earliest manifestation of breast malignancy. By means of highfrequency transducers yielding high-resolution breast imaging, some researchers have reported that ultrasonography is capable of depicting microcalcifications in the breast tissue. Therefore, this study has been designed to compare the diagnostic yield of high-resolution"nbreast ultrasonography (HRS versus conventional mammography."nPatients and Methods: Seventy-four consecutive patients who had breast microcalcifications (hyperdense foci < 0.5mm according to standard mammograms, without a prior history of breast disease, surgery, biopsy, chest wall radiation or systemic chemotherapy were enrolled. Considering mammograms as a reference, 46 patients without a mass, voluntarily underwent high-resolution bilateral breast ultrasonography."nResults: The mean age was 50.7±10 years (range, 35-85 years. The upper outer quadrant of the breast was the commonest place where microcalcifications were detected (36.9%. A relative frequency of 45.7% was reported for microcalcifications with breast imaging reporting"nand data system (BIRADS score 3. An overall 82.6% diagnostic yield was discovered for HRS in detecting microcalcifications; it detected all microcalcifications with BIRADS score 4 and 5, but 57.1% and 90.5% of microcalcifications with BIRADS score 2 and 3, respectively. Cluster microcalcification was the most common pattern (43.5%."nConclusion: Considering the 82.6% diagnostic yield of HRS compared to mammography, it can be proposed as the surrogate modality in locating microcalcifications in procedures such as biopsies and hook-wiring, with the advantage of reducing radiation exposure. HRS may be the future screening modality as a result of feasibility, safety, compliance and accuracy.

  16. Predicting diagnostic error in radiology via eye-tracking and image analytics: Preliminary investigation in mammography

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    Voisin, Sophie; Tourassi, Georgia D. [Biomedical Science and Engineering Center, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States); Pinto, Frank [School of Engineering, Science, and Technology, Virginia State University, Petersburg, Virginia 23806 (United States); Morin-Ducote, Garnetta; Hudson, Kathleen B. [Department of Radiology, University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee 37920 (United States)

    2013-10-15

    Purpose: The primary aim of the present study was to test the feasibility of predicting diagnostic errors in mammography by merging radiologists’ gaze behavior and image characteristics. A secondary aim was to investigate group-based and personalized predictive models for radiologists of variable experience levels.Methods: The study was performed for the clinical task of assessing the likelihood of malignancy of mammographic masses. Eye-tracking data and diagnostic decisions for 40 cases were acquired from four Radiology residents and two breast imaging experts as part of an IRB-approved pilot study. Gaze behavior features were extracted from the eye-tracking data. Computer-generated and BIRADS images features were extracted from the images. Finally, machine learning algorithms were used to merge gaze and image features for predicting human error. Feature selection was thoroughly explored to determine the relative contribution of the various features. Group-based and personalized user modeling was also investigated.Results: Machine learning can be used to predict diagnostic error by merging gaze behavior characteristics from the radiologist and textural characteristics from the image under review. Leveraging data collected from multiple readers produced a reasonable group model [area under the ROC curve (AUC) = 0.792 ± 0.030]. Personalized user modeling was far more accurate for the more experienced readers (AUC = 0.837 ± 0.029) than for the less experienced ones (AUC = 0.667 ± 0.099). The best performing group-based and personalized predictive models involved combinations of both gaze and image features.Conclusions: Diagnostic errors in mammography can be predicted to a good extent by leveraging the radiologists’ gaze behavior and image content.

  17. Predicting diagnostic error in Radiology via eye-tracking and image analytics: Application in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Voisin, Sophie [ORNL; Pinto, Frank M [ORNL; Morin-Ducote, Garnetta [University of Tennessee, Knoxville (UTK); Hudson, Kathy [University of Tennessee, Knoxville (UTK); Tourassi, Georgia [ORNL

    2013-01-01

    Purpose: The primary aim of the present study was to test the feasibility of predicting diagnostic errors in mammography by merging radiologists gaze behavior and image characteristics. A secondary aim was to investigate group-based and personalized predictive models for radiologists of variable experience levels. Methods: The study was performed for the clinical task of assessing the likelihood of malignancy of mammographic masses. Eye-tracking data and diagnostic decisions for 40 cases were acquired from 4 Radiology residents and 2 breast imaging experts as part of an IRB-approved pilot study. Gaze behavior features were extracted from the eye-tracking data. Computer-generated and BIRADs images features were extracted from the images. Finally, machine learning algorithms were used to merge gaze and image features for predicting human error. Feature selection was thoroughly explored to determine the relative contribution of the various features. Group-based and personalized user modeling was also investigated. Results: Diagnostic error can be predicted reliably by merging gaze behavior characteristics from the radiologist and textural characteristics from the image under review. Leveraging data collected from multiple readers produced a reasonable group model (AUC=0.79). Personalized user modeling was far more accurate for the more experienced readers (average AUC of 0.837 0.029) than for the less experienced ones (average AUC of 0.667 0.099). The best performing group-based and personalized predictive models involved combinations of both gaze and image features. Conclusions: Diagnostic errors in mammography can be predicted reliably by leveraging the radiologists gaze behavior and image content.

  18. Computer-aided diagnostics of screening mammography using content-based image retrieval

    Science.gov (United States)

    Deserno, Thomas M.; Soiron, Michael; de Oliveira, Júlia E. E.; de A. Araújo, Arnaldo

    2012-03-01

    Breast cancer is one of the main causes of death among women in occidental countries. In the last years, screening mammography has been established worldwide for early detection of breast cancer, and computer-aided diagnostics (CAD) is being developed to assist physicians reading mammograms. A promising method for CAD is content-based image retrieval (CBIR). Recently, we have developed a classification scheme of suspicious tissue pattern based on the support vector machine (SVM). In this paper, we continue moving towards automatic CAD of screening mammography. The experiments are based on in total 10,509 radiographs that have been collected from different sources. From this, 3,375 images are provided with one and 430 radiographs with more than one chain code annotation of cancerous regions. In different experiments, this data is divided into 12 and 20 classes, distinguishing between four categories of tissue density, three categories of pathology and in the 20 class problem two categories of different types of lesions. Balancing the number of images in each class yields 233 and 45 images remaining in each of the 12 and 20 classes, respectively. Using a two-dimensional principal component analysis, features are extracted from small patches of 128 x 128 pixels and classified by means of a SVM. Overall, the accuracy of the raw classification was 61.6 % and 52.1 % for the 12 and the 20 class problem, respectively. The confusion matrices are assessed for detailed analysis. Furthermore, an implementation of a SVM-based CBIR system for CADx in screening mammography is presented. In conclusion, with a smarter patch extraction, the CBIR approach might reach precision rates that are helpful for the physicians. This, however, needs more comprehensive evaluation on clinical data.

  19. Diagnostic Utility of MRI After Negative or Inconclusive Mammography for the Evaluation of Pathologic Nipple Discharge.

    Science.gov (United States)

    Bahl, Manisha; Gadd, Michele A; Lehman, Constance D

    2017-09-12

    The purpose of this study is to determine the diagnostic utility of MRI after negative or inconclusive mammography for the evaluation of pathologic nipple discharge. We conducted a retrospective review of breast MRI examinations from January 1, 2006, through December 31, 2015, that were performed after negative or inconclusive mammography for the evaluation of nipple discharge. Clinical notes, imaging findings, and pathology outcomes were reviewed. One hundred eighteen women (mean age, 49 years; range, 23-82 years) underwent MRI for evaluation of nipple discharge, 105 (89.0%) of whom had surgical excision or at least 2-year imaging follow-up. A total of six patients (6/105; 5.7%) were diagnosed with malignancy (ductal carcinoma in situ [DCIS] or invasive malignancy). Of 27 patients with positive MRI findings (final assessment of BI-RADS category 4), three (11.1%) were diagnosed with malignancy: DCIS grade 2-3, DCIS with focus of microinvasive ductal carcinoma, and invasive papillary carcinoma. An additional three patients (without suspicious findings at MRI) were diagnosed with malignancy at surgical excision, all of which were grade 1 DCIS. For patients with negative MRI findings (BI-RADS category 1, 2, or 3), the negative predictive value of MRI for malignancy was 96.2% (75/78). In women with nipple discharge and negative or inconclusive mammography findings, the risk of malignancy is low, at 5.7%. With negative MRI findings (BI-RADS category 1, 2, or 3), the risk of malignancy is less than 4%. Surveillance rather than surgical excision may be a reasonable option for patients without suspicious findings at MRI.

  20. Radiation protection program for early detection of breast cancer in a mammography facility

    Energy Technology Data Exchange (ETDEWEB)

    Mariana, Villagomez Casimiro, E-mail: marjim10-66@ciencias.unam.mx, E-mail: cesar@fisica.unam.mx; Cesar, Ruiz Trejo, E-mail: marjim10-66@ciencias.unam.mx, E-mail: cesar@fisica.unam.mx [Instituto de Física, UNAM. Cd. Universitaria, CP 04510 (Mexico); Ruby, Espejo Fonseca [Instituto de Enfermedades de la Mama FUCAM-AC, CP 04980 (Mexico)

    2014-11-07

    Mammography is the best tool for early detection of Breast Cancer. In this diagnostic radiology modality it is necessary to establish the criteria to ensure the proper use and operation of the equipment used to obtain mammographic images in order to contribute to the safe use of ionizing radiation. The aim of the work was to implement at FUCAM-AC the radiation protection program which must be established for patients and radiation workers according to Mexican standards [1–4]. To achieve this goal, radiation protection and quality control manuals were elaborated [5]. Furthermore, a quality control program (QCP) in the mammography systems (analog/digital), darkroom included, has been implemented. Daily sensitometry, non-variability of the image quality, visualizing artifacts, revision of the equipment mechanical stability, compression force and analysis of repetition studies are some of the QCP routine tests that must be performed by radiological technicians of this institution as a set of actions to ensure the protection of patients. Image quality and patients dose assessment were performed on 4 analog equipment installed in 2 mobile units. In relation to dose assessment, all equipment passed the acceptance criteria (<3 mGy per projection). The image quality test showed that most images (70%)– presented artifacts. A brief summary of the results of quality control tests applied to the equipment and film processor are presented. To maintain an adequate level of quality and safety at FUCAM-AC is necessary that the proposed radiation protection program in this work is applied.

  1. Radiation protection program for early detection of breast cancer in a mammography facility

    Science.gov (United States)

    Villagomez Casimiro, Mariana; Ruiz Trejo, Cesar; Espejo Fonseca, Ruby

    2014-11-01

    Mammography is the best tool for early detection of Breast Cancer. In this diagnostic radiology modality it is necessary to establish the criteria to ensure the proper use and operation of the equipment used to obtain mammographic images in order to contribute to the safe use of ionizing radiation. The aim of the work was to implement at FUCAM-AC the radiation protection program which must be established for patients and radiation workers according to Mexican standards [1-4]. To achieve this goal, radiation protection and quality control manuals were elaborated [5]. Furthermore, a quality control program (QCP) in the mammography systems (analog/digital), darkroom included, has been implemented. Daily sensitometry, non-variability of the image quality, visualizing artifacts, revision of the equipment mechanical stability, compression force and analysis of repetition studies are some of the QCP routine tests that must be performed by radiological technicians of this institution as a set of actions to ensure the protection of patients. Image quality and patients dose assessment were performed on 4 analog equipment installed in 2 mobile units. In relation to dose assessment, all equipment passed the acceptance criteria (<3 mGy per projection). The image quality test showed that most images (70%)- presented artifacts. A brief summary of the results of quality control tests applied to the equipment and film processor are presented. To maintain an adequate level of quality and safety at FUCAM-AC is necessary that the proposed radiation protection program in this work is applied.

  2. Diagnostic accuracy of digital mammography versus tomosynthesis: effect of radiologists' experience

    Science.gov (United States)

    Zanca, F.; Wallis, M.; Moa, E.; Leifland, K.; Danielsson, M.; Oyen, R.; Bosmans, H.

    2012-02-01

    Purpose: To investigate whether readers' experience affects performance in a study comparing 2D digital mammography (2D) with 2-view (CC and MLO) or 1-view (MLO) tomosynthesis. Materials and Methods: One-hundred-thirty 2D cases were collected from screening assessment and referral clinics; 64 of the cases had verified abnormalities and the remaining were confirmed normal. Two-view tomosynthesis images were obtained from the same patients. Ten accredited readers (5 with >= 10 years experience in mammography and 5 with time. Results: No significant difference was reached between 2D and 2-view tomosynthesis for experienced readers (pvalue= 0.25); for less experienced readers the p-value was significant (0.03). No significant difference was found between 2D and 1-view tomosynthesis, independent of readers' experience. RR for benign cases decreased for tomosynthesis (for booth 1- and 2-view), independent of experience. Average reading time per case was 79 s (range 65- 91 s) and 134 s (range 119-158 s) for experienced readers; 56 s (range 46-67 s) and 115s (range 97-142 s) for nonexperienced, for 2D and 2-view tomosynthesis respectively. Reading time was 74 s (range 43-98 s) and 99 s (range 73- 117 s) for experienced readers; 74 s (range 62-85 s) and 94 s (range 82-137 s) for non-experienced, for 2D and 1-view tomosynthesis respectively. Conclusions: For experienced readers, there is no evidence of improved diagnostic accuracy when using 2-view or 1- view tomosynthesis, while less experienced readers perform better with 2-view tomosynthesis than 2D images. Tomosynthesis reduces the number of recall of benign cases, without hindering cancer detection.

  3. A comparative study of the diagnostic value of contrast-enhanced breast MR imaging and mammography on patients with BI-RADS 3-5 microcalcifications.

    Directory of Open Access Journals (Sweden)

    Erni Li

    Full Text Available OBJECTIVE: To retrospectively investigate the diagnostic value of breast MRI in patients with BI-RADS 3-5 microcalcifications in mammography. METHODS: Eighty-four patients with BI-RADS 3-5 microcalcifications on mammography underwent breast MR exams before surgical biopsy with a hookwire position under mammographic guidance. Two radiologists reviewed each lesion with BI-RADS by consensus. The diagnostic value of mammography and MRI was compared. RESULTS: Histopathological examination revealed 49 benign lesions and 42 malignant lesions. In the assessments of mammography, 21 lesions (23.1% were assigned to category 3, 51 lesions (56.0% to category 4, and 19 lesions (20.9% to category 5. The area under the receiver operating characteristic(ROC curve for mammography and MR assessment was 0.844, and 0.945, respectively (p<0.05. In cases of category 3 microcalcifications, the specificity of mammography and MR was 100%, and 95.2% (p = 1.000, respectively. In cases of category 4 microcalcifications, the specificity, PPV and accuracy of mammography was 0%, 45.1% and 45.1%; whereas those for MR was 82.1% (p<0.05, 80.8% (P = 0.003 and 86.3% (p<0.05. All microcalcifications of category 5 were correctly diagnosed by mammography and MR. CONCLUSIONS: Breast MRI has the potential to significantly improve the diagnosis of category 4 microcalcifications on mammography. Among mammographic category 4 microcalcifications, about 82% of benign lesions can be degraded to BI-RADS 1∼3 by MRI. However for microcalcifications of category 3 and 5, MR exams do not show significant improvement over mammography.

  4. The TOMMY trial: a comparison of TOMosynthesis with digital MammographY in the UK NHS Breast Screening Programme--a multicentre retrospective reading study comparing the diagnostic performance of digital breast tomosynthesis and digital mammography with digital mammography alone.

    Science.gov (United States)

    Gilbert, Fiona J; Tucker, Lorraine; Gillan, Maureen Gc; Willsher, Paula; Cooke, Julie; Duncan, Karen A; Michell, Michael J; Dobson, Hilary M; Lim, Yit Yoong; Purushothaman, Hema; Strudley, Celia; Astley, Susan M; Morrish, Oliver; Young, Kenneth C; Duffy, Stephen W

    2015-01-01

    Digital breast tomosynthesis (DBT) is a three-dimensional mammography technique with the potential to improve accuracy by improving differentiation between malignant and non-malignant lesions. The objectives of the study were to compare the diagnostic accuracy of DBT in conjunction with two-dimensional (2D) mammography or synthetic 2D mammography, against standard 2D mammography and to determine if DBT improves the accuracy of detection of different types of lesions. Women (aged 47-73 years) recalled for further assessment after routine breast screening and women (aged 40-49 years) with moderate/high of risk of developing breast cancer attending annual mammography screening were recruited after giving written informed consent. All participants underwent a two-view 2D mammography of both breasts and two-view DBT imaging. Image-processing software generated a synthetic 2D mammogram from the DBT data sets. In an independent blinded retrospective study, readers reviewed (1) 2D or (2) 2D + DBT or (3) synthetic 2D + DBT images for each case without access to original screening mammograms or prior examinations. Sensitivities and specificities were calculated for each reading arm and by subgroup analyses. Data were available for 7060 subjects comprising 6020 (1158 cancers) assessment cases and 1040 (two cancers) family history screening cases. Overall sensitivity was 87% [95% confidence interval (CI) 85% to 89%] for 2D only, 89% (95% CI 87% to 91%) for 2D + DBT and 88% (95% CI 86% to 90%) for synthetic 2D + DBT. The difference in sensitivity between 2D and 2D + DBT was of borderline significance (p = 0.07) and for synthetic 2D + DBT there was no significant difference (p = 0.6). Specificity was 58% (95% CI 56% to 60%) for 2D, 69% (95% CI 67% to 71%) for 2D + DBT and 71% (95% CI 69% to 73%) for synthetic 2D + DBT. Specificity was significantly higher in both DBT reading arms for all subgroups of age, density and dominant radiological

  5. Mammography; Mamma

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, U.; Baum, F. [Diagnostisches Brustzentrum, Goettingen (Germany)

    2007-07-01

    The book covers the stat-of-the art of mammographic diagnostics. The first chapter on the diagnostic methods, i.e. sonography and mammography, includes a short definition of the specific methods, technical device descriptions, information on radiation exposure and radiation protection, quality criteria and data analysis methods. The other chapters contain a variety of demonstrating images on the respective topics: definitions and indications, benign changes, evaluation criteria and borderline findings, mammal carcinomas, other malignomas, post-traumatic lesions, and prosthetics.

  6. Diagnostic usefulness of the multimodality study with mammography, ultrasonography, {sup 99m}Tc-MIBI scan in breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Jun, Woong Bae; Kim, Chang Won; Lee, Jun Woo; Kim, Seong Jang; Kim, In Ju; Bae, Young Tae; Lee, Suck Hong [College of Medicine, Pusan National Univ., Pusan (Korea, Republic of)

    2001-08-01

    To assess the diagnosis usefulness of multimodality study in the diagnosis of breast cancer. Eighty-one patients between January 1998 to December 1999 were involved in this study, and who underwent mammography, breast ultrasonography, and {sup 99m}Tc-MIBI scintimammography in all cases the findings were retrospectively reviewed. Each modality was graded by two physicians specializing in nuclear medicine and two radiologists, all unaware of the pathologic results. A four-grade system(1=definitely benign, 2-probably benign, 3=probably malignant, 4=definitely malignant) was applied to those of breast ultrasonography and {sup 99m}Tc-MIBI scintimammography and BIRADS was applied to those of mammography. All breast masses were confirmed by surgery (n=67) or FNA (n=14). Findings of grade 3 or 4 the four-grade system, BIRADS category 4 or 5, or positive coincidence in double and triple combination studies were defined as positive results, and on the basis of the data thus obtained, the sensitivity, specificity, positive and negative predictive value and diagnostic accuracy were calculated for each modality and for multimodality studies. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of {sup 99m}Tc-MIBI scintimammography were 83.6%, 88.5%, 93.9%, 71.9% and 85.2%. respectively. For ultrasonography, the corresponding figure were 94.5%, 65.3%, 85.2%, 85.0%, and 85.2%, and these for mammography, they were 87.3%, 69.2%, 87.3%, 81.8% and 80.2%. For the ultrasonography and mammography combination, the figures were 83.6%, 50.0%, 93.9%. 100.0% and 95.2%, respectively, and for {sup 99m}Tc-MIBI scintimammography and mammography, the corresponding findings were 72.7%, 69.2%, 95.2%, 100.0% and 96.7%. For the {sup 99m}Tc-MIBI scintimammography and ultrasonography combination, respective findings of were 80.0%, 61.5%, 95.7%, 94.1% and 95.2%, respectively, and in the triple modality study, respective findings of 70.9%, 50.0%, 97

  7. Nike Facility Diagnostics and Data Acquisition System

    Science.gov (United States)

    Chan, Yung; Aglitskiy, Yefim; Karasik, Max; Kehne, David; Obenschain, Steve; Oh, Jaechul; Serlin, Victor; Weaver, Jim

    2013-10-01

    The Nike laser-target facility is a 56-beam krypton fluoride system that can deliver 2 to 3 kJ of laser energy at 248 nm onto targets inside a two meter diameter vacuum chamber. Nike is used to study physics and technology issues related to laser direct-drive ICF fusion, including hydrodynamic and laser-plasma instabilities, material behavior at extreme pressures, and optical and x-ray diagnostics for laser-heated targets. A suite of laser and target diagnostics are fielded on the Nike facility, including high-speed, high-resolution x-ray and visible imaging cameras, spectrometers and photo-detectors. A centrally-controlled, distributed computerized data acquisition system provides robust data management and near real-time analysis feedback capability during target shots. Work supported by DOE/NNSA.

  8. Audit of mammography requests in Abakaliki, South-East Nigeria.

    Science.gov (United States)

    Eni, U E; Ekwedigwe, K C; Sunday-Adeoye, I; Daniyan, Abc; Isikhuemen, M E

    2017-03-07

    Breast cancer is the leading cancer in women in both developed and developing countries. Screening mammography detects breast cancer even before a lump can be palpated, with better prognosis. The introduction of mammographic technique for screening breast cancer, despite its importance, has been slow to adopt and virtually non-existent in many parts of Sub-Saharan Africa including Nigeria. For this reason, the indications of mammography have not been well defined in our setting. The aim of this study was to audit our mammography requests, with a view to improving its application in our setting. This is a descriptive study carried out on 69 female patients who had mammography at the National Obstetric Fistula Centre, Abakaliki, from January 2014 to December 2015. Findings on clinical examination were entered in a proforma. Mammography was performed in craniocaudal and mediolateral views using the Lorad M-IV (film-screen) mammography machine. Data was analysed using the Statistical Package for Social Sciences (SPSS) version 21. All 69 patients were females. Their mean age was 42.1 ± 11 years. Majority of the patients (69.6%) were between 30 and 49 years. The commonest indication for mammography was breast lump which was found in 46 patients (66.7%). Breast pain was present in 36 (52.2%) of patients. The different Breast Imaging Reporting and Data System (BIRADS) categories were BIRADS 0: 20 (28.99%), BIRADS 1: 8 (11.59%), BIRADS 2: 9 (13.04%), BIRADS 3: 4 (5.8%), BIRADS 4: 19 (27.54%) and BIRADS 5: 9 (13.04%). Diagnostic mammography remains the commonest indication for mammography in our setting. Public awareness, poverty reduction and ready availability of mammography facilities are required to improve screening mammography in our setting.

  9. Diagnostic performance of radiologists with and without different CAD systems for mammography

    CERN Document Server

    Lauria, A; Bottigli, U; Delogu, P; Fauci, F; Golosio, B; Indovina, P L; Masala, G L; Oliva, P R; Palmiero, R; Raso, G; Stumbo, S; Tangaro, S

    2003-01-01

    The purpose of this study is the evaluation of the variation of performance in terms of sensitivity and specificity of two radiologists with different experience in mammography, with and without the assistance of two different CAD systems. The CAD considered are SecondLookTM (CADx Medical Systems, Canada), and CALMA (Computer Assisted Library in MAmmography). The first is a commercial system, the other is the result of a a research project, supported by INFN (Istituto Nazionale di Fisica Nucleare, Italy); their characteristics have been already reported in literature. To compare the results with and without these tools, a dataset composed by 70 images of patients with cancer (biopsy proven) and 120 images of healthy breasts (with a three years follow up) has been collected. All the images have been digitized and analysed by two CAD, then two radiologists with respectively 6 and 2 years of experience in mammography indipendently made their diagnosis without and with, the support of the two CAD systems. In this...

  10. Comparison of Diagnostic Performance of Three-Dimensional Positron Emission Mammography versus Whole Body Positron Emission Tomography in Breast Cancer

    Directory of Open Access Journals (Sweden)

    Dong Dai

    2017-01-01

    Full Text Available Objective. To compare the diagnostic performance of three-dimensional (3D positron emission mammography (PEM versus whole body positron emission tomography (WBPET for breast cancer. Methods. A total of 410 women with normal breast or benign or highly suspicious malignant tumors were randomized at 1 : 1 ratio to undergo 3D-PEM followed by WBPET or WBPET followed by 3D-PEM. Lumpectomy or mastectomy was performed on eligible participants after the scanning. Results. The sensitivity and specificity of 3D-PEM were 92.8% and 54.5%, respectively. WBPET showed a sensitivity of 95.7% and specificity of 56.8%. After exclusion of the patients with lesions beyond the detecting range of the 3D-PEM instrument, 3D-PEM showed higher sensitivity than WBPET (97.0% versus 95.5%, P = 0.913, particularly for small lesions (<1 cm (72.0% versus 60.0%, P = 0.685. Conclusions. The 3D-PEM appears more sensitive to small lesions than WBPET but may fail to detect lesions that are beyond the detecting range. This study was approved by the Ethics Committee (E2012052 at the Tianjin Medical University Cancer Institute and Hospital (Tianjin, China. The instrument positron emission mammography (PEMi was approved by China State Food and Drug Administration under the registration number 20153331166.

  11. Diagnostic ultrasonography and mammography for invasive and noninvasive breast cancer in women aged 30 to 39 years.

    Science.gov (United States)

    Osako, Tomo; Takahashi, Kaoru; Iwase, Takuji; Iijima, Kotaro; Miyagi, Yumi; Nishimura, Seiichiro; Tada, Keiichiro; Makita, Masujiro; Akiyama, Futoshi; Sakamoto, Goi; Kasumi, Fujio

    2007-01-01

    To confirm which modality, ultrasonography (US) or mammography (MMG), is useful to detect breast cancer in women aged 30 to 39 years, and to compare the sensitivity and findings of these two modalities for invasive carcinoma and ductal carcinoma in situ (DCIS) in the diagnostic setting. We retrospectively evaluated the sensitivity and findings of these two modalities in 165 patients aged 30 to 39 years, who underwent surgery at the Cancer Institute Hospital between 2001 and 2003. US or MMG were performed after obtaining information on the other modalities previously used and physical examination. The abnormal findings of US were defined as mass lesions and focal hypoechoic areas due to breast cancer. The abnormal findings of MMG were defined as category 3 to 5 (Japanese Mammography Guidelines) masses, calcifications, and other findings due to cancer. Of 165 patients, 147 patients (89%) mammographically showed dense breasts. Histologically, 146 (88%) were invasive carcinomas and 19 (12%) were DCIS. In all carcinomas, the sensitivity of US (95%) was higher than that of MMG (85%). The sensitivity of US for invasive carcinoma (99%) was higher than that of MMG (85%). On the other hand, the sensitivity of MMG for DCIS (89%) was much higher than that of US (68%). US is more sensitive to detect breast cancers than MMG in this age range, especially for invasive carcinoma. On the other hand, MMG is useful for detecting DCIS, especially when it manifests with microcalcifications.

  12. Transition from film to digital mammography: Impact for breast cancer screening through the national breast and cervical cancer early detection program

    NARCIS (Netherlands)

    N.T. van Ravesteyn (Nicolien); L. Van Lier (Lisanne); C.B. Schechter (Clyde); D.U. Ekwueme (Donatus U.); J. Royalty (Janet); J.W. Miller (Jacqueline W.); A.M. Near (Aimee); K.A. Cronin (Kathleen); E.A.M. Heijnsdijk (Eveline); J.S. Mandelblatt (Jeanne); H.J. de Koning (Harry)

    2015-01-01

    textabstractIntroduction The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides mammograms and diagnostic services for low-income, uninsured women aged 40-64 years. Mammography facilities within the NBCCEDP gradually shifted from plain-film to digital mammography. The pur

  13. An analysis of diagnostic practices in a mammography unit in a tertiary hospital in South Africa

    Directory of Open Access Journals (Sweden)

    Clare A. Surridge

    2017-01-01

    Full Text Available Background: Breast cancer is the most common cancer in females in South Africa. The reporting of breast imaging has been standardised internationally using the Breast Imaging and Reporting Data System (BI-RADS, which includes guidelines for reporting of breast lesions and further management. Ultrasound-guided core-needle breast (UGCNB biopsy is a widely used method of obtaining histological diagnoses of breast lesions to assist with planning definitive management.Objectives: To perform an audit of the UGCNB biopsies performed at the Grey’s Hospital Mammography Department and assess the accuracy of the radiologists’ use of the BI-RADS scoring system.Methods: Records of all patients who underwent UGCNB biopsy between 01 January 2014 and 31 October 2015 were reviewed. A retrospective study was performed.Results: A total of 304 UGCNB biopsies were performed on 291 patients. The mean age was 49.2 (s.d. = 15.9 years. Tissue samples from 303 lesions were adequate for histological assessment, and of these, 51% of the lesions were malignant whilst 49% were benign. The most common malignant and benign diagnoses were invasive ductal carcinoma and fibroadenoma respectively. The BI-RADS scoring of the radiologists demonstrated a positive predictive value of 61.6% for the identification of possible malignant lesions.Conclusion: This study describes the patient and lesion profile and unit practices in a tertiary hospital setting in South Africa. The radiologists’ application of the BI-RADS scoring largely conforms to the BI-RADS guidelines. The study highlights several challenges encountered by a breast imaging programme in an under-resourced setting as well as making recommendations in overcoming these challenges.

  14. Differences in radiological patterns, tumour characteristics and diagnostic precision between digital mammography and screen-film mammography in four breast cancer screening programmes in Spain

    Energy Technology Data Exchange (ETDEWEB)

    Domingo, Laia; Sala, Maria [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Universitat Autonoma de Barcelona (UAB), EHEA Doctoral Program in Public Health. Department of Pediatrics, Obstetrics and Gynecology, Preventive Medicine and Public Health, Barcelona (Spain); Romero, Anabel; Belvis, Francesc; Macia, Francesc; Castells, Xavier [IMIM-Hospital del Mar, Department of Epidemiology and Evaluation, Barcelona (Spain); CIBER de Epidemiologia y Salud Publica (CIBERESP), Barcelona (Spain); Sanchez, Mar [Government of Cantabria, General Directorate of Public Health, Department of Health, Santander (Spain); Ferrer, Joana [Radiology Unit. Hospital Santa Caterina, Girona (Spain); Salas, Dolores; Ibanez, Josefa [General Directorate Public Health and Centre for Public Health Research (CSISP), Valencia (Spain); Vega, Alfonso [Hospital Universitario Marques de Valdecilla, Radiology Unit, Santander (Spain); Ferrer, Francesc [Hospital del Mar, Radiology and Nuclear Medicine Service, Barcelona (Spain); Laso, M.S. [Breast Cancer Screening Unit Burjassot, Valencia (Spain)

    2011-09-15

    To compare tumour characteristics between cancers detected with screen-film mammography (SFM) and digital mammography (DM) and to evaluate changes in positive predictive values (PPVs) for further assessments, for invasive procedures and for distinct radiological patterns in recalled women. 242,838 screening mammograms (171,191 SFM and 71,647 DM) from 103,613 women aged 45-69 years, performed in four population-based breast cancer screening programmes in Spain, were included. The tumour characteristics and PPVs of each group were compared. Radiological patterns (masses, calcifications, distortions and asymmetries) among recalled women were described and PPVs were evaluated. The percentages of ductal carcinoma in situ (DCIS) were higher in DM than in SFM both in the first [18.5% vs. 15.8%(p = 0.580)] and in successive screenings [23.2% vs. 15.7%(p = 0.115)]. PPVs for masses, asymmetries and calcifications were higher in DM, being statistically significant in masses (5.3% vs. 3.9%; proportion ratio: 1.37 95%CI: 1.08-1.72). Among cancers detected by calcifications, the percentage of DCIS was higher in DM (60.3% vs. 46.4%, p = 0.060). PPVs were higher when DM was used, both for further assessments and for invasive procedures, with similar cancer detection rates and no statistically significant differences in tumour characteristics. The greatest improvements in PPVs were found for masses. (orig.)

  15. Beam Diagnostic Devices and Data Acquisition for the HICAT Facility

    CERN Document Server

    Peters, A; Schwickert, M

    2005-01-01

    A set of 92 diagnostic devices for beam diagnostics in the heavy ion cancer therapy facility (HICAT) at the university hospital in Heidelberg is currently under development at GSI. For the HICAT facility that is presently under construction, all beam diagnostic devices will be fully computer controlled and will allow an automated detection of all relevant beam parameters. The HICAT raster scan method with active variation of intensity, energy and beam size requires the exact knowledge of the time resolved and spatial structure of the ion beam. An overview of the integrated devices is presented, particularly the time-of-flight method for energy measurement in the Linac is described in detail. The real-time PXI data acquisition system using Acqiris ADC modules with a sampling rate of 4 GSa/s and 1 GHz analog bandwidth, is reviewed. Additionally, the embedding of the diagnostics devices in the timing and control system of HICAT is described.

  16. Phase-contrast enhanced mammography: A new diagnostic tool for breast imaging

    Energy Technology Data Exchange (ETDEWEB)

    Wang Zhentian; Thuering, Thomas; David, Christian; Roessl, Ewald; Trippel, Mafalda; Kubik-Huch, Rahel A.; Singer, Gad; Hohl, Michael K.; Hauser, Nik; Stampanoni, Marco [Swiss Light Source, Paul Scherrer Institut, 5232 Villigen (Switzerland); Laboratory for Micro and Nanotechnology, Paul Scherrer Institut, 5232 Villigen (Switzerland); Philips Technologie GmbH, Roentgenstrasse 24, 22335 Hamburg (Germany); Institute of Pathology, Kantonsspital Baden, 5404 Baden (Switzerland); Department of Radiology, Kantonsspital Baden, 5404 Baden (Switzerland); Institute of Pathology, Kantonsspital Baden, 5404 Baden (Switzerland); Department of Gynecology and Obstetrics, Interdisciplinary Breast Center Baden, Kantonsspital Baden, 5404 Baden (Switzerland); Swiss Light Source, Paul Scherrer Institut, 5232 Villigen, Switzerland and Institute for Biomedical Engineering, University and ETH Zuerich, 8092 Zuerich (Switzerland)

    2012-07-31

    Phase contrast and scattering-based X-ray imaging can potentially revolutionize the radiological approach to breast imaging by providing additional and complementary information to conventional, absorption-based methods. We investigated native, non-fixed whole breast samples using a grating interferometer with an X-ray tube-based configuration. Our approach simultaneously recorded absorption, differential phase contrast and small-angle scattering signals. The results show that this novel technique - combined with a dedicated image fusion algorithm - has the potential to deliver enhanced breast imaging with complementary information for an improved diagnostic process.

  17. Replacing single-view mediolateral oblique (MLO) digital mammography (DM) with synthesized mammography (SM) with digital breast tomosynthesis (DBT) images: Comparison of the diagnostic performance and radiation dose with two-view DM with or without MLO-DBT.

    Science.gov (United States)

    Kang, Hyo-Jin; Chang, Jung Min; Lee, Joongyub; Song, Sung Eun; Shin, Sung Ui; Kim, Won Hwa; Bae, Min Sun; Moon, Woo Kyung

    2016-11-01

    To evaluate the diagnostic performance and radiation dose of single view cranio-caudal (CC) digital mammography (DM) plus mediolateral oblique (MLO) digital breast tomosynthesis (DBT) combined with synthesized mammography (SM) in comparison with two-view DM with or without DBT. This study was approved by our institutional review board, and informed consent was obtained from 130 women. Paired two-view DM and single MLO-DBT with SM images were acquired, and four independent retrospective reading sessions of different combinations of DM, SM and DBT were performed for the presence of malignant tumors using jackknife alternative free-response receiver operator curve (JAFROC) methods. The diagnostic performances and average glandular dose (AGD) were compared between different combinations of DM, SM and DBT. Of 159 lesions in 130 patients, 27 were malignant. When using MLO-DBT with SM instead of MLO-DM, a significantly higher sensitivity (P=0.016) and specificity (P=0.012) were noted than with two-view DM, and comparable figure of merit (FOM), sensitivity, and specificity to two-view DM with DBT were noted. The mean AGD of CC-DM plus MLO-DBT with SM was 5.78mGy±1.06 per patient, which was significantly lower than that with two-view DM with MLO-DBT (8.45mGy±1.32; P <0.001) and slightly higher than that with two-view DM (5.30mGy±0.63). The combined use of CC-DM plus MLO-DBT with SM showed higher sensitivity and specificity to two-view DM with a smaller AGD increment and comparable diagnostic performance to that of two-view DM with MLO-DBT with a significantly lower mean AGD. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. Survey of mammography practices

    Energy Technology Data Exchange (ETDEWEB)

    Bassett, L.W.; Diamond, J.J.; Gold, R.H.; McLelland, R.

    1987-12-01

    Of the 319 radiologists who responded to a survey concerning mammography practices, 50% were employed in a private hospital and 26% in a private office. Film-screen mammography was used most often (54%) followed by xeromammography (30%) and a combination of film-screen and xeromammography (16%). Of the respondents, 62% had changed their method of performing mammography in the last 10 years. Of these, 50% had switched from xeromammography to film-screen, 23% from direct film to film-screen, 15% from direct film to xeromammography, and 6% from film-screen to xeromammography. Mammographic equipment had been purchased by 71% of respondents after 1983. Most respondents (71%) monitored mammography equipment doses, usually at 6- to 12-month intervals. Manual breast examinations were done at the time of mammography at 42% of the facilities, and breast self-examination was taught at 32%. For screening, 87.4% used a two-view examination, 92% required the name of a referring physician to whom the report could be sent, 28% accepted self-referred patients, and only 12% charged a reduced fee for screening. Breast sonography was performed by 53% (93% hand-held vs 7% automated), but none used sonography for screening. Only one respondent reported using thermography; three used light scanning. A need for postgraduate mammography courses for radiologists was indicated by 81%, while 69% recommended technologist courses and 64% recommended 1-week fellowships for radiologists.

  19. 乳腺钙化在乳腺疾病诊断中的价值%Diagnostic value of the calcified foci in mammography for breast diseases

    Institute of Scientific and Technical Information of China (English)

    莫任光; 苏佳娜; 郭晓婷

    2012-01-01

    目的 探讨乳腺钥靶X线中钙化的影像特点在乳腺疾病中的临床意义.方法 对我院100例手术及病理证实有钙化的乳腺疾病进行分析.结果 100例乳腺钙化中,良性病变39例,乳腺癌61例.结论 乳腺钙化是乳腺疾病重要X线征象,特别是钙化形态在乳腺癌诊断中具有重要意义.%Objective To study the diagnostic value of the calcified foci in mammography for the benign and malignant breast disease.Methods In 100 female individuals,calcifications had been found in mammography and confirmed by surgery or biopsy.The characteristics of the morphology and distribution were analyzed retrospectively.Results 61 out of 100 cases with calcified foci were breast cancers,occupying 61.0%,while the left 39 cases were benign.Conclusion Calcifications in mammography are very valuable,especially the shape of the calcifications plays an important role in differential diagnosis for benign and malignant breast diseases.

  20. Review of laser diagnostics at the Vulcan laser facility

    Institute of Scientific and Technical Information of China (English)

    Ian Musgrave; Marco Galimberti; Alexis Boyle; Cristina Hernandez-Gomez; Andrew Kidd; Bryn Parry; Dave Pepler; Trevor Winstone; John Collier

    2015-01-01

    In this paper we review the provision of the laser diagnostics that are installed on the Vulcan laser facility. We will present strategies for dealing with the energy of high energy systems and with ways of handling the beam sizes of the lasers. We present data captured during typical experimental campaigns to demonstrate their reliability and variation in shot to shot values.

  1. Mammography screening in denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse Merete Munk; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  2. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality...

  3. Dedicated Cone-beam Breast Computed Tomography and Diagnostic Mammography: Comparison of Radiation Dose, Patient Comfort, And Qualitative Review of Imaging Findings in BI-RADS 4 and 5 Lesions

    Directory of Open Access Journals (Sweden)

    Avice M O′Connell

    2012-01-01

    Full Text Available Objective: This pilot study was undertaken to compare radiation dose, relative visibility/conspicuity of biopsy-proven lesions, and relative patient comfort in diagnostic mammography and dedicated cone-beam breast computed tomography (CBBCT in Breast Imaging-Reporting and Data System (BI-RADS® 4 or 5 lesions. Materials and Methods: Thirty-six consecutive patients (37 breasts with abnormal mammographic and/or ultrasound categorized as BI-RADS® 4 or 5 lesions were evaluated with CBBCT prior to biopsy. Administered radiation dose was calculated for each modality. Mammograms and CBBCT images were compared side-by-side and lesion visibility/conspicuity was qualitatively scored. Histopathology of lesions was reviewed. Patients were administered a survey for qualitative evaluation of comfort between the two modalities. Results: CBBCT dose was similar to or less than diagnostic mammography, with a mean dose of 9.4 mGy (±3.1 SD for CBBCT vs. 16.9 mGy (±6.9 SD for diagnostic mammography in a total of 37 imaged breasts (P<0.001. Thirty-three of 34 mammographic lesions were scored as equally or better visualized in CBBCT relative to diagnostic mammography. Characterization of high-risk lesions was excellent. Patients reported greater comfort in CBBCT imaging relative to mammography. Conclusion: Our experience of side-by-side comparison of CBBCT and diagnostic mammography in BI-RADS® 4 and 5 breast lesions demonstrated a high degree of correlation between the two modalities across a variety of lesion types. Owing to favorable radiation dose profile, excellent visualization of lesions, and qualitative benefits including improved patient comfort, excellent field-of-view, and more anatomical evaluation of lesion margins, CBBCT offers a promising modality for diagnostic evaluation of breast lesions.

  4. Image quality in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Haus, A.G.; Doi, K.; Metz, C.E. Bernstein, J.

    1976-01-01

    In mammography, image quality is a function of the shape, size, and x-ray absorption properties of the anatomic part to be radiographed and of the lesion to be detected; it also depends on geometric unsharpness, and the resolution, characteristic curve and noise properties of the recording system. X-ray energy spectra, modulation transfer functions, Wiener spectra, characteristic and gradient curves, and radiographs of a breast phantom and of a resected breast specimen containing microcalcifications are used in a review of some current considerations of the factors, and the complex relationship among factors, that affect image quality in mammography. Image quality and patient radiation exposure in mammography are interrelated. An approach to the problem of evaluating the trade-off between diagnostic certainty and the cost or risk of performing a breast imaging procedure is discussed.

  5. Imaging VISAR diagnostic for the National Ignition Facility (NIF)

    Science.gov (United States)

    Malone, Robert M.; Bower, John R.; Bradley, David K.; Capelle, Gene A.; Celeste, John R.; Celliers, Peter M.; Collins, Gilbert W.; Eckart, Mark J.; Eggert, Jon H.; Frogget, Brent C.; Guyton, Robert L.; Hicks, Damien G.; Kaufman, Morris I.; MacGowan, Brian J.; Montelongo, Samuel; Ng, Edmund W.; Robinson, Ronald B.; Tunnell, Thomas W.; Watts, Phillip W.; Zapata, Paul G.

    2005-03-01

    The National Ignition Facility (NIF) requires diagnostics to analyze high-energy density physics experiments. A VISAR (Velocity Interferometry System for Any Reflector) diagnostic has been designed to measure shock velocities, shock breakout times, and shock emission of targets with sizes from 1 to 5 mm. An 8-inch-diameter fused silica triplet lens collects light at f/3 inside the 30-foot-diameter vacuum chamber. The optical relay sends the image out an equatorial port, through a 2-inch-thick vacuum window, and into two interferometers. A 60-kW VISAR probe laser operates at 659.5 nm with variable pulse width. Special coatings on the mirrors and cutoff filters are used to reject the NIF drive laser wavelengths and to pass a band of wavelengths for VISAR, passive shock breakout light, or thermal imaging light (bypassing the interferometers). The first triplet can be no closer than 500 mm from the target chamber center and is protected from debris by a blast window that is replaced after every event. The front end of the optical relay can be temporarily removed from the equatorial port, allowing other experimenters to use that port. A unique resolution pattern has been designed to validate the VISAR diagnostic before each use. All optical lenses are on kinematic mounts so that the pointing accuracy of the optical axis can be checked. Seven CCD cameras monitor the diagnostic alignment.

  6. Imaging VISAR diagnostic for the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Malone, R M; Bower, J R; Bradley, D K; Capelle, G A; Celeste, J R; Celliers, P M; Collins, G W; Eckart, M J; Eggert, J H; Frogget, B C; Guyton, R L; Hicks, D G; Kaufman, M I; MacGowan, B J; Montelongo, S; Ng, E W; Robinson, R B; Tunnell, T W; Watts, P W; Zapata, P G

    2004-08-30

    The National Ignition Facility (NIF) requires diagnostics to analyze high-energy density physics experiments. A VISAR (Velocity Interferometry System for Any Reflector) diagnostic has been designed to measure shock velocities, shock breakout times, and shock emission of targets with sizes from 1 to 5 mm. An 8-inch-diameter fused silica triplet lens collects light at f/3 inside the 30-foot-diameter vacuum chamber. The optical relay sends the image out an equatorial port, through a 2-inch-thick vacuum window, and into two interferometers. A 60-kW VISAR probe laser operates at 659.5 nm with variable pulse width. Special coatings on the mirrors and cutoff filters are used to reject the NIF drive laser wavelengths and to pass a band of wavelengths for VISAR, passive shock breakout light, or thermal imaging light (bypassing the interferometers). The first triplet can be no closer than 500 mm from the target chamber center and is protected from debris by a blast window that is replaced after every event. The front end of the optical relay can be temporarily removed from the equatorial port, allowing other experimenters to use that port. A unique resolution pattern has been designed to validate the VISAR diagnostic before each use. All optical lenses are on kinematic mounts so that the pointing accuracy of the optical axis can be checked. Seven CCD cameras monitor the diagnostic alignment.

  7. Beam Diagnostics Systems For The National Ignition Facility

    CERN Document Server

    Demaret, R D; Bliss, E S; Gates, A J; Severyn, J R

    2001-01-01

    The National Ignition Facility laser focuses 1.8 Mega-joules of ultraviolet light (wavelength 351 nano-meters) from 192 beams into a 600-micro-meter-diameter volume. Effective use of this output in target experiments requires that the power output from all the beams match within 8% over their entire 20-nanosecond waveform. The scope of NIF beam diagnostics systems necessary to accomplish this task is unprecedented for laser facilities. Each beam line contains 110 major optical components distributed over a 510 meter path, and diagnostic tolerances for beam measurement are demanding. Total laser pulse energy is measured with 2.8% precision, and the inter-beam temporal variation of pulse power is measured with 4% precision. These measurement goals are achieved through use of approximately 160 sensor packages that measure the energy at five locations and power at 3 locations along each beamline using 335 photodiodes, 215 calorimeters and 36 digitizers. Successful operation of such a system requires a high level ...

  8. CADx Mammography

    Science.gov (United States)

    Costaridou, Lena

    Although a wide variety of Computer-Aided Diagnosis (CADx) schemes have been proposed across breast imaging modalities, and especially in mammography, research is still ongoing to meet the high performance CADx requirements. In this chapter, methodological contributions to CADx in mammography and adjunct breast imaging modalities are reviewed, as they play a major role in early detection, diagnosis and clinical management of breast cancer. At first, basic terms and definitions are provided. Then, emphasis is given to lesion content derivation, both anatomical and functional, considering only quantitative image features of micro-calcification clusters and masses across modalities. Additionally, two CADx application examples are provided. The first example investigates the effect of segmentation accuracy on micro-calcification cluster morphology derivation in X-ray mammography. The second one demonstrates the efficiency of texture analysis in quantification of enhancement kinetics, related to vascular heterogeneity, for mass classification in dynamic contrast-enhanced magnetic resonance imaging.

  9. Nuclear Diagnostics at the National Ignition Facility, 2013-2015

    Science.gov (United States)

    Yeamans, C. B.; Cassata, W. S.; Church, J. A.; Fittinghoff, D. N.; Gatu Johnson, M.; Gharibyan, N.; Határik, R.; Sayre, D. B.; Sio, H. W.; Bionta, R. M.; Bleuel, D. L.; Caggiano, J. A.; Cerjan, C. J.; Cooper, G. W.; Eckart, M. J.; Edwards, E. R.; Faye, S. A.; Forrest, C. J.; Frenje, J. A.; Glebov, V. Yu; Grant, P. M.; Grim, G. P.; Hartouni, E. P.; Herrmann, H. W.; Kilkenny, J. D.; Knauer, J. P.; Mackinnon, A. J.; Merrill, F. E.; Moody, K. J.; Moran, M. J.; Petrasso, R. D.; Phillips, T. W.; Rinderknecht, H. G.; Schneider, D. H. G.; Sepke, S. M.; Shaughnessy, D. A.; Stoeffl, W.; Velsko, C. A.; Volegov, P.

    2016-05-01

    The National Ignition Facility (NIF) relies on a suite of nuclear diagnostics to measure the neutronic output of experiments. Neutron time-of-flight (NTOF) and neutron activation diagnostics (NAD) provide performance metrics of absolute neutron yield and neutron spectral content: spectral width and non-thermal content, from which implosion physical quantities of temperature and scattering mass are inferred. Spatially-distributed flange- mounted NADs (FNAD) measure, with nearly identical systematic uncertainties, primary DT neutron emission to infer a whole-sky neutron field. An automated FNAD system is being developed. A magnetic recoil spectrometer (MRS) shares few systematics with comparable NTOF and NAD devices, and as such is deployed for independent measurement of the primary neutronic quantities. The gas-Cherenkov Gamma Reaction History (GRH) instrument records four energy channels of time-resolved gamma emission to measure nuclear bang time and burn width, as well as to infer carbon areal density in experiments utilizing plastic or diamond capsules. A neutron imaging system (NIS) takes two images of the neutron source, typically gated to create coregistered 13-15 MeV primary and 6-12 MeV downscattered images. The radiochemical analysis of gaseous samples (RAGS) instrument pumps target chamber gas to a chemical reaction and fractionation system configured with gamma counters, allowing measurement of radionuclides with half-lives as short as 8 seconds. Solid radiochemistry collectors (SRC) with backing NAD foils collect target debris, where activated materials from the target assembly are used as indicators of neutron spectrum content, and also serve as the primary diagnostic for nuclear forensic science experiments. Particle time-of-flight (PTOF) measures compression-bang time using DT- or DD-neutrons, as well as shock bang-time using D3He-protons for implosions with lower x-ray background. In concert, these diagnostics serve to measure the basic and advanced

  10. Next Generation Gamma Ray Diagnostics for the National Ignition Facility

    Science.gov (United States)

    Herrmann, Hans; Kim, Y. H.; McEvoy, A. M.; Zylstra, A. B.; Young, C. S.; Lopez, F. E.; Griego, J. R.; Fatherley, V. E.; Oertel, J. A.; Jorgenson, H. J.; Barlow, D. B.; Stoeffl, W.; Church, J. A.; Hernandez, J. E.; Carpenter, A.; Rubery, M. S.; Horsfield, C. J.; Gales, S.; Leatherland, A.; Hilsabeck, T.; Kilkenny, J. D.; Malone, R. M.; Moy, K.; Hares, J. D.; Milnes, J.

    Fusion reaction history and ablator areal density measurements based on gamma ray detection are an essential part of Inertial Confinement Fusion (ICF) experiments on the National Ignition Facility (NIF). Capability improvements are being implemented in sensitivity, temporal and spectral response relative to the existing Gamma Reaction History diagnostic (GRH-6m). The ``Super'' Gas Cherenkov Detector (GCD) will provide 200x more sensitivity, reduce the effective temporal resolution from 100 to 10 ps, and lower the energy threshold from 2.9 to 1.8 MeV, relative to GRH-6m. The Gamma-to-Electron Magnetic Spectrometer (GEMS) - a Compton spectrometer intended to provide true gamma energy resolution (<=5%) for isolation of specific lines such as t(d, γ) , D(n, γ) , 12C(n,n' γ) and energetic charged particle nuclear reactions indicative of ablator/fuel mix

  11. Analysis of participant factors that affect the diagnostic performance of screening mammography: A report of the alliance for breast cancer screening in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Joong [Dept. of Radiology, Konyang University Hospital, Konyang University College of Medicine, Daejeon (Korea, Republic of); Lee, Eu Hye [Dept. of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); and others

    2017-08-01

    To analyze participant factors that affect the diagnostic performance of screening mammography. We enrolled 128756 cases from 10 hospitals between 2005 and 2010. We analyzed recall rate, cancer detection rate (CDR) per 1000 examinations, positive predictive value (PPV), sensitivity, specificity, false positive rate (FPR), and interval cancer rate (ICR) per 1000 negative examinations according to participant factors including age, breast density, and number of visit to the same institution, and adjusted for confounding variables. Increasing age improved recall rates (27.4% in 40's, 17.5% in 50's, 11.1% in 60's, and 8.6% in 70's), CDR (2.7, 3.2, 2.0, and 2.4), PPV (1.0, 1.8, 1.8, and 2.8%), sensitivity (81.3, 88.8, 90.3, and 94.7%), specificity (72.7, 82.7, 89.0, and 91.7%), and FPR (27.3, 17.3, 11.0, and 8.4%) (p < 0.05). Higher breast density impaired recall rates (4.0% in P1, 9.0% in P2, 28.9% in P3, and 27.8% in P4), PPV (3.3, 2.3, 1.2, and 1.3%), specificity (96.1, 91.2, 71.4, and 72.5%), and FPR (3.9, 8.9, 28.6, and 27.6%) (p < 0.001). It also increased CDR (1.3, 2.1, 3.3, and 3.6) and ICR (0.2, 0.3, 0.6, and 1.6) (p < 0.05). Successive visits to the same institution improved recall rates (20.9% for one visit, 10.7% for two visits, 7.7% for more than three visits), PPV (1.6, 2.8, and 2.7%), specificity (79.4, 89.6, and 92.5%), and FPR (20.6, 10.4, and 7.5%) (p < 0.001). Young age and dense breasts negatively affected diagnostic performance in mammography screening, whereas successive visits to the same institution had a positive effect. Examinee education for successive visits to the same institution would improve the diagnostic performance.

  12. Digital Mammography with Storage Phosphors

    Science.gov (United States)

    1993-12-31

    considerations. Proc AAPM Summer School: Specification, Acceptance Testing and Quality Control of Diagnostic X-ray Imaging Equipment 1991. 95. Melles...derived from the same cases. Radiol 1983; 148:839-843. 100. Kelsey CA, Mettler FA. ROC analysis can reveal best diagnostic method. Diagnost Imag 1989; 155 ...Madison, WI, 1991. 111. AAPM Report No. 29: Equipment requirement and quality control for mammography, Ed. by M. J. Yaffe et al, Published for the

  13. Diagnostic performance of digital breast tomosynthesis with a wide scan angle compared to full-field digital mammography for the detection and characterization of microcalcifications.

    Science.gov (United States)

    Clauser, Paola; Nagl, Georg; Helbich, Thomas H; Pinker-Domenig, Katja; Weber, Michael; Kapetas, Panagiotis; Bernathova, Maria; Baltzer, Pascal A T

    2016-12-01

    To assess the diagnostic performance of digital breast tomosynthesis (DBT), with a wide scan-angle, compared to full-field digital mammography (FFDM), for the detection and characterization of microcalcifications. IRB approval was obtained for this retrospective study. We selected 150 FFDM and DBT (50 benign and 50 malignant histologically verified microcalcifications, 50 cases classified as BI-RADS 1). Four radiologists evaluated, in separate sessions and blinded to patients' history and histology, the presence of microcalcifications. Cases with microcalcifications were assessed for visibility, characteristics, and grade of suspicion using BI-RADS categories. Detection rate and diagnostic performance were calculated. Visibility, lesions' characteristics and reading time were analysed. Detection rate and visibility were good for both FFDM and DBT, without intra-reader differences (P=0.510). Inter-reader differences were detected (PReading time for DBT was almost twice that for FFDM (44 and 25s, respectively). Wide scan-angle DBT enabled the detection and characterization of microcalcifications with no significant differences from FFDM. Inter-reader variability was seen. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  14. Diagnostic value of preoperative contrast-enhanced MR imaging of the breast; Diagnostischer Stellenwert der praeoperativen MR-Mammographie (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Winnekendonk, G.; Krug, B.; Lackner, K. [Inst. und Poliklinik fuer Radiologische Diagnostik der Univ. zu Koeln (Germany); Warm, M.; Goehring, U.J.; Mallmann, P. [Klinik und Poliklinik fuer Frauenheilkunde und Geburtshilfe der Univ. zu Koeln (Germany)

    2004-05-01

    Purpose: to evaluate preoperative contrast enhanced MR imaging in clinically, mammographically and/or ultrasonographically established breast cancer. Materials and method: from September 1998 to August 1999, preoperative contrast-enhanced MR imaging of the breast was performed in 91 patients with lesions highly suggestive of malignancy (BIRADS IV and V) by clinical, mammographic, and/or ultrasonographic criteria. MR imaging findings were postsurgically correlated with other imaging, intraoperative and histopathologic results. Results: histopathologic analysis revealed 61 (66%) malignant and 31 (34%) benign lesions. In 63 (69%) of the 91 investigated patients, MR mammographies were classified as tumor suspect and in the remaining 28 (31%) cases as benign. The sensitivity, specificity and accuracy were 90%, 67% and 81% for contrast-enhanced MR imaging. Additional tumor manifestations (multifocal or multicentric disease, contralateral carcinoma) were found by MR imaging alone in 10 patients (11%). Conclusion: contrast-enhanced MR imaging may reveal unsuspected multifocal, multicentric or contralateral breast carcinoma that changes the surgical therapy if the intention is total tumor removal. The prognostic role of a potentially more radical surgical therapy on the basis of these findings is not clear. (orig.) [German] Fragestellung: lst der praeoperative Einsatz der MR-Mammographie (MRM) bei palpatorischem, sonographischem und/oder roentgenmammographischem Tumorverdacht sinnvoll? Material und Methoden: Vom 1.9.1998 bis zum 31.8.1999 wurde konsekutiv bei allen Patientinnen, bei denen aufgrund eines palpatorischen, roentgenmammographischen (BIRADS IV und V) und/oder sonographischen Malignomverdachtes die Indikation zur Operation bestand, praeoperativ eine MRM angefertigt. Die Ergebnisse der MRM wurden postoperativ mit dem Operationsbefund und den histologischen Ergebnissen verglichen. Ergebnisse: Bei den 91 operierten Patientinnen wurden histologisch 61 Karzinome (66

  15. Diagnostic Value of Mammography Combined With Magnetic Resonance Imaging of Small Breast Cancer%钼靶乳腺摄影联合核磁共振对小乳腺癌的诊断价值研究

    Institute of Scientific and Technical Information of China (English)

    孔爱松

    2016-01-01

    Objective To study and explore the clinical diagnostic value of molybdenum target mammography combined with magnetic resonance imaging of smal breast cancer. Methods A total of 120 patients with suspected smal breast cancer patients as the research object.Al patients underwent mammography and MRI scans,and mammography and magnetic resonance imaging diagnosis and pathologic diagnosis results,calculation of sensitivity,specificity and accuracy of molybdenum target X-ray photography,nuclear magnetic resonance and X-ray mammography combined with nuclear magnetic resonance. Results Mammography combined with MRI detection sensitivity in the diagnosis of smal breast cancer was 98.13%,the specificity was 92.31%,accuracy was 97.50%,was significantly higher than that of mammography,magnetic resonance imaging(P<0.05). Conclusion In the clinical diagnosis of smal breast cancer with mammography combined with nuclear magnetic resonance diagnostic accuracy,can effectively detect smal breast cancerous foci.%目的:研究并探讨钼靶乳腺摄影联合核磁共振对小乳腺癌的临床诊断价值。方法选取120例疑似小乳腺癌患者作为此次研究的对象,所有患者均进行乳腺钼靶X线摄影,再进行核磁共振扫描,并将钼靶X线摄影、核磁共振的诊断结果与病理诊断结果进行对比,计算钼靶X线摄影、核磁共振以及钼靶X线摄影联合核磁共振的敏感性、特异性、准确性。结果钼靶X线摄影联合核磁共振检测对小乳腺癌的诊断敏感性为98.13%,特异性为92.31%,准确性为97.50%,均高于钼靶X线摄影、核磁共振(P<0.05)。结论在小乳腺癌的临床诊断中,采用乳腺钼靶X线摄影联合核磁共振进行诊断的诊断准确性较高,可有效检出微小的乳腺癌化灶。

  16. X线钼靶摄影与超声诊断乳腺微钙化灶的对比研究%Comparative Study of X-ray Mammography Photography and Ultrasound Diagnostic in Breast Microcalcifications

    Institute of Scientific and Technical Information of China (English)

    张敏丽; 刘东顺; 贾七英; 魏志强

    2015-01-01

    Objective:To explore the effect of X-ray mammography photography and ultrasonic diagnosis in breast microcalcifications. Method:120 cases with breast microcalcifications from February 2012 to February 2015 were selected,they were given X-ray mammography photography and ultrasonic diagnosis.The two methods of sensitivity, specificity and accuracy were compared.Result:X-ray mammography photographic and ultrasound combined use of the accuracy,specificity and sensitivity were higher than X-ray mammography and ultrasound diagnosis of photography, the difference was significant(P<0.05).The sensitivity of X-ray mammography photographic was significantly higher than that of ultrasound diagnosis,and the specificity of ultrasonic diagnostic was higher than X-ray mammography photography,the difference was significant(P<0.05).Conclusion:X-ray mammography photography has high sensitivity for the diagnosis of breast microcalcifications,and the ultrasonic diagnosis has high specificity,a combination of both can significantly improve the diagnostic accuracy rate,is worthy of clinical promotion.%目的:探究采用X线钼靶摄影和超声诊断乳腺微钙化灶的诊断效果.方法:选择笔者所在医院2012年2月-2015年2月收治的120例乳腺微钙化灶患者,均给予患者X线钼靶摄影和超声诊断.对比两种方法敏感性、特异性和准确性情况.结果:X线钼靶摄影和超声联合应用的准确性、特异性和敏感性均高于X线钼靶摄影和超声诊断,差异有统计学意义(P<0.05).X线钼靶摄影的敏感性显著高于超声诊断,而超声诊断的特异性高于X线钼靶摄影,差异有统计学意义(P<0.05).结论:对于乳腺钙化灶的诊断采用X线钼靶摄影具有较高的敏感性,而采用超声诊断具有较高的特异性,两者联合使用能够显著提高诊断准确率,值得临床推广.

  17. Mammography equipment performance, image quality and mean glandular dose in Malta.

    Science.gov (United States)

    Borg, M; Badr, I; Royle, G J

    2013-09-01

    In this first Maltese national mammography survey, the effectiveness of direct digital (DR) mammography in breast cancer screening has been confirmed. Patient data were made available from three clinics out of the participating nine. A dose survey of mean glandular dose (MGD) calculated for 759 patients examined in the state-owned mammography facilities was performed. An MGD national diagnostic reference level was set at 1.87 mGy for patients with breast compression thicknesses (BCT) between 5.0 and 7.0 cm. This range was selected since patient data were retrieved from three clinics only and the results showed that other international BCT reference levels may be unsuitable for the Maltese population. In fact, the overall average BCT was 5.75 ± 1.4 cm. The survey results have shown that the technical standard of mammographic equipment in the Malta National Breast Screening Programme is on a par with other countries, including its Western European counterparts.

  18. Diagnostic value of breast ultrasound in mammography BI-RADS 0 and clinically indeterminate or suspicious of malignancy breast lesions

    Directory of Open Access Journals (Sweden)

    Dobrosavljević Aleksandar

    2016-01-01

    Full Text Available Background/Aim. Not only that ultrasound makes the difference between cystic and solid changes in breast tissue, as it was the case at the beginning of its use, but it also makes the differential diagnosis in terms of benign-malignant. The aim of this study was to assess the role of sonography in the diagnosis of palpable breast masses according to the American College of Radiology Ultrasonographic Breast Imaging Reporting and Data System (BI-RADS and to correlate the BI-RADS 4 and BI-RADS 5 category with pathohistological findings. Methods. A retrospective study was conducted with the breast sonograms of 30 women presented with palpable breast masses found to be mammography category BI-RADS 0 and ultrasonographic BI-RADS categories 4 and 5. The sonographic categories were correlated with pathohistological findings. Results. Surgical biopsy in 30 masses revealed: malignancy (56.7%, fibroadenoma (26.7%, fibrocystic dysplasia with/without atypia (10%, lipoma (3.3% and intramammary lymph node (3.3%. Correlation between BI-RADS categories and pathohistological findings was found (p < 0.05. All BI-RADS 5 masses were malignant, while in BI-RADS 4A category fibroadenomas dominated. A total of 53.8% of all benign lesions were found in women 49 years of age or younger as compared with 35.3% of all malignancies in this group (p < 0.05. Conclusion. Ultrasonography BI-RADS improved classification of breast masses. The ultrasound BI-RADS 4 (A, B, C and BI-RADS 5 lesions should be worked-up with biopsy.

  19. Diagnostic mammography and ultrasonography for palpable and nonpalpable breast cancer in women aged 30 to 39 years.

    Science.gov (United States)

    Osako, Tomo; Iwase, Takuji; Takahashi, Kaoru; Iijima, Kotaro; Miyagi, Yumi; Nishimura, Seiichiro; Tada, Keiichiro; Makita, Masujiro; Akiyama, Futoshi; Sakamoto, Goi; Kasumi, Fujio

    2007-01-01

    To investigate the relationship between the tumor size of breast cancer by palpation and the sensitivity of mammography (MMG) and ultrasonography (US), and which modality can detect nonpalpable breast cancer in women aged 30 to 39 years. We retrospectively evaluated the tumor size by palpation, breast density, and the sensitivity of MMG and US in 165 patients aged 30 to 39 years. Palpation, US, and MMG were performed with prior knowledge of the results of other modalities. The tumor size on palpation were classified into Tnp; nonpalpable, T1p; 2 cm or less, T2p; more than 2 cm, but not more than 5 cm, and T3p; more than 5 cm. Of 165 patients, 147 patients (89%) showed mammographically dense breasts. Of 165 cancers, 14 (8%) were Tnp, 40 (24%) were T1p, 82 (50%) were T2p, and 29 (18%) were T3p. The sensitivity of MMG was 57% (8 of 14) for Tnp, 78% (31 of 40) for T1p, 90% (74 of 82) for T2p, and 97% (28 of 29) for T3p. The sensitivity of US was 43% (6 of 14) for Tnp and 100% for palpable cancers. Of 14 nonpalpable cancers, 4 (29%), 4 (29%), and 2 (14%) could be detected by only MMG, bloody nipple discharge, and US. The sensitivity of MMG depends on the tumor size on palpation in this age range. MMG fails to detect relatively large palpable cancers. On the other hand, US can detect all palpable cancers. However, the sensitivity of US declines for nonpalpable cancers. For the detection of nonpalpable cancers, MMG, US, and nipple discharge are complementary modalities.

  20. Mammography accreditation program

    Energy Technology Data Exchange (ETDEWEB)

    Wilcox, P.

    1993-12-31

    In the mid-1980`s, the movement toward the use of dedicated mammography equipment provided significant improvement in breast cancer detection. However, several studies demonstrated that this change was not sufficient to ensure optimal image quality at a low radiation dose. In particular, the 1985 Nationwide Evaluation of X-ray Trends identified the wide variations in image quality and radiation dose, even from dedicated units. During this time period, the American Cancer Society (ACS) launched its Breast Cancer Awareness Screening Campaign. However, there were concerns about the ability of radiology to respond to the increased demand for optimal screening examinations that would result from the ACS program. To respond to these concerns, the ACS and the American College of Radiology (ACR) established a joint committee on mammography screening in 1986. After much discussion, it was decided to use the ACR Diagnostic Practice Accreditation Program as a model for the development of a mammography accreditation program. However, some constraints were required in order to make the program meet the needs of the ACS. This voluntary, peer review program had to be timely and cost effective. It was determined that the best way to address these needs would be to conduct the program by mail. Finally, by placing emphasis on the educational nature of the program, it would provide an even greater opportunity for improving mammographic quality. The result of this effort was that, almost six years ago, in May 1987, the pilot study for the ACR Mammography Accreditation Program (MAP) began, and in August of that year, the first applications were received. In November 1987, the first 3-year accreditation certificates were awarded.

  1. Comparison of air kerma measurements between the PTB and the IAEA for x-radiation qualities used in general diagnostic radiology and mammography

    Science.gov (United States)

    Csete, István; Büermann, Ludwig; Gomola, Igor; Girzikowsky, Reinhard

    2013-01-01

    A comparison of the air kerma standards for x-radiation qualities used in general diagnostic radiology and mammography, identified as EURAMET.RI(I)-S10 (EURAMET project #1221), was performed between the PTB and the IAEA. Two spherical and two parallel-plate reference-class ionization chambers of the IAEA and 12 beam qualities standardized in the IEC standard 61267:2005 plus 7 additional standard beam qualities established at both laboratories were selected for the comparison. The calibration coefficients were determined for the transfer chambers at the PTB in September 2012 and before and after this at the IAEA Dosimetry Laboratory. The results show the calibration coefficients of both laboratories to be in good agreement within the standard uncertainty of the comparison of about 0.47%. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by EURAMET, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  2. MR mammography (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A.

    1993-01-01

    The book deals with MRI for the diagnostic evaluation of malignant breast lesions. A survey of methods available for breast examination, magnetic resonance mammography (MRM) is briefly explained in terms of development and technical problems encountered in the various examinations. The clinical aspects from a central part of the book, giving information relating to the various neoplasms and a comprehensive review of cases. The book concludes with a chapter discussing the interpretation of data and images, presenting examples of normal findings and of manifestations of carcinoma, fibroadenoma, cysts, mastopathies, scars due to plastic surgery, and the lactating breast. (UWA). 648 figs., 25 tabs.

  3. Mammography screening in Denmark

    DEFF Research Database (Denmark)

    Vejborg, Ilse; Mikkelsen, Ellen Margrethe; Garne, Jens Peter;

    2011-01-01

    Mammography screening is offered healthy women, and a high standard on professional and organizational level is mandatory not only in the screening programme but even in the diagnostic work-up and treatment. The main goal is to achieve a substantial reduction in disease specific mortality......, but it is not possible to evaluate the effect on mortality until several years later, and continuously monitoring of the quality of all aspects of a screening programme is necessary. Based on other European guidelines, 11 quality indicators have been defined, and guidelines concerning organizational requirements...

  4. Diagnostic development for the Atlas pulsed power facility

    CERN Document Server

    Taylor, A J; Fulton, R D; Oro, D M; McCuistian, B T; Clark, D A; Roberts, J P; Holtkamp, D B; Watt, R G; Bartsch, R R; Trainor, R J

    1999-01-01

    Atlas will be a 23 MJ capacitor bank capable of delivering greater than 30 MA to a liner target with a nominal 4 microsecond risetime. We describe here our ongoing diagnostic development efforts in this extreme Atlas environment. Included in this discussion are development efforts in X-ray radiography, shock physics diagnostics, and temperature and pressure diagnostics. X-ray radiography is the key diagnostic for visualizing the shock-induced fluid flows characteristic of the proposed Atlas experiments. Due to the large area densities needed for Atlas targets, a number of radiographic systems are under investigation. Diagnostics that address shock physics issues on Atlas include VISAR (velocity interferometer for a surface of any reflector), shock breakout, optical pins, and dark- field shadowgraphy. Temperature diagnostics include infrared pyrometry. As pressure diagnostics we are developing probes based on the pressure dependence of the frequency of fluorescence lines from ruby and the Raman shift in diamon...

  5. Battery Test Facility- Electrochemical Analysis and Diagnostics Laboratory

    Data.gov (United States)

    Federal Laboratory Consortium — The Electrochemical Analysis and Diagnostics Laboratory (EADL) provides battery developers with reliable, independent, and unbiased performance evaluations of their...

  6. 数字钼靶X线摄影结合触诊在乳腺病变诊断中的价值%Diagnostic value of digital mammography X-ray and palpation in breast lesions

    Institute of Scientific and Technical Information of China (English)

    彭晓澜; 郑青霞

    2011-01-01

    Objective To discuss the diagnostic value of mammography X-ray and palpation in benign and malignant lesions of breast. Methods One hundred and twelve breast lesions comfirmed by operations and pathological diagnosis during June 2008 to 2010 were collected, and the mammography X-ray performance in benign and malignant lesions of breast were retropectly analyed. Results The mammography X-ray performance could be taken as a reference to the qualitative diagnosis of benign and malignant lesions. Palpation was simple and had more intuitive and comprehensive understanding for patients. Conclusion Mammography X-ray performance and palpating in benign and malignant lesions qualitative diagnosis plays a complementary roles.%目的 探讨数字钼靶X线摄影结合触诊在乳腺病变的定性诊断价值.方法 收集2008-2010-06经手术和病理证实的112个乳腺病变资料,对钼靶X线诊断及触诊检查的良恶性病变进行回顾性分析.结果 钼靶X线表现可作为乳腺病变良恶性定性诊断的有效的检查手段,触诊检查简单易行,对患者有一个更直观和全面的认识.结论 钼靶X线表现及触诊在良恶性病变的定性诊断中起着互补的作用.

  7. Assessment of radiological protection systems among diagnostic radiology facilities in North East India.

    Science.gov (United States)

    Singh, Thokchom Dewan; Jayaraman, T; Arunkumar Sharma, B

    2017-03-01

    This study aims to assess the adequacy level of radiological protection systems available in the diagnostic radiology facilities located in three capital cities of North East (NE) India. It further attempts to understand, using a multi-disciplinary approach, how the safety codes/standards in diagnostic radiology framed by the Atomic Energy Regulatory Board (AERB) and the International Atomic Energy Agency (IAEA) to achieve adequate radiological protection in facilities, have been perceived, conceptualized, and applied accordingly in these facilities. About 30 diagnostic radiology facilities were randomly selected from three capitals of states in NE India; namely Imphal (Manipur), Shillong (Meghalaya) and Guwahati (Assam). A semi-structured questionnaire developed based on a multi-disciplinary approach was used for this study. It was observed that radiological practices undertaken in these facilities were not exactly in line with safety codes/standards in diagnostic radiology of the AERB and the IAEA. About 50% of the facilities had registered/licensed x-ray equipment with the AERB. More than 80% of the workers did not use radiation protective devices, although these devices were available in the facilities. About 85% of facilities had no institutional risk management system. About 70% of the facilities did not carry out periodic quality assurance testing of their x-ray equipment or surveys of radiation leakage around the x-ray room, and did not display radiation safety indicators in the x-ray rooms. Workers in these facilities exhibited low risk perception about the risks associated with these practices. The majority of diagnostic radiology facilities in NE India did not comply with the radiological safety codes/standards framed by the AERB and IAEA. The study found inadequate levels of radiological protection systems in the majority of facilities. This study suggests a need to establish firm measures that comply with the radiological safety codes/standards of the

  8. Glandular dose and image quality control in mammography facilities with computerized radiography systems; Dose glandular e controle de qualidade da imagem em servicos de mamografia com sistema de radiografia computadorizada

    Energy Technology Data Exchange (ETDEWEB)

    Dantas, Marcelino Vicente de Almeida

    2010-07-01

    Breast cancer is the most common cancer among women, and early detection is critical to its diagnosis and treatment. To date, the most effective method for early detection of breast cancer has been x-ray mammography for which the screen/film (SF) technique has been the gold standard. However, even though SF combinations have been improved and optimized over the years for breast imaging, there are some critical limitations, including a narrow exposure range, image artifacts, film processing problems, and inflexibility in image processing and film management. In recent years, digital mammography has been introduced in cancer screening programmes with the screen/film techniques gradually being phased out. Computed radiography (CR), also commonly known as photostimulable phosphor (PSP) imaging or storage phosphor, employs reusable imaging plates and associated hardware and software to acquire and to display digital projection radiographs. In this work, a protocol model was tested for performing image quality control and average glandular dose (AGD) evaluation in 19 institutions with computed radiography systems for mammography. The protocol was validated through tests at the Laboratorio de Radioprotecao Aplicada a Mamografia (LARAM) from the Centro de Desenvolvimento da Tecnologia Nuclear (CDTN). The image quality visual evaluation of CDMAM phantom showed that 53% of the facilities were able to produce images of excellent quality. Furthermore, the automated evaluation of image quality, using the analyze software cdcom.exe, showed that 57% of the images were considered to be of good quality. The detector linearity test showed that the CR response is very linear, where 95% of facilities evaluated were considered to be compliant. For the image noise was found that only 20% of facilities are in agreement with the parameters established for this test. The average glandular doses, which patients may be getting to perform an examination, were below the action levels

  9. Diagnostic value comparison of ultrasonography and mammography in breast infiltrating ductal carcinoma%超声与钼靶X线对浸润性导管癌临床诊断价值的比较

    Institute of Scientific and Technical Information of China (English)

    胡波; 周碧华; 庞彩霞; 章瑜

    2013-01-01

    目的:对比超声与钼靶X线检查在乳腺浸润性导管癌中的诊断价值.方法:对420例乳腺肿块患者按绝经前后分两组比较超声及钼靶X线检查对乳腺浸润性导管癌的诊断准确性,并对病理证实122例乳腺浸润性导管癌的超声及钼靶X线征象进行对比分析.结果:绝经前组超声符合率89.7%,钼靶X线诊断符合率74.8%;绝经后组超声的诊断符合率为89.7%,钼靶X线诊断符合率为89.1%.绝经前超声诊断乳腺浸润性导管癌比钼靶X线的诊断符合率高 (P<0.05),绝经后两者诊断符合率差异无统计学意义(P>0.05).绝经前乳腺浸润性导管癌患者中的超声检查对乳腺肿块影、钙化灶检出率均高于钼靶X线(P<0.05).结论:超声与钼靶X线对绝经前、后浸润性导管癌均有较高诊断价值,乳腺超声成像对绝经前浸润性导管癌患者的诊断价值更大.%Objective:To evaluate the value of ultrasonography and mammography in diagnosis of breast infiltrating ductal cancer.Methods:420 cases of mammary tumor patients were analyzed retrospectively.They were divided into premenopausal group and postmenopausal group.Pathologic result were chosen to be gold standard.The diagnostic accuracy of mammography and ultrasound was compared and then mammography and ultrasound signs were comparative analysis in the pathology confirmed premenopausal sixty cases of infiltrating ductal carcinoma patients.Results:In the group of premenopausal:the diagnosis coincidence rate of ultrasonography was 89.7%,the diagnosis coincidence rate of mammography was 74.8%.In the group of postmenopausal:the diagnosis coincidence rate of ultrasonography was 89.7%,the diagnosis coincidence rate of mammography was 89.1%.The diagnosis coincidence rates of ultrasonograph were higher than those of mammography in the group of premenopausal (P < 0.05).The diagnosis coincidence rate was no significant difference in the group of postmenopausal

  10. Diagnostics of the ITER neutral beam test facility.

    Science.gov (United States)

    Pasqualotto, R; Serianni, G; Sonato, P; Agostini, M; Brombin, M; Croci, G; Dalla Palma, M; De Muri, M; Gazza, E; Gorini, G; Pomaro, N; Rizzolo, A; Spolaore, M; Zaniol, B

    2012-02-01

    The ITER heating neutral beam (HNB) injector, based on negative ions accelerated at 1 MV, will be tested and optimized in the SPIDER source and MITICA full injector prototypes, using a set of diagnostics not available on the ITER HNB. The RF source, where the H(-)∕D(-) production is enhanced by cesium evaporation, will be monitored with thermocouples, electrostatic probes, optical emission spectroscopy, cavity ring down, and laser absorption spectroscopy. The beam is analyzed by cooling water calorimetry, a short pulse instrumented calorimeter, beam emission spectroscopy, visible tomography, and neutron imaging. Design of the diagnostic systems is presented.

  11. Drywall plates evaluation as protection barriers in dental X-rays and mammography facilities; Evaluacion de placas de drywall como barreras de proteccion en instalaciones de rayos X dental y mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Guevara R, V. Y.; Romero C, N. [Empresa QC DOSE S. A. C., Av. Tomas Marsano 1915, Surquillo, Lima 34 (Peru); Berrocal T, M., E-mail: vguevara@qcdose.com [Universidad Nacional Mayor de San Marcos, C. German Amezaga 375, Edif. Jorge Basadre, Ciudad Universitaria, Lima 1 (Peru)

    2014-08-15

    In the dental X-rays and mammography facilities, usually lead shielded walls as protective barriers are used. Lead is a good attenuator for X-rays, but has toxic properties and its cost is high. Mammography equipment s emit low-energy photons in the range of 25 keV to 35 keV, on current computers; the primary radiation beam is intercepted by the image receptor. Peri apical dental equipment s emit photons in the range of 50 to 90 keV, their filtration is fixed. These devices emit a collimated beam whose diameter is slightly larger than the diagonal dimension of a standard film of dental X-rays. When a dental x-ray is performed, the radiation beam is partially attenuated by the patient. Drywall is a material consisting of plasterboard between two cardboard layers, being its components gypsum and cellulose generally. It is used in construction for execution of interior walls, ceilings and wall coverings, could also serve as a replacement for lead as well as other materials. In this paper three drywall prototypes (Giplac), formed with 02, 04 and 06 drywall layers (13, 16 and 20 cm of thickness respectively) were tested as barriers against primary and secondary X-ray radiation that come from dental and mammography equipment s. The results show that the drywall prototype, 02 layers, efficiently attenuates the secondary radiation beam produced by conventional mammography equipment. And the prototype 04 and 06 layers, efficiently attenuates the primary radiation beam produced by peri apical dental equipment. (author)

  12. CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY (CESM (REVIEW

    Directory of Open Access Journals (Sweden)

    N. I. Rozhkova

    2015-01-01

    Full Text Available The problem of early diagnosis of a breast cancer is extremely actual. Growth of incidence at women from 19 to 39 years increased for 34% over the last 10 years. It defines need of acceleration of development and deployment of the latest technologies of identification of the earliest symptoms of diseases. The x-ray mammography is the conducting method among of all radiological methods of diagnostics. Nevertheless a number of restrictions of method reduces its efficiency. The technologies increasing informational content of x-ray mammography – the leading method of screening – due to use of artificial contrasting and advantages of digital technologies are constantly developed. In this review it is described works, in which the authors having clinical experience of application of CESM – contrastenhanced spectral mammography on representative group of women. Positive sides and restrictions of new technology in comparison with mammography, ultrasonography and MRT are shown in this article.

  13. 42 CFR 410.33 - Independent diagnostic testing facility.

    Science.gov (United States)

    2010-10-01

    ... physical therapist who is certified by the American Board of Physical Therapy Specialties as a qualified... Section 410.33 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... within 90 days. (3) Maintain a physical facility on an appropriate site. For the purposes of this...

  14. 42 CFR 413.123 - Payment for screening mammography performed by hospitals on an outpatient basis.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for screening mammography performed by... SKILLED NURSING FACILITIES Specific Categories of Costs § 413.123 Payment for screening mammography... mammographies performed by hospitals. (b) Payment to hospitals for outpatient services. Payment to hospitals...

  15. 2D vs. 3D mammography observer study

    Science.gov (United States)

    Fernandez, James Reza F.; Hovanessian-Larsen, Linda; Liu, Brent

    2011-03-01

    Breast cancer is the most common type of non-skin cancer in women. 2D mammography is a screening tool to aid in the early detection of breast cancer, but has diagnostic limitations of overlapping tissues, especially in dense breasts. 3D mammography has the potential to improve detection outcomes by increasing specificity, and a new 3D screening tool with a 3D display for mammography aims to improve performance and efficiency as compared to 2D mammography. An observer study using a mammography phantom was performed to compare traditional 2D mammography with this ne 3D mammography technique. In comparing 3D and 2D mammography there was no difference in calcification detection, and mass detection was better in 2D as compared to 3D. There was a significant decrease in reading time for masses, calcifications, and normals in 3D compared to 2D, however, as well as more favorable confidence levels in reading normal cases. Given the limitations of the mammography phantom used, however, a clearer picture in comparing 3D and 2D mammography may be better acquired with the incorporation of human studies in the future.

  16. Advanced Breast Cancer as Indicator of Quality Mammography

    Science.gov (United States)

    Gaona, Enrique

    2003-09-01

    Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer death among women in the Mexican Republic. Mammography is the more important screening tool for detecting early breast cancer. Screening mammography involves taking x-rays from two views from each breast, typically from above (cranial-caudal view, CC) and from an oblique or angled view (mediolateral-oblique, MLO). The purpose of this study was to carry out an exploratory survey of the issue of patients with advanced breast cancer who have had a screening mammography. A general result of the survey is that 22.5% of all patients (102) with advanced breast cancer that participated in the study had previous screening mammography. But we should consider that 10% of breast cancers are not detected by mammography. Only 70% of the family doctors prescribed a diagnostic mammography when the first symptoms were diagnosed.

  17. Debris and shrapnel assessments for National Ignition Facility targets and diagnostics

    Science.gov (United States)

    Masters, N. D.; Fisher, A.; Kalantar, D.; Stölken, J.; Smith, C.; Vignes, R.; Burns, S.; Doeppner, T.; Kritcher, A.; Park, H.-S.

    2016-05-01

    High-energy laser experiments at the National Ignition Facility (NIF) can create debris and shrapnel capable of damaging laser optics and diagnostic instruments. The size, composition and location of target components and sacrificial shielding (e.g., disposable debris shields, or diagnostic filters) and the protection they provide is constrained by many factors, including: chamber and diagnostic geometries, experimental goals and material considerations. An assessment of the generation, nature and velocity of shrapnel and debris and their potential threats is necessary prior to fielding targets or diagnostics. These assessments may influence target and shielding design, filter configurations and diagnostic selection. This paper will outline the approach used to manage the debris and shrapnel risk associated with NIF targets and diagnostics and present some aspects of two such cases: the Material Strength Rayleigh- Taylor campaign and the Mono Angle Crystal Spectrometer (MACS).

  18. Diagnostic value of full-field digital mammography in mastitis%全数字化乳腺X线摄影对乳腺炎性疾病的诊断价值

    Institute of Scientific and Technical Information of China (English)

    滕妍; 曹满瑞; 赵弘; 何健龙; 邹万娇

    2012-01-01

    Objective:To analyze the full-field digital mammography (FFDM) findings in mastitis and differentiation of mastitis from breast cancer. Methods: 39 cases of mastitis underwent mammography confirmed by surgical pathology were analyzed. Results:Of the 39 cases,26 were chronic mastitis,5 were plasma cell mastitis and 8 were granulomatous mastitis. The mammography showed mass in 17 cases,localized asymmetric density in 20 cases,focal architectural distortion in 2 cases, lymph modes consolidation in 7 cases,localized skin thickening in 12 cases,and indentation of nipple in 7 cases. Conclusion : Mammographic findings in combination with clinical manifestications will be helpful in improving diagnostic accuracy of mastitis.%目的:分析乳腺炎性疾病的全数字化乳腺X线摄影(FFDM)表现,提高该病与乳腺癌的鉴别诊断水平.方法:回顾性分析39例经穿刺或手术病理证实的乳腺炎性疾病的FFDM表现.结果:39例患者中,26例为慢性乳腺炎,5例为浆细胞性乳腺炎,8例为肉芽肿性乳腺炎.X线表现为肿块影17例,局部腺体非对称性致密影20例,结构扭曲2例.伴同侧腋下淋巴结致密影7例,局部或乳晕区皮肤增厚12例,乳头凹陷7例.结论:结合临床资料并细致分析乳腺炎性疾病的FFDM表现,有助于提高该病诊断与鉴别诊断水平.

  19. Influence of diagnostic quality scanning technique with CR mammography; Influencia de la tecnica de exploracion en la calidad diagnostica de la mamografia ocn CR

    Energy Technology Data Exchange (ETDEWEB)

    Rivas Ballarin, M. A.; Ruiz Manzano, P.; Ortega Pardina, P.; Laliena Bielsa, V.; Calvo Carrillo, S.; Garcia Romero, A.; Millan Cebrian, E.

    2013-07-01

    Image quality criteria laid down in the Spanish Protocol of Control of quality in Radiology (PECCR) to a team of mammography with CR imaging system are applied in this work and evaluated the dosimetry impact implied by the modification of the technique of exposure required for the fulfilment of those criteria. Is also analyzes the impact on the image quality of the new radiographic technique, evaluated by three radiologists. (Author)

  20. Benefits and harms of mammography screening.

    Science.gov (United States)

    Løberg, Magnus; Lousdal, Mette Lise; Bretthauer, Michael; Kalager, Mette

    2015-05-01

    Mammography screening for breast cancer is widely available in many countries. Initially praised as a universal achievement to improve women's health and to reduce the burden of breast cancer, the benefits and harms of mammography screening have been debated heatedly in the past years. This review discusses the benefits and harms of mammography screening in light of findings from randomized trials and from more recent observational studies performed in the era of modern diagnostics and treatment. The main benefit of mammography screening is reduction of breast-cancer related death. Relative reductions vary from about 15 to 25% in randomized trials to more recent estimates of 13 to 17% in meta-analyses of observational studies. Using UK population data of 2007, for 1,000 women invited to biennial mammography screening for 20 years from age 50, 2 to 3 women are prevented from dying of breast cancer. All-cause mortality is unchanged. Overdiagnosis of breast cancer is the main harm of mammography screening. Based on recent estimates from the United States, the relative amount of overdiagnosis (including ductal carcinoma in situ and invasive cancer) is 31%. This results in 15 women overdiagnosed for every 1,000 women invited to biennial mammography screening for 20 years from age 50. Women should be unpassionately informed about the benefits and harms of mammography screening using absolute effect sizes in a comprehensible fashion. In an era of limited health care resources, screening services need to be scrutinized and compared with each other with regard to effectiveness, cost-effectiveness and harms.

  1. Mamma diagnostics for MTRA (medical-radiological personnel)/RT (radiologists); Mammadiagnostik fuer MTRA/RT

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Uwe; Baum, Friedemann

    2014-07-01

    The text book on mamma diagnostics for MTRA (medical-radiological personnel)/RT (radiologists) covers the following issues: Anatomy, development and physiology of mammary glands; tumor development an breast cancer risk; pathology, non-imaging diagnostics; mammography: physical-technical fundamentals; mammography: analogue technique; mammography: digital technique; mammography: quality assurance; mammography: legal questions and radiation protection; mammography: new developments; mammography: setting technique; mammography: use and appraisal; mamma-sonography: technique and methodology; mamma-sonography: assignment and appraisal, mamma-NMR: technique and methodology; mamma-NMR: assignment and appraisal lymph node diagnostics; mamma interventions; biopsy; mamma interventions: marking examination concepts; therapeutic concepts; hygienic concepts; communication and interaction.

  2. 彩色多普勒超声联合钼靶 X 射线影像在乳腺癌诊断中的价值%Diagnostic value of ultrasonography with mammography image in breast cancer patients

    Institute of Scientific and Technical Information of China (English)

    申琳棱; 张迎春

    2015-01-01

    目的:探讨联合应用彩色多普勒超声(以下简称为超声)与钼靶 X 射线2种检查方法诊断乳腺癌的价值。方法选择2014年1~11月,在苏州大学附属第二医院经术后组织病理检查确诊的98例乳腺癌患者为研究对象,共摘除乳腺肿块112枚。总结98例患者术前超声、钼靶 X 射线检查的声像学图像特征,并以术后组织病理检查为金标准,比较超声、钼靶 X 射线单独及联合使用对诊断乳腺癌的差异。结果本组112枚乳腺肿块的声像学图像特征如下。①超声:乳腺肿块形态不规则为96%(107/112)、边界不清为88%(99/112)、低回声为86%(96/112)、内部回声不均匀为85%(95/112)。②钼靶 X 射线:乳腺肿块形态不规则、内部回声不均匀的高密度肿块,与周围组织分界不清。③超声、钼靶 X 射线单独诊断乳腺癌的诊断准确率比较(83.04% vs 78.57%),差异无统计学意义(χ2=0.72,P =0.400);超声联合钼靶 X射线诊断乳腺癌准确率(91.96%)显著高于二者单独检查的准确率,且差异均有统计学意义(χ2=4.08, P =0.040;χ2=8.00,P =0.005)。结论超声与钼靶 X 射线是诊断乳腺癌的重要影像学检查方法,二者联合应用可提高乳腺癌诊断的准确性,可为临床医师进行乳腺癌的术前评估和预后评价提供指导意义。%Objective To evaluate the value of ultrasonography combined with mammography in diagnosis of breast cancer.Methods A total of 98 patients who were definitely diagnosed as breast cancer by pathological examination after surgery in the Second Affiliated Hospital of Suzhou University from January to November 2014 were chosen as study objects,and 1 12 masses were removed after surgery.All the patients underwent both ultrasonography and mammography examinations before operation,and the ultrasonogram features of both were summarized.The diagnostic accuracy of ultrasonography,mammography and the combination of these two methods were

  3. Barriers to screening mammography.

    Science.gov (United States)

    Sarma, Elizabeth A

    2015-01-01

    Breast cancer (BRCA) is the second most commonly diagnosed cancer among women in the USA, and mammography is an effective means for the early detection of BRCA. Identifying the barriers to screening mammography can inform research, policy and practice aiming to increase mammography adherence. A literature review was conducted to determine common barriers to screening mammography adherence. PsycINFO and PubMed databases were searched to identify studies published between 2000 and 2012 that examined barriers associated with reduced mammography adherence. Three thematic groups of barriers, based on social ecology, were identified from the literature: healthcare system-level, social and individual-level barriers. Researchers must consider screening behaviour in context and, therefore, should simultaneously consider each level of barriers when attempting to understand screening behaviour and create interventions to increase mammography adherence.

  4. Diagnostic development and support of MHD test facilities. Final progress report, March 1980--March 1994

    Energy Technology Data Exchange (ETDEWEB)

    1995-02-01

    The Diagnostic Instrumentation and Analysis Laboratory (DIAL) at Mississippi State University (MSU), under U.S. Department of Energy (DOE) Contract No. DE-AC02-80ET-15601, Diagnostic Development and Support of MHD Test Facilities, developed diagnostic instruments for magnetohydrodynamic (MHD) power train data acquisition and for support of MHD component development test facilities. Microprocessor-controlled optical instruments, initially developed for Heat Recovery/Seed Recovery (HRSR) support, were refined, and new systems to measure temperatures and gas-seed-slag stream characteristics were developed. To further data acquisition and analysis capabilities, the diagnostic systems were interfaced with DIAL`s computers. Technical support was provided for the diagnostic needs of the national MHD research effort. DIAL personnel also cooperated with government agencies and private industries to improve the transformation of research and development results into processes, products and services applicable to their needs. The initial contract, Testing and Evaluation of Heat Recovery/Seed Recovery, established a data base on heat transfer, slagging effects on heat transfer surfaces, metal durability, secondary combustor performance, secondary combustor design requirements, and other information pertinent to the design of HR/SR components at the Coal-Fired Flow Facility (CFFF). To accomplish these objectives, a combustion test stand was constructed that simulated MHD environments, and mathematical models were developed and evaluated for the heat transfer in hot-wall test sections. Two transitions occurred during the span of this contract. In May 1983, the objectives and title of the contract changed from Testing and Evaluation of Heat Recovery/Seed Recovery to Diagnostic Development and Support of MHD Test Facilities. In July 1988, the research laboratory`s name changed from the MHD Energy Center to the Diagnostic Instrumentation and Analysis Laboratory.

  5. 21 CFR 1000.55 - Recommendation for quality assurance programs in diagnostic radiology facilities.

    Science.gov (United States)

    2010-04-01

    ... laboratories, clinics, and hospitals are all examples of diagnostic radiology facilities. (2) Quality assurance.... (5) Quality administration procedures are those management actions intended to guarantee that... indicators. Light/x-ray field congruence. Half-value layer. Focal spot size consistency. Representative...

  6. A recoverable gas-cell diagnostic for the National Ignition Facility

    Science.gov (United States)

    Ratkiewicz, A.; Berzak Hopkins, L.; Bleuel, D. L.; Bernstein, L. A.; van Bibber, K.; Cassata, W. S.; Goldblum, B. L.; Siem, S.; Velsko, C. A.; Wiedeking, M.; Yeamans, C. B.

    2016-11-01

    The high-fluence neutron spectrum produced by the National Ignition Facility (NIF) provides an opportunity to measure the activation of materials by fast-spectrum neutrons. A new large-volume gas-cell diagnostic has been designed and qualified to measure the activation of gaseous substances at the NIF. This in-chamber diagnostic is recoverable, reusable and has been successfully fielded. Data from the qualification of the diagnostic have been used to benchmark an Monte Carlo N-Particle Transport Code simulation describing the downscattered neutron spectrum seen by the gas cell. We present early results from the use of this diagnostic to measure the activation of natXe and discuss future work to study the strength of interactions between plasma and nuclei.

  7. A recoverable gas-cell diagnostic for the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Ratkiewicz, A., E-mail: ratkiewicz1@llnl.gov; Berzak Hopkins, L.; Bleuel, D. L.; Cassata, W. S.; Velsko, C. A.; Yeamans, C. B. [Lawrence Livermore National Laboratory, Livermore, California 95440 (United States); Bernstein, L. A.; Bibber, K. van; Goldblum, B. L. [University of California, Berkeley, California 94720 (United States); Siem, S. [University of Oslo, N-0316 Oslo (Norway); Wiedeking, M. [iThemba LABS, Somerset West 7129 (South Africa)

    2016-11-15

    The high-fluence neutron spectrum produced by the National Ignition Facility (NIF) provides an opportunity to measure the activation of materials by fast-spectrum neutrons. A new large-volume gas-cell diagnostic has been designed and qualified to measure the activation of gaseous substances at the NIF. This in-chamber diagnostic is recoverable, reusable and has been successfully fielded. Data from the qualification of the diagnostic have been used to benchmark an Monte Carlo N-Particle Transport Code simulation describing the downscattered neutron spectrum seen by the gas cell. We present early results from the use of this diagnostic to measure the activation of {sup nat}Xe and discuss future work to study the strength of interactions between plasma and nuclei.

  8. Reproducibility of Mammography Units, Film Processing and Quality Imaging

    Science.gov (United States)

    Gaona, Enrique

    2003-09-01

    The purpose of this study was to carry out an exploratory survey of the problems of quality control in mammography and processors units as a diagnosis of the current situation of mammography facilities. Measurements of reproducibility, optical density, optical difference and gamma index are included. Breast cancer is the most frequently diagnosed cancer and is the second leading cause of cancer death among women in the Mexican Republic. Mammography is a radiographic examination specially designed for detecting breast pathology. We found that the problems of reproducibility of AEC are smaller than the problems of processors units because almost all processors fall outside of the acceptable variation limits and they can affect the mammography quality image and the dose to breast. Only four mammography units agree with the minimum score established by ACR and FDA for the phantom image.

  9. A spatially resolved ion temperature diagnostic for the National Ignition Facility.

    Science.gov (United States)

    Grim, G P; Finch, J P; King, N S P; Morgan, G L; Oertel, J A; Wilde, C H; Wilke, M D; Wilson, D C; Johnson, D E

    2008-10-01

    The concepts and initial development efforts for a spatially resolved ion temperature diagnostic are described. The diagnostic is intended for Inertial Confinement Fusion experiments at the National Ignition Facility and is an integration of neutron aperture imaging and ion temperature techniques. The neutron imaging technique is extended by recording tomographic projections of the radiation-to-light converter on a streak camera. The streak record is used to calculate images at multiple times during the arrival of the thermally broadened 14.1 MeV neutron flux. The resulting set of images is used to determine the spatially resolved ion temperature.

  10. Combining a thermal-imaging diagnostic with an existing imaging VISAR diagnostic at the National Ignition Facility (NIF)

    Science.gov (United States)

    Malone, Robert M.; Celeste, John R.; Celliers, Peter M.; Frogget, Brent C.; Guyton, Robert L.; Kaufman, Morris I.; Lee, Tony L.; MacGowan, Brian J.; Ng, Edmund W.; Reinbachs, Imants P.; Robinson, Ronald B.; Seppala, Lynn G.; Tunnell, Thomas W.; Watts, Phillip W.

    2005-08-01

    Optical diagnostics are currently being designed to analyze high-energy density physics experiments at the National Ignition Facility (NIF). Two independent line-imaging Velocity Interferometer System for Any Reflector (VISAR) interferometers have been fielded to measure shock velocities, breakout times, and emission of targets having sizes of 1-5 mm. An 8-inch-diameter, fused silica triplet lens collects light at f/3 inside the 30-foot-diameter NIF vacuum chamber. VISAR recordings use a 659.5-nm probe laser. By adding a specially coated beam splitter to the interferometer table, light at wavelengths from 540 to 645 nm is spilt into a thermal-imaging diagnostic. Because fused silica lenses are used in the first triplet relay, the intermediate image planes for different wavelengths separate by considerable distances. A corrector lens on the interferometer table reunites these separated wavelength planes to provide a good image. Thermal imaging collects light at f/5 from a 2-mm object placed at Target Chamber Center (TCC). Streak cameras perform VISAR and thermal-imaging recording. All optical lenses are on kinematic mounts so that pointing accuracy of the optical axis may be checked. Counter-propagating laser beams (orange and red) are used to align both diagnostics. The red alignment laser is selected to be at the 50 percent reflection point of the beam splitter. This alignment laser is introduced at the recording streak cameras for both diagnostics and passes through this special beam splitter on its way into the NIF vacuum chamber.

  11. Combining a thermal-imaging diagnostic with an existing imaging VISAR diagnostic at the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Robert M. Malone; John R. Celesteb; Peter M. Celliers; Brent C. Froggeta; Robert L. Guyton; Morris I. Kaufman; Tony L. Lee; Brian J. MacGowan; Edmund W. Ng; Imants P. Reinbachs; Ronald B. Robinson; Lynn G. Seppala; Tom W. Tunnell; Phillip W. Watts

    2005-01-01

    Optical diagnostics are currently being designed to analyze high-energy density physics experiments at the National Ignition Facility (NIF). Two independent line-imaging Velocity Interferometer System for Any Reflector (VISAR) interferometers have been fielded to measure shock velocities, breakout times, and emission of targets having sizes of 1–5 mm. An 8-inch-diameter, fused silica triplet lens collects light at f/3 inside the 30-foot-diameter NIF vacuum chamber. VISAR recordings use a 659.5-nm probe laser. By adding a specially coated beam splitter to the interferometer table, light at wavelengths from 540 to 645 nm is spilt into a thermal-imaging diagnostic. Because fused silica lenses are used in the first triplet relay, the intermediate image planes for different wavelengths separate by considerable distances. A corrector lens on the interferometer table reunites these separated wavelength planes to provide a good image. Thermal imaging collects light at f/5 from a 2-mm object placed at Target Chamber Center (TCC). Streak cameras perform VISAR and thermal-imaging recording. All optical lenses are on kinematic mounts so that pointing accuracy of the optical axis may be checked. Counter-propagating laser beams (orange and red) are used to align both diagnostics. The red alignment laser is selected to be at the 50 percent reflection point of the beam splitter. This alignment laser is introduced at the recording streak cameras for both diagnostics and passes through this special beam splitter on its way into the NIF vacuum chamber.

  12. Combining a thermal-imaging diagnostic with an existing imaging VISAR diagnostic at the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Malone, R; Celeste, J; Celliers, P; Frogget, B; Guyton, R L; Kaufman, M; Lee, T; MacGowan, B; Ng, E W; Reinbachs, I P; Robinson, R B; Seppala, L; Tunnell, T W; Watts, P

    2005-07-07

    Optical diagnostics are currently being designed to analyze high-energy density physics experiments at the National Ignition Facility (NIF). Two independent line-imaging Velocity Interferometer System for Any Reflector (VISAR) interferometers have been fielded to measure shock velocities, breakout times, and emission of targets having sizes of 1-5 mm. An 8-inch-diameter, fused silica triplet lens collects light at f/3 inside the 30-foot-diameter NIF vacuum chamber. VISAR recordings use a 659.5-nm probe laser. By adding a specially coated beam splitter to the interferometer table, light at wavelengths from 540 to 645 nm is spilt into a thermal-imaging diagnostic. Because fused silica lenses are used in the first triplet relay, the intermediate image planes for different wavelengths separate by considerable distances. A corrector lens on the interferometer table reunites these separated wavelength planes to provide a good image. Thermal imaging collects light at f/5 from a 2-mm object placed at Target Chamber Center (TCC). Streak cameras perform VISAR and thermal-imaging recording. All optical lenses are on kinematic mounts so that pointing accuracy of the optical axis may be checked. Counter-propagating laser beams (orange and red) are used to align both diagnostics. The red alignment laser is selected to be at the 50 percent reflection point of the beam splitter. This alignment laser is introduced at the recording streak cameras for both diagnostics and passes through this special beam splitter on its way into the NIF vacuum chamber.

  13. Recent advances and results from the solid radiochemistry nuclear diagnostic at the National Ignition Facility

    Science.gov (United States)

    Gharibyan, N.; Shaughnessy, D. A.; Moody, K. J.; Grant, P. M.; Despotopulos, J. D.; Faye, S. A.; Jedlovec, D. R.; Yeamans, C. B.

    2016-11-01

    The solid debris collection capability at the National Ignition Facility has been expanded to include a third line-of-sight assembly. The solid radiochemistry nuclear diagnostic measurement of the ratio of gold isotopes is dependent on the efficient collection of neutron-activated hohlraum debris by passive metal disks. The collection of target debris at this new location is more reliable in comparison to the historic locations, and it appears to be independent of collector surface ablation.

  14. Mammography and ultrasound in the evaluation of male breast disease

    Energy Technology Data Exchange (ETDEWEB)

    Munoz Carrasco, Rafaela; Alvarez Benito, Marina; Raya Povedano, Jose Luis [Hospital Universitario ' Reina Sofia' , Radiology Department, Cordoba (Spain); Munoz Gomariz, Elisa [Hospital Universitario ' Reina Sofia' , Support Unit for Research, Cordoba (Spain); Martinez Paredes, Maria [University of Cordoba, Radiology and Physical Medicine Area, Cordoba (Spain)

    2010-12-15

    To assess clinical variables that may be useful in differentiating gynaecomastia from carcinoma and to analyse the contribution of mammography and ultrasound to the evaluation of male breast disease. All men who underwent mammography and/or ultrasound between 1993 and 2006 in our hospital were retrospectively evaluated. Clinical characteristics in patients with gynaecomastia and those with carcinoma were compared. Radiological findings were classified according to the BI-RADS (Breast Imaging Reporting and Data System) criteria. The diagnostic performance of physical examination, mammography and ultrasound was determined and compared. A total of 628 patients with 518 mammograms and 423 ultrasounds were reviewed. The final diagnoses were: 19 carcinomas, 526 gynaecomastias, 84 other benign conditions and 25 normal. There were statistically significant differences in age, bilateral involvement, clinical presentation and physical examination between patients with carcinoma and those with gynaecomastia. The diagnostic performance of physical examination was lower than that of mammography and ultrasound (p < 0.05 for specificity). Mammography was the most sensitive (94.7%) and ultrasound the most specific (95.3%) for detection of malignancy (p > 0.05). We propose an algorithm for the use of mammography and ultrasound in men. Mammography and ultrasound, with a negative predictive value close to 100%, make it possible to avoid very many unnecessary surgical procedures in men. (orig.)

  15. A subscale facility for liquid rocket propulsion diagnostics at Stennis Space Center

    Science.gov (United States)

    Raines, N. G.; Bircher, F. E.; Chenevert, D. J.

    1991-01-01

    The Diagnostics Testbed Facility (DTF) at NASA's John C. Stennis Space Center in Mississippi was designed to provide a testbed for the development of rocket engine exhaust plume diagnostics instrumentation. A 1200-lb thrust liquid oxygen/gaseous hydrogen thruster is used as the plume source for experimentation and instrument development. Theoretical comparative studies have been performed with aerothermodynamic codes to ensure that the DTF thruster (DTFT) has been optimized to produce a plume with pressure and temperature conditions as much like the plume of the Space Shuttle Main Engine as possible. Operation of the DTFT is controlled by an icon-driven software program using a series of soft switches. Data acquisition is performed using the same software program. A number of plume diagnostics experiments have utilized the unique capabilities of the DTF.

  16. Digital mammography and their developments; Digitale Mammografie und ihre Weiterentwicklung

    Energy Technology Data Exchange (ETDEWEB)

    Wienbeck, Susanne [Universitaetsmedizin Goettingen (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Fischer, Uwe [Diagnostisches Brustzentrum Goettingen (Germany)

    2015-09-15

    At the present time digital mammography is a satisfactory breast diagnostic imaging in clinical as well as screening mammography in defined age groups. Nevertheless it shows beside the application of ionizing radiation in women with dense breasts limitations in the detection of non calcification breast cancers. Tomosynthesis, digital contrast-enhanced mammography and breast-CT with or without contrast media lead to better results. Especially the application of contrast media for the visualisation of the tumor angiogenesis is invariably superior to all other non-contrast imaging modalities. However, the excellent results of breast MRI will be probably accessible with none of the new procedures.

  17. First set of gated x-ray imaging diagnostics for the Laser Megajoule facility

    Science.gov (United States)

    Rosch, R.; Trosseille, C.; Caillaud, T.; Allouche, V.; Bourgade, J. L.; Briat, M.; Brunel, P.; Burillo, M.; Casner, A.; Depierreux, S.; Gontier, D.; Jadaud, J. P.; Le Breton, J. P.; Llavador, P.; Loupias, B.; Miquel, J. L.; Oudot, G.; Perez, S.; Raimbourg, J.; Rousseau, A.; Rousseaux, C.; Rubbelynck, C.; Stemmler, P.; Troussel, P.; Ulmer, J. L.; Wrobel, R.; Beauvais, P.; Pallet, M.; Prevot, V.

    2016-03-01

    The Laser Megajoule (LMJ) facility located at CEA/CESTA started to operate in the early 2014 with two quadruplets (20 kJ at 351 nm) focused on target for the first experimental campaign. We present here the first set of gated x-ray imaging (GXI) diagnostics implemented on LMJ since mid-2014. This set consists of two imaging diagnostics with spatial, temporal, and broadband spectral resolution. These diagnostics will give basic measurements, during the entire life of the facility, such as position, structure, and balance of beams, but they will also be used to characterize gas filled target implosion symmetry and timing, to study x-ray radiography and hydrodynamic instabilities. The design requires a vulnerability approach, because components will operate in a harsh environment induced by neutron fluxes, gamma rays, debris, and shrapnel. Grazing incidence x-ray microscopes are fielded as far as possible away from the target to minimize potential damage and signal noise due to these sources. These imaging diagnostics incorporate microscopes with large source-to-optic distance and large size gated microchannel plate detectors. Microscopes include optics with grazing incidence mirrors, pinholes, and refractive lenses. Spatial, temporal, and spectral performances have been measured on x-ray tubes and UV lasers at CEA-DIF and at Physikalisch-Technische Bundesanstalt BESSY II synchrotron prior to be set on LMJ. GXI-1 and GXI-2 designs, metrology, and first experiments on LMJ are presented here.

  18. Consolidated Laser-Induced Fluorescence Diagnostic Systems for the NASA Ames Arc Jet Facilities

    Science.gov (United States)

    Grinstead, Jay; Wilder, Michael C.; Porter, Barry; Brown, Jeff; Yeung, Dickson; Battazzo, Steve; Brubaker, Tim

    2016-01-01

    The spectroscopic diagnostic technique of two photon absorption laser-induced fluorescence (TALIF) of atomic species for non-intrusive arc jet flow property measurement was first implemented at NASA Ames in the mid-1990s. Use of TALIF expanded at NASA Ames and to NASA Johnsons arc jet facility in the late 2000s. In 2013-2014, NASA combined the agency's large-scale arc jet test capabilities at NASA Ames. Concurrent with that effort, the agency also sponsored a project to establish two comprehensive LIF diagnostic systems for the Aerodynamic Heating Facility (AHF) and Interaction Heating Facility (IHF) arc jets. The scope of the project enabled further engineering development of the existing IHF LIF system as well as the complete reconstruction of the original AHF LIF system. The updated LIF systems are identical in design and capability. They represent the culmination of over 20 years of development experience in transitioning a specialized laboratory research tool into a measurement system for large-scale, high-demand test facilities. This paper documents the overall system design from measurement requirements to implementation. Representative data from the redeveloped AHF and IHF LIF systems are also presented.

  19. Frequently Asked Questions about Digital Mammography

    Science.gov (United States)

    ... Consumer Information (MQSA) Frequently Asked Questions About Digital Mammography Share Tweet Linkedin Pin it More sharing options ... mammography exams, such as DBT? What is digital mammography? Full field digital mammography (FFDM, also known simply ...

  20. CR mammography: Design and implementation of a quality control program

    Energy Technology Data Exchange (ETDEWEB)

    Moreno-Ramirez, A.; Brandan, M. E.; Villasenor-Navarro, Y.; Galvan, H. A.; Ruiz-Trejo, C. [Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico); Departamento de Radiodiagnostico, Instituto Nacional de Cancerologia, DF 14080 (Mexico); Instituto de Fisica, Universidad Nacional Autonoma de Mexico, DF 04510 (Mexico)

    2012-10-23

    Despite the recent acquisition of significant quantities of computed radiography CR equipment for mammography, Mexican regulations do not specify the performance requirements for digital systems such as those of CR type. The design of a quality control program QCP specific for CR mammography systems was thus considered relevant. International protocols were taken as reference to define tests, procedures and acceptance criteria. The designed QCP was applied in three CR mammography facilities. Important deficiencies in spatial resolution, noise, image receptor homogeneity, artifacts and breast thickness compensation were detected.

  1. Mammography - recent technical developments and their clinical potential

    Energy Technology Data Exchange (ETDEWEB)

    Hemdal, Bengt; Mattsson, Soeren [Malmoe Univ. Hospital (Sweden). Dept. of Radiation Physics; Andersson, Ingvar [Malmoe Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Thilander Klang, Anne [Sahlgrenska Univ. Hospital, Goeteborg (Sweden). Dept. of Medical Physics and Biomedical Engineering; Bengtsson, Gert; Jarlman, O. [Lund Univ. Hospital (Sweden). Dept. of Diagnostic Radiology; Leitz, Wolfram [Swedish Radiation Protection Authority, Stockholm (Sweden); Bjurstam, Nils [Univ. of North Norway, Troms (Norway). Dept. of Radiology

    2002-05-01

    The recent technical developments in digital as well as screen-film X-ray mammography have been reviewed in order to evaluate their clinical potential and to analyse possible lines for future development. Material and methods: The scientific literature has been reviewed, conferences covered and contacts with colleagues developed. Companies in the field have been inquired and invited for presentations. Own experience has been gathered from different screen-film and digital mammography systems. Results and conclusions: Although there are important complementary techniques such as ultrasound and magnetic resonance imaging (MRI), X-ray mammography is still the golden standard for breast imaging. It is relatively simple and cost-effective, and it is presently the only realistic technique for screening in a large scale. It is still largely the only technique that can detect breast cancer in a pre invasive stage. Equipment for digital mammography is commercially available both with small area and full field technique (FFDM). The development of FFDM systems is now intense, as well as the development of dedicated workstations and computer-aided detection (CAD). In spite of this, the introduction of digital mammography has been very slow compared to most other X-ray examinations due to high costs and technical challenges to meet the high demands on image quality and dose in mammography as well as the demands on specialised workflow support for screening mammography and suitable display techniques. Film reading of digital mammograms has been the most common display mode so far, but to take full advantage of the digital concept, diagnostic as well as logistic, monitor reading must be applied. There is a potential of FFDM systems for significantly higher image quality or significantly lower dose than screen-film mammography (SFM), or both. Further research is necessary to fully use this potential. The investment costs are much higher for digital than screen-film mammography

  2. Digitizer architecture analysis for target diagnostics on the National Ignition Facility

    Science.gov (United States)

    Carpenter, A. C.; Clancy, T. J.; Beeman, B.; Bell, P.

    2015-08-01

    This paper covers a systems engineering analysis of existing scope-based Target Diagnostics (TD) on the National Ignition Facility (NIF) at Lawrence Livermore National Laboratory (LLNL), for the purpose of selecting a standard digitizer architecture future diagnostics. Key performance criteria and a summary of test results are presented. Currently of the 60+ Target Diagnostics, at least fifteen use a type of high speed electrical signal data read-out device leading to over 200 digitization channels spread over six types of CRT and digital oscilloscopes, each with multiple models and versions. The proposed standard architecture discussed in this paper allows the NIF to efficiently and reliably operate digitizers that meet the required performance metrics for the lifetime of the NIF. The systems engineering analysis identifies key stakeholders for multiple subsets of scope-based diagnostics including but not limited to the nToFs (neutron Time of Flight), DANTE a broadband, time-resolved x-ray spectrometer, SPBT (South Pole Bang Time), GRH (Gamma Reaction History), and FFLEX (Filter Fluorescer Diagnostic). From these stakeholders, key performance metrics are derived and feed into test and evaluation criteria for different digitizers and architectures.

  3. On-shot laser beam diagnostics for high-power laser facility with phase modulation imaging

    Science.gov (United States)

    Pan, X.; Veetil, S. P.; Liu, C.; Tao, H.; Jiang, Y.; Lin, Q.; Li, X.; Zhu, J.

    2016-05-01

    A coherent-modulation-imaging-based (CMI) algorithm has been employed for on-shot laser beam diagnostics in high-power laser facilities, where high-intensity short-pulsed lasers from terawatt to petawatt are designed to realize inertial confinement fusion (ICF). A single-shot intensity measurement is sufficient for wave-front reconstruction, both for the near-field and far-field at the same time. The iterative reconstruction process is computationally very efficient and was completed in dozens of seconds by the additional use of a GPU device to speed it up. The compact measurement unit—including a CCD and a piece of pre-characterized phase plate—makes it convenient for focal-spot intensity prediction in the target chamber. It can be placed almost anywhere in high-power laser facilities to achieve near-field wave-front diagnostics. The feasibility of the method has been demonstrated by conducting a series of experiments with diagnostic beams and seed pulses with deactivated amplifiers in our high-power laser system.

  4. Consolidated Laser-Induced Fluorescence Diagnostic Systems for the NASA Ames Arc Jet Facilities

    Science.gov (United States)

    Grinstead, Jay H.; Wilder, Michael C.; Porter, Barry J.; Brown, Jeffrey D.; Yeung, Dickson; Battazzo, Stephen J.; Brubaker, Timothy R.

    2016-01-01

    The spectroscopic diagnostic technique of two photon absorption laser-induced fluorescence (LIF) of atomic species for non-intrusive arc jet flow property measurement was first implemented at NASA Ames in the mid-1990s. In 2013-2014, NASA combined the agency's large-scale arc jet test capabilities at NASA Ames. Concurrent with that effort, the agency also sponsored a project to establish two comprehensive LIF diagnostic systems for the Aerodynamic Heating Facility (AHF) and Interaction Heating Facility (IHF) arc jets. The scope of the project enabled further engineering development of the existing IHF LIF system as well as the complete reconstruction of the AHF LIF system. The updated LIF systems are identical in design and capability. They represent the culmination of over 20 years of development experience in transitioning a specialized laboratory research tool into a measurement system for large-scale, high-demand test facilities. This paper will document the latest improvements of the LIF system design and demonstrations of the redeveloped AHF and IHF LIF systems.

  5. Optical system for the Protein Crystallisation Diagnostics Facility (PCDF) on board the ISS

    Science.gov (United States)

    Joannes, Luc; Dupont, Olivier; Dewandel, Jean-Luc; Ligot, Renaud; Algrain, Hervé

    2004-06-01

    The Protein Crystallisation Diagnostic Facility (PCDF) is a multi-user facility to study the protein crystallisation under the conditions of micro-gravity onboard the International Space Station (ISS) Columbus facility. Large size protein crystals will growth under reduced gravity in thermally controlled reactors. A combination of diagnostic tools like video system, microscope, interferometer, and light scattering device shall help to understand the growth phenomena. Common methods of protein crystallisation shall be performed in PCDF: Dialysis where the protein solution and the salt solution are separated by a semi-permeable membrane. Extended Length Dialysis Batch where the saturation to get crystals is achieved by changing the concentration of the protein in the sample liquid. The overall ESA project is leaded by EADS Space Transportation, Friedrichshafen, Germany. Lambda-X is responsible for the Optical System (OS), with Verhaert Design and Development as sub-contractor for the mechanical design. The OS includes different compact parts: Original illumination systems based on LEDs of difference colours; Quantitative Mach-Zehnder interferometers to measure the concentration distribution around crystals; Imaging assemblies to visualize the protein volume with different field of views. The paper concentrates on the description of each part, and in particular on the imaging assembly which allow switching from one field of view to another by passive elements only.

  6. MR Mammography (MRM). MR-Mammographie (MRM)

    Energy Technology Data Exchange (ETDEWEB)

    Kaiser, W.A. (Radiologische Universitaetsklinik Bonn (Germany))

    1991-01-01

    MR mammography is carried out using a special breast coil. Gd-DTPA is injected as a contrast medium. Gradient-echo sequences are superior to the formerly used spin-echo sequences in that they show a greater sensitivity to contrast media. After the advent of gradient-echo sequences, the 0.2 mmol/kg dose that used to be injected in connection with spin-echo sequences was regarded as being too high. The best results were then achieved with 0.1 mmol/kg injections amounting to no more than 50% of the former dose. Provided that magnetic resonance imaging of the breast is carried out using the spexial examination technique discussed here, it may justly be described as magnetic resonance mammography (MRM). MR criteria are defined for such conditions as carcinoma, fibroadenoma, scars, mastopathy and cysts. (GDG).

  7. Mammographic density is the main correlate of tumors detected on ultrasound but not on mammography.

    Science.gov (United States)

    Häberle, Lothar; Fasching, Peter A; Brehm, Barbara; Heusinger, Katharina; Jud, Sebastian M; Loehberg, Christian R; Hack, Carolin C; Preuss, Caroline; Lux, Michael P; Hartmann, Arndt; Vachon, Celine M; Meier-Meitinger, Martina; Uder, Michael; Beckmann, Matthias W; Schulz-Wendtland, Rüdiger

    2016-11-01

    Although mammography screening programs do not include ultrasound examinations, some diagnostic units do provide women with both mammography and ultrasonography. This article is concerned with estimating the risk of a breast cancer patient diagnosed in a hospital-based mammography unit having a tumor that is visible on ultrasound but not on mammography. A total of 1,399 women with invasive breast cancer from a hospital-based diagnostic mammography unit were included in this retrospective study. For inclusion, mammograms from the time of the primary diagnosis had to be available for computer-assisted assessment of percentage mammographic density (PMD), as well as Breast Imaging Reporting and Data System (BIRADS) assessment of mammography. In addition, ultrasound findings were available for the complete cohort as part of routine diagnostic procedures, regardless of any patient or imaging characteristics. Logistic regression analyses were conducted to identify predictors of mammography failure, defined as BIRADS assessment 1 or 2. The probability that the visibility of a tumor might be masked at diagnosis was estimated using a regression model with the identified predictors. Tumors were only visible on ultrasound in 107 cases (7.6%). PMD was the strongest predictor for mammography failure, but age, body mass index and previous breast surgery also influenced the risk, independently of the PMD. Risk probabilities ranged from 1% for a defined low-risk group up to 40% for a high-risk group. These findings might help identify women who should be offered ultrasound examinations in addition to mammography.

  8. The calibration of DD neutron indium activation diagnostic for Shenguang-III facility

    CERN Document Server

    Song, Zi-Feng; Liu, Zhong-Jie; Zhan, Xia-Yu; Tang, Qi

    2014-01-01

    The indium activation diagnostic was calibrated on an accelerator neutron source in order to diagnose deuterium-deuterium (DD) neutron yields of implosion experiments on Shenguang-III facility. The scattered neutron background of the accelerator room was measured by placing a polypropylene shield in front of indium sample, in order to correct the calibrated factor of this activation diagnostic. The proper size of this shield was given by Monte Carlo simulation software. The affect from some other activated nuclei on the calibration was verified by judging whether the measured curve obeys exponential decay and contrasting the half life of the activated sample. The calibration results showed that the linear range reached up to 100 cps net count rate in the full energy peak of interest, the scattered neutron background of accelerator room was about 9% of the total neutrons and the possible interferences mixed scarcely in the sample. Subtracting the portion induced by neutron background, the calibrated factor of ...

  9. Overview of the gamma reaction history diagnostic for the national ignition facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yong Ho [Los Alamos National Laboratory; Evans, Scott C [Los Alamos National Laboratory; Herrmann, Hans W [Los Alamos National Laboratory; Mack, Joseph M [Los Alamos National Laboratory; Young, Carl S [Los Alamos National Laboratory; Malone, Robert M [Los Alamos National Laboratory; Cox, Brian C [Los Alamos National Laboratory; Frogget, Brent C [Los Alamos National Laboratory; Kaufman, Morris I [Los Alamos National Laboratory; Tunnell, Thomas W [Los Alamos National Laboratory; Tibbitts, Aric [Los Alamos National Laboratory; Palagi, Martin J [NST/LAS VEGAS; Stoeffl, Wolfgang [LLNL

    2010-01-01

    The National Ignition Facility (NIF) has a need for measuring gamma radiation as part of a nuclear diagnostic program. A new gamma-detection diagnostic uses 900 off-axis parabolic mirrors to rel ay Cherenkov light from a volume of pressurized gas. This non imaging optical system has the high-speed detector placed at a stop position with the Cherenkov light delayed until after the prompt gammas have passed through the detector. Because of the wavelength range (250 to 700 nm), the optical element surface finish was a key design constraint. A cluster of four channels (each set to a different gas pressure) will collect the time histories for different energy ranges of gammas.

  10. Simulated performance of the optical Thomson scattering diagnostic designed for the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Ross, J. S., E-mail: ross36@llnl.gov; Datte, P.; Divol, L.; Galbraith, J.; Hatch, B.; Landen, O.; Manuel, A. M.; Molander, W.; Moody, J. D.; Swadling, G. [Lawrence Livermore National Laboratory, Livermore, California 94551 (United States); Froula, D. H.; Katz, J. [Laboratory for Laser Energetics, University of Rochester, Rochester, New York 14623 (United States); Glenzer, S. H. [SLAC National Accelerator Laboratory, Menlo Park, California 94025 (United States); Kilkenny, J. [General Atomics, San Diego, California 92186 (United States); Montgomery, D. S. [Los Alamos National Laboratory, Los Alamos, New Mexico 87545 (United States); Weaver, J. [Plasma Physics Division, Naval Research Laboratory, Washington, DC 20375 (United States)

    2016-11-15

    An optical Thomson scattering diagnostic has been designed for the National Ignition Facility to characterize under-dense plasmas. We report on the design of the system and the expected performance for different target configurations. The diagnostic is designed to spatially and temporally resolve the Thomson scattered light from laser driven targets. The diagnostic will collect scattered light from a 50 × 50 × 200 μm volume. The optical design allows operation with different probe laser wavelengths. A deep-UV probe beam (λ{sub 0} = 210 nm) will be used to Thomson scatter from electron plasma densities of ∼5 × 10{sup 20} cm{sup −3} while a 3ω probe will be used for plasma densities of ∼1 × 10{sup 19} cm{sup −3}. The diagnostic package contains two spectrometers: the first to resolve Thomson scattering from ion acoustic wave fluctuations and the second to resolve scattering from electron plasma wave fluctuations. Expected signal levels relative to background will be presented for typical target configurations (hohlraums and a planar foil).

  11. Considerations for a PDV diagnostic capability on the National Ignition Facility

    Science.gov (United States)

    Frayer, Daniel K.; Fratanduono, Dayne

    2016-09-01

    Photonic Doppler Velocimetry (PDV) has become widely and routinely used in many high-velocity experimental applications due to its improved ease of use, cost, experimental flexibility, data return, and robustness compared to earlier velocimetric methods. However, these earlier methods have advantages in applications with requirements beyond PDV's current capabilities. Various classes of experiments at the National Ignition Facility (NIF) that are characterized by extremely high velocity or acceleration, or diagnostic requirements for high precision in timing and/or velocity, have historically seen a VISAR (velocity interferometer system for any surface) diagnostic employed due to such advantages. VISAR, however, requires specific, and sometimes challenging, experimental features, including planar geometry and normal incidence, high-reflectivity surface treatment, and a relatively large and inflexible diagnostic footprint. Therefore, the potential for implementing a PDV diagnostic at NIF has been evaluated by researchers from National Security Technologies, LLC and Lawrence Livermore National Laboratory. We present the results of this study, weigh the relative merits of the two methodologies with consideration of experimental phenomena and requirements, and discuss possible implementations and future directions.

  12. Development and construction of a comprehensive set of research diagnostics for the FLARE user facility

    Science.gov (United States)

    Yoo, Jongsoo; Jara-Almonte, J.; Majeski, S.; Frank, S.; Ji, H.; Yamada, M.

    2016-10-01

    FLARE (Facility for Laboratory Reconnection Experiments) will be operated as a flexible user facility, and so a complete set of research diagnostics is under development, including magnetic probe arrays, Langmuir probes, Mach probes, spectroscopic probes, and a laser interferometer. In order to accommodate the various requirements of users, large-scale (1 m), variable resolution (0.5-4 cm) magnetic probes have been designed, and are currently being prototyped. Moreover, a fully fiber-coupled laser interferometer has been designed to measure the line-integrated electron density. This fiber-coupled interferometer system will reduce the complexity of alignment processes and minimize maintenance of the system. Finally, improvements to the electrostatic probes and spectroscopic probes currently used in the Magnetic Reconnection Experiment (MRX) are discussed. The specifications of other subsystems, such as integrators and digitizers, are also presented. This work is supported by DoE Contract No. DE-AC0209CH11466.

  13. Practical digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Hashimoto, Beverly E. [Washington Univ., Seattle, WA (United States)]|[Virginia Mason Medical Center, VA (United States)

    2008-07-01

    This book is meant for the radiologist who is facing the challenge of organizing a digital mammographic imaging center. This text is meant to be a practical book that provides information about digital mammographic physics and equipment which will allow one to intelligently compare technologies and systems. Some of the major challenges include: large expense; rapidly changing technology, and inconsistent connectivity; and finally, need for strong information technology support. The initial conversion cost to digital mammographic imaging is relatively expensive due to the cost of digital mammography hardware, software, and storage. Virtually all other imaging modalities are being converted to purely digital storage and transfer, and the digital trend in mammography is inevitable. Technical advantages of digital mammography are described. However, the improved flexibility in image display and transfer are some of its strongest features. In conclusion, although there are increasing imaging modalities that may be used to evaluate breast disease, mammography will continue to play a key role in detecting breast cancer. To be an effective imager, the radiologist should become familiar with digital mammography and understand its role within the increasing complex structure of breast imaging techniques.

  14. The MIT HEDP Accelerator Facility for Diagnostic Development for OMEGA, Z, and the NIF

    Science.gov (United States)

    Parker, C. E.; Gatu Johnson, M.; Birkel, A.; Kabadi, N. V.; Lahmann, B.; Milanese, L. M.; Simpson, R. A.; Sio, H.; Sutcliffe, G. D.; Wink, C.; Frenje, J. A.; Li, C. K.; Seguin, F. H.; Petrasso, R. D.; Leeper, R.; Ruiz, C. L.; Sangster, T. C.

    2016-10-01

    The MIT HEDP Accelerator Facility utilizes a 135-keV linear electrostatic ion accelerator, DT and DD neutron sources, and two x-ray sources for development and characterization of nuclear diagnostics for OMEGA, Z, and the NIF. The accelerator generates DD and D3He fusion products through the acceleration of D+ ions onto a 3He-doped Erbium-Deuteride target. Accurately characterized fusion product rates of around 106 s-1 are routinely achieved. The DT and DD neutron sources generate up to 6x108, and 1x107 neutrons/s, respectively. One x-ray generator is a thick-target W source with a peak energy of 225 keV and a maximum dose rate of 12 Gy/min; the other uses Cu, Mo, or Ti elemental tubes to generate x-rays with a maximum energy of 40 keV. Diagnostics developed and calibrated at this facility include CR-39-based charged-particle spectrometers, neutron detectors, and the particle Time-Of-Flight (pTOF) and Magnetic PTOF CVD-diamond-based bang time detectors. The accelerator is also a valuable hands-on tool for graduate and undergraduate education at MIT. This work was supported in part by the U.S. DoE, SNL, LLE and LLNL.

  15. Mammography - misunderstood and underutilized

    Energy Technology Data Exchange (ETDEWEB)

    Broadbent, R.V.; Reid, M.H.

    1981-12-01

    A mammography screening program for breast cancer carried out in Sacramento by the University of California Davis School of Medicine, Davis, was canceled because of negative public reaction to sensationalized reports in the lay press on the potential carcinogenic risks of the radiation exposure, along with passivity on the part of the medical community in defending the procedure and the program. Disappointment in this occurrence spurred us to explore physician's knowledge of and attitudes toward breast cancer and mammography. The results confirmed our suspicions that a significant number of physicians lack accurate knowledge of breast cancer and of the extremely high benefit-to-risk ratio of mammography as a means of early detection.

  16. Abolishing mammography screening programs?

    OpenAIRE

    2015-01-01

    Biller-Andorno and Jüni (2014), in a widely debated commentary published in the May 22 issue of the New England Journal of Medicine, accept the concept that mammography every 2 years from age 50 can decrease breast cancer mortality by 20%, that is, from five to four deaths per 1000 women over a 10-year period. Both the absolute and the relative risk of breast cancer death may vary depending on the baseline mortality rates in various populations and on the impact of screening mammography in re...

  17. Contrast-enhanced spectral mammography in patients referred from the breast cancer screening programme

    Energy Technology Data Exchange (ETDEWEB)

    Lobbes, Marc B.I.; Wildberger, Joachim E. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands); Lalji, Ulrich; Houwers, Janneke; Nijssen, Estelle C. [Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands); Nelemans, Patty J. [Maastricht University, Department of Epidemiology, Maastricht (Netherlands); Roozendaal, Lori van; Heuts, Esther [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); Smidt, Marjolein L. [Maastricht University Medical Center, Department of Surgical Oncology, Maastricht (Netherlands); GROW School for Oncology and Developmental Biology, Maastricht (Netherlands)

    2014-07-15

    Feasibility studies have shown that contrast-enhanced spectral mammography (CESM) increases diagnostic accuracy of mammography. We studied diagnostic accuracy of CESM in patients referred from the breast cancer screening programme, who have a lower disease prevalence than previously published papers on CESM. During 6 months, all women referred to our hospital were eligible for CESM. Two radiologists blinded to the final diagnosis provided BI-RADS classifications for conventional mammography and CESM. Statistical significance of differences between mammography and CESM was calculated using McNemar's test. Receiver operating characteristic (ROC) curves were constructed for both imaging modalities. Of the 116 eligible women, 113 underwent CESM. CESM increased sensitivity to 100.0 % (+3.1 %), specificity to 87.7 % (+45.7 %), PPV to 76.2 % (+36.5 %) and NPV to 100.0 % (+2.9 %) as compared to mammography. Differences between conventional mammography and CESM were statistically significant (p < 0.0001). A similar trend was observed in the ROC curve. For conventional mammography, AUC was 0.779. With CESM, AUC increased to 0.976 (p < 0.0001). In addition, good agreement between tumour diameters measured using CESM, breast MRI and histopathology was observed. CESM increases diagnostic performance of conventional mammography, even in lower prevalence patient populations such as referrals from breast cancer screening. (orig.)

  18. BIRADS mammography: exercises.

    Science.gov (United States)

    Balleyguier, Corinne; Bidault, François; Mathieu, Marie Christine; Ayadi, Salma; Couanet, Dominique; Sigal, Robert

    2007-02-01

    Some radiological cases are presented in this article to train the reader to the BIRADS classification in mammography. Each case is described according to the fourth American version of the BIRADS lexicon. Some classifications difficulties will also be presented, in order to show the complexity and the observer variability, commonly encountered in BIRADS 3 and 4 categories.

  19. Optomechanical considerations for the VISAR diagnostic at the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Kaufman, Morris I.; Celeste, John R.; Frogget, Brent C.; Lee, Tony L.; GacGowan, Brian J.; Malone, Robert M.; Ng, Edmund W.; Tunnell, Tom W.; Watts, Phillip W.

    2006-09-01

    The National Ignition Facility (NIF) requires optical diagnostics for measuring shock velocities in shock physics experiments. The velocity interferometer for any reflector measures shock velocities at a location remote to the NIF target chamber. Our team designed two systems, one for a polar port orientation, and the other to accommodate two equatorial ports. The polar-oriented design requires a 48-m optical relay to move the light from inside the target chamber to a separately housed measurement and laser illumination station. The currently operational equatorial design requires a much shorter relay of 21 m. Both designs posed significant optomechanical challenges due to the long optical path length, large quantity of optical elements, and stringent NIF requirements. System design had to tightly control the use of lubricants and materials, especially those inside the vacuum chamber; tolerate earthquakes and radiation; and consider numerous other tolerance, alignment, and steering adjustment issues. To ensure compliance with NIF performance requirements, we conducted a finite element analysis.

  20. Upgrades to the Radiochemistry Analysis of Gas Samples (RAGS) diagnostic at the National Ignition Facility

    Science.gov (United States)

    Jedlovec, Donald; Christensen, Kim; Velsko, Carol; Cassata, Bill; Stoeffl, Wolfgang; Shaughnessy, Dawn; Lugten, John; Golod, Tony; Massey, Warren

    2015-08-01

    The Radiochemical Analysis of Gaseous Samples (RAGS) diagnostic apparatus operates at the National Ignition Facility (NIF). At the NIF, xenon is injected into the target chamber as a tracer, used as an analyte in the NIF targets, and generated as a fission product from 14 MeV neutron fission of depleted uranium contained in the NIF hohlraum. Following a NIF shot, the RAGS apparatus used to collect the gas from the NIF target chamber and then to cryogenically fractionate xenon gas. Radio-xenon and other activation products are collected and counted via gamma spectrometry, with the results used to determine critical physics parameters including: capsule areal density, fuel-ablator mix, and nuclear cross sections.

  1. Geant4 simulations of the Gamma Reaction History Diagnostic at the NIF, Omega and HIGS calibration facility

    Science.gov (United States)

    Rubery, Michael; Horsfield, Colin; Herrmann, Hans; Kim, Yong Ho; Mack, Joseph; Young, Carlton; Caldwell, Steven; Evans, Scott; Sedillo, Tom; McEvoy, Aaron; Miller, Kirk; Stoeffl, Wolfgang; Ali, Zaheer; Grafil, Elliott

    2010-11-01

    This paper discusses the development of a Geant4 model of the Gamma Reaction History (GRH) diagnostic at NIF and Omega, Inertial Confinement Fusion (ICF) laser facilities. The GRH diagnostic has been developed to measure bang-time and burn-width parameters for ICF implosions at both facilities, further investigations have also shown that measurements, such as ablator aerial density and ion temperature, may also be possible. Absolute gamma calibration experiments have been performed at the High Intensity Gamma Source (HIGS) facility at Duke University to increase confidence in parameters supplied by simulation for the use in calculations at both laser facilities. A comparison between HIGS data, Geant4 and the ITS ACCEPT code will be presented along with other important GRH properties, such as temporal unit response function, peak-timing shift and Cherenkov production profile, all as a function of pressure and incident gamma energy.

  2. Design progress for the National Ignition Facility laser alignment and beam diagnostics

    Science.gov (United States)

    Bliss, Erlan S.; Boege, Steven J.; Boyd, Robert D.; Davis, Donald T.; Demaret, Robert D.; Feldman, Mark; Gates, Alan J.; Holdener, Fred R.; Knopp, Carl F.; Kyker, R. D.; Lauman, C. W.; McCarville, Tom J.; Miller, John L.; Miller-Kamm, Victoria J.; Rivera, W. E.; Salmon, J. Thaddeus; Severyn, J. R.; Sheem, Sang K.; Thomas, Stan W.; Thompson, Calvin E.; Wang, David Y.; Yoeman, M. F.; Zacharias, Richard A.; Chocol, Clifford J.; Hollis, J.; Whitaker, Daniel E.; Brucker, J.; Bronisz, L.; Sheridan, T.

    1999-07-01

    Earlier papers have described approaches to NIF alignment and laser diagnostics tasks. Now, detailed design of alignment and diagnostic systems for the National Ignition Facility (NIF) laser is in its last year. Specifications are more detailed, additional analyses have been completed, Pro- E models have been developed, and prototypes of specific items have been built. In this paper we update top level concepts, illustrate specific areas of progress, and show design implementations as represented by prototype hardware. The alignment light source network has been fully defined. It utilizes an optimized number of lasers combined with fiber optic distribution to provide the chain alignment beams, system centering references, final spatial filter pinhole references, target alignment beams, and wavefront reference beams. The input and output sensor are being prototyped. They are located respectively in the front end just before beam injection into the full aperture chain and at the transport spatial filter, where the full energy infrared beam leaves the laser. The modularity of the input sensor is improved, and each output sensor mechanical package now incorporates instrumentation for four beams.

  3. Overview of the line-imaging VISAR diagnostic at the National Ignition Facility (NIF)

    Science.gov (United States)

    Malone, Robert M.; Capelle, Gene A.; Celeste, John R.; Celliers, Peter M.; Frogget, Brent C.; Guyton, Robert L.; Kaufman, Morris I.; Lee, Tony L.; MacGowan, Brian J.; Ng, Edmund W.; Reinbachs, Imants P.; Robinson, Ronald B.; Seppala, Lynn G.; Tunnell, Thomas W.; Watts, Phillip W.

    2007-01-01

    Optical diagnostics are currently being designed to analyze high-energy density physics experiments at the National Ignition Facility (NIF). Two line-imaging Velocity Interferometer System for Any Reflector (VISAR) interferometers have been fielded to measure shock velocities, breakout times, and emission of targets sized from 1 to 5 millimeters. A 20-cm-diameter, fused silica triplet lens collects light at f/3 from the targets inside the 10-meter-diameter NIF vacuum chamber. VISAR recordings use a 659.5-nm probe laser. By adding a specially coated beam splitter at the interferometer table, light at wavelengths from 540 to 645 nm is split into a thermal-imaging diagnostic. Because fused silica lenses are used in the first triplet relay, the intermediate image planes for different wavelengths separate by considerable distances. A pair of corrector lenses on the interferometer table reunites these separated wavelength planes to provide a good image. Streak cameras perform all VISAR and thermal-imaging recording. Alignment techniques are discussed.

  4. Fielding of an Imaging VISAR Diagnostic at the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Malone, R; Bower, J; Capelle, G; Celeste, J; Celliers, P; Frogget, B C; Guyton, R L; Kauffman, M; Lare, G; Lee, T; MacGowan, B; Montelongo, S; Thomas, T; Tunnell, T; Watts, P

    2004-06-30

    The National Ignition Facility (NIF) requires diagnostics to analyze high-energy density physics experiments. As a core NIF early light diagnostic, this system measures shock velocities, shock breakout times, and shock emission of targets with sizes from 1 to 5 mm. A 659.5 nm VISAR probe laser illuminates the target. An 8-inch-diameter fused silica triplet lens collects light at f/3 inside the 33-foot-diameter vacuum chamber. The optical relay sends the image out an equatorial port, through a 2-inch-thick vacuum window, and into two VISAR (Velocity Interferometer System for Any Reflector) interferometers. Both streak cameras and CCD cameras record the images. Total track is 75 feet. The front end of the optical relay can be temporarily removed from the equatorial port, allowing for other experimenters to use that port. The first triplet can be no closer than 500 mm from the target chamber center and is protected from debris by a blast window that is replaced after every event. Along with special coatings on the mirrors, cutoff filters reject the NIF drive laser wavelengths and pass a band of wavelengths for VISAR, for passive shock breakout light, or for thermal imaging light (bypassing the interferometers). Finite Element Analysis was performed on all mounting structures. All optical lenses are on kinematic mounts, so that the pointing accuracy of the optical axis can be checked. A two-color laser alignment scheme is discussed.

  5. Fielding of an imaging VISAR diagnostic at the National Ignition Facility (NIF)

    Science.gov (United States)

    Malone, Robert M.; Bower, John R.; Capelle, Gene A.; Celeste, John R.; Celliers, Peter M.; Frogget, Brent C.; Guyton, Robert L.; Kaufman, Morris I.; Lare, Gregory A.; Lee, Tony L.; MacGowan, Brian J.; Montelongo, Samuel; Ng, Edmund W.; Thomas, Thayne L., Jr.; Tunnell, Thomas W.; Watts, Phillip W.

    2004-10-01

    The National Ignition Facility (NIF) requires diagnostics to analyze high-energy density physics experiments. As a core NIF early light diagnostic, this system measures shock velocities, shock breakout times, and shock emission of targets with sizes from 1 to 5 mm. A 659.5 nm VISAR probe laser illuminates the target. An 8-inch-diameter fused silica triplet lens collects light at f/3 inside the 33-foot-diameter vacuum chamber. The optical relay sends the image out an equatorial port, through a 2-inch-thick vacuum window, and into two VISAR (Velocity Interferometer System for Any Reflector) interferometers. Both streak cameras and CCD cameras record the images. Total track is 75 feet. The front end of the optical relay can be temporarily removed from the equatorial port, allowing for other experimenters to use that port. The first triplet can be no closer than 500 mm from the target chamber center and is protected from debris by a blast window that is replaced after every event. Along with special coatings on the mirrors, cutoff filters reject the NIF drive laser wavelengths and pass a band of wavelengths for VISAR, for passive shock breakout light, or for thermal imaging light (bypassing the interferometers). Finite Element Analysis was performed on all mounting structures. All optical lenses are on kinematic mounts, so that the pointing accuracy of the optical axis can be checked. A two-color laser alignment scheme is discussed.

  6. Correcting raw diagnostic data for oscilloscope recording system distortions at the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Liebman, Judith, E-mail: Liebman1@LLNL.gov [Lawrence Livermore National Laboratory, Livermore, CA (United States); Azevedo, Steve; Williams, Wade [Lawrence Livermore National Laboratory, Livermore, CA (United States); Miller, Kirk [NSTec Special Technologies Laboratory (United States); Bettenhausen, Rita; Clowdus, Lisa; Marsh, Amber; Chakicherla, Anu; Hutton, Matthew; Casey, Allan [Lawrence Livermore National Laboratory, Livermore, CA (United States)

    2012-12-15

    Highlights: Black-Right-Pointing-Pointer High-speed shot data from NIF oscilloscope waveforms are often distorted. Black-Right-Pointing-Pointer We describe specialized corrections for two example NIF diagnostic systems. Black-Right-Pointing-Pointer For Dante, non-uniform time-base corrections for the scopes are applied. Black-Right-Pointing-Pointer Mach-Zehnder optical demodulation and 'stitching' are applied to GRH. Black-Right-Pointing-Pointer A multi-node analysis engine performs scope corrections automatically. - Abstract: The National Ignition Facility (NIF) is now producing experimental results for the study of inertial confinement fusion (ICF). These results are captured by complex diagnostic systems and are key to achieving NIF's goal to demonstrate thermonuclear burn of deuterium and tritium fuel in a laboratory setting. High bandwidth gamma-ray fusion-burn measurements and soft X-ray indirect and direct drive energetic measurements are both captured with oscilloscope recording systems that distort or modulate the raw data. The Shot Data Analysis team has developed signal processing corrections for these oscilloscope recording systems through an automated engine. Once these corrections are applied, accurate fundamental quantities can be discerned.

  7. Cherenkov-type diagnostics of fast electrons beams escaping from MCF facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jakubowski, L.; Malinowski, K.; Mirowski, R.; Rabinski, M.; Sadowski, M.J.; Zebrowski, J. [Institute for Nuclear Studies - IPJ, 05-400 Otwock-Swierk (Poland)

    2011-07-01

    The paper presents the feasibility study, the measuring system and the first experimental results of a new method developed for direct detection of high-energy (super-thermal, ripple-born and runaway) electrons generated in magnetic confinement fusion (MCF) facilities. The technique in question is based on registration of the Cherenkov radiation, emitted by energetic electrons, moving through a transparent medium (radiator) with a velocity higher than the velocity of light in this material. The main aim of our studies was to develop a diagnostic technique applicable for measurements of fast electron beams within MCF devices. The IPJ team proposed Cherenkov-type probes because of their high spatial- and temporal-resolutions. The most important results of applications of the presented Cherenkov-type diagnostics have proved that the one- and four-channel versions of the detecting head are useful for studies of the fast (ripple-born and runaway) electrons in different MCF experiments. Experience collected during the described studies allows to introduce some changes in the radiator configuration and to modify the Cherenkov probe design. This document is composed of a paper followed by a poster

  8. The preliminary design of the optical Thomson scattering diagnostic for the National Ignition Facility

    Science.gov (United States)

    Datte, P.; Ross, J. S.; Froula, D.; Galbraith, J.; Glenzer, S.; Hatch, B.; Kilkenny, J.; Landen, O.; Manuel, A. M.; Molander, W.; Montgomery, D.; Moody, J.; Swadling, G.; Weaver, J.; Vergel de Dios, G.; Vitalich, M.

    2016-05-01

    The National Ignition Facility (NIF) is a 192 laser beam facility designed to support the Stockpile Stewardship, High Energy Density and Inertial Confinement Fusion programs. We report on the preliminary design of an Optical Thomson Scattering (OTS) diagnostic that has the potential to transform the community's understanding of NIF hohlraum physics by providing first principle, local, time-resolved measurements of under-dense plasma conditions. The system design allows operation with different probe laser wavelengths by manual selection of the appropriate beamsplitter and gratings before the shot. A deep-UV probe beam (λ0 between 185-215 nm) will optimally collect Thomson scattered light from plasma densities of 5 x 1020 electrons/cm3 while a 3ω probe will optimally collect Thomson scattered light from plasma densities of 1 x 1019 electrons/cm3. We report the phase I design of a two phase design strategy. Phase I includes the OTS recording system to measure background levels at NIF and phase II will include the integration of a probe laser.

  9. The design of the optical Thomson scattering diagnostic for the National Ignition Facility

    Science.gov (United States)

    Datte, P. S.; Ross, J. S.; Froula, D. H.; Daub, K. D.; Galbraith, J.; Glenzer, S.; Hatch, B.; Katz, J.; Kilkenny, J.; Landen, O.; Manha, D.; Manuel, A. M.; Molander, W.; Montgomery, D.; Moody, J.; Swadling, G. F.; Weaver, J.

    2016-11-01

    The National Ignition Facility (NIF) is a 192 laser beam facility designed to support the Stockpile Stewardship, High Energy Density and Inertial Confinement Fusion (ICF) programs. We report on the design of an Optical Thomson Scattering (OTS) diagnostic that has the potential to transform the community's understanding of NIF hohlraum physics by providing first principle, local, time-resolved measurements of under-dense plasma conditions. The system design allows operation with different probe laser wavelengths by manual selection of the appropriate beam splitter and gratings before the shot. A deep-UV probe beam (λ0-210 nm) will be used to optimize the scattered signal for plasma densities of 5 × 1020 electrons/cm3 while a 3ω probe will be used for experiments investigating lower density plasmas of 1 × 1019 electrons/cm3. We report the phase I design of a two phase design strategy. Phase I includes the OTS telescope, spectrometer, and streak camera; these will be used to assess the background levels at NIF. Phase II will include the design and installation of a probe laser.

  10. Veterinary biobank facility: development and management for diagnostic and research purposes.

    Science.gov (United States)

    Lombardo, Tina; Dotti, Silvia; Villa, Riccardo; Cinotti, Stefano; Ferrari, Maura

    2015-01-01

    Biobanking is an essential tool for ensuring easy availability of high-quality biomaterial collections that combine essential samples and epidemiological, clinical, and research data for the scientific community. Specimen collection is an integral part of clinical research. Indeed, every year throughout the world, millions of biological samples are stored for diagnostics and research, but in many fields the lack of biological material and models is a major hindrance for ongoing research. A biobank facility provides suitable samples for large-scale screening studies and database repositories. Software dedicated to biological banks simplify sample registration and identification, the cataloging of sample properties (type of sample/specimen, associated diseases and/or therapeutic protocols, environmental information, etc.), sample tracking, quality assurance, and specimen availability characterized by well-defined features. Biobank facilities must adopt good laboratory practices (GLPs) and a stringent quality control system and also comply with ethical issues, when required. The creation of a veterinary network can be useful under different aspects: the first one is related to the importance of animal sciences itself to improve research and strategies in the different branches of the veterinary area, and the second aspect is related to the possibility of data management harmonization to improve scientific cooperation.

  11. MO-AB-207-04: ACR Update in Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Berns, E. [University of Colorado Health Science (United States)

    2015-06-15

    A goal of an imaging accreditation program is to ensure adequate image quality, verify appropriate staff qualifications, and to assure patient and personnel safety. Currently, more than 35,000 facilities in 10 modalities have been accredited by the American College of Radiology (ACR), making the ACR program one of the most prolific accreditation options in the U.S. In addition, ACR is one of the accepted accreditations required by some state laws, CMS/MIPPA insurance and others. Familiarity with the ACR accreditation process is therefore essential to clinical diagnostic medical physicists. Maintaining sufficient knowledge of the ACR program must include keeping up-to-date as the various modality requirements are refined to better serve the goals of the program and to accommodate newer technologies and practices. This session consists of presentations from authorities in four ACR accreditation modality programs, including magnetic resonance imaging, computed tomography, nuclear medicine, and mammography. Each speaker will discuss the general components of the modality program and address any recent changes to the requirements. Learning Objectives: To understand the requirements of the ACR MR Accreditation program. The discussion will include accreditation of whole-body general purpose magnets, dedicated extremity systems well as breast MRI accreditation. Anticipated updates to the ACR MRI Quality Control Manual will also be reviewed. To understand the requirements of the ACR CT accreditation program, including updates to the QC manual as well as updates through the FAQ process. To understand the requirements of the ACR nuclear medicine accreditation program, and the role of the physicist in annual equipment surveys and the set up and supervision of the routine QC program. To understand the current ACR MAP Accreditation requirement and present the concepts and structure of the forthcoming ACR Digital Mammography QC Manual and Program.

  12. Positron emission mammography imaging

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.

    2003-10-02

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and x-ray mammography, as well as PEM and x-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  13. The evolution of mammography.

    Science.gov (United States)

    Gold, R H

    1992-01-01

    The history of mammography can be arbitrarily subdivided into three periods: The Age of Pioneers highlights the work of Salomon, Kleinschmidt, Warren, Vogel, Seabold, Gershon-Cohen, Leborgne, Egan, Gallager, Martin, Dodd, Strax and their colleagues; The Age of Technical Progress adds the names of Gould, Wolfe, and Gros and their co-workers; The Modern Era reflects the contributions of Price, Butler, Ostrum, Becker, Isard, Moskowitz, Sickles, Kopans, Homer, Tabár, and their associates. The ultimate success of mammography, the preeminent method of breast cancer screening, could not have been achieved without the intense vision, idealism, and scientific skill of its creators and nurturers. These investigators deserve a debt of gratitude that society can never adequately repay.

  14. Positron Emission Mammography imaging

    Science.gov (United States)

    Moses, William W.

    2004-06-01

    This paper examines current trends in Positron Emission Mammography (PEM) instrumentation and the performance tradeoffs inherent in them. The most common geometry is a pair of parallel planes of detector modules. They subtend a larger solid angle around the breast than conventional PET cameras, and so have both higher efficiency and lower cost. Extensions to this geometry include encircling the breast, measuring the depth of interaction (DOI), and dual-modality imaging (PEM and X-ray mammography, as well as PEM and X-ray guided biopsy). The ultimate utility of PEM may not be decided by instrument performance, but by biological and medical factors, such as the patient to patient variation in radiotracer uptake or the as yet undetermined role of PEM in breast cancer diagnosis and treatment.

  15. Technology evaluation center assessment synopsis: full-field digital mammography.

    Science.gov (United States)

    Rothenberg, Barbara M; Ziegler, Kathleen M; Aronson, Naomi

    2006-08-01

    Full-field digital mammography (FFDM) is proposed as an alternative to screen-film mammography (SFM). The ability to separate and optimize the acquisition, storage, and display of images may allow greater visualization of breast cancers at equal or lower radiation doses, especially in younger women and those with denser breasts. This is a synopsis of a systematic review by the Blue Cross Blue Shield Association Technology Evaluation Center. This updated systematic review primarily incorporated the results of the ACR Imaging Network(R) Digital Mammographic Imaging Screening Trial (DMIST), which provided results on 42,760 asymptomatic women who underwent both FFDM and SFM and showed with reasonable certainty that there was no difference in the accuracy of the 2 modalities for asymptomatic women in general, with some advantages of FFDM in certain subgroups. There were no strong, new studies on the use of digital mammography compared with film mammography in a diagnostic population. However, the DMIST results indicated that tumors detected by FFDM, but not by SFM, were likely to be invasive carcinomas or medium-grade to high-grade ductal carcinoma in situ. On the basis of the suppositions that these are the cancers of greatest interest and the ones more likely to be found in a diagnostic population and that the diagnostic population may be younger on average than the screening population, it was concluded that there is sufficient evidence to support the use of FFDM for diagnostic purposes.

  16. Effect of adding screening ultrasonography to screening mammography on patient recall and cancer detection rates: A retrospective study in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Tohno, Eriko, E-mail: tohno@tmch.or.jp [Total Health Evaluation Center Tsukuba, 1-2, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Umemoto, Takeshi, E-mail: umemoto@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Sasaki, Kyoko, E-mail: kdon@za.cyberhome.ne.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Morishima, Isamu, E-mail: morishima@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan); Ueno, Ei, E-mail: e-ueno@tmch.or.jp [Tsukuba Medical Center Hospital, 1-3-1, Amakubo, Tsukuba, Ibaraki 305-0005 (Japan)

    2013-08-15

    Purpose: To determine whether adding screening ultrasonography to screening mammography can reduce patient recall rates and increase cancer detection rates. Materials and methods: We analyzed the results of mammography and ultrasonography breast screenings performed at the Total Health Evaluation Center Tsukuba, Japan, between April 2011 and March 2012. We also reviewed the modalities and results of diagnostic examinations from women with mammographic abnormalities who visited the Tsukuba Medical Center Hospital for further testing. Results: Of 11,753 women screened, cancer was diagnosed in 10 (0.22%) of the 4529 participants who underwent mammography alone, 23 (0.37%) of the 6250 participants who underwent ultrasonography alone, and 5 (0.51%) of the 974 participants who underwent mammography and ultrasonography. The recall rate due to mammographic abnormalities was 4.9% for women screened only with mammography and 2.6% for those screened with both modalities. The cancer detection rate was 0.22% for women screened only with mammography (positive predictive value, 4.5%) and 0.31% for those screened with both modalities (positive predictive value, 12.0%). Of the 211 lesions presenting as mammographic abnormalities investigated further, diagnostic ultrasonography found no abnormalities in 63 (29.9%) and benign findings in 69 (33.7%). The rest 36.4% needed mammography, cytological or histological examinations or follow-up in addition to diagnostic ultrasonography. Conclusions: It is possible to reduce the recall rate in screening mammography by combining mammography and ultrasonography for breast screening.

  17. Multi-objective optimization for the National Ignition Facility's Gamma Reaction History diagnostic

    Science.gov (United States)

    Labaria, George R.; Liebman, Judith A.; Sayre, Daniel B.; Herrmann, Hans W.; Bond, Essex J.; Church, Jennifer A.

    2013-02-01

    The National Ignition Facility (NIF) is producing experimental results for the study of Inertial Confinement Fusion (ICF). The Gamma Reaction History (GRH) diagnostic at NIF can detect gamma rays to measure fusion burn parameters such as fusion burn width, bang time, neutron yield, and areal density of the compressed ablator for cryogenic deuterium-tritium (DT) implosions. Gamma-ray signals detected with this diagnostic are inherently distorted by hardware impulse response functions (IRFs) and gains, and are comprised of several components including gamma rays from laser-plasma interactions (LPI). One method for removing hardware distortions to approximate the gamma-ray reaction history is deconvolution. However, deconvolution of the distorted signal to obtain the gamma-ray reaction history and its associated parameters presents an ill-posed inverse problem and does not separate out the source components of the gamma-ray signal. A multi-dimensional parameter space model for the distorted gamma-ray signal has been developed in the literature. To complement a deconvolution, we develop a multi-objective optimization algorithm to determine the model parameters so that the error between the model and the collected gamma-ray data is minimized in the least-squares sense. The implementation of the optimization algorithm must be suffciently robust to be used in automated production software. To achieve this level of robustness, impulse response signals must be carefully processed and constraints on the parameter space based on theory and experimentation must be implemented to ensure proper convergence of the algorithm. In this paper, we focus on the optimization algorithm's theory and implementation.

  18. National Ignition Facility subsystem design requirements target diagnostics subsystem SSDR 1.8.3

    Energy Technology Data Exchange (ETDEWEB)

    Lee, D.

    1996-10-28

    This SSDR establishes the performance, design, development and test requirements for the Target Experimental System`s Diagnostic, WBS 1.8. 3. This includes the individual diagnostic components, the Target Diagnostic Data Acquisition System (Target DAS), the diagnostic vacuum system, the timing/fiducial system, and the EMI protection system.

  19. The Infrared Telescope Facility (IRTF) spectral library: spectral diagnostics for cool stars

    CERN Document Server

    Cesetti, Mary; Ivanov, V D; Morelli, L; Corsini, E M; Bonta`, E Dalla

    2012-01-01

    The near-infrared (NIR) wavelength range offers some unique spectral features, and it is less prone to the extinction than the optical one. Recently, the first flux calibrated NIR library of cool stars from the NASA Infrared Telescope Facility (IRTF) have become available, and it has not been fully exploited yet. We want to develop spectroscopic diagnostics for stellar physical parameters based on features in the wavelength range 1-5 micron. In this work we test the technique in the I and K bands. The study of the Y, J, H, and L bands will be presented in the following paper. An objective method for semi-empirical definition of spectral features sensitive to various physical parameters is applied to the spectra. It is based on sensitivity map--i.e., derivative of the flux in the spectra with respect to the stellar parameters at a fixed wavelength. New optimized indices are defined and their equivalent widths (EWs) are measured. A number of sensitive features to the effective temperature and surface gravity ar...

  20. Coaxial CVD diamond detector for neutron diagnostics at ShenGuang III laser facility.

    Science.gov (United States)

    Yu, Bo; Liu, Shenye; Chen, Zhongjing; Huang, Tianxuan; Jiang, Wei; Chen, Bolun; Pu, Yudong; Yan, Ji; Zhang, Xing; Song, Zifeng; Tang, Qi; Hou, Lifei; Ding, Yongkun; Zheng, Jian

    2017-06-01

    A coaxial, high performance diamond detector has been developed for neutron diagnostics of inertial confinement fusion at ShenGuangIII laser facility. A Φ10 mm × 1 mm "optical grade" chemical-vapor deposition diamond wafer is assembled in coaxial-designing housing, and the signal is linked to a SubMiniature A connector by the cathode cone. The coaxial diamond detector performs excellently for neutron measurement with the full width at half maximum of response time to be 444 ps for a 50 Ω measurement system. The average sensitivity is 0.677 μV ns/n for 14 MeV (DT fusion) neutrons at an electric field of 1000 V/mm, and the linear dynamic range is beyond three orders of magnitude. The ion temperature results fluctuate widely from the neutron time-of-flight scintillator detector results because of the short flight length. These characteristics of small size, large linear dynamic range, and insensitive to x-ray make the diamond detector suitable to measure the neutron yield, ion temperature, and neutron emission time.

  1. Impulse responses of visible phototubes used in National Ignition Facility neutron time of flight diagnostics

    Science.gov (United States)

    Datte, P. S.; Eckart, M.; Moore, A. S.; Thompson, W.; Vergel de Dios, G.

    2016-11-01

    Neutron-induced visible scintillation in neutron time of flight (NToF) diagnostics at the National Ignition Facility (NIF) is measured with 40 mm single stage micro-channel plate photomultipliers and a 40 mm vacuum photodiode, outside the neutron line of sight. In NIF experiments with 14 MeV neutron yields above Y > 10 × 1015 these tubes are configured to deliver of order 1 nC of charge in the nominally 5 ns NToF into a 50 Ω load. We have examined a number of 40 mm tubes manufactured by Photek Ltd. of St. Leonards on Sea, UK, to determine possible changes in the instrument impulse response as a function of signal charge delivered in 1 ns. Precision NToF measurements at approximately 20 m require that we characterize changes in the impulse response moments to <40 ps for the first central moment and ˜2% rms for the square root of the second central moment with ˜500 ps value. Detailed results are presented for three different diode configurations.

  2. Diagnostic development in precise opacity measurement of radiatively heated Al plasma on Shenguang II laser facility

    Energy Technology Data Exchange (ETDEWEB)

    Zhao Yang [Wuhan National Laboratory for Optoelectronics, Institute of Optoelectronics Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074 (China); Research Center of Laser Fusion, China Academy of Engineering Physics, Mianyang 621900 (China); Yang Jiamin; Zhang Jiyan [Research Center of Laser Fusion, China Academy of Engineering Physics, Mianyang 621900 (China); Liu Jinsong; Yuan Xiao [Wuhan National Laboratory for Optoelectronics, Institute of Optoelectronics Science and Engineering, Huazhong University of Science and Technology, Wuhan 430074 (China); Jin Fengtao [Research Center of Laser Fusion, China Academy of Engineering Physics, Mianyang 621900 (China); Department of Physics, National University of Defense Technology, Changsha 410073 (China)

    2009-04-15

    Simultaneous measurements of the self-emission spectrum, the backlighting source spectrum, and the transmission spectrum in one shot, which reduce the experimental uncertainties from shot-to-shot fluctuation, are essential for precise opacity experiments. In order to achieve precise absorption spectrum of Al plasmas, a special half sample sandwich target was designed and short backlighter was used to provide time- and space-resolving diagnostics on the Shenguang II high power laser facility. In the measurement, a cylindrical cavity with CH foam baffles was used to provide a clean x-ray radiation environment for sample heating. The x-ray source spectrum, the transmission spectrum, and the self-emission spectrum of the soft x-ray heated Al sample were recorded in one shot with a penta-erythritol tetrakis (hydroxymethy) methane C(CH{sub 2}OH){sub 4} (PET) crystal spectrometer by using the point-projection method. Experimental results have been compared with the calculation results of a detailed level accounting opacity code.

  3. Descriptive study of the quality control in mammography; Estudio descriptivo del control de calidad en mamografia

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Perdigon C, G.M.; Casian C, G.A.; Azorin N, J.; Diaz G, J.A.I.; Arreola, M. [UAM, Xochimilco 14000 Mexico D.F. (Mexico)

    2005-07-01

    The goal of mammography is to provide contrast between a lesion that is possible residing within the breast and normal surrounding tissue. Quality control is essential for maintaining the contrast imaging performance of a mammography system and incorporate tests that are relevant in that they are predictive of future degradation of contrast imaging performance. These tests will also be done at frequency that is high enough to intercept most drifts in quality imaging or performance before they become diagnostically significant. The quality control study has as objective to describe the results of the assessment of quality imaging elements (film optical density, contrast (density difference), uniformity, resolution and noise) of 62 mammography departments without quality control program and comparison these results with a mammography reference department with a quality control program. When comparing the results they allow seeing the clinical utility of to have a quality control program to reduce the errors of mammography interpretation. (Author)

  4. Digital breast tomosynthesis versus digital mammography: a clinical performance study

    Energy Technology Data Exchange (ETDEWEB)

    Gennaro, Gisella; Baldan, Enrica; Bezzon, Elisabetta; Polico, Ilaria; Proietti, Alessandro; Toffoli, Aida [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Toledano, Alicia [Statistics Collaborative Inc., Washington, DC (United States); Di Maggio, Cosimo [Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); La Grassa, Manuela [Aviano Oncological Reference Center (CRO), IRCCS, Department of Radiology, Aviano (Pordenone) (Italy); Pescarini, Luigi [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Oncological and Surgical Sciences, Padua (Italy); Muzzio, Pier Carlo [Venetian Oncological Institute (IOV), IRCCS, Department of Radiology, Padua (Italy); Padua University, Department of Medical Diagnostic Sciences, Padua (Italy)

    2010-07-15

    To compare the clinical performance of digital breast tomosynthesis (DBT) with that of full-field digital mammography (FFDM) in a diagnostic population. The study enrolled 200 consenting women who had at least one breast lesion discovered by mammography and/or ultrasound classified as doubtful or suspicious or probably malignant. They underwent tomosynthesis in one view [mediolateral oblique (MLO)] of both breasts at a dose comparable to that of standard screen-film mammography in two views [craniocaudal (CC) and MLO]. Images were rated by six breast radiologists using the BIRADS score. Ratings were compared with the truth established according to the standard of care and a multiple-reader multiple-case (MRMC) receiver-operating characteristic (ROC) analysis was performed. Clinical performance of DBT compared with that of FFDM was evaluated in terms of the difference between areas under ROC curves (AUCs) for BIRADS scores. Overall clinical performance with DBT and FFDM for malignant versus all other cases was not significantly different (AUCs 0.851 vs 0.836, p = 0.645). The lower limit of the 95% CI or the difference between DBT and FFDM AUCs was -4.9%. Clinical performance of tomosynthesis in one view at the same total dose as standard screen-film mammography is not inferior to digital mammography in two views. (orig.)

  5. Comparison between mammography and ultrasonography for palpable breast mass: focusing fibroadenoma and breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Do Kyun; Koh, Mi Kyung; Choi, Chul Soon; Chung, Soo Young; Yi, Jeong Geun; Yoon, Dae Young; Kim, Ho Chul; Bae, Sang Hoon [Hallym Univ. College of Medicine, Seoul (Korea, Republic of)

    1997-09-01

    The purpose of our study was to compare the diagnostic accuracy of mammography and breast ultrasonography between fibroadenoma and palpable breast cancer and to evaluate the feasibility of ultrasonography as a primary diagnostic modality to differentiate between these two tumor types. In 36 cases of fibroadenoma and 35 of breast cancer, all palpable and pathologically-proven, the diagnostic accuracy of mammography and ultrasonography was retros-pectively analysed. In fibroadenoma cases, the diagnostic accuracy of mammography and ultrasonography was 53% and 80%, respectively, and the difference was statistically significant(p=3D0.0162). In cases of breast cancer, the corresponding figures were 74% and 82%, respectively;the difference was not statistically signigicant(p-0.55). Overall, the diagnostic accuracy of mammography and ultrasonog-raphy was 63% and 82%, respectively, and this difference was statistically significant(p=3D0.0164). The total diagnostic accuracy of both studies was 90%, and this was signigicantly different(p=3D0.044) from that of ultrasonography(82%). In patients who have clinically palpable breast masses, ultrasonography can be recommended as the primary diagnostic modality, though for other breast lesions, mammography is the recommended primary modality.=20.

  6. Visualization of mocrocalcifications on mammographies obtained by digital fullfield mammography in comparison to conventional film-screen mammography; Visualisierung von Mikrokalzifikationen in digitaler Vollfeldmammographie im Vergleich zu konventioeller Film-Folien-Mammographie

    Energy Technology Data Exchange (ETDEWEB)

    Diekmann, S.; Heyden, H. von; Diekmann, F. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Inst. fuer Radiologie; Bick, U. [Chicago Univ., IL (United States). Dept. of Radiology

    2003-06-01

    Purpose: To evaluate the visualization of microcalcifications on mammographies obtained by full-field digital mammography (FFDM) in comparison to conventional film-screen mammography (FSM). Material and Methods: Forty-seven digital and film-screen mammographies depicting histologically proven lesions (27 benign, 20 malignant) were assessed by 4 readers. The images obtained with the different systems were comparable in terms of positioning. Maximum time interval between film-screen mammography and digital mammography was three months. Using a questionnaire, the readers evaluated the number of microcalcifications and their subjective conspicuity for FFDM (Senographe 2000D, GE Medical Systems, Milwaukee, USA) and FSM. A 7-point scale based on the BIRADS classification was used to characterize the calcifications by means of ROC analysis. Results: No statistically significant differences were seen between the two types of mammography among the readers in assessing the number of microcalcifications. The subjective conspicuity of microcalcifications was found to be significantly better for digital mammographies. The diagnosis assigned by the readers did not show significant differences between the two systems. Conclusion: Although the subjective conspicuity of microcalcifications was found to be significantly better on digital mammography compared to film-screen mammography, there was no significant advantage of digital mammography resulting from the higher contrast resolution nor a disadvantage in terms of characterization of microcalcifications resulting from the lower spacial resolution. The advantages of digital mammography (e.g. CAD-systems, archiving, dose reduction) can be used without a loss of diagnostic quality. (orig.) [German] Zielsetzung: Mit der vorliegenden Studie soll die Erkennbarkeit von Mikroverkalkungen in der digitalen Vollfeldmammographie im Vergleich zur konventionellen Film-Folien-Mammographie evaluiert werden. Darueber hinaus soll die klinische

  7. Time for a re-evaluation of mammography in the young? Results of an audit of mammography in women younger than 40 in a resource restricted environment.

    Science.gov (United States)

    Taylor, Liezel; Basro, Sarinah; Apffelstaedt, Justus P; Baatjes, Karin

    2011-08-01

    Mammography in younger women is considered to be of limited value. In a resource restricted environment without access to magnetic resonance imaging (MRI) and with a high incidence of breast cancer in the young, mammography remains an important diagnostic tool. Recent technical advances and better regulation of mammography make a reassessment of its value in these conditions necessary. Data of all the mammograms performed at a tertiary hospital and private breast clinic between January 2003 and July 2009 in women less than 40 years of age were collected. Indications were the presence of a mass, follow-up after primary cancer therapy, and screening for patients perceived at high risk due to a family history or the presence of atypical hyperplasia. Data acquired were as follows: Demographics, prior breast surgery, indication for mammography, outcome of mammography, diagnostic procedures, and their results. Of 2,167 mammograms, 393 were performed for a palpable mass, diagnostic mammography. In these, the overall cancer detection rate was 40%. If the mammography was reported as breast imaging reporting and data system (BIRADS(®)) 5 versus BIRADS(®) 3 and 4 versus BIRADS(®) 1 and 2, a final diagnosis of malignancy was established in 96, 48, and 5%, respectively. Of 367 mammograms done for the follow-up after primary treatment of breast cancer, seven cancers were diagnosed for a detection rate of 1.9%. Of 1,312 mammograms performed for screening, the recall rate was 4%; the biopsy rate 2%, and the cancer diagnosis rate 3/1,000 examinations. In contrast to past series, this series has shown that recent advances in mammography have made it a useful tool in the management of breast problems in young women, notably in a resource-restricted environment. Women for screening should be selected carefully.

  8. Pain and discomfort during mammography

    DEFF Research Database (Denmark)

    Aro, A R; Absetz-Ylöstalo, P; Eerola, T

    1996-01-01

    The aim of this prospective study was to investigate associations of mammography pain and discomfort with sociodemographics, personal history and psychological and situational factors. Subjects were women with a negative screening finding (n = 883) from a random sample of 50-year-old Finnish women...... was the most powerful factor explaining pain and discomfort among women with earlier mammography. However, it had no effect among women without earlier mammography, for whom screening-related nervousness and perceptions of staff were crucial. Suggested interventions include better information before screening...

  9. State and Federal Regulatory measurement responsibilities around medical facilities. [Diagnostic x-ray, radioisotope, and radiotherapy facilities

    Energy Technology Data Exchange (ETDEWEB)

    Lanzl, L.H.

    1976-01-01

    Radiation exposure to man is due chiefly to diagnostic x-ray procedures, in which radiation is intentionally directed toward a patient. Radiation therapy presents a lesser problem because a smaller percentage of the population is subjected to such treatment. Recently, some innovative steps were taken in the State of Illinois to reduce patient exposure in four diagnostic procedures without reducing the benefits derived therefrom. However, if these procedures are to be carried out properly, it is necessary to increase the precision and accuracy of radiation exposure measurements to the order of +-2 percent. The usual accuracy and precision of radiation protection measurements are of the order of +- 20 percent. Thus, should the Illinois radiation protection rules become widely adopted, the national dosimetry network will need to upgrade exposure measurement techniques. (auth)

  10. The application of proton spectrometers at the SG-III facility for ICF implosion areal density diagnostics

    Institute of Scientific and Technical Information of China (English)

    Xing Zhang; Jianhua Zheng; Ji Yan; Zhenghua Yang; Ming Su; Yudong Pu; Pin Yang; Xufei Xie; Li Chen; Ming Chen; Tianxuan Huang; Shao’en Jiang; Shenye Liu; Jiamin Yang

    2015-01-01

    Charged particle diagnostics is one of the required techniques for implosion areal density diagnostics at the SG-III facility.Several proton spectrometers are under development, and some preliminary areal density diagnostics have been carried out. The response of the key detector, CR39, to charged particles was investigated in detail. A new track profile simulation code based on a semi-empirical model was developed. The energy response of the CR39 detector was calibrated with the accelerator protons and alphas from a241 Am source. A proton spectrometer based on the filtered CR39 detector was developed, and D–D primary proton measurements were implemented. A step range filter spectrometer was developed,and preliminary areal density diagnostics was carried out. A wedged range filter spectrometer array made of Si with a higher resolution was designed and developed at the SG-III facility. A particle response simulation code by the Monte Carlo method and a spectra unfolding code were developed. The capability was evaluated in detail by simulations.

  11. Comparison of Color Doppler Ultrasound and X-ray Mammography Photography in the Diagnostic Value of Breast Invasive Ductal Carcinoma%彩色多普勒超声对比钼靶X线摄影诊断乳腺浸润性导管癌的价值评价

    Institute of Scientific and Technical Information of China (English)

    张苗苗

    2016-01-01

    Objective To analyze the diagnosis value of color Doppler ultrasound in breast invasive ductal carcinoma.MethodsAnalysis of 50 cases of breast invasive ductal carcinoma with color Doppler ultrasound diagnosis and X-ray mammography photography,the diagnostic accuracy,the rate of misdiagnosis and missed diagnosis rate in the two methods were compared.Results The accuracy of ultrasound group was significantly higher than X-ray mammography,while the misdiagnosis rate was significantly lower,the difference was statisticaly significant(P<0.05).Conclusion Color Doppler ultrasound and X-ray mammography can effectively diagnose breast invasive ductal carcinoma. Ultrasound diagnosis can greatly improve the accuracy and reduce the rate of misdiagnosis and missed diagnosis rate.%目的:分析乳腺浸润性导管癌使用彩色多普勒超声进行诊断的价值。方法观察分析50例乳腺浸润性导管癌患者的彩色多普勒超声诊断结果和钼靶X线影摄的诊断结果,对比两组方法的诊断准确率、漏误诊率。结果超声组的准确率比钼靶组高,其漏诊率较低,组间差异具有统计学意义(P<0.05)。结论彩色多普勒超声和钼靶X线都能够有效诊断乳腺浸润性导管癌,超声诊断大大提高了准确率,降低了漏诊率。

  12. Danish Quality Database for Mammography Screening

    DEFF Research Database (Denmark)

    Mikkelsen, Ellen Margrethe; Njor, Sisse Helle; Vejborg, Ilse Merete Munk

    2016-01-01

    AIM: The Danish Quality Database for Mammography Screening (DKMS) was established in 2007, with the aim to monitor, sustain, and improve the quality of the Danish national breast cancer screening program. STUDY POPULATION: All Danish women aged 50-69 years who were invited every 2 years for breast...... required to determine the following eleven indicators: 1) radiation exposure, 2) participation among invited women and participation within the target population, 3) time between screening and result, 4) screening interval, 5) recall for further diagnostics, 6) interval cancers consisting of women...... working days, 2.7% of the screened women were recalled for further diagnostics, 82% of the women operated for invasive carcinomas were node negative, and 40% of the women had the tumor size of ≤10 mm. CONCLUSION: The DKMS has successfully evaluated the quality of the nationwide Danish breast cancer...

  13. Added value of one-view breast tomosynthesis combined with digital mammography according to reader experience

    Energy Technology Data Exchange (ETDEWEB)

    Thomassin-Naggara, Isabelle, E-mail: isabelle.thomassin@tnn.aphp.fr [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); INSERM, UMR970, Equipe 2, Imagerie de l’angiogenèse, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Perrot, Nicolas [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Centre Pyramides, Paris (France); Dechoux, Sophie [Sorbonne Universités, UPMC Univ Paris 06, IUC, 75005 Paris (France); AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Ribeiro, Carine [Centre Pyramides, Paris (France); Chopier, Jocelyne [AP-HP, Hôpital Tenon, Department of Radiology, 4 rue de la Chine, 75020 Paris (France); Bazelaire, Cedric de [APHP, Department of Radiology, Hôpital Saint Louis, 75010 Paris (France)

    2015-02-15

    Highlights: • Breast tomosynthesis improves diagnostic performance especially for radiologists with lower experience in mammography. • Adding only one-view digital breast tomosynthesis to mammography improves the cancer detection rate. • Breast tomosynthesis is mainly useful for helping radiologists to detect architectural distortion. - Abstract: Purpose: To retrospectively evaluate the added value of one-view breast tomosynthesis in adjunct with mammography to characterize breast lesions. Materials and methods: Our institutional ethics committees approved the study and granted a waiver of informed consent. One hundred fifty-five women (mean age, 51.3 years, range: 24–92 years) who systematically underwent mammography and breast tomosynthesis with subsequent percutaneous biopsy were analyzed. Four radiologists (two seniors, R1 and R2, and two juniors, R3 and R4 with 30, 10, 3 and 1 years of experience in breast imaging, respectively) independently reviewed exams in two steps: mammography alone and tomosynthesis in adjunct with mammography. The lesions in the cohort included 39.3% (61/155) cancers, 2.5% (4/155) high-risk lesions and 58.1% (90/155) benign lesions. A receiver operating characteristic (ROC) curve analysis was performed to compare the results of the two readings. Results: There was almost perfect agreement irrespective of reader experience for the reading of the mammography in adjunct with tomosynthesis, whereas agreement was poor between junior and senior readers for the reading of mammography alone. Area under the ROC (Az) values for the tomosynthesis in adjunct with mammography were significantly better than Az values for mammography alone for all readers except the most experienced, for whom only a tendency was noted. The proportion of cancers undiagnosed by mammography alone that were well diagnosed by tomosynthesis in adjunct with mammography was 6.5% (4/61), 13.1% (8/61), 27.8% (17/61) and 26.2% (16/61) for Readers 1, 2, 3 and 4

  14. BIRADS classification in mammography.

    Science.gov (United States)

    Balleyguier, Corinne; Ayadi, Salma; Van Nguyen, Kim; Vanel, Daniel; Dromain, Clarisse; Sigal, Robert

    2007-02-01

    The Breast Imaging Report and Data System (BIRADS) of the American College of Radiology (ACR) is today largely used in most of the countries where breast cancer screening is implemented. It is a tool defined to reduce variability between radiologists when creating the reports in mammography, ultrasonography or MRI. Some changes in the last version of the BIRADStrade mark have been included to reduce the inaccuracy of some categories, especially for category 4. The BIRADStrade mark includes a lexicon and descriptive diagrams of the anomalies, recommendations for the mammographic report as well as councils and examples of mammographic cases. This review describes the mammographic items of the BIRADS classification with its more recent developments, while detailing the advantages and limits of this classification.

  15. Teleradiology and mammography screening: evaluation of a network with dedicated workstations for reporting; Teleradiologie im Mammographie-Screening: Evaluation eines Testnetzes mit dedizierten Befundungsstationen

    Energy Technology Data Exchange (ETDEWEB)

    Froehlich, C.P.; Weigel, C.; Mohr, M.; Schimming, A.; Hosten, N. [Inst. fuer Diagnostische Radiologie und Neuroradiologie, Ernst-Moritz-Arndt-Univ., Greifswald (Germany); Bick, U. [Inst. fuer Radiologie, Charite Campus Mitte, Berlin (Germany)

    2007-02-15

    Purpose: Evaluation of a system that supports a workflow for breast cancer screening by mammography. The time of installation, system reliability and workstation operation were evaluated. Materials and Methods: The evaluated system (Image Diagnost, Munich, Germany) contains 2 diagnostic mammography workstations, a centralized server, and 2 Dicom shuttles for exchanging images via a physically existing network structure. Temporary archiving is possible. A mask designed for the needs of mammography screening facilitates assignment of BIRADS categories. The system automatically compares the categories assigned by a first and second reviewer and decides whether a consensus conference should be held. In the event that a conference is needed, the reviews are transmitted to the mammography expert responsible for the screening program and the consensus conference. Images are transferred via ISDN, Germany's National Research and Education Network (in the following DFN) and a central server between 2 sites which are approx. 100 km apart. We evaluated the duration of installation, the reliability of the system, and the usability of the workstation. Since we used curative mammography for evaluating the system, the patient age was noted for comparison. Results: the system was installed in five days. Once installed, the system functioned without any major breakdowns. Mammography units of 2 manufacturers were able to be connected to the system without difficulty. Mammographies of 151 patients were exchanged between the sites and evaluated by 2 radiologists. 57% of the patients were in the screening age (50-69 years). 9 exams were classified BIRADS 4a, 2 were 4b and 3 were BIRADS 5. The evaluations were technically perfect in 146/151 cases; hanging protocols had to be altered manually in 6 cases; the window/level had to be manually adjusted in 26/151 cases. Magnification was sufficient in all cases. The system exchanges examinations extremely quickly; up to 100 mammography

  16. Target Diagnostic Instrument-Based Controls Framework for the National Ignition Facility (NIF)

    Energy Technology Data Exchange (ETDEWEB)

    Shelton, R T; O' Brien, D W; Kamperschroer, J H; Nelson, J R

    2007-10-03

    The extreme physics of targets shocked by NIF's 192-beam laser are observed by a diverse suite of diagnostics including optical backscatter, time-integrated and gated X-ray sensors, and laser velocity interferometry. Diagnostics to diagnose fusion ignition implosion and neutron emissions are being planned. Many diagnostics will be developed by collaborators at other sites, but ad hoc controls could lead to unreliable and costly operations. An instrument-based controls (I-BC) framework for both hardware and software facilitates development and eases integration. Each complex diagnostic typically uses an ensemble of electronic instruments attached to sensors, digitizers, cameras, and other devices. In the I-BC architecture each instrument is interfaced to a low-cost Windows XP processor and Java application. Each instrument is aggregated with others as needed in the supervisory system to form an integrated diagnostic. The Java framework provides data management, control services and operator GUI generation. I-BCs are reusable by replication and reconfiguration for specific diagnostics in XML. Advantages include minimal application code, easy testing, and better reliability. Collaborators save costs by assembling diagnostics with existing I-BCs. This paper discusses target diagnostic instrumentation used on NIF and presents the I-BC architecture and framework.

  17. Use of the target diagnostic control system in the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Shelton, R; Lagin, L; Nelson, J

    2011-07-25

    The extreme physics of targets shocked by NIF's 192-beam laser are observed by a diverse suite of diagnostics including optical backscatter, time-integrated, time resolved and gated X-ray sensors, laser velocity interferometry, and neutron time of flight. Diagnostics to diagnose fusion ignition implosion and neutron emissions have been developed. A Diagnostic Control System (DCS) for both hardware and software facilitates development and eases integration. Each complex diagnostic typically uses an ensemble of electronic instruments attached to sensors, digitizers, cameras, and other devices. In the DCS architecture each instrument is interfaced to a low-cost Window XP processor and Java application. Instruments are aggregated as needed in the supervisory system to form an integrated diagnostic. The Java framework provides data management, control services and operator GUI generation. During the past several years, over thirty-six diagnostics have been deployed using this architecture in support of the National Ignition Campaign (NIC). The DCS architecture facilitates the expected additions and upgrades to diagnostics as more experiments are performed. This paper presents the DCS architecture, framework and our experiences in using it during the NIC to operate, upgrade and maintain a large set of diagnostic instruments.

  18. Screen-film versus full-field digital mammography: Radiation dose and image quality in a large teaching hospital

    Directory of Open Access Journals (Sweden)

    Stantić Tomislav J.

    2013-01-01

    Full Text Available The objective of this paper is to measure the radiation dose and image quality in conventional screen-film mammography and full-field digital mammography in women referred to mammography examination. Participants underwent bilateral, two-view screen-film mammography or full-field digital mammography. The visibility of anatomical regions and overall clinical image quality was rated by experienced radiologists. Total of 387 women and 1548 mammograms were enrolled in the study. Image quality was assessed in terms of image quality score, whereas patient dose assessment was performed in terms of mean glandular dose. Average mean glandular dose for cranio-caudal projection was 1.5 mGy and 2.1 mGy in full-field digital mammography and screen-film mammography, respectively. For medio-lateral oblique projection, corresponding values were 2.3 and 2.1 mGy. Overall image quality criteria scoring was 0.82 and 0.99 for screen-film and digital systems, respectively. The scores were in the range from 0.11 to 1.0 for different anatomical structures. Overall, full-field digital mammography was superior both in terms of image quality and dose over the screen-film mammography. The results have indicated that phantom dose values can assist in setting the optimisation activities in mammography and for comparison between mammography units. To obtain accurate diagnostic information with an acceptable radiation dose to breast, it is necessary to periodically perform patient dose and image quality surveys in all mammography units.

  19. 彩色多普勒超声联合数字钼靶X线摄影在乳腺癌中的诊断价值%Diagnostic Value of Color Doppler Ultrasonography Combined Digital Mammography X-ray Photography in Breast Cancer

    Institute of Scientific and Technical Information of China (English)

    刘玥

    2015-01-01

    目的:探讨彩色多普勒超声联合数字钼靶X线摄影在乳腺癌中的诊断价值。方法研究对象为本院2013年10月~2015年5月收治的82例乳腺癌患者,所有患者均给予彩色多普勒超声和数字钼靶X线摄影检查,比较各种检查方法的准确性。结果单独彩色多普勒超声检查的准确率为54.9%、数字钼靶X线摄影检查的准确率为53.7%、联合检查的准确率为74.4%;单独彩色多普勒超声检查或数字钼靶X线摄影检查与联合检查比较,差异有统计学意义(χ2=4.68、6.14,P<0.05)。联合检查的阳性预测值最高,单独彩色多普勒超声检查或数字钼靶X线摄影检查与联合检查比较,差异有统计学意义(χ2=4.25、4.11,P<0.05)。结论彩色多普勒超声联合数字钼靶X线摄影检查可提高乳腺癌诊断的准确性。%Objective To explore the diagnostic value of color doppler ultrasonography combined digital mammography X-ray photography in breast cancer. Methods 82 cases of patients with breast cancer were treated in our hospital from October 2013 to May 2015 as the research object,al patients were given color doppler ultrasonic inspection and digital mammography X-ray photography,the accuracy of the various inspection methods were compared. Results The single color doppler ultrasound examination accuracy was 54.9%,digital mammography X-ray photography inspection accuracy was 53.7%,the joint inspection accuracy was 74.4%,color doppler ultrasound alone or digital mammography X-ray photography compared with joint inspection,the difference was statistical y significant(χ2=4.68,6.14,P<0.05). Joint inspection of the highest positive predictive value,the color doppler ultrasound alone or digital mammography X-ray angiography compared with joint inspection,the difference was statistical y significant(χ2=4.25,4.11,P<0.05). Conclusion The color doppler ultrasonography combined digital mammography X-ray angiography can

  20. Comparison of 2D versus 3D mammography with screening cases: an observer study

    Science.gov (United States)

    Fernandez, James Reza; Deshpande, Ruchi; Hovanessian-Larsen, Linda; Liu, Brent

    2012-02-01

    Breast cancer is the most common type of non-skin cancer in women. 2D mammography is a screening tool to aid in the early detection of breast cancer, but has diagnostic limitations of overlapping tissues, especially in dense breasts. 3D mammography has the potential to improve detection outcomes by increasing specificity, and a new 3D screening tool with a 3D display for mammography aims to improve performance and efficiency as compared to 2D mammography. An observer study using human studies collected from was performed to compare traditional 2D mammography with this new 3D mammography technique. A prior study using a mammography phantom revealed no difference in calcification detection, but improved mass detection in 2D as compared to 3D. There was a significant decrease in reading time for masses, calcifications, and normals in 3D compared to 2D, however, as well as more favorable confidence levels in reading normal cases. Data for this current study is currently being obtained, and a full report should be available in the next few weeks.

  1. A Laser-Based Diagnostic Suite for Hypersonic Test Facilities Project

    Data.gov (United States)

    National Aeronautics and Space Administration — In this SBIR effort, Los Gatos Research (LGR) proposes to develop a suite of laser-based diagnostics for the study of reactive and non-reactive hypersonic flows....

  2. A Laser-Based Diagnostic Suite for Hypersonic Test Facilities Project

    Data.gov (United States)

    National Aeronautics and Space Administration — In this SBIR effort, Los Gatos Research (LGR) proposes to develop a suite of laser-based diagnostics for the study of reactive and non-reactive hypersonic flows....

  3. Quantitative kHz to MHz Frame Rate Flow Diagnostics for Aerodynamic Ground Test Facilities Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed Phase I SBIR program will study the feasibility of building next-generation burst-mode laser diagnostics that will enable unparalleled planar imaging...

  4. Overdiagnosis in screening mammography in Denmark

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Blichert-Toft, Mogens

    2013-01-01

    To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography.......To use data from two longstanding, population based screening programmes to study overdiagnosis in screening mammography....

  5. New Beam Diagnostic Techniques for New Single-Event Effect Testing Facility at CIAE

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>A new single-event effects test facility is in progress at Beijing National Tandem Accelerator Laboratory. It is dedicated to the study of single-event effects of semiconductor devices on entire LET region.

  6. Can positron emission mammography help to identify clinically significant breast cancer in women with suspicious calcifications on mammography?

    Energy Technology Data Exchange (ETDEWEB)

    Bitencourt, Almir G.V.; Lima, Eduardo N.P.; Macedo, Bruna R.C.; Conrado, Jorge L.F.A.; Marques, Elvira F.; Chojniak, Rubens [A C Camargo Cancer Center-Department of Imaging, Sao Paulo, SP (Brazil)

    2017-05-15

    To evaluate the diagnostic accuracy of positron emission mammography (PEM) for identifying malignant lesions in patients with suspicious microcalcifications detected on mammography. A prospective, single-centre study that evaluated 40 patients with suspicious calcifications at mammography and indication for percutaneous or surgical biopsy, with mean age of 56.4 years (range: 28-81 years). Patients who agreed to participate in the study underwent PEM with 18F-fluorodeoxyglucose before the final histological evaluation. PEM findings were compared with mammography and histological findings. Most calcifications (n = 34; 85.0 %) were classified as BIRADS 4. On histology, there were 25 (62.5 %) benign and 15 (37.5 %) malignant lesions, including 11 (27.5 %) ductal carcinoma in situ (DCIS) and 4 (10 %) invasive carcinomas. On subjective analysis, PEM was positive in 15 cases (37.5 %) and most of these cases (n = 14; 93.3 %) were confirmed as malignant on histology. There was one false-positive result, which corresponded to a fibroadenoma, and one false negative, which corresponded to an intermediate-grade DCIS. PEM had a sensitivity of 93.3 %, specificity of 96.0 % and accuracy of 95 %. PEM was able to identify all invasive carcinomas and high-grade DCIS (nuclear grade 3) in the presented sample, suggesting that this method may be useful for further evaluation of patients with suspected microcalcifications. (orig.)

  7. National Ignition Facility, subsystem design requirements beam control {ampersand} laser diagnostics SSDR 1.7

    Energy Technology Data Exchange (ETDEWEB)

    Bliss, E.

    1996-11-01

    This Subsystem Design Requirement document is a development specification that establishes the performance, design, development, and test requirements for the Alignment subsystem (WBS 1.7.1), Beam Diagnostics (WBS 1.7.2), and the Wavefront Control subsystem (WBS 1.7. 3) of the NIF Laser System (WBS 1.3). These three subsystems are collectively referred to as the Beam Control & Laser Diagnostics Subsystem. The NIF is a multi-pass, 192-beam, high-power, neodymium-glass laser that meets requirements set forth in the NIF SDR 002 (Laser System). 3 figs., 3 tabs.

  8. Diagnostic System of Wireless Acoustic Emission Signal Transfer for Monitoring Oil-and-Gas Facilities

    Directory of Open Access Journals (Sweden)

    Skalsky, V.R.

    2016-01-01

    Full Text Available The structure of diagnostic 8-channel system for wireless transfer of acoustic emission information during monitoring the objects of long operation is revealed. The results of the development of algorithmic software for hardware system and personal computer, which performs system control and post-processing of acoustic emission information. are presented. The basic specifications of the system are described.

  9. Association between persistence with mammography screening and stage at diagnosis among elderly women diagnosed with breast cancer.

    Science.gov (United States)

    Vyas, Ami; Madhavan, Suresh; Sambamoorthi, Usha

    2014-12-01

    Previous studies on the association between mammography screening and stage at breast cancer (BC) diagnosis have limitations because they did not analyze persistence with mammography screening and did not distinguish screening from diagnostic mammograms. The objective of this study is to determine the association between persistence with mammography screening and stage at BC diagnosis among elderly women. A retrospective observational study of 39,006 women age ≥70 diagnosed with incident BC from 2005 to 2009 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare dataset was conducted. A validated algorithm with high sensitivity and specificity was used to distinguish between screening and diagnostic mammograms. Persistence with mammography screening was measured as having at least three screening mammograms in five years before BC diagnosis. Multinomial logistic regressions were performed to analyze the association between persistence with mammography screening and stage at diagnosis, in a multivariate framework. Overall, 46% of elderly women were persistent with mammography screening, 26% were not persistent, and 28% did not have any screening mammogram in five years before BC diagnosis. As compared to women who were not persistent with mammography screening, women who were persistent with mammography screening were significantly more likely to be diagnosed at earlier stages of BC. The adjusted odds ratios were 3.28, 2.37, and 1.60 for in situ, local, and regional stages, respectively. A lower proportion of elderly women was persistent with mammography and it was highly associated with earlier stages of BC diagnosis. Interventions designed to promote persistent mammography screening among elderly women are warranted.

  10. Future of mammography-based imaging; Zukunft mammographiebasierter Bildgebung

    Energy Technology Data Exchange (ETDEWEB)

    Schulz-Wendtland, R.; Brehm, B.; Meier-Meitinger, M.; Uder, M. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Gynaekologische Radiologie, Radiologisches Institut, Erlangen (Germany); Wittenberg, T. [Fraunhofer-Institut fuer Integrierte Schaltkreise IIS, Erlangen (Germany); Michel, T.; Anton, G. [Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Erlangen Centre for Astroparticle Physics, Erlangen (Germany); Hartmann, A. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Institut fuer Pathologie, Erlangen (Germany); Beckmann, M.W.; Rauh, C.; Jud, S.M.; Fasching, P.A. [Klinikum der Friedrich-Alexander-Universitaet Erlangen-Nuernberg, Frauenklinik, Comprehensive Cancer Center Erlangen-EMN, Erlangen (Germany)

    2014-03-15

    Mammography is the central diagnostic method for clinical diagnostics of breast cancer and the breast cancer screening program. In the clinical routine complementary methods, such as ultrasound, tomosynthesis and optional magnetic resonance imaging (MRI) are already combined for the diagnostic procedure. Future developments will utilize investigative procedures either as a hybrid (combination of several different imaging modalities in one instrument) or as a fusion method (the technical fusion of two or more of these methods) to implement fusion imaging into diagnostic algorithms. For screening there are reasonable hypotheses to aim for studies that individualize the diagnostic process within the screening procedure. Individual breast cancer risk prediction and individualized knowledge about sensitivity and specificity for certain diagnostic methods could be tested. The clinical implementation of these algorithms is not yet in sight. (orig.) [German] Die Mammographie ist die zentrale diagnostische Methode der klinischen symptombezogenen Abklaerung von Brusterkrankungen und des Brustkrebsscreenings. In der klinischen Diagnostik wird sie heute schon oft durch zusaetzliche Untersuchungsmethoden wie dem Ultraschall, der Tomosynthese und ggf. auch der MRT-Bildgebung unterstuetzt. Zukuenftige Entwicklungen gehen in die Richtung, dass diese Kombination aus 2 oder mehr Untersuchungsverfahren entweder in Hybrid- (Aufnahme mehrerer unterschiedlicher Bildmodalitaeten in einem einzigen Geraet) oder in Fusionsmethoden (Zusammenfuehrung und Registrierung von Bilddaten aus verschiedenen Modalitaeten) technisch professionalisiert werden. Des Weiteren koennten an subgruppenbezogene Erkrankungsrisiken und individuelle Sensitivitaeten und Spezifitaeten angepasste Diagnostikkombinationen fuer eine Screeningdiagnostik Gegenstand kuenftiger Studien sein. Wir stellen die aktuellen Entwicklungen auf diesen Gebieten und deren momentane Relevanz fuer die klinische Praxis und

  11. Impact of the Introduction of Digital Mammography in an Organized Screening Program on the Recall and Detection Rate.

    Science.gov (United States)

    Campari, Cinzia; Giorgi Rossi, Paolo; Mori, Carlo Alberto; Ravaioli, Sara; Nitrosi, Andrea; Vacondio, Rita; Mancuso, Pamela; Cattani, Antonella; Pattacini, Pierpaolo

    2016-04-01

    In 2012, the Reggio Emilia Breast Cancer Screening Program introduced digital mammography in all its facilities at the same time. The aim of this work is to analyze the impact of digital mammography introduction on the recall rate, detection rate, and positive predictive value. The program actively invites women aged 45-74 years. We included women screened in 2011, all of whom underwent film-screen mammography, and all women screened in 2012, all of whom underwent digital mammography. Double reading was used for all mammograms, with arbitration in the event of disagreement. A total of 42,240 women underwent screen-film mammography and 45,196 underwent digital mammography. The recall rate increased from 3.3 to 4.4% in the first year of digital mammography (relative recall adjusted by age and round 1.46, 95% CI = 1.37-1.56); the positivity rate for each individual reading, before arbitration, rose from 3 to 5.7%. The digital mammography recall rate decreased during 2012: after 12 months, it was similar to the recall rate with screen-film mammography. The detection rate was similar: 5.9/1000 and 5.2/1000 with screen-film and digital mammography, respectively (adjusted relative detection rate 0.95, 95% CI = 0.79-1.13). The relative detection rate for ductal carcinoma in situ remained the same. The introduction of digital mammography to our organized screening program had a negative impact on specificity, thereby increasing the recall rate. The effect was limited to the first 12 months after introduction and was attenuated by the double reading with arbitration. We did not observe any relevant effects on the detection rate.

  12. 全数字化乳腺X线摄影在乳腺癌诊断中的作用%Diagnostic Role of Full Field Mammography for Breast Carcinoma

    Institute of Scientific and Technical Information of China (English)

    刘伟; 沈钧康; 周丽娟

    2012-01-01

    Objective To analyzes the mammographic features of breast lesions confirmed by pathology, in order to improve the diagnostic accuracy of full field mammography (FFDM) in detecting breast carcinoma. Methods The mammographic features of 313 patients with breast lesions between January 2008 to October 2010 confirmed by operation and pathology were analyzed. The radiologists in breast imaging assessment analyzed and classified all the mammograms according to breast imaging reporting and data system (BI-RADS). The sensitivity, specificity, accuracy, positive predictive value (PPV) and negative predictive value (NPV) were evaluated according to their pathological diagnosis. The reasons resulting in false-positive and false-negative diagnosis were analyzed. Results Of all the 313 breast lesions, 194 were malignant, and 119 were benign. Of the malignant lesions, mass simplex type was found in 83; and masses with calcification type were found in 72. Among all the patients, there were 18 false-positive cases and 20 false- negative. The sensitivity, specificity, accuracy, PPV and NPV of FFDM in detecting breast carcinoma were 89.2%, 84.9%, 87.7%, 90.6%, and 82.8%, respectively. The false-positive signs were masses and tiny calcification which were common to malignant lesions. The false-negative signs were dense mammary gland, dissymmetrical density and tiny architectural distortion. Conclusions FFDM has its higher value in the diagnosis of breast carcinoma. Breast carcinoma with different types has its characteristic X-ray results%目的 分析经手术病理证实的乳腺病变在全数字化乳腺摄影(FFDM)中的影像学表现,提高X线在乳腺癌诊断中的准确性.方法 搜集2008年1月-2010年10月313例行FFDM检查、手术和病理证实的乳腺病变患者的临床资料及乳腺X线片,由放射科医师对患者的X线片观察并分析,参照乳腺影像学报告和数据系统(BIRADS)进行分级,以术后病理结果为金标准,评价FFDM检查诊

  13. The ''EVA'' trial: evaluation of the efficacy of diagnostic methods (mammography, ultrasound, MRI) in the secondary and tertiary prevention of familial breast cancer. Preliminary results after the first half of the study period; Die ''EVA''-Studie: Evaluierung der Leistungsfaehigkeit diagnostischer Verfahren (Mammographie, Sonographie, MRT) zur sekundaeren und tertiaeren Praevention des familiaeren Mammakarzinoms - Zwischenergebnisse nach der ersten Haelfte der Foerderungsperiode

    Energy Technology Data Exchange (ETDEWEB)

    Kuhl, C.K.; Schrading, S.; Morakkabati, N.; Leutner, C.; Schild, H. [Radiologische Universitaetsklinik, Bonn (Germany); Weigel, S.; Tombach, B.; Nordhoff, D.; Heindel, W. [Inst. fuer Klinische Radiologie der Univ. Muenster, Muenster (Germany); Nuessle-Kuegele, K.; Arand, B.; Rieber, A.; Brambs, H.J. [Abt. fuer Roentgendiagnostik der Univ. Ulm, Ulm (Germany); Sittek, H.; Reiser, M. [Inst. fuer Klinische Radiologie des Klinikums der Univ. Muenchen-Grosshadern, Muenchen (Germany)

    2005-06-01

    Purpose: to investigate the respective diagnostic accuracies of the different breast imaging modalities, i. e., mammography (Mx), high-frequency breast ultrasound (US), and dynamic contrast-enhanced breast (MRI) regarding the early diagnosis of familial (hereditary) breast cancer. Materials and methods: a prospective, non-randomized controlled clinical multi-center trial is performed at 4 academic tertiary care centers in Germany (Ulm, Muenchen/Grosshadern, Muenster and Bonn) for a total period of 4 years, sponsored by the German Cancer Aid. The protocol consists of semiannual clinical visits and breast ultrasound, and annual bilateral two-view Mx, US and MRI. Imaging studies were first analyzed independently, then Mx was read in conjunction with US, followed by Mx combined with MRI, and finally, all three imaging modalities were read in synopsis. We present the concept and first results of this trial. Results: so far, 748 screening rounds are available for analysis in 613 women. A total of 12 breast cancers have been identified, with 11/12 cases in the pTis or pT1/N0 stage. The mean size of detected invasive cancers was 7 mm. A total of 19 benign lesions were biopsied due to false-positive imaging diagnoses. The breast cancer detection rates were: Mx: 5/12 (42%), US 3/12 (25%), MRI 10/12 (83%), and the positive predictive values: Mx 5/17 (29%), US 3/15 (30%), and MRI 10/23 (43%). Conclusion: the preliminary data suggest that early diagnosis of familial breast cancer is feasible by intensified surveillance, in particular with the addition of MRI. (orig.)

  14. Studies of breast masses in Korean woman using tungsten anode mammography

    Energy Technology Data Exchange (ETDEWEB)

    Suh, C. O.; Oh, K. K.; Lee, K. S. [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1979-06-15

    Mammography is the oldest and most popular method in the diagnosis of breast disease and received the special attention as the powerful instrument in early detection of breast cancer. In Korea, the mammography has not been widely used, yet, but nowadays, increasing incidence of breast cancer and good prognosis after early detection and proper treatment need the clinical application of mammography for management of patient with breast disease and for the detection of occult cancer. The technique obtaining the good quality film is essential for improving the diagnostic accuracy of mammography in breast disease and in general, excellent film radiographs of breast can be obtained with proper combination of Kvp, processing, selection of fine grained film, fine focus tube and compression. In present study, radiographic technique was used in which 36-40 Kvp and 200 mAs were derived from a small focus Tungsten Anode tube. Medio-lateral and Cranio-caudad view were taken using Acryl compression device, which was specially designed by authors in order to properly examine the small, dense breasts of Korean women. Non-screen fine grained mammographic films was used and processing was manual.The materials consisted of 150 cases of mammography performed at Yonsei University Medical College, Severance Hospital, since January, 1978. We analyzed the diagnostic accuracy of mammography and mammographic findings in pathologically confirmed 39 cases. The conclusions are as follows: 1. Because women are sensitive to her breast changes, mammography is very useful not only in diagnosis of breast disease and early detection of cancer, but also management of patients with breast symptom and sign. 2. We obtained the relatively good quality film and high diagnostic accuracy with our own method, using conventional Tungsten Anode tube, compression device and hand processing. 3. We also applied specimen radiography in diagnosis of breast disease, which was helpful in verification of the adequacy

  15. The comparison of the diagnostic value of mammography,ultrasonography and MRI for breast non-mass enhancement lesions%乳腺X线摄影、超声、MRI对乳腺非肿块强化病灶诊断价值的对照研究

    Institute of Scientific and Technical Information of China (English)

    彭晓澜; 张盛箭; 李裕生; 魏鼎泰; 陈婷婷

    2016-01-01

    Objective To compare the diagnostic efficacy of digital mammography,ultrasonography and MRI for breast non-mass enhancement (NME).Methods The digital mammography,ultrasonography and MRI data of 1 1 6 patients with 123 NME lesions on MRI were analyzed retrospectively.Results 99 lesions were malignant and 24 lesions were benign according to the pathologiacl result.The sensitivity of digital mammography,ultrasonography and MRI was 72.73%,65.66%,and 84.85%,respectively;The specificity was 66.67%,79.1 7%,and 79.1 7%,respectively;The accuracy was 71.54%,68.29%,and 83.74%,respectively;The positive pretictive value was 90.00%,92.86%,and 94.88%,respectively;The negative pretictive value was 37.21%,35.85%,and 55.88%,respectively.The sensitivity,specificity,accuracy,positive pretictive value and negative pretictive value of MRI were obviously higher than those of digital mammography and ultrasonography (P <0.05).The difference between the combinations and MRI alone were no statistically significant.Conclusion MRI have better diagnostic value,and could be used as the first choice examination for breast NME lesions.%目的:比较乳腺 X 线摄影、超声及 MRI 对乳腺 MRI 非肿块强化(NME)病灶的诊断效能。方法回顾性分析116例(123个病灶)患者乳腺 MRI NME 病灶的乳腺 X 线摄影、超声及 MRI 的影像学表现。结果病理结果恶性99例,良性24例,乳腺X 线摄影、超声及 MRI 的敏感度分别为72.73%、65.66%、84.85%,特异度分别为66.67%、79.17%、79.17%,准确度分别为71.54%、68.29%、83.74%,阳性预测值分别为90.00%、92.86%、94.88%,阴性预测值分别为37.21%、35.85%、55.88%。MRI 对 NME 病灶的敏感度、特异度、准确度、阳性预测值及阴性预测值均明显高于乳腺 X 线摄影和超声(P <0.05)。且 MRI 与 MRI+乳腺 X 线摄影及 MRI+乳腺 X 线摄影+超声结果相近,差别无统计学意义。结论MRI 对于乳腺 NME 病灶有较高的诊断价值,应作为首选检查方法。

  16. Contrast-enhanced digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Dromain, Clarisse [Department of Radiology, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France)], E-mail: dromain@igr.fr; Balleyguier, Corinne; Adler, Ghazal [Department of Radiology, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France); Garbay, Jean Remi [Department of Surgery, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France); Delaloge, Suzette [Department of Medicine, Institut Gustave-Roussy, 39, rue Camille Desmoulins, 94805 Villejuif Cedex (France)

    2009-01-15

    CEDM is a recent development of digital mammography using the intra-venous injection of an iodinated contrast agent in conjunction with a mammography examination. Two techniques have been developed to perform CEDM examinations: the temporal subtraction technique with acquisition of high-energy images before and after contrast medium injection and the dual energy technique with acquisition of a pair of low and high-energy images only after contrast medium injection. The temporal subtraction technique offered the possibility to analyze the kinetic curve of enhancement of breast lesions, similarly to breast MRI. The dual energy technique do not provide information about the kinetic of tumor enhancement but allows the acquisition of multiples views of the same breast or bilateral examination and is less sensitive to patient motion than temporal CEDM. Initial clinical experience has shown the ability of CEDM to map the distribution of neovasculature induced by cancer using mammography. Moreover, previous studies have shown a superiority of MX + CEDM, either for the assessment of the probability of malignancy than for BIRADS assessment comparing to MX alone. The potential clinical applications are the clarification of mammographically equivocal lesions, the detection of occult lesions on standard mammography, particularly in dense breast, the determination of the extent of disease, the assessment of recurrent disease and the monitoring of the response to chemotherapy. CEDM should result in a simple way to enhance the detection and the characterization of breast lesions.

  17. Boundary and PMI Diagnostics for the DIII-D National Fusion Facility

    Science.gov (United States)

    Thomas, D. M.; Bray, B. D.; Chrobak, C.; Leonard, A. W.; Allen, S. L.; Lasnier, C. J.; McLean, A. G.; Briesemeister, A. R.; Boedo, J. A.; Elder, D.; Watkins, J. G.

    2014-10-01

    The Boundary and Plasma Materials Interaction Center is planning an improved set of boundary and divertor diagnostics for DIII-D in order to develop and validate robust heat flux solutions for future fusion devices on a timescale relevant to the design of FNSF. We intend to develop and test advanced divertor configurations on DIII-D using high performance plasma scenarios that are compatible with advanced tokamak operations in FNSF as well as providing a comprehensive testbed for modeling. Simultaneously, candidate PFC material solutions can be easily tested in these scenarios. Additional diagnostic capability is vital to help understand and validate these solutions. We will describe a number of desired measurements and our plans for deployment. These include better accounting of divertor radiation, including species identification and spatial distribution, divertor/SOL main ion temperature and neutral pressure, fuller 2D Te /ne imaging, and toroidally separated 3D heat flux measurements. Work supported by the US Department of Energy under DE-FC02-04ER54698, DE-AC52-07NA27344, DE-AC05-00OR22725, DE-FG02-07EAR54917, and DE-AC04-94AL85000.

  18. Knowledge about mammography and associated factors: population surveys with female adults and elderly

    Directory of Open Access Journals (Sweden)

    Ione Jayce Ceola Schneider

    2013-12-01

    Full Text Available The purpose of this paper is to describe the knowledge about mammography and to identify associated factors in female adults and elderly. Data were obtained from two population surveys, one with female adults and another with elderly women from Florianópolis (SC in 2009 - 2010. A descriptive analysis of the variables was carried out, the appropriate mean of responses about mammography was estimated and crude and adjusted Poisson regression was conducted to identify associated factors. Among adults, 23.1% answered all of the questions appropriately and the appropriate average responses was 7.2 (95%CI 7.1 - 7.3 in a total of 9. In the adjusted model, older age, higher education and income were associated with knowledge about mammography. For the elderly, 15.3% answered all questions appropriately and the average of appropriate responses was 6.4 (95%CI 5.2 - 6.5 and the factors associated with knowledge about mammography in the adjusted model were younger age groups, increased education and income, and identification of mammography as the main diagnostic method for breast cancer. Information about mammography can neither be transmitted in a clear way nor be easily understood; there are also demographic and socioeconomic differences concerning the knowledge about the exam.

  19. The Radiochemical Analysis of Gaseous Samples (RAGS) apparatus for nuclear diagnostics at the National Ignition Facility (invited).

    Science.gov (United States)

    Shaughnessy, D A; Velsko, C A; Jedlovec, D R; Yeamans, C B; Moody, K J; Tereshatov, E; Stoeffl, W; Riddle, A

    2012-10-01

    The Radiochemical Analysis of Gaseous Samples (RAGS) diagnostic apparatus was recently installed at the National Ignition Facility (NIF). Following a NIF shot, RAGS is used to pump the gas load from the NIF chamber for purification and isolation of the noble gases. After collection, the activated gaseous species are counted via gamma spectroscopy for measurement of the capsule areal density and fuel-ablator mix. Collection efficiency was determined by injecting a known amount of (135)Xe into the NIF chamber, which was then collected with RAGS. Commissioning was performed with an exploding pusher capsule filled with isotopically enriched (124)Xe and (126)Xe added to the DT gas fill. Activated xenon species were recovered post-shot and counted via gamma spectroscopy. Results from the collection and commissioning tests are presented. The performance of RAGS allows us to establish a noble gas collection method for measurement of noble gas species produced via neutron and charged particle reactions in a NIF capsule.

  20. The quality control of mammography imaging and equipment in Minas Gerais, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Nogueira, M.S.; Oliveira, M.; Guedes, E.; Andrade, M.C.; Peixoto, J.E.; Joana, G.S. [Cento de Desenvolvimento da Tecnologia Nuclear (CDTN)- Comissao Nacional de Energia Nuclear (CNEN) Rua Prof. Mario Werneck, s/n - Cidade Universitaria - Pampulha 30123-970 Belo Horizonte, MG, (Brazil)

    2007-07-01

    Full text: Cancer is the second cause of death in the Brazilian female population and breast cancer is the most frequent neoplasm amongst women. Mammography is an essential tool for diagnosis and early detection of this disease. In order to be effective, the mammography must be of good quality. Doses in mammography should be maintained as low as possible without reducing the high image quality needed to the early detection of the breast cancer. The-breast is composed of tissues with very close composition and densities. It increases the difficulty to detect small changes in the normal anatomical structures which may be associated with breast cancer. To achieve the standards of definition and contrast for mammography, the quality and intensity of the x ray beam, the breast positioning and compression, the film-screen system, and the film processing have to be in optimal operational conditions. This study sought to evaluate the entrance surface kerma and the image quality on a phantom in 180 mammography units in the state of Minas Gerais, Brazil, between December 2004 and October 2006. The results showed that 54.5% of the facilities did not achieve the minimum performance level for image quality and 42% of the mammography units, the reference range for entrance surface kerma of 10 {+-} 3 mGy was exceeded. (Author)

  1. X-ray calibration facility for plasma diagnostics of the MégaJoule laser

    Directory of Open Access Journals (Sweden)

    Hubert S.

    2013-11-01

    Full Text Available The Laser MégaJoule (LMJ located at CEA-CESTA will be equipped with x-ray plasma diagnostics using different kinds of x-ray components such as filters, mirrors, crystals, detectors and cameras. To guarantee LMJ measurements, detectors such as x-ray cameras need to be regularly calibrated. An x-ray laboratory is devoted to this task and performs absolute x-ray calibrations for similar x-ray cameras running on Laser Integration Line (LIL. This paper presents the x-ray calibration bench with its x-ray tube based High Energy x-ray Source (HEXS and some calibration results. By mean of an ingenious transposition system under vacuum absolute x-ray calibration of x-ray cameras, like streak and stripline ones, can be carried out. Coupled to a new collimation system with micrometric accuracy on aperture sensitivity quantum efficiency measurements can be achieved with reduced uncertainties.

  2. Mammography and Other Screening Tests for Breast Problems

    Science.gov (United States)

    f AQ FREQUENTLY ASKED QUESTIONS FAQ178 GYNECOLOGIC PROBLEMS Mammography and Other Screening Tests for Breast Problems • What ... used to screen for breast problems? • What is mammography? • Why is mammography done? • When should I start ...

  3. MO-AB-207-00: ACR Update in MR, CT, Nuclear Medicine, and Mammography

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2015-06-15

    A goal of an imaging accreditation program is to ensure adequate image quality, verify appropriate staff qualifications, and to assure patient and personnel safety. Currently, more than 35,000 facilities in 10 modalities have been accredited by the American College of Radiology (ACR), making the ACR program one of the most prolific accreditation options in the U.S. In addition, ACR is one of the accepted accreditations required by some state laws, CMS/MIPPA insurance and others. Familiarity with the ACR accreditation process is therefore essential to clinical diagnostic medical physicists. Maintaining sufficient knowledge of the ACR program must include keeping up-to-date as the various modality requirements are refined to better serve the goals of the program and to accommodate newer technologies and practices. This session consists of presentations from authorities in four ACR accreditation modality programs, including magnetic resonance imaging, computed tomography, nuclear medicine, and mammography. Each speaker will discuss the general components of the modality program and address any recent changes to the requirements. Learning Objectives: To understand the requirements of the ACR MR Accreditation program. The discussion will include accreditation of whole-body general purpose magnets, dedicated extremity systems well as breast MRI accreditation. Anticipated updates to the ACR MRI Quality Control Manual will also be reviewed. To understand the requirements of the ACR CT accreditation program, including updates to the QC manual as well as updates through the FAQ process. To understand the requirements of the ACR nuclear medicine accreditation program, and the role of the physicist in annual equipment surveys and the set up and supervision of the routine QC program. To understand the current ACR MAP Accreditation requirement and present the concepts and structure of the forthcoming ACR Digital Mammography QC Manual and Program.

  4. TU-A-18C-01: ACR Accreditation Updates in CT, Ultrasound, Mammography and MRI

    Energy Technology Data Exchange (ETDEWEB)

    Price, R [Vanderbilt Medical Center, Nashville, TN (United States); Berns, E [University of Colorado Health Science, Denver, CO (United States); Hangiandreou, N [Mayo Clinic, Rochester, MN (United States); McNitt-Gray, M [UCLA School of Medicine, Los Angeles, CA (United States)

    2014-06-15

    A goal of an imaging accreditation program is to ensure adequate image quality, verify appropriate staff qualifications, and to assure patient and personnel safety. Currently, more than 35,000 facilities in 10 modalities have been accredited by the American College of Radiology (ACR), making the ACR program one of the most prolific accreditation options in the U.S. In addition, the ACR is one of the accepted accreditations required by some state laws, CMS/MIPPA insurance and others. Familiarity with the ACR accreditation process is therefore essential to clinical diagnostic medical physicists. Maintaining sufficient knowledge of the ACR program must include keeping up-to-date as the various modality requirements are refined to better serve the goals of the program and to accommodate newer technologies and practices. This session consists of presentations from authorities in four ACR accreditation modality programs, including magnetic resonance imaging, mammography, ultrasound, and computed tomography. Each speaker will discuss the general components of the modality program and address any recent changes to the requirements. Learning Objectives: To understand the requirements of the ACR MR accreditation program. The discussion will include accreditation of whole-body general purpose magnets, dedicated extremity systems well as breast MRI accreditation. Anticipated updates to the ACR MRI Quality Control Manual will also be reviewed. To understand the current ACR MAP Accreditation requirement and present the concepts and structure of the forthcoming ACR Digital Mammography QC Manual and Program. To understand the new requirements of the ACR ultrasound accreditation program, and roles the physicist can play in annual equipment surveys and setting up and supervising the routine QC program. To understand the requirements of the ACR CT accreditation program, including updates to the QC manual as well as updates through the FAQ process.

  5. Diagnostics improvement in the ABC facility and preliminary tests on laser interaction with light-atom clusters and p+{sup 11}B targets

    Energy Technology Data Exchange (ETDEWEB)

    Consoli, Fabrizio, E-mail: fabrizio.consoli@enea.it [Associazione Euratom - ENEA sulla Fusione, via E. Fermi 45, CP 65-00044 Frascati, Rome (Italy); De Angelis, Riccardo; Andreoli, Pierluigi; Cristofari, Giuseppe; Di Giorgio, Giorgio [Associazione Euratom - ENEA sulla Fusione, via E. Fermi 45, CP 65-00044 Frascati, Rome (Italy); Bonasera, Aldo [INFN - LNS, via S. Sofia 62, I-95123 Catania (Italy); Cyclotron Institute, Texas A and M University, College Station, TX, 77843 (United States); Barbui, Marina [Cyclotron Institute, Texas A and M University, College Station, TX, 77843 (United States); Mazzocco, Marco [Dipartimento di Fisica G. Galilei, Università degli Studi di Padova, via F. Marzolo 8, I-35131 Padova (Italy); Bang, Woosuk; Dyer, Gilliss; Quevedo, Hernan [Texas Center for High Intensity Laser Science, University of Texas at Austin, Austin 78712, TX (United States); Hagel, Kris; Schmidt, Katarzyna [Cyclotron Institute, Texas A and M University, College Station, TX, 77843 (United States); Gaul, Erhard; Borger, Ted; Bernstein, Aaron; Martinez, Mikael; Donovan, Michael [Texas Center for High Intensity Laser Science, University of Texas at Austin, Austin 78712, TX (United States); Barbarino, Matteo [Cyclotron Institute, Texas A and M University, College Station, TX, 77843 (United States); Kimura, Sachie [INFN - LNS, via S. Sofia 62, I-95123 Catania (Italy); and others

    2013-08-21

    The diagnostics of particle flows in Inertial Confinement Fusion experiments is a delicate issue, due to the fast timescales and to the strong radiative electromagnetic contributions. This makes the discrimination of the different particles produced by the laser–plasma interaction not trivial, and requires the use of several diagnostic techniques. We describe here the diagnostics improvement in the ABC facility. They will provide more detailed analysis of microwave fields and particles originating from the interaction of laser with targets foreseen for future experiments.

  6. Update on new technologies in digital mammography

    Directory of Open Access Journals (Sweden)

    Patterson SK

    2014-08-01

    Full Text Available Stephanie K Patterson, Marilyn A Roubidoux Division of Breast Imaging, Department of Radiology, University of Michigan Health System, Ann Arbor, MI, USA Abstract: Despite controversy regarding mammography's efficacy, it continues to be the most commonly used breast cancer-screening modality. With the development of digital mammography, some improved benefit has been shown in women with dense breast tissue. However, the density of breast tissue continues to limit the sensitivity of conventional mammography. We discuss the development of some derivative digital technologies, primarily digital breast tomosynthesis, and their strengths, weaknesses, and potential patient impact. Keywords: screening mammography, breast cancer, contrast media, digital breast tomosynthesis

  7. Monte Carlo simulation of photon buildup factors for shielding materials in diagnostic x-ray facilities

    Energy Technology Data Exchange (ETDEWEB)

    Kharrati, Hedi; Agrebi, Amel; Karoui, Mohamed Karim [Ecole Superieure des Sciences et Techniques de la Sante de Monastir, Avenue Avicenne, 5000 Monastir (Tunisia); Faculte des Sciences de Monastir, 5000 Monastir (Tunisia)

    2012-10-15

    Purpose: A simulation of buildup factors for ordinary concrete, steel, lead, plate glass, lead glass, and gypsum wallboard in broad beam geometry for photons energies from 10 keV to 150 keV at 5 keV intervals is presented. Methods: Monte Carlo N-particle radiation transport computer code has been used to determine the buildup factors for the studied shielding materials. Results: An example concretizing the use of the obtained buildup factors data in computing the broad beam transmission for tube potentials at 70, 100, 120, and 140 kVp is given. The half value layer, the tenth value layer, and the equilibrium tenth value layer are calculated from the broad beam transmission for these tube potentials. Conclusions: The obtained values compared with those calculated from the published data show the ability of these data to predict shielding transmission curves. Therefore, the buildup factors data can be combined with primary, scatter, and leakage x-ray spectra to provide a computationally based solution to broad beam transmission for barriers in shielding x-ray facilities.

  8. Rayleigh imaging in spectral mammography

    Science.gov (United States)

    Berggren, Karl; Danielsson, Mats; Fredenberg, Erik

    2016-03-01

    Spectral imaging is the acquisition of multiple images of an object at different energy spectra. In mammography, dual-energy imaging (spectral imaging with two energy levels) has been investigated for several applications, in particular material decomposition, which allows for quantitative analysis of breast composition and quantitative contrast-enhanced imaging. Material decomposition with dual-energy imaging is based on the assumption that there are two dominant photon interaction effects that determine linear attenuation: the photoelectric effect and Compton scattering. This assumption limits the number of basis materials, i.e. the number of materials that are possible to differentiate between, to two. However, Rayleigh scattering may account for more than 10% of the linear attenuation in the mammography energy range. In this work, we show that a modified version of a scanning multi-slit spectral photon-counting mammography system is able to acquire three images at different spectra and can be used for triple-energy imaging. We further show that triple-energy imaging in combination with the efficient scatter rejection of the system enables measurement of Rayleigh scattering, which adds an additional energy dependency to the linear attenuation and enables material decomposition with three basis materials. Three available basis materials have the potential to improve virtually all applications of spectral imaging.

  9. Barriers to Mammography Screening: How to Overcome Them

    Directory of Open Access Journals (Sweden)

    Yasmin Hassoun

    2015-10-01

    Full Text Available Background: Screening mammography is an established intervention that leads to early breast cancer detection and reduced mortality. The Lebanese Ministry of Health has initiated yearly awareness campaigns and provided free mammography in multiple centers around the country. Methods: The study took place in two major areas of Lebanon - Beirut and South Lebanon. This cross-sectional survey aimed to assess knowledge about breast cancer screening and screening behaviors in the Lebanese population. The primary outcome of the study was to assess the reasons that prevented women from performing screening mammography based on our categories of questions: lack of knowledge about breast cancer, lack of access to screening facilities, failure of primary care physician to encourage screening behavior, and other reasons. Results: The major barriers to seek screening that had statistically significant P-values, in order of prevalence, included: lack of knowledge about breast cancer, followed by social reasons and lack of access. Conclusion: Given the prevalence of breast cancer in our population, it is important to understand the pitfalls that we experience in promoting awareness. Our study is the first study to reach out to the community to assess perceived barriers against screening and provide solutions for such barriers.

  10. Absorbed dose measurements in mammography using Monte Carlo method and ZrO{sub 2}+PTFE dosemeters

    Energy Technology Data Exchange (ETDEWEB)

    Duran M, H. A.; Hernandez O, M. [Departamento de Investigacion en Polimeros y Materiales, Universidad de Sonora, Blvd. Luis Encinas y Rosales s/n, Col. Centro, 83190 Hermosillo, Sonora (Mexico); Salas L, M. A.; Hernandez D, V. M.; Vega C, H. R. [Unidad Academica de Estudios Nucleares, Universidad Autonoma de Zacatecas, Cipres 10, Fracc. La Penuela, 98068 Zacatecas (Mexico); Pinedo S, A.; Ventura M, J.; Chacon, F. [Hospital General de Zona No. 1, IMSS, Interior Alameda 45, 98000 Zacatecas (Mexico); Rivera M, T. [Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, IPN, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D. F.(Mexico)], e-mail: hduran20_1@hotmail.com

    2009-10-15

    Mammography test is a central tool for breast cancer diagnostic. In addition, programs are conducted periodically to detect the asymptomatic women in certain age groups; these programs have shown a reduction on breast cancer mortality. Early detection of breast cancer is achieved through a mammography, which contrasts the glandular and adipose tissue with a probable calcification. The parameters used for mammography are based on the thickness and density of the breast, their values depend on the voltage, current, focal spot and anode-filter combination. To achieve an image clear and a minimum dose must be chosen appropriate irradiation conditions. Risk associated with mammography should not be ignored. This study was performed in the General Hospital No. 1 IMSS in Zacatecas. Was used a glucose phantom and measured air Kerma at the entrance of the breast that was calculated using Monte Carlo methods and ZrO{sub 2}+PTFE thermoluminescent dosemeters, this calculation was completed with calculating the absorbed dose. (author)

  11. Barriers to Mammography among Inadequately Screened Women

    Science.gov (United States)

    Stoll, Carolyn R. T.; Roberts, Summer; Cheng, Meng-Ru; Crayton, Eloise V.; Jackson, Sherrill; Politi, Mary C.

    2015-01-01

    Mammography use has increased over the past 20 years, yet more than 30% of women remain inadequately screened. Structural barriers can deter individuals from screening, however, cognitive, emotional, and communication barriers may also prevent mammography use. This study sought to identify the impact of number and type of barriers on mammography…

  12. Comparative effectiveness of combined digital mammography and tomosynthesis screening for women with dense breasts.

    Science.gov (United States)

    Lee, Christoph I; Cevik, Mucahit; Alagoz, Oguzhan; Sprague, Brian L; Tosteson, Anna N A; Miglioretti, Diana L; Kerlikowske, Karla; Stout, Natasha K; Jarvik, Jeffrey G; Ramsey, Scott D; Lehman, Constance D

    2015-03-01

    To evaluate the effectiveness of combined biennial digital mammography and tomosynthesis screening, compared with biennial digital mammography screening alone, among women with dense breasts. An established, discrete-event breast cancer simulation model was used to estimate the comparative clinical effectiveness and cost-effectiveness of biennial screening with both digital mammography and tomosynthesis versus digital mammography alone among U.S. women aged 50-74 years with dense breasts from a federal payer perspective and a lifetime horizon. Input values were estimated for test performance, costs, and health state utilities from the National Cancer Institute Breast Cancer Surveillance Consortium, Medicare reimbursement rates, and medical literature. Sensitivity analyses were performed to determine the implications of varying key model parameters, including combined screening sensitivity and specificity, transient utility decrement of diagnostic work-up, and additional cost of tomosynthesis. For the base-case analysis, the incremental cost per quality-adjusted life year gained by adding tomosynthesis to digital mammography screening was $53 893. An additional 0.5 deaths were averted and 405 false-positive findings avoided per 1000 women after 12 rounds of screening. Combined screening remained cost-effective (less than $100 000 per quality-adjusted life year gained) over a wide range of incremental improvements in test performance. Overall, cost-effectiveness was most sensitive to the additional cost of tomosynthesis. Biennial combined digital mammography and tomosynthesis screening for U.S. women aged 50-74 years with dense breasts is likely to be cost-effective if priced appropriately (up to $226 for combined examinations vs $139 for digital mammography alone) and if reported interpretive performance metrics of improved specificity with tomosynthesis are met in routine practice.

  13. Classification of the micromorphology of breast calcifications in x-ray dark-field mammography

    Science.gov (United States)

    Willer, Konstantin; Scherer, Kai; Braig, Eva; Ehn, Sebastian; Schock, Jonathan; Wolf, Johannes; Birnbacher, Lorenz; Chabior, Michael; Mayr, Doris; Grandl, Susanne; Sztrókay-Gaul, Aniko; Hellerhof, Karin; Reiser, Maximilian; Pfeiffer, Franz; Herzen, Julia

    2017-03-01

    The distant goal of this investigation is to reduce the number of invasive procedures associated with breast micro calcification biopsies, by improving and refining conventional BIRADS micro calcification assessments with x-ray dark-field mammography. The study was institutional review board (IRB) approved. A dedicated grating-based radiography setup (Mo-target, 40 keV, 70 mA) was used to investigate one breast mastectomy and 31 biopsies with dark-field mammography. Comparing the absorption and scattering properties of micro calcifications clusters enables accessing information on the interior morphology on the micron-scale retrieved in a non-invasive manner. Insights underlying the micro morphological nature of breast calcifications were verified by comprehensive high-resolution micro-CT measurements. It was found that Dark-field mammography allows a micro-structural classification of breast micro calcification as ultra-fine, fine, pleomorphic and coarse textured using conventional detectors. Dark-field mammography is thereby highly sensitive to minor structural deviations. Finally, the determined micro-texture of the investigated micro calcifications was correlated with findings obtained from histopathological work up. The presented results demonstrate that dark-field mammography yields the potential to enhance diagnostic validity of current micro calcification analysis - which is yet limited to the exterior appearance of micro calcification clusters - and thereby reduce the number of invasive procedures.

  14. [Usefulness and risks of routine mammography for the detection of breast cancer].

    Science.gov (United States)

    Hernández-Valencia, Marcelino; Hernández-Quijano, Tomás; Zárate, Arturo; Saucedo, Renata

    2014-01-01

    It has been accepted that preclinicall detection of breast cancer by means of the routine practice of mammography could discover the disease at its initial stage; therefore, practicing a mammography annually became widespread as a preventive health measure to diagnose the disease and prevent death due to breast cancer. Over time, the benefit of detection tests has been questioned and demonstration of their benefit, as well as that of the undesirable effects they might cause, has been demanded. There is recent information with regard to an absence of difference in terms of breast cancer mortality as final index between women with or without routine mammography. Additionally, a 20 % frequency has been observed in false-positive diagnoses, with high numbers of women undergoing unnecessary diagnostic procedures due to suspicion of a non-clinically apparent presumed cancer. In Mexico, from 2004 on, the popularity of mammography to detect and effectively cure cancer has increased. Acceptance can be attributted to how easily detection campaigns can be promoted, since most women accept that mastography can offer the opportunity of receiving an early treatment that reduces dissemination and prevents early mortality. The age at which it is convenient to perform the first mammography, how frequently it should be repeated and even the age for its discontinuation is still under debate and no consensus has been reached.

  15. The field study of the mammography in Fukuoka prefecture. Second report. Investigation of glandular tissue dose and image quality

    Energy Technology Data Exchange (ETDEWEB)

    Akashi, Kaoru; Nakahara, Hiroko [Social Insurance Kurume Daiichi Hospital, Fukuoka (Japan); Tanaka, Isamu [Hakuaikai Hospital, Fukuoka (Japan)] [and others

    2003-02-01

    The research of the glandular tissue dose and image quality of the mammography in Fukuoka prefecture was performed from April to October 2000 at 50 mammography sites. Effects of the technical parameters, such as screen-film combinations, antiscatter grids, processing conditions, x-ray beam qualities, on the average glandular tissue dose and image quality were analyzed under two exposure conditions: The standard radiographic condition for a RMI156 phantom in each facility (Standard Radiographic Condition). The radiographic condition for obtaining the radiographic density of 1.40{+-}0.15 with RMI156 phantom (Canonical Radiographic Condition). In the investigation in Fukuoka prefecture, facilities of 3 mGy or less at the average mammary gland dosage were 98%. In the meantime, image quality of 54% facilities was insufficient. Analysis of technical parameters affecting the glandular tissue dose and image quality will be useful for the establishment of breast cancer screening system using mammography. (author)

  16. The Transition from Analog to Digital Mammography: Overall Considerations

    Directory of Open Access Journals (Sweden)

    A. Sardo

    2007-05-01

    Full Text Available In the last decades a continuous growth of the infor-matics process around the world has been observed: paper documents, data, images…, converted into a “digital format” allow an easier and safer manage-ment, making possible its compatibility and access to internet networking. This migration confirms the huge technology progresses made especially in the image capture ways: from photography to graphic arts, from movie to healthcare imaging, where the end user/radiologist requires, at least, a digital clinical image with a quality equivalent to the previous ana-log film image. In women’s breast imaging care mammography is acknowledged as the most effective method to detect a breast cancer at an earlier stage and it is currently the only imaging modality, which has been proven to reduce mortality in women screened from 50 to 69 years. The transition to Digital Mammography represents a challenge to decide when to change the first concern is to get the money availability to purchase a Digital Mammography system and the well-trained human resources (radiologist, technician and physicist for using it. A digital system must satisfy actual needs such as the diagnostic accuracy, dose and regulatory requirements, productivity and archive issues. The new digital modality must be integrated in a fully digital environment (PACS and the presence of CR or DR systems for general radiography could condi-tion the choice of CR or DR Digital Mammography system. The Primary goal of mammography (both analog and digital is to provide to the radiologist clinical images for confident interpretation. Certainly the confidence derives from radiologist’s experience in reading mammograms, but many other factors can increase it, for instance correct patient positioning, excellent and consistent image quality (photographic and artifacts free, easy use and interpretation aid (e.g. lens, CAD use of imaging system. However, the habit in read-ing film-images on view box

  17. Mammography performance in Oman: Review of factors influencing cancer yield and positive predictive value.

    Science.gov (United States)

    Taif, Sawsan; Tufail, Fatma; Alnuaimi, Ahmed Sameer

    2016-06-01

    The aim of this study is to assess mammography performance in Oman by estimating the breast cancer rate and the positive predictive value (PPV) with the influence of some variables. This cross-sectional study was conducted on mammograms done in one of the three main breast imaging centers in Oman between January 2008 and July 2012. Diagnostic and screening groups were identified and assessed separately. Rate of abnormal mammograms, rate of breast cancer and the PPV were estimated according to Breast Imaging Reporting and Data System (BIRADS) score, presence of breast lump and patient's age. Total of 653 mammograms were included, 254 diagnostic and 399 screening. Abnormal mammograms (BIRADS 4 and 5) form 31.9% of the diagnostic examinations compared with 6.8% of screening examinations. Breast cancer was present in 17.9% of the diagnostic compared with 1.0% of the screening group. The PPV of BIRADS 5 was 94.1%, and for BIRADS 4 was 37.1 and 26.7% for diagnostic and screening studies. Overall PPV for abnormal mammograms was 65.2% in the diagnostic and 26.7% in the screening group. Mammography PPV shows positive association with age (P = 0.039) while presence of breast lump has no significant effect on the PPV (P = 0.38). BIRADS 5 score was found to have a high cancer yield making it a strong predictor of cancer. Different results were obtained in the diagnostic compared with screening mammography with higher rates of abnormal mammograms and breast cancer. Mammography performance should be better in the older women. © 2014 Wiley Publishing Asia Pty Ltd.

  18. The National Ignition Facility (NIF) Diagnostic Set at the Completion of the National Ignition Campaign (NIC) September 2013

    Energy Technology Data Exchange (ETDEWEB)

    Kilkenny, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bell, P. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bradley, D. K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bleuel, D. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Caggiano, J. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Dewald, E. L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hsing, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kalantar, H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kauffman, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Moody, J. D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Schneider, M. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Shaughnessy, D. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Shelton, R. T. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Yeamans, C. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Batha, S. H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Grim, G. P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Herrmann, H. W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Merrill, F. E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Leeper, R. J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Sangster, T. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Edgell, D. H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Glebov, V. Y. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Regan, S. P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Frenje, J. A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Gatu-Johnson, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Petrasso, R. D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Rindernecht, H. G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Zylstra, A. B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Cooper, G. W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Ruiz, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-01-05

    At the completion of the National Ignition Campaign NIF had about 36 different types of diagnostics. These were based on several decades of development on Nova and OMEGA and involved the whole US ICF community. A plan for a limited of NIF Diagnostics was documented by the Joint Central Diagnostic Team in the NIF Conceptual Design Report in 1994. These diagnostics and many more were installed diagnostics by two decades later. We give a short description of each of the 36 different types of NIC diagnostics grouped by the function of the diagnostics, namely target drive, target response and target assembly, stagnation and burn. A comparison of NIF diagnostics with the Nova diagnostics shows that the NIF diagnostic capability is broadly equivalent to that of Nova’s in 1999. NIF diagnostics have a much greater degree of automation and rigor than Nova’s and the NIF diagnostic suite incorporates some scientific innovation compared to Nova and OMEGA namely one much higher speed x-ray imager. Directions for future NIF diagnostics are discussed.

  19. Breast MRI, digital mammography and breast tomosynthesis: comparison of three methods for early detection of breast cancer

    Directory of Open Access Journals (Sweden)

    Dragana Roganovic

    2015-11-01

    Full Text Available Breast cancer is the most common malignancy in women and early detection is important for its successful treatment. The aim of this study was to investigate the sensitivity and specificity of three methods for early detection of breast cancer: breast magnetic resonance imaging (MRI, digital mammography, and breast tomosynthesis in comparison to histopathology, as well as to investigate the intraindividual variability between these modalities.  We included 57 breast lesions, each detected by three diagnostic modalities: digital mammography, breast MRI, and breast tomosynthesis, and subsequently confirmed by histopathology. Breast Imaging-Reporting and Data System (BI-RADS was used for characterizing the lesions. One experienced radiologist interpreted all three diagnostic modalities. Twenty-nine of the breast lesions were malignant while 28 were benign. The sensitivity for digital mammography, breast MRI, and breast tomosynthesis, was 72.4%, 93.1%, and 100%, respectively; while the specificity was 46.4%, 60.7%, and 75%, respectively. Receiver operating characteristics (ROC curve analysis showed an overall diagnostic advantage of breast tomosynthesis over both breast MRI and digital mammography. The difference in performance between breast tomosynthesis and digital mammography was significant (p < 0.001, while the difference between breast tomosynthesis and breast MRI was not significant (p = 0.20. 

  20. Building an intranet digital mammography case library

    Science.gov (United States)

    Zhang, Hong; Lou, Shyhliang A.; Fan, Yu; Sickles, Edward A.; Huang, H. K.

    2000-05-01

    To practice mammography diagnosis effectively, radiologists expect convenient access to well-organized and authoritative mammography related information, especially when there is case in question. The purpose of this study is to build infrastructural diagnosis support by incorporating various clinical information into a digital mammography case library, and allow user to search the library based on mammographic findings. The digital mammography case library has a three- tier architecture: (1) Back-end mammography databases integrate multimedia clinical information from various operational systems, including RIS and PACS. Cases are stored in a finding index database powered by an object-relational database with finding-coded reports, which are modeled around the ACR BI-RADS (American College of Radiology, Breast Imaging Report and Data System) standard. (2) The middle-end application controllers process application logic, such as user authorization, HTTP request handling, database connection and dynamic HTML page generation. (3) Web-based user interface is developed for authorized Intranet personnel to formulate query based on radiological finding (such as mass, calcification and architectural distortion), shape and assessment, using ACR BI-RADS specified lexicon. The case library so far has 103 cases selected from over 800 digital mammography studies carried out at the Mt. Zion hospital, UCSF, during an on-going digital telemammography project. We believe that an Intranet based digital mammography case library with mammographic finding search capability facilitates continuous medical education and online decision support, by providing exemplary study to compare with case in question.

  1. Mapping of the radiation field of a mammography equipment using molybdenum and rhodium filters

    Energy Technology Data Exchange (ETDEWEB)

    Barreira, Jacqueline S.; Campos, Daniela; Vivolo, Vitor, E-mail: jacsales@usp.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2014-07-01

    The use of X rays for diagnostic radiology is very common and important to Medicine, including mammographic diagnosis focusing decreasing of the doses applied to the patients and preserving high quality of the diagnostic image. A quality control program of the irradiation systems it is very necessary. The Instruments Calibration Laboratory (LCI) of IPEN perform calibration in dosemeters used in radiation dosimetry (in diagnostic radiology) for many years. The objective of that paper is determining the point of greatest intensity of the beam issued by the mammography equipment. Exposures were made with filters Rhodium and Molybdenum. That mapping is important before applied a routine quality control program of the mammography equipment and the calibration of instruments in the diagnosis. (author)

  2. Study on knowledge, experiences and barriers to mammography among working women from Delhi

    Directory of Open Access Journals (Sweden)

    A Khokhar

    2015-01-01

    Full Text Available INTRODUCTION: Mammography is not a popular screening tool for deducting breast cancer in India although regular screening is associated with reduced mortality from breast cancer. OBJECTIVE: The objective of this study is to find out knowledge, experiences and barriers to mammography among working women of Delhi. MATERIALS AND METHODS: Cross-sectional descriptive study was conducted from October 2012 to March 2013 among working women from Delhi, India. The study was conducted as a part of ongoing training workshops organized for women on early detection of breast cancer. Total of eight such programs were organized and were attended by a total of 439 women. Each participant got a self-administered questionnaire to fill. Data was entered in Microsoft Excel and analysis was done using Statistical product and service solutions (SPSS version 21 (IBM. RESULTS: A total of 439 participants were included in the study. 230 (52.4% of the women were more than 40 years of age. Only four participants (1% had not heard about the term mammography before. Less than half (45.1% of the participants knew correctly the purpose of a mammogram. Only 11.8% of the women knew correctly about the age of getting the first baseline mammogram. Knowledge of frequency of getting the mammogram was also low only 95 (21.6% correctly knew about it. Only 59 (11.9% correctly responded that one needs to go to an imaging facility located either in a hospital or elsewhere to get mammogram done. Main experience shared by the women regarding mammography was that 42 (95.45% did not know anything about the procedure when they went for this investigation. Out of a total of 230 women over 40 years of age only 38 (16.5% had ever got a mammogram carried out. There is a statistically significant association between education status and practice of mammography (P < 0.05. There were 18 women with family history of breast cancer out, of which 10 (55.5% had got mammography carried out. 192 out of

  3. The report of the investigation concerning the image quality and dose of digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Takeshita, Masanori [Osaka Prefectural Center for Adult Diseases (Japan); Kuma, Koji [Kagoshima Municipal Hospital (Japan); Takekawa, Naoya [Osaka Kosei-Nenkin Hospital (Japan); Tanaka, Isamu [Hakuaikai Hospital, Fukuoka (Japan); Tanaka, Atsushi [Osaka Police Hospital (Japan); Hatada, Toshikazu [Kitakyushu Municipal Medical Center, Fukuoka (Japan); Higashida, Yoshiharu [Kyushu Univ., Fukuoka (Japan). Faculty of Medicine

    2002-11-01

    For the sake of good quality control (QC) of mammography by computed radiography (CR) using the imaging plate (IP), the investigation in the title was conducted on 43 and 47 facilities in Kyushu and Kinki areas, respectively. Those facilities were using Fuji CR system of 6 kinds of CR apparatus and 3 sorts of IP. Experimental equipments were QC phantoms of RMI-156 and 165, fluoro-glass dosimeter GD 403 and mdh dosimeter for mammography, which were previously sent to the facilities. Data concerning the mean dose of mammary gland, concentration of the phantom center, and contrast and particle characteristics of images were sent back to the working investigators and analyzed in this report. Comparison of the CR method with the film method was presented. (K.H.)

  4. Mammography and breast sonography in transsexual women

    Energy Technology Data Exchange (ETDEWEB)

    Weyers, S., E-mail: steven.weyers@ugent.b [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Villeirs, G.; Vanherreweghe, E. [Department of Radiology, Ghent University Hospital, Ghent (Belgium); Verstraelen, H. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium); Monstrey, S. [Department of Plastic Surgery, Ghent University Hospital, Ghent (Belgium); Van den Broecke, R.; Gerris, J. [Department of Gynecology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent (Belgium)

    2010-06-15

    Data on the necessity of performing screening mammographies in transsexual women are lacking. The main objective of this study was to assess the possibility to perform mammography and breast sonography in transsexual women. Fifty Dutch-speaking transsexual women were interviewed about the following: attitude towards mammography and breast sonography, importance attributed to and satisfaction with breast appearance, opinion about the necessity of breast check-up, expectations regarding discomfort during the exams and knowledge about the breast surgery. A fasting blood sample, clinical breast exam, mammography and breast sonography were performed. At mammography the following parameters were noted: density, technical quality, location of the prostheses, presence of any abnormalities and painfulness. At sonography the following parameters were recorded: density, presence of cysts, visualisation of retro-areolar ducts or any abnormalities. Twenty-three percent of patients are not aware of the type of breast implants and 79% do not know their position to the pectoral muscles. Patient satisfaction with the appearance of their breasts was rather high (7.94 on a scale of 0-10). Mean expected and experienced pain from mammography was low (4.37 and 2.00 respectively). There was no statistically significant difference in expected pain between those who already had mammography and those who did not. There was a significant positive correlation between the expected and the experienced pain. Mammography and breast sonography were technically feasible and no gross anomalies were detected. Since both exams were judged as nearly painless, 98% of transsexual women intended to come back if they would be invited. Since breast cancer risk in transsexual women is largely unknown and breast exams are very well accepted, breast screening habits in this population should not differ from those of biological women.

  5. Dual-energy in mammography: feasibility study

    Science.gov (United States)

    Jafroudi, Hamid; Lo, Shih-Chung B.; Li, Huai; Steller Artz, Dorothy E.; Freedman, Matthew T.; Mun, Seong K.

    1996-04-01

    The purpose of this work is to examine the feasibility of dual-energy techniques to enhance the detection of microcalcifications in digital mammography. The digital mammography system used in this study consists of two different mammography systems; one is the conventional mammography system with molybdenum target and Mo filtration and the other is the clinical version of a low dose x-ray system with tungsten target and aluminum filtration. The low dose system is optimized for screen-film mammography with a highly efficient scatter rejection device built by Fischer Imaging Systems for evaluation at NIH. The system was designed by the University of Southern California based on multiparameter optimization techniques. Prototypes of this system have been constructed and evaluated at the Center for Devices and Radiological Health. The digital radiography system is based on the Fuji 9000 computed radiography (CR) system which uses a storage phosphor imaging plate as the receptor. High resolution plates (HR-V) are used in this study. Dual-energy is one technique to reduce the structured noise associated with the complexity of the background of normal anatomy surrounding a lesion. This can be done by taking the advantage of the x-ray attenuation characteristics of two different structures such as soft tissue and bone in chest radiography. We have applied this technique to the detection of microcalcifications in mammography. The overall system performance based on this technique is evaluated. Results presented are based on the evaluation of phantom images.

  6. Mammography

    Science.gov (United States)

    ... shades of gray and air appears black. Until recently, x-ray images were maintained on large film ... evaluation with additional views or a special imaging technique. A follow-up examination may also be necessary ...

  7. Mammography

    Science.gov (United States)

    ... tomosynthesis, the x-ray tube moves in an arc over the breast, capturing multiple images from different ... your comment or suggestion into the following text box: Comment: E-mail: Area code: Phone no: Thank ...

  8. Family/Friend Recommendations and Mammography Intentions: The Roles of Perceived Mammography Norms and Support

    Science.gov (United States)

    Molina, Yamile; Ornelas, India J.; Doty, Sarah L.; Bishop, Sonia; Beresford, Shirley A. A.; Coronado, Gloria D.

    2015-01-01

    Identifying factors that increase mammography use among Latinas is an important public health priority. Latinas are more likely to report mammography intentions and use, if a family member or friend recommends that they get a mammogram. Little is known about the mechanisms underlying the relationship between social interactions and mammography…

  9. Transactions of the second technical exchange meeting on fuel- and clad-motion diagnostics for LMFBR safety test facilities

    Energy Technology Data Exchange (ETDEWEB)

    DeVolpi, A. (comp.)

    1976-01-01

    Papers are presented which deal with diagnostic requirements and fuel motion monitoring capabilities of hodoscopes, coded aperture systems, x-ray radiography, and in-core detectors. Separate abstracts and indexing were prepared for each paper. (DG)

  10. Mammography calibration qualities establishment in a Mo- Mo clinical system

    Science.gov (United States)

    Corrêa, E. L.; dos Santos, L. R.; Vivolo, V.; Potiens, M. P. A.

    2016-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained.

  11. A high-speed two-frame, 1-2 ns gated X-ray CMOS imager used as a hohlraum diagnostic on the National Ignition Facility (invited)

    Science.gov (United States)

    Chen, Hui; Palmer, N.; Dayton, M.; Carpenter, A.; Schneider, M. B.; Bell, P. M.; Bradley, D. K.; Claus, L. D.; Fang, L.; Hilsabeck, T.; Hohenberger, M.; Jones, O. S.; Kilkenny, J. D.; Kimmel, M. W.; Robertson, G.; Rochau, G.; Sanchez, M. O.; Stahoviak, J. W.; Trotter, D. C.; Porter, J. L.

    2016-11-01

    A novel x-ray imager, which takes time-resolved gated images along a single line-of-sight, has been successfully implemented at the National Ignition Facility (NIF). This Gated Laser Entrance Hole diagnostic, G-LEH, incorporates a high-speed multi-frame CMOS x-ray imager developed by Sandia National Laboratories to upgrade the existing Static X-ray Imager diagnostic at NIF. The new diagnostic is capable of capturing two laser-entrance-hole images per shot on its 1024 × 448 pixels photo-detector array, with integration times as short as 1.6 ns per frame. Since its implementation on NIF, the G-LEH diagnostic has successfully acquired images from various experimental campaigns, providing critical new information for understanding the hohlraum performance in inertial confinement fusion (ICF) experiments, such as the size of the laser entrance hole vs. time, the growth of the laser-heated gold plasma bubble, the change in brightness of inner beam spots due to time-varying cross beam energy transfer, and plasma instability growth near the hohlraum wall.

  12. Diagnostic Instrument Manipulator (DIM) upgrades for reliability and operational efficiency in a radiological contamination environment at the National Ignition Facility (NIF)

    Science.gov (United States)

    Plummer, Robert

    2013-09-01

    The Diagnostic Instrument Manipulators (DIMs) are two-staged, telescoping systems that allow the precise alignment and positioning of various x-ray, optical, nuclear, and other diagnostics in the National Ignition Facility (NIF) Target Chamber. Designed to be reconfigurable and exchangeable between NIF experiments, the second stage of the DIM is referred to as the Diagnostic Load Package (DLP), which is most often comprised of a cart, diagnostic, and detachable snout. As experiments continue to increase radiation levels, various upgrades have been made to the DIMs to improve reliability and operational efficiency. These upgrades reduce worker exposure and increase experimental shot rates. Specific to this paper, the design and operation of dedicated DLP handling and storage units (DHUs and DSUs) are discussed in addition to their transport equipment. Hardware and process improvements for reduced worker exposure during general DIM access are also featured. Finally, the DLP limit switches have been upgraded to magneticallyactuated proximity sensors for reliability, improved shot rate, and increased user flexibility.

  13. Psychosocial Determinants of Mammography Follow-up after Receipt of Abnormal Mammography Results in Medically Underserved Women

    Science.gov (United States)

    Fair, Alecia Malin; Wujcik, Debra; Lin, Jin-Mann Sally; Zheng, Wei; Egan, Kathleen M.; Grau, Ana M.; Champion, Victoria L.; Wallston, Kenneth A.

    2010-01-01

    This article targets the relationship between psychosocial determinants and abnormal screening mammography follow-up in a medically underserved population. Health belief scales were modified to refer to diagnostic follow-up versus annual screening. A retrospective cohort study design was used. Statistical analyses were performed examining relationships among sociodemographic factors, psychosocial determinants, and abnormal mammography follow-up. Women with lower mean internal health locus of control scores (3.14) were two times more likely than women with higher mean internal health locus of control scores (3.98) to have inadequate follow-up (OR = 2.53, 95% CI = 1.12–5.36). Women with less than a high school education had lower cancer fatalism scores than women who had completed high school (47.5 vs. 55.2, p-value = .02) and lower mean external health locus of control scores (3.0 vs. 5.3) (p-valueconcepts is warranted. PMID:20173286

  14. [The value of the triad: clinical examination, mammography and needle aspiration cytology in the diagnosis of breast carcinoma. Our experience].

    Science.gov (United States)

    Cipolla, C; Amato, C; Di Lisi, G; Graceffa, G; Cassano, T; Salanitro, L; Bajardi, G; De Simone, G F; Barberi, G; Tomasino, R M

    1990-11-01

    Based on the authors' personal experience of the use of the triad, clinical examination, mammography and needle-aspiration cytology, in the strategic diagnosis of breast cancer, the paper emphasizes the importance of early diagnosis as the sole means of obtaining an improved outcome. Using this integrated methodology the authors have obtained a specificity of 99%, sensitivity of 97.8%, and a diagnostic accuracy and prognostic value for positive tests of 98%. In conclusion, the authors affirm that the comparative interpretation of clinical examination, mammography and cytology appears to be an extremely efficacious and reliable method for the diagnosis of the nature of breast nodules.

  15. Mammography and Other Screening Tests for Breast Problems

    Science.gov (United States)

    ... a clinical breast exam done? • What is breast self-awareness? • How is breast self-awareness different from the traditional breast self-exam? •Glossary ... problems includes mammography , clinical breast exams, and breast self-awareness. What is mammography? Mammography is an X-ray ...

  16. Digital mammography in breast cancer screening: Evaluation and innovation

    NARCIS (Netherlands)

    Bluekens, A.M.J.

    2015-01-01

    With all other imaging modalities in radiology being digitised and conventional mammography being ready to phase out the transition to digital mammography was inevitable. This thesis describes the performance of digital screening mammography and the consequences of implementation in a population-bas

  17. The influence of travel time on breast cancer characteristics, receipt of primary therapy, and surveillance mammography.

    Science.gov (United States)

    Onega, Tracy; Cook, Andrea; Kirlin, Beth; Shi, Xun; Alford-Teaster, Jennifer; Tuzzio, Leah; Buist, Diana S M

    2011-08-01

    Travel time has been shown to influence some aspects of cancer characteristics at diagnosis and care for women with breast cancer, but important gaps remain in our understanding of its impact. We examined the influence of travel time to the nearest radiology facility on breast cancer characteristics, treatment, and surveillance for women with early-stage invasive breast cancer. We included 1,012 women with invasive breast cancer (stages I and II) who had access to care within an integrated health care delivery system in western Washington State. The travel times to the nearest radiology facility were calculated for all the U.S. Census blocks within the study area and assigned to women based on residence at diagnosis. We collected cancer characteristics, primary and adjuvant therapies, and surveillance mammography for at least 2.5 years post diagnosis and used multivariable analyses to test the associations of travel time. The majority of women (68.6%) lived within 20 min of the nearest radiology facility, had stage I disease (72.7%), received breast conserving therapy (68.7%), and had annual surveillance mammography the first 2 years after treatment (73.7%). The travel time was not significantly associated with the stage or surveillance mammography after adjusting for covariates. Primary therapy was significantly related to travel time, with greater travel time (>30 min vs. ≤ 10 min) associated with a higher likelihood of mastectomy compared to breast conserving surgery (RR = 1.53; 95% CI, 1.16-2.01). The travel time was not associated with the stage at diagnosis or surveillance mammography receipt. The travel time does seem to influence the type of primary therapy among women with breast cancer, suggesting that women may prefer low frequency services, such as mastectomy, if geographic access to a radiology facility is limited.

  18. Nationwide survey of glandular tissue dose for establishment of breast cancer screening using mammography

    Energy Technology Data Exchange (ETDEWEB)

    Katoh, Tsuguhisa; Matsumoto, Mitsuomi [Tokyo Metropolitan Univ. of Health Sciences (Japan); Higashida, Yoshiharu [and others

    1999-06-01

    A nationwide survey was performed in an attempt to investigate the distribution of average glandular doses caused by mammography for breast cancer mass screening, and to utilize the data to determine the national guidance level for mammography. A phantom equivalent to a breast with a compressed thickness of 42 mm, and glass radio-photo luminescence dosimeters were sent to 104 institutions and facilities. The dosimeters were exposed using a method based on the protocols described in the Mammography Quality Control Manual. The returned dosimeters were then analyzed, and the beam qualities and the entrance surface exposure were determined. Using these values, the average glandular doses were estimated with an accuracy of {+-}8%. The doses ranged from 0.5 to 3.7 mGy. The mean dose and the standard deviation were 1.48 mGy and 0.52 mGy, respectively. In 91 facilities, the doses were less than 2 mGy. Regarding the technical factors for facilities which presented doses of 2 mGy or over, it seemed that the doses could be easily reduced to less than 2 mGy if the settings of the auto exposure controller (AEC), anti-scatter grid and/or the film-screen system were optimized. (author)

  19. Diagnostic assessment to estimate and minimize neutron dose rates received by occupationally exposed individuals at cyclotron facilities

    Energy Technology Data Exchange (ETDEWEB)

    Reina, L.C. [Instituto de Engenharia Nuclear, Comissao Nacional de Energia Nuclear, Caixa Postal 68550, Cidade Universitaria, CEP: 21941-906 Rio de Janeiro (Brazil)], E-mail: reina@ien.gov.br; Silva, A.X. [PEN/COPPE-DNC/Escola Politecnica, Universidade Federal do Rio de Janeiro, Cidade Universitaria, CEP: 21945-970 Rio de Janeiro (Brazil); Suita, J.C.; Souza, M.I.S. [Instituto de Engenharia Nuclear, Comissao Nacional de Energia Nuclear, Caixa Postal 68550, Cidade Universitaria, CEP: 21941-906 Rio de Janeiro (Brazil); Facure, A. [Comissao Nacional de Energia Nuclear Rua General Severiano, 90-Botafogo, CEP: 22290-901 Rio de Janeiro (Brazil); Silva, J.C.P.; Furlanetto, J.A.D. [Instituto de Engenharia Nuclear, Comissao Nacional de Energia Nuclear, Caixa Postal 68550, Cidade Universitaria, CEP: 21941-906 Rio de Janeiro (Brazil); Rebello, W. [Instituto Militar de Engenharia, Ministerio da Defesa Praca General Tiburcio, 80-Praia Vermelha, CEP: 22290-270 Rio de Janeiro (Brazil)

    2010-03-15

    Since 2003, radiopharmaceuticals for medical diagnostic purposes have been produced at the Instituto de Engenharia Nuclear, in Brazil, using two cyclotron accelerators - CV-28 and RDS111. As a result of the ever increasing production, a diagnostic assessment to reduce neutron dose rates received by occupationally exposed individuals during irradiation processes has been developed. The purpose of this work is to present this assessment, which is currently being applied to both the Fluorine and Iodine targets of CV-28 and RDS111 cyclotron accelerators.

  20. Grid infrastructures for developing mammography CAD systems.

    Science.gov (United States)

    Ramos-Pollan, Raul; Franco, Jose M; Sevilla, Jorge; Guevara-Lopez, Miguel A; de Posada, Naimy Gonzalez; Loureiro, Joanna; Ramos, Isabel

    2010-01-01

    This paper presents a set of technologies developed to exploit Grid infrastructures for breast cancer CAD, that include (1) federated repositories of mammography images and clinical data over Grid storage, (2) a workstation for mammography image analysis and diagnosis and (3) a framework for data analysis and training machine learning classifiers over Grid computing power specially tuned for medical image based data. An experimental mammography digital repository of approximately 300 mammograms from the MIAS database was created and classifiers were built achieving a 0.85 average area under the ROC curve in a dataset of 100 selected mammograms with representative pathological lesions and normal cases. Similar results were achieved with classifiers built for the UCI Breast Cancer Wisconsin dataset (699 features vectors). Now these technologies are being validated in a real medical environment at the Faculty of Medicine in Porto University after a process of integrating the tools within the clinicians workflows and IT systems.

  1. 基于丝传动技术的乳腺X射线诊断设备的C形臂回转结构设计%Design of the C-arm Structure Based on the Wire Transmission for Mammography X-Ray Diagnostic Equipment

    Institute of Scientific and Technical Information of China (English)

    刘保华; 鞠鹏; 谢艳霞; 姚建义

    2015-01-01

    本文针对乳腺X射线诊断设备提出了一种基于丝传动技术的C形臂回转结构。该结构采用具有蜗轮蜗杆减速器的直流电机实现成像托盘等轴回转,通过电磁制动器实现C形臂与成像托盘的整体回转和C形臂独立回转两种模式的切换。丝传动系统中,钢丝绳始终在所需预紧力状态下运行。在对钢丝绳进行调节的过程中,该结构采用三级固定及粗细调结合的调节方式,可确保系统的安全性能,提高系统的调节精度,使得系统结构紧凑,易于安装调节。该结构相较于传统的C臂回转传动机构,具有结构紧凑、传动简单、效率高等优点。%A C-arm-swinging structure is proposed in this paper for the mammography X-ray diagnostic equipment based on the wire transmission. The DC (Direct Current) motor with a worm gear speed reducer is deployed in this structure so as to realize shaft rotation of imaging trays. Moreover, the electromagnetic brake is used to make a switchover between the overall swinging of the C-arm and imaging trays and the independent swinging of the C-arm. The wire rope is always running at the state of desired preload in the wire drive system. Since combination of three-level ifxation and rough and ifne adjustment are applied in the structure, which ensures the safe performance and raises the adjustment accuracy of the system. As a consequence, this system has become tightly-structured and easy-to-adjust. The structure has demonstrated its advantages in the tightened structure, simple drive and high efifciency over conventional C-arms.

  2. Real-time reading in mammography breast screening.

    Science.gov (United States)

    Mariotto, R; Brancato, B; Bonetti, F; Manfrin, E; Strabbioli, M; Mercanti, A; Falsirollo, F; Bricolo, P; Pistolesi, G F

    2007-03-01

    This study was undertaken to assess the role of real-time reading in the mammography screening programme carried out at the Hospital of Marzana, Verona, Italy. During the 5-year period 1999-2004, 54,472 women attended the screening programme (32,291 first calls: unadjusted uptake 41.4%, adjusted uptake 50.3%; 21,551 2- year routine recalls: unadjusted uptake 86.4%, adjusted uptake 89.9%). Further diagnostic investigations [(FDI), imaging and cytohistological] were performed immediately after real-time reading of the screening mammograms (FDI rate among first calls 10.9%; FDI rate among 2-year recalls 5.4%). Overall, cytohistological FDI were requested in 27% of imaging FDI, with a clear prevalence of cytological [fine-needle aspiration cytology (FNAC) 87%] over histological procedures [core needle biopsy (CNB) 11%; vacuum aspiration biopsy (VAB) 2%]. Imaging FDI proved to be conclusive in 73%. Cytohistological FDI led to the use of surgical biopsy (SB) in 39.5% (ratio between benign and malignant SB: 0.19/first calls, 0.14/2-year recalls). There were a total of 427 screen-detected breast cancers (BC), with a very good breast cancer detection rate (BCDR/first calls 9.7 per thousand; BCDR/2-year recalls 5.1 per thousand). In the 427 screen-detected BC, the incidence of pTis, pT1a,b cancers was 59.6% (diagnostic anticipation); the incidence of pN0 cancers was 61.2%; the incidence of conservative surgical procedures was 78.6%. In interval cancers, the false negative rate was 8.3% only, whereas the proportional incidence was very low indeed (14% first year; 38% second year). The high sensitivity exhibited by the Marzana mammography screening programme suggests that the value of real-time reading should be validated by other programmes adopting a similar approach.

  3. Screening of breast lesions: a comparative study between mammography, B-mode ultrasonography, sonoelastography and histological results

    Directory of Open Access Journals (Sweden)

    Raquel Constantino Pardal

    2013-07-01

    Full Text Available Objective To compare the capacity of mammography, sonoelastography, B-mode ultrasonography and histological analysis to differentiate benign from malignant breast lesions. Materials and Methods A total of 12 histopathologically confirmed breast lesions were documented. The lesions were assessed by means of mammography, B-mode ultrasonography and sonoelastography, and histopathological analysis was utilized as a gold standard. Sensitivity and specificity were calculated. A receiver operating characteristic (ROC curve was constructed to evaluate the diagnostic performance of the mentioned techniques. Results Sensitivity and specificity in the differentiation between benign and malignant lesions were respectively 100% and 50% for mammography, 100% and 71% for B-mode ultrasonography, and 67% and 83% for sonoelastography. The area under the ROC curve was calculated for the three imaging modalities and corresponded to 0.792 for mammography, 0.847 for B-mode ultrasonography, and 0.806 for sonoelastography. Conclusion Sonoelastography demonstrated higher specificity and lower sensitivity as compared with mammography and B-mode ultrasonography. On the other hand, B-mode ultrasonography had the largest area under the ROC curve. Sonoelastography has demonstrated to be a promising technique to detect and evaluate breast lesions, and could potentially reduce the number of unnecessary biopsies.

  4. Mammography activity in Norway 1983 to 2008

    DEFF Research Database (Denmark)

    Lynge, Elsebeth; Braaten, Tonje; Njor, Sisse H

    2011-01-01

    In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact of the p......In Norway, an organized screening mammography program, the Norwegian Breast Cancer Screening Program (NBCSP) started in four counties in 1996 and became nationwide in 2004. We collected data on pre-program screening activity, and in view of this activity we evaluated the potential impact...... of the program on breast cancer mortality in Norway....

  5. Comparative performance of modern digital mammography systems in a large breast screening program

    Energy Technology Data Exchange (ETDEWEB)

    Yaffe, Martin J., E-mail: martin.yaffe@sri.utoronto.ca; Bloomquist, Aili K.; Hunter, David M.; Mawdsley, Gordon E. [Physical Sciences Division, Sunnybrook Research Institute, Departments of Medical Biophysics and Medical Imaging, University of Toronto, Ontario M4N 3M5 (Canada); Chiarelli, Anna M. [Prevention and Cancer Control, Cancer Care Ontario, Dalla Lana School of Public Health, University of Toronto, Ontario M4N 3M5, Canada and Ontario Breast Screening Program, Cancer Care Ontario, Toronto, Ontario M5G 1X3 (Canada); Muradali, Derek [Ontario Breast Screening Program, Cancer Care Ontario, Toronto, Ontario M5G 1X3 (Canada); Mainprize, James G. [Physical Sciences Division, Sunnybrook Research Institute, Toronto, Ontario M4N 3M5 (Canada)

    2013-12-15

    Purpose: To compare physical measures pertaining to image quality among digital mammography systems utilized in a large breast screening program. To examine qualitatively differences in these measures and differences in clinical cancer detection rates between CR and DR among sites within that program. Methods: As part of the routine quality assurance program for screening, field measurements are made of several variables considered to correlate with the diagnostic quality of medical images including: modulation transfer function, noise equivalent quanta, d′ (an index of lesion detectability) and air kerma to allow estimation of mean glandular dose. In addition, images of the mammography accreditation phantom are evaluated. Results: It was found that overall there were marked differences between the performance measures of DR and CR mammography systems. In particular, the modulation transfer functions obtained with the DR systems were found to be higher, even for larger detector element sizes. Similarly, the noise equivalent quanta, d′, and the phantom scores were higher, while the failure rates associated with low signal-to-noise ratio and high dose were lower with DR. These results were consistent with previous findings in the authors’ program that the breast cancer detection rates at sites employing CR technology were, on average, 30.6% lower than those that used DR mammography. Conclusions: While the clinical study was not large enough to allow a statistically powered system-by-system assessment of cancer detection accuracy, the physical measures expressing spatial resolution, and signal-to-noise ratio are consistent with the published finding that sites employing CR systems had lower cancer detection rates than those using DR systems for screening mammography.

  6. Value of Sonography in Screening Women with Dense Breasts in Mammography

    Directory of Open Access Journals (Sweden)

    Esmaeel Shokrollahi

    2010-05-01

    Full Text Available Breast cancer is one of the most common cancers in women and the main cause of death due to malignancy in women between 40-44 years of age.This cancer is responsible for 33% of all cancers in women and 20% of all deaths due to cancer in women."nMammography is the main modality for screening and diagnosis of breast lesions, but in dense breasts it has low sensitivity (about 48% with low possibility for visualization of mass lesions or calcifications, and this results in fading abnormal findings and increasing the risk of malignancy. This defect is compensated by ultrasonography."nSonography also elegantly shows hidden areas, which are covered by normal breast tissue in mammography, and also shows the pictures real time without overlap."nPresence of any palpable mass in clinical exam was an excluding criterion for patients from the study. Any lesion as a cystic or solid mass or echo change or calcification was recorded in the database. If a lesion had a malignant picture, FNA or core biopsy was done for it and the sample was sent for pathologic report."nThis study showed that correlation with sonography is mandatory in women who have dense breasts in mammography, even if it is a low-grade dense breast. If this correlation was not done, breast cancers present in 1.5% of the studied population would be missed."nSo due to the high false negativity of mammography in dense breasts, in the time being, sonography is considered as the second line screening method and complementary modality for mammography. It not only increases the diagnostic accuracy, but also as the only real time imaging modality, it can be used for localization and precise biopsy of breast lesions. Also, it can be used without any limitation as a cheap and harmless way for follow up imaging in short intervals for suspected patients.

  7. X-ray photon beam diagnostics devices for the commissioning and user operation of the multi-undulator facility European XFEL

    Energy Technology Data Exchange (ETDEWEB)

    Gruenert, Jan; Ozkan, Cigdem; Li, Bin; Freund, Wolfgang; Buck, Jens; Molodtsov, Serguei [European XFEL GmbH, Albert-Einstein-Ring 19, 22761 Hamburg (Germany)

    2012-07-01

    The X-ray Free-Electron-Lasers (XFELs) LCLS, SACLA, and the European XFEL open new opportunities in the research of very small structures and at the same time extremely fast phenomena (Aangstroem and femtosecond resolution). Unlike pulses from a conventional laser radiation is here created by Self-Amplified Spontaneous Emission when electron bunches pass through very long segmented undulators. Shot noise at the origin of this process leads to pulse-to-pulse variations of intensity, spectrum, wavefront, etc. Any XFEL diagnostics is susceptible to single-shot damage due to the extreme brilliance. Apart from the large facility energy range (280 eV to 25 keV), the particular challenge for the European XFEL diagnostics is the 4.5 MHz intra-bunch train repetition rate, causing additional damage by high heat loads and making shot-to-shot diagnostics very demanding. We report on concepts, developments, and compromises between resolution/accuracy and energy range/shot-to-shot capabilities.

  8. Pressure-standardized breast compression in mammography

    NARCIS (Netherlands)

    de Groot, J.E.

    2015-01-01

    In current mammography practice, similar compression forces are applied to all breasts. Women with smaller and/or firmer breasts are disadvantaged because they receive a much higher pressure: The same force is applied on a much smaller contact area (pressure = force / contact area). Our solution is

  9. Body weight and sensitivity of screening mammography

    DEFF Research Database (Denmark)

    Njor, Sisse H.; von Euler-Chelpin, My; Tjønneland, Anne

    2016-01-01

    Aim: Obese women tend to participate less in breast cancer screening than normal weight women. However, obese women have fattier breast than normal weight women, and screening mammography works better in fatty than in dense breasts. One might, therefore, hypothesise that obese women would actuall...

  10. Beyond the mammography debate: a moderate perspective.

    Science.gov (United States)

    Kaniklidis, C

    2015-06-01

    After some decades of contention, one can almost despair and conclude that (paraphrasing) "the mammography debate you will have with you always." Against that sentiment, in this review I argue, after reflecting on some of the major themes of this long-standing debate, that we must begin to move beyond the narrow borders of claim and counterclaim to seek consensus on what the balance of methodologically sound and critically appraised evidence demonstrates, and also to find overlooked underlying convergences; after acknowledging the reality of some residual and non-trivial harms from mammography, to promote effective strategies for harm mitigation; and to encourage deployment of new screening modalities that will render many of the issues and concerns in the debate obsolete. To these ends, I provide a sketch of what this looking forward and beyond the current debate might look like, leveraging advantages from abbreviated breast magnetic resonance imaging technologies (such as the ultrafast and twist protocols) and from digital breast tomosynthesis-also known as three-dimensional mammography. I also locate the debate within the broader context of mammography in the real world as it plays out not for the disputants, but for the stakeholders themselves: the screening-eligible patients and the physicians in the front lines who are charged with enabling both the acts of screening and the facts of screening at their maximally objective and patient-accessible levels to facilitate informed decisions.

  11. [Fine needle aspiration cytology of mammography screening

    DEFF Research Database (Denmark)

    Engvad, B.; Laenkholm, A.V.; Schwartz, Thue W.

    2009-01-01

    -choice treatment. MATERIAL AND METHODS: 767 women had FNAC performed from a total of 783 lesions at the Mammography Clinic, University Hospital Odense. All FNACs were compared with the final histology diagnosis. Nine statistical parameters were calculated according to the European guidelines. RESULTS: A total...

  12. Classification of findings in mammography screening

    DEFF Research Database (Denmark)

    Pamilo, M; Lönnqvist, J; Halttunen, A

    1991-01-01

    survey of mammography screening in Helsinki and surroundings in Finland. PATIENTS--21,417 women (aged 50-59 years) were invited to be screened, 18,012 (84.10%) participated. Of these 579 (3.21% of those screened) were recalled for further studies; 124 of these were referred for surgical biopsy and 82 had...

  13. [Reduction of radiation dosage in mammography by using film intensifying foil systems in Poland].

    Science.gov (United States)

    Iwaszkiewicz, K; Bończyk, J

    In order to assess possibility of radiation dose reduction during mammography at direct film radiation, a comparative studies have been carried out. The studies involved Roentgen XT-2 film without intensifying foil compared with Mammoray MR-3 (Agfa Gevaert), Ortho M-MO-1 (Kodak) in the original cassettes, and Fluorfilm TK-1 (WZF Foton) with foils Min.-R. Film-intensifying foil systems are four and six times more sensitive than Rentgen XT-2 film. Sensitometric and diagnostic properties of Fluorofilm TK-1 are comparable with Mammoray MR-3 film. Therefore, films Rentgen XT-2 which are presently used in mammography should be replaced with Fluorofilm TK-1 with the intensifying foils.

  14. Exploratory survey of image quality on CR digital mammography imaging systems in Mexico.

    Science.gov (United States)

    Gaona, E; Rivera, T; Arreola, M; Franco, J; Molina, N; Alvarez, B; Azorín, C G; Casian, G

    2014-01-01

    The purpose of this study was to assess the current status of image quality and dose in computed radiographic digital mammography (CRDM) systems. Studies included CRDM systems of various models and manufacturers which dose and image quality comparisons were performed. Due to the recent rise in the use of digital radiographic systems in Mexico, CRDM systems are rapidly replacing conventional film-screen systems without any regard to quality control or image quality standards. Study was conducted in 65 mammography facilities which use CRDM systems in the Mexico City and surrounding States. The systems were tested as used clinically. This means that the dose and beam qualities were selected using the automatic beam selection and photo-timed features. All systems surveyed generate laser film hardcopies for the radiologist to read on a scope or mammographic high luminance light box. It was found that 51 of CRDM systems presented a variety of image artefacts and non-uniformities arising from inadequate acquisition and processing, as well as from the laser printer itself. Undisciplined alteration of image processing settings by the technologist was found to be a serious prevalent problem in 42 facilities. Only four of them showed an image QC program which is periodically monitored by a medical physicist. The Average Glandular Dose (AGD) in the surveyed systems was estimated to have a mean value of 2.4 mGy. To improve image quality in mammography and make more efficient screening mammographic in early detection of breast cancer is required new legislation.

  15. Investigation of breast dose in five screening mammography centres in Greece

    Energy Technology Data Exchange (ETDEWEB)

    Tsapaki, V [Medical Physics Department, Konstantopoulio Hospital, Nea Ionia, 142 33, Athens (Greece); Tsalafoutas, I A [Medical Physics Department, Agios Savvas Hospital, 171 Alexandras Avenue, 115 22, Athens (Greece); Poga, V; Louizi, A; Kottou, S [Medical Physics Department, Medical School, Athens University, University of Athens, 75 Mikras Asias, 115 27, Athens (Greece); Koulentianos, E [Radiology Department, Konstantopoulio Hospital, Nea Ionia, 142 33, Athens (Greece)

    2008-09-01

    The objectives of this study were to investigate the techniques currently used for screening mammography in Greece, to estimate the mean glandular dose (MGD) for establishing a baseline radiation dose database, to analyse the effects of various factors on MGD, and to compare the results with others in the literature. Five mammographic facilities and 250 women having as a routine screening mammogram one craniocaudal (CC) and one mediolateral oblique (MLO) projection in each breast were included in the study. The parameters recorded were age, weight, compressed breast thickness (CBT), tube potential (kV), tube loading (mA s) and MLO projection angle. Large differences were observed among the different mammography facilities, mainly in terms of the tube potential setting and the MLO angle used. The average MGD per exposure was 1.4 {+-} 0.6 mGy while the respective averages separately for the CC and MLO projections were 1.2 {+-} 0.5 and 1.5 {+-} 0.7 mGy, respectively. The average MGD values recorded in this study were below the limit of 2 mGy established for the reference medium-sized breast of 4.5 cm CBT. However, the variety of techniques observed revealed the need for a nationwide survey concerning screening mammography in Greece.

  16. Mammary carcinoma diagnostics and therapy; Diagnostik und Therapie des Mammakarzinoms

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Uwe; Baum, Friedemann (eds.) [Diagnostisches Brustzentrum Goettingen BZG, Goettingen(Germany)

    2014-11-01

    The book on mammary carcinoma diagnostics and therapy covers the following issues: development, anatomy and physiology of the mammary glands, pathology of benign and malign mammary gland changes, non-imaging diagnostics; mammography; ultrasonic mammography; magnetic resonance tomography of the mammary glands; imaging diagnostics findings; mammary interventions; examination concepts; operative therapy of the mammary carcinoma; chemotherapy of the mammary carcinoma; radio-oncological therapy of the mammary carcinoma; logistics in a medical center for mammary gland diseases; logistics in an interdisciplinary center for mammary diseases; dialogue conduction and psycho-social attendance.

  17. Betatron radiation based diagnostics for plasma wakefield accelerated electron beams at the SPARC_LAB test facility

    Science.gov (United States)

    Shpakov, V.; Anania, M. P.; Biagioni, A.; Chiadroni, E.; Cianchi, A.; Curcio, A.; Dabagov, S.; Ferrario, M.; Filippi, F.; Marocchino, A.; Paroli, B.; Pompili, R.; Rossi, A. R.; Zigler, A.

    2016-09-01

    Recent progress with wake-field acceleration has shown a great potential in providing high gradient acceleration fields, while the quality of the beams remains relatively poor. Precise knowledge of the beam size at the exit from the plasma and matching conditions for the externally injected beams are the key for improvement of beam quality. Betatron radiation emitted by the beam during acceleration in the plasma is a powerful tool for the transverse beam size measurement, being also non-intercepting. In this work we report on the technical solutions chosen at SPARC_LAB for such diagnostics tool, along with expected parameters of betatron radiation.

  18. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  19. Thermoluminescence dosimetry in quality imaging in CR mammography systems

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E.; Franco E, J.G. [UAM-Xochimilco, 04960 Mexico D.F. (Mexico); Azorin N, J. [UAM-Iztapalapa, 09340 Mexico D.F. (Mexico); Diaz G, J.A.I. [CICATA, Unidad Legaria, Av. Legaria 694, 11599 mexico D.F. (Mexico); Arreola, M. [Department of Radiology, Shands Hospital at UF, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2006-07-01

    The aim of this work is to estimate the average glandular dose with Thermoluminescence Dosimetry (TLD) and comparison with quality imaging in CR mammography. For measuring dose, FDA and ACR use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, Full Field Digital Mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one CR mammography system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium fluoro halide. We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated x-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose that overcomes 3.0 mGy and it doesn't improve the image quality and dose to the breast will be excessive. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement. (Author)

  20. Is the false-positive rate in mammography in North America too high?

    Science.gov (United States)

    Le, Michelle T; Mothersill, Carmel E; Seymour, Colin B; McNeill, Fiona E

    2016-09-01

    The practice of investigating pathological abnormalities in the breasts of females who are asymptomatic is primarily employed using X-ray mammography. The importance of breast screening is reflected in the mortality-based benefits observed among females who are found to possess invasive breast carcinoma prior to the manifestation of clinical symptoms. It is estimated that population-based screening constitutes a 17% reduction in the breast cancer mortality rate among females affected by invasive breast carcinoma. In spite of the significant utility that screening confers in those affected by invasive cancer, limitations associated with screening manifest as potential harms affecting individuals who are free of invasive disease. Disease-free and benign tumour-bearing individuals who are subjected to diagnostic work-up following a screening examination constitute a population of cases referred to as false positives (FPs). This article discusses factors contributing to the FP rate in mammography and extends the discussion to an assessment of the consequences associated with FP reporting. We conclude that the mammography FP rate in North America is in excess based upon the observation of overtreatment of in situ lesions and the disproportionate distribution of detriment and benefit among the population of individuals recalled for diagnostic work-up subsequent to screening. To address the excessive incidence of FPs in mammography, we investigate solutions that may be employed to remediate the current status of the FP rate. Subsequently, it can be suggested that improvements in the breast-screening protocol, medical litigation risk, image interpretation software and the implementation of image acquisition modalities that overcome superimposition effects are promising solutions.

  1. 76 FR 60848 - National Mammography Quality Assurance Advisory Committee; Notice of Meeting

    Science.gov (United States)

    2011-09-30

    ... HUMAN SERVICES Food and Drug Administration National Mammography Quality Assurance Advisory Committee... be open to the public. Name of Committee: National Mammography Quality Assurance Advisory Committee...) Proposed changes to the Mammography Quality Standard Act (MQSA) policies and inspection procedures;...

  2. 75 FR 11542 - Agency Information Collection Activities; Proposed Collection; Comment Request; Mammography...

    Science.gov (United States)

    2010-03-11

    ... Collection; Comment Request; Mammography Quality Standards Act Requirements AGENCY: Food and Drug... Mammography Quality Standards Act requirements. DATES: Submit written or electronic comments on the collection... techniques, when appropriate, and other forms of information technology. The Mammography Quality...

  3. 78 FR 13681 - Agency Information Collection Activities; Proposed Collection; Comment Request; Mammography...

    Science.gov (United States)

    2013-02-28

    ... Collection; Comment Request; Mammography Quality Standards Act Requirements AGENCY: Food and Drug... associated with the Mammography Quality Standards Act requirements. DATES: Submit either electronic or... of information technology. Mammography Quality Standards Act Requirements--21 CFR Part 900...

  4. X线钼靶联合高频超声对早期乳腺癌的诊断价值%THE DIAGNOSTIC EFFECTS OF THE COMBINATION OF HIGH-FREQUENCY ULTRASONOGRAPHY AND X-RAY MAMMOGRAPHY ON EARLY BREAST CANCER

    Institute of Scientific and Technical Information of China (English)

    王建华

    2009-01-01

    Objective To explore the effects of high-frequency ultrasonography(HFUS) and x-ray mammography in the diagnosis of early breast cancer.Methods Eighty-one patients with early breast cancer with the diameter being equal to or less than 2cm underwent HFUS and x-ray mammography.The results were compared with those of pathological diagnoses.Results The coinidence rates of simple HFUS,simple x-ray mammography and the combination of both in diagnosis of early breast cancer were 81.4 %,76.5% and 88.9% respectively.Conclusion The combination of HFUS and x-ray mammography can greatly improve the diagnosis of early breast.%目的 探讨X线钼靶联合高频超声对早期乳腺癌的诊断价值.方法 对81例直径≤2.0 cm的早期乳腺癌行X线钼靶和高频超声检查,并与病理诊断对照.结果 单纯超声诊断符合率为81.4%,单纯X线钼靶诊断乳腺癌符合率为76.5%,二者联合诊断符合率为88.9%.结论 X线钼靶联合高频超声检查能明显提高早期乳腺癌的诊断水平.

  5. Betatron radiation based diagnostics for plasma wakefield accelerated electron beams at the SPARC-LAB test facility

    Energy Technology Data Exchange (ETDEWEB)

    Shpakov, V.; Anania, M.P.; Biagioni, A.; Chiadroni, E. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); Cianchi, A. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); “Tor Vergata” University, via della Ricerca Scientifica 1, 00133 Rome (Italy); Curcio, A. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); Dabagov, S. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); P.N. Lebedev Physical Institute RAS, Leninskiy Prospekt 53, 119991 Moscow (Russian Federation); NRNU “MEPhI”, Kashirskoe highway 31, 115409 Moscow (Russian Federation); Ferrario, M.; Filippi, F. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); Marocchino, A. [Dipartimento SBAI Universitá di Roma ‘La Sapienza’, via Antonio Scarpa 14/16, 00161 Rome (Italy); Paroli, B. [INFN - MI, via Celoria 16, 20133 Milan (Italy); Pompili, R. [INFN - LNF, via Enrico Fermi 40, 00044 Frascati (Italy); Rossi, A.R. [INFN - MI, via Celoria 16, 20133 Milan (Italy); Zigler, A. [Racah Institute of Physics Hebrew University of Jerusalem (Israel)

    2016-09-01

    Recent progress with wake-field acceleration has shown a great potential in providing high gradient acceleration fields, while the quality of the beams remains relatively poor. Precise knowledge of the beam size at the exit from the plasma and matching conditions for the externally injected beams are the key for improvement of beam quality. Betatron radiation emitted by the beam during acceleration in the plasma is a powerful tool for the transverse beam size measurement, being also non-intercepting. In this work we report on the technical solutions chosen at SPARC-LAB for such diagnostics tool, along with expected parameters of betatron radiation. - Highlights: • The betatron radiation parameters in SPARC-LAB wakefiled experiments were studied. • The differences with betatron radiation in other wake-field experiments were highlighted. • The solution for betatron radiation detection was investigated.

  6. Observations and modeling of debris and shrapnel impacts on optics and diagnostics at the National Ignition Facility

    Directory of Open Access Journals (Sweden)

    Eder D.

    2013-11-01

    Full Text Available A wide range of targets with laser energies spanning two orders of magnitude have been shot at the National Ignition Facility (NIF. The National Ignition Campaign (NIC targets are cryogenic with Si supports and cooling rings attached to an Al Thermo-Mechanical Package (TMP with a thin (30 micron Au hohlraum inside. Particular attention is placed on the low-energy shots where the TMP is not completely vaporized. In addition to NIC targets, a range of other targets has also been fielded on NIF. For all targets, simulations play a critical role in determining if the risks associated with debris and shrapnel are acceptable. In a number of cases, experiments were redesigned, based on simulations, to reduce risks or to obtain data. The majority of these simulations were done using the ALE-AMR code, which provides efficient late-time (100 – 1000 X the pulse duration 3 D calculations of complex NIF targets.

  7. Improved visualization of breast cancer features in multifocal carcinoma using phase-contrast and dark-field mammography: an ex vivo study

    Energy Technology Data Exchange (ETDEWEB)

    Grandl, Susanne; Sztrokay-Gaul, Aniko; Auweter, Sigrid D.; Hellerhoff, Karin [Ludwig-Maximilians-University Hospital Munich, Institute of Clinical Radiology, Munich (Germany); Scherer, Kai; Birnbacher, Lorenz; Willer, Konstantin; Chabior, Michael; Herzen, Julia; Pfeiffer, Franz [Technische Universitaet Muenchen, Department of Physics and Institute of Medical Engineering, Garching (Germany); Mayr, Doris [Ludwig-Maximilians-Universitaet Muenchen, Institute of Pathology, Munich (Germany); Bamberg, Fabian [University Hospital Tuebingen, Department of Diagnostic and Interventional Radiology, Tuebingen (Germany)

    2015-12-15

    Conventional X-ray attenuation-based contrast is inherently low for the soft-tissue components of the female breast. To overcome this limitation, we investigate the diagnostic merits arising from dark-field mammography by means of certain tumour structures enclosed within freshly dissected mastectomy samples. We performed grating-based absorption, absolute phase and dark-field mammography of three freshly dissected mastectomy samples containing bi- and multifocal carcinoma using a compact, laboratory Talbot-Lau interferometer. Preoperative in vivo imaging (digital mammography, ultrasound, MRI), postoperative histopathological analysis and ex vivo digital mammograms of all samples were acquired for the diagnostic verification of our results. In the diagnosis of multifocal tumour growth, dark-field mammography seems superior to standard breast imaging modalities, providing a better resolution of small, calcified tumour nodules, demarcation of tumour boundaries with desmoplastic stromal response and spiculated soft-tissue strands extending from an invasive ductal breast cancer. On the basis of selected cases, we demonstrate that dark-field mammography is capable of outperforming conventional mammographic imaging of tumour features in both calcified and non-calcified tumours. Presuming dose optimization, our results encourage further studies on larger patient cohorts to identify those patients that will benefit the most from this promising additional imaging modality. (orig.)

  8. Perspectives of the digital mammography platform; Perspektiven der digitalen Mammographieplattform

    Energy Technology Data Exchange (ETDEWEB)

    Gruber, R.; Riedl, C.C.; Reisegger, M.; Pinker, K.; Sturm, E.; Semturs, F.; Helbich, T.H. [Medizinische Universitaet Wien, Abteilung fuer Allgemeine Radiologie und Kinderradiologie, Division fuer Molekulare und Gender-Bildgebung, Universitaetsklinik fuer Radiodiagnostik, Wien (Austria)

    2010-11-15

    In Europe one out of every nine women suffers from breast cancer during her lifetime. Since the introduction of mammography screening programs more breast cancers are being diagnosed when they are still small and early stage cancers with a favourable prognosis. The introduction of digital mammography systems has led to a continuous reduction of breast cancer mortality especially in specific patient subgroups. Furthermore, the digital mammography platform enables the development of new, innovative breast imaging methods to increase sensitivity and decrease breast cancer mortality. This digital mammography platform includes digital breast tomosynthesis, digital contrast medium mammography and digital contrast medium breast tomosynthesis as well as fused data sets from digital mammography with ultrasound or MRI. The following article summarizes these new applications, describes the strengths of the digital platform and illustrates the potential advantages of an improved breast cancer diagnosis by digital mammography. (orig.) [German] Etwa jede neunte Frau in Europa erkrankt im Laufe ihres Lebens an Brustkrebs. Durch die Einfuehrung von Mammographiescreeningprogrammen werden immer mehr kleine Brustkarzinome in einem fruehen Stadium entdeckt. Die Einfuehrung der digitalen Mammographie erzielt insbesondere bei bestimmten Patientinnengruppen eine weitere kontinuierliche Senkung der Brustkrebsmortalitaet. Zusaetzlich ermoeglicht die digitale Mammographie die Entwicklung neuer und Fusion bereits existierender bildgebender Methoden. Zu dieser ''digitalen Mammographieplattform'' gehoeren die digitale Brusttomosynthese, die digitale Kontrastmittelmammographie und die digitale Kontrastmittel-Brusttomosynthese sowie fusionierte Datensaetze der digitalen Mammographie mit dem Ultraschall oder der MRT. Diese innovativen Techniken bieten die Moeglichkeit, die Sensitivitaet der Mammographie zu steigern und die Brustkrebsmortalitaet weiter zu senken. Der folgende

  9. Digital Mammography Imaging: Breast Tomosynthesis and Advanced Applications

    Science.gov (United States)

    Helvie, Mark A.

    2011-01-01

    Synopsis This article discusses recent developments in advanced derivative technologies associated with digital mammography. Digital breast tomosynthesis – its principles, development, and early clinical trials are reviewed. Contrast enhanced digital mammography and combined imaging systems with digital mammography and ultrasound are also discussed. Although all these methods are currently research programs, they hold promise for improving cancer detection and characterization if early results are confirmed by clinical trials. PMID:20868894

  10. Time perspective and perceived risk as related to mammography screening.

    Science.gov (United States)

    Griva, Fay; Anagnostopoulos, Fotios; Potamianos, Gregory

    2013-01-01

    The present study explored the relation of time perspective to perceived risk for breast cancer and mammography screening. Women free from breast cancer (N = 194), eligible for mammography screening in terms of age, completed the Zimbardo Time Perspective Inventory (Zimbardo & Boyd, 1999) and measures of perceived risk, attitude toward performing mammography screening, intention to get a mammogram, and mammography screening behavior. Hierarchical multiple regression analysis revealed that perceived risk of breast cancer (β= .18, p < .01) and intention to be screened (β = .35, p < .01) were significantly associated with mammography screening, after controlling for the effects of sociodemographic (e.g., age, education, and economic level) and health-related variables (e.g., family history of breast cancer and previous benign breast disease). Path analyses including the main psychological variables indicated that perceived risk was indirectly related to intention via attitude (β = .17, p < .01), and to mammography screening through attitude and intention (β = .06, p < .01). Attitude was indirectly related to mammography screening via intention (β = .20, p < .01). Also, a significant indirect association was observed between future orientation and mammography screening, via perceived risk (β = .10, p < .01). Theoretical implications of study findings and suggestions for future research on use of mammography are presented.

  11. Introduction of organised mammography screening in Tyrol: results following first year of complete rollout

    Directory of Open Access Journals (Sweden)

    Knapp Rudolf

    2011-08-01

    Full Text Available Abstract Background In Tyrol, Austria, the existing system of spontaneous mammography screening was switched in 2007 to an organised program by smoothly changing the established framework. This process followed most EU recommendations for organised mammography screening with the following exceptions: women aged 40-49 are part of the target population, screening is offered annually to the age group 40-59, breast ultrasound is available as an additional diagnostic tool, and double reading has not yet been implemented. After a pilot phase the program was rolled out to all of Tyrol in June 2008. The aim of this study was to analyse the performance of the organised screening system by comparing quality indices and recommended levels given in the well-established EU guidelines. Methods Working from the results of the pilot phase, we extended the organised mammography system to all counties in Tyrol. All women living in Tyrol and covered by compulsory social insurance were invited for a mammography, in the age group 40-59 annually and in the age group 60-69 biennially. Screening mammography was offered mainly by radiologists in private practice, with further assessment performed at hospitals. Using the screening database, all well-established performance indicators were analysed and compared with accepted/desired levels as per the EU guidelines. Results From June 2008 to May 2009, 120,440 women were invited. Per 1000 mammograms, 14 women were recalled for further assessment, nine underwent biopsy and four cancer cases were detected. Of invasive breast cancer cases, 32.3% and 68.4% were ≤ 10 mm and ≤ 15 mm in size, respectively, and 79.2% were node-negative. The positive predictive value for further assessment and for biopsy was 25.9% and 39.9%, respectively. Estimated two-year participation rate was 57.0%. In total, 14 interval cancer cases were detected during one year of follow-up; this is 18.4% of the background incidence rate. Conclusions In

  12. Discrepancies between film and digital mammography interpretations

    Science.gov (United States)

    Malhotra, Poonam; Kallergi, Maria; Alexander, Dominik; Berman, Claudia G.; Gardner, Mary; Hersh, Marla R.; Hooper, Lisa; Kim, Jihai J.; Venugopal, Priya

    2002-04-01

    The purpose of this study was to evaluate the frequency and reasons of disagreement between film and full-field digital mammography (FFDM) interpretations observed in a prospective clinical trial performed with the GE Senographe 2000D system. The data from 643 mammography examinations comprising both digital and film mammograms were analyzed for this purpose. Reports indicated that 455 findings were identified on the digital softcopy reading and 457 findings on the standard film mammography with 408 discrepancies. Findings with discrepancies were matched and analyzed. A reason was identified and a relative conspicuity score of 0 to 10 was assigned to each finding at the time of resolution; 0 corresponded to a finding highly conspicuous on digital, 10 to a finding highly conspicuous on film, and 5 denoted equal visibility on both. After review, agreement was established between the two modalities in 73.3% of the findings; 13.5% of findings were seen better on digital and 13.2% of the findings were seen better on film. Approximately 63% of the discrepancies occurred due to variability in the reporting style of the radiologists and/or unavailability of prior films for comparison. Three cancer cases were identified in this study; two were seen on both modalities and one only on film. In conclusion, no statistically significant differences were observed between digital and film mammography, a result that despite the small size of our dataset is in agreement with previous reports. Inter-observer variability, display differences, and presentation disagreements are the main reasons for interpretation differences that are primarily identified in the classification and BIRADS assignment.

  13. BIRADS{sup TM} mammography: Exercises

    Energy Technology Data Exchange (ETDEWEB)

    Balleyguier, Corinne [Radiology Department, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex (France)]. E-mail: balleyguier@igr.fr; Bidault, Francois [Radiology Department, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex (France); Mathieu, Marie Christine [Biopathology Department, Institut de Cancerologie Gustave-Roussy, 94805 Villejuif (France); Ayadi, Salma [Radiology Department, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex (France); Couanet, Dominique [Radiology Department, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex (France); Sigal, Robert [Radiology Department, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif Cedex (France)

    2007-02-15

    Some radiological cases are presented in this article to train the reader to the BIRADS{sup TM} classification in mammography. Each case is described according to Fourth American version of the BIRADS{sup TM} lexicon. Some classifications difficulties will also be presented, in order to show the complexity and the observer variability, commonly encountered in BIRADS{sup TM} 3 and 4 categories.

  14. Introduction of the Mammography unit; SEPIO series

    Energy Technology Data Exchange (ETDEWEB)

    Nanbu, Yukiko; Sasaki, Osamu; Tsuji, Hisao [Shimadzu Corp., Medical Systems Division, Kyoto (Japan)

    2003-06-01

    Mammography unit SEPIO series are designed for the both screening and diagnosis of the breast cancer. SEPIO series have the following features; iso-centric C-arm rotation leads to high throughput, two phase compression method called Twincomp minimizes the blind are near chest wall and the bi-angular X-ray tube contributes to better image quality. Furthermore optional MaxVision system which has a function to pull the breast toward the film is introduced to SEPIO series. (author)

  15. Authenticity and integrity of digital mammography images.

    Science.gov (United States)

    Zhou, X Q; Huang, H K; Lou, S L

    2001-08-01

    Data security becomes more and more important in telemammography which uses a public high-speed wide area network connecting the examination site with the mammography expert center. Generally, security is characterized in terms of privacy, authenticity and integrity of digital data. Privacy is a network access issue and is not considered in this paper. We present a method, authenticity and integrity of digital mammography, here which can meet the requirements of authenticity and integrity for mammography image (IM) transmission. The authenticity and integrity for mammography (AIDM) consists of the following four modules. 1) Image preprocessing: To segment breast pixels from background and extract patient information from digital imaging and communication in medicine (DICOM) image header. 2) Image hashing: To compute an image hash value of the mammogram using the MD5 hash algorithm. 3) Data encryption: To produce a digital envelope containing the encrypted image hash value (digital signature) and corresponding patient information. 4) Data embedding: To embed the digital envelope into the image. This is done by replacing the least significant bit of a random pixel of the mammogram by one bit of the digital envelope bit stream and repeating for all bits in the bit stream. Experiments with digital IMs demonstrate the following. 1) In the expert center, only the user who knows the private key can open the digital envelope and read the patient information data and the digital signature of the mammogram transmitted from the examination site. 2) Data integrity can be verified by matching the image hash value decrypted from the digital signature with that computed from the transmitted image. 3) No visual quality degradation is detected in the embedded image compared with the original. Our preliminary results demonstrate that AIDM is an effective method for image authenticity and integrity in telemammography application.

  16. Tritium Plasma Experiment Upgrade and Improvement of Surface Diagnostic Capabilities at STAR Facility for Enhancing Tritium and Nuclear PMI Sciences

    Energy Technology Data Exchange (ETDEWEB)

    Shimada, M.; Taylor, C. N.; Pawelko, R. J.; Cadwallader, L. C.; Merrill, B. J.

    2016-04-01

    The Tritium Plasma Experiment (TPE) is a unique high-flux linear plasma device that can handle beryllium, tritium, and neutron-irradiated plasma facing materials, and is the only existing device dedicated to directly study tritium retention and permeation in neutron-irradiated materials with tritium [M. Shimada et.al., Rev. Sci. Instru. 82 (2011) 083503 and and M. Shimada, et.al., Nucl. Fusion 55 (2015) 013008]. The plasma-material-interaction (PMI) determines a boundary condition for diffusing tritium into bulk PFCs, and the tritium PMI is crucial for enhancing fundamental sciences that dictate tritium fuel cycles and safety and are high importance to an FNSF and DEMO. Recently the TPE has undergone major upgrades in its electrical and control systems. New DC power supplies and a new control center enable remote plasma operations from outside of the contamination area for tritium, minimizing the possible exposure risk with tritium and beryllium. We discuss the electrical upgrade, enhanced operational safety, improved plasma performance, and development of optical spectrometer system. This upgrade not only improves operational safety of the worker, but also enhances plasma performance to better simulate extreme plasma-material conditions expected in ITER, Fusion Nuclear Science Facility (FNSF), and Demonstration reactor (DEMO). This work was prepared for the U.S. Department of Energy, Office of Fusion Energy Sciences, under the DOE Idaho Field Office contract number DE-AC07-05ID14517.

  17. Breast cancer screening: the underuse of mammography

    Energy Technology Data Exchange (ETDEWEB)

    Fox, S.; Baum, J.K.; Klos, D.S.; Tsou, C.V.

    1985-09-01

    The early detection of breast cancer is promoted by the American Cancer Society (ACS) and the American College of Radiology (ACR) by encouraging the regular use of three types of screening: breast self-examination (BSE), the clinical breast examination, and mammography. In August 1983, the ACS publicized seven recommendations pertaining to screening, including a revised statement about the routine use of mammography for women between the ages of 40 and 49 years. In response to the ACS statement, the present study assessed compliance with the updated recommendations for all three types of screening. The results show reasonable rates of compliance for the BSE (53%-69%) and clinical examination (70%-78%). In contrast, only 19% of the women between the ages of 35 and 49 and 25% of the women older than 50 reported complying with the recommendation to undergo one baseline screening mammogram. Some implications for health education by physicians and the professional education of physicians in the use of mammography are discussed.

  18. Computational assessment of mammography accreditation phantom images and correlation with human observer analysis

    Science.gov (United States)

    Barufaldi, Bruno; Lau, Kristen C.; Schiabel, Homero; Maidment, D. A.

    2015-03-01

    Routine performance of basic test procedures and dose measurements are essential for assuring high quality of mammograms. International guidelines recommend that breast care providers ascertain that mammography systems produce a constant high quality image, using as low a radiation dose as is reasonably achievable. The main purpose of this research is to develop a framework to monitor radiation dose and image quality in a mixed breast screening and diagnostic imaging environment using an automated tracking system. This study presents a module of this framework, consisting of a computerized system to measure the image quality of the American College of Radiology mammography accreditation phantom. The methods developed combine correlation approaches, matched filters, and data mining techniques. These methods have been used to analyze radiological images of the accreditation phantom. The classification of structures of interest is based upon reports produced by four trained readers. As previously reported, human observers demonstrate great variation in their analysis due to the subjectivity of human visual inspection. The software tool was trained with three sets of 60 phantom images in order to generate decision trees using the software WEKA (Waikato Environment for Knowledge Analysis). When tested with 240 images during the classification step, the tool correctly classified 88%, 99%, and 98%, of fibers, speck groups and masses, respectively. The variation between the computer classification and human reading was comparable to the variation between human readers. This computerized system not only automates the quality control procedure in mammography, but also decreases the subjectivity in the expert evaluation of the phantom images.

  19. The effects of gray scale image processing on digital mammography interpretation performance.

    Science.gov (United States)

    Cole, Elodia B; Pisano, Etta D; Zeng, Donglin; Muller, Keith; Aylward, Stephen R; Park, Sungwook; Kuzmiak, Cherie; Koomen, Marcia; Pavic, Dag; Walsh, Ruth; Baker, Jay; Gimenez, Edgardo I; Freimanis, Rita

    2005-05-01

    To determine the effects of three image-processing algorithms on diagnostic accuracy of digital mammography in comparison with conventional screen-film mammography. A total of 201 cases consisting of nonprocessed soft copy versions of the digital mammograms acquired from GE, Fischer, and Trex digital mammography systems (1997-1999) and conventional screen-film mammograms of the same patients were interpreted by nine radiologists. The raw digital data were processed with each of three different image-processing algorithms creating three presentations-manufacturer's default (applied and laser printed to film by each of the manufacturers), MUSICA, and PLAHE-were presented in soft copy display. There were three radiologists per presentation. Area under the receiver operating characteristic curve for GE digital mass cases was worse than screen-film for all digital presentations. The area under the receiver operating characteristic for Trex digital mass cases was better, but only with images processed with the manufacturer's default algorithm. Sensitivity for GE digital mass cases was worse than screen film for all digital presentations. Specificity for Fischer digital calcifications cases was worse than screen film for images processed in default and PLAHE algorithms. Specificity for Trex digital calcifications cases was worse than screen film for images processed with MUSICA. Specific image-processing algorithms may be necessary for optimal presentation for interpretation based on machine and lesion type.

  20. Clinical usefulness of breast-specific gamma imaging as an adjunct modality to mammography for diagnosis of breast cancer: a systemic review and meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Sun, Yu.; Wei, Wei; Yang, Hua-Wei; Liu, Jian-Lun [Affiliated Cancer Hospital of Guangxi Medical University, Department of Breast Surgery of Guangxi Cancer Hospital, Nanning, Guangxi (China)

    2013-03-15

    The purpose of this study was to assess the diagnostic performance of breast-specific gamma imaging (BSGI) as an adjunct modality to mammography for detecting breast cancer. Comprehensive searches of MEDLINE (1984 to August 2012) and EMBASE (1994 to August 2012) were performed. A summary receiver operating characteristic curve (SROC) was constructed to summarize the overall test performance of BSGI. The sensitivities for detecting subcentimetre cancer and ductal carcinoma in situ (DCIS) were pooled. The potential of BSGI to complement mammography was also evaluated by identifying mammography-occult breast cancer. Analysis of the studies revealed that the overall validity estimates of BSGI in detecting breast cancer were as follows: sensitivity 95 % (95 % CI 93-96 %), specificity 80 % (95 % CI 78-82 %), positive likelihood ratio 4.63 (95 % CI 3.13-6.85), negative likelihood ratio 0.08 (95 % CI 0.05-0.14), and diagnostic odds ratio 56.67 (95 % CI 26.68-120.34). The area under the SROC was 0.9552 and the Q* point was 0.8977. The pooled sensitivities for detecting subcentimetre cancer and DCIS were 84 % (95 % CI 80-88 %) and 88 % (95 % CI 81-92 %), respectively. Among patients with normal mammography, 4 % were diagnosed with breast cancer by BSGI, and among those with mammography suggestive of malignancy or new biopsy-proven breast cancer, 6 % were diagnosed with additional cancers in the breast by BSGI. BSGI had a high diagnostic performance as an excellent adjunct modality to mammography for detecting breast cancer. The ability to identify subcentimetre cancer and DCIS was also high. (orig.)

  1. Retrospective analysis on malignant calcification previously misdiagnosed as benign on screening mammography

    Energy Technology Data Exchange (ETDEWEB)

    Ha, Su Min [Dept. of Radiology, Research Institute of Radiology, Chung Ang University Hospital, Seoul(Korea, Republic of); Cha, Joo Hee; Kim, Hak Hee; Shin, Hee Jung; Chae, Eun Young; Choi, Woo Jung [Dept. of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2017-04-15

    The purpose of our study was to investigate the morphology and distribution of calcifications initially interpreted as benign or probably benign, but proven to be malignant by subsequent stereotactic biopsy, and to identify the reason for misinterpretation or underestimation at the initial diagnosis. Out of 567 women who underwent stereotactic biopsy for calcifications at our hospital between January 2012 and December 2014, 167 women were diagnosed with malignancy. Forty-six of these 167 women had previous mammography assessed as benign or probably benign which was changed to suspicious malignancy on follow-up mammography. Of these 46 women, three women with biopsy-proven benign calcifications at the site of subsequent cancer were excluded, and 43 patients were finally included. The calcifications (morphology, distribution, extent, associated findings) in the previous and follow-up mammography examinations were analyzed according to the Breast Imaging Reporting and Data System (BI-RADS) lexicon and assessment category. We classified the patients into two groups: 1) group A patients who were still retrospectively re-categorized as less than or equal to BI-RADS 3 and 2) group B patients who were re-categorized as equal to or higher than BI-RADS 4a and whose results should have prompted previous diagnostic assessment. In the follow-up mammography examinations, change in calcification morphology (n = 27, 63%) was the most frequent cause of assessment change. The most frequent previous mammographic findings of malignant calcification were amorphous morphology (n = 26, 60%) and grouped distribution (n = 36, 84%). The most frequent calcification findings at reassessment were amorphous morphology (n = 4, 9%), fine pleomorphic calcification (n = 30, 70%), grouped distribution (n = 23, 53%), and segmental calcification (n = 12, 28%). There were 33 (77%) patients in group A, and 10 patients (23%) in group B. Amorphous morphology and grouped distribution were the most frequent

  2. Performance of First Mammography Examination in Women Younger Than 40 Years

    Science.gov (United States)

    Haneuse, Sebastien; Kapp, Julie M.; Kerlikowske, Karla; Geller, Berta; Buist, Diana S. M.

    2010-01-01

    Background Few data have been published on mammography performance in women who are younger than 40 years. Methods We pooled data from six mammography registries across the United States from the Breast Cancer Surveillance Consortium. We included 117 738 women who were aged 18–39 years when they had their first screening or diagnostic mammogram during 1995–2005 and followed them for 1 year to determine accuracy of mammography assessment. We measured the recall rate for screening examinations and the sensitivity, specificity, positive predictive value, and cancer detection rate for all mammograms. Results For screening mammograms, no cancers were detected in 637 mammograms for women aged 18–24 years. For women aged 35–39 years who had the largest number of screening mammograms (n = 73 335) in this study, the recall rate was 12.7% (95% confidence interval [CI] = 12.4% to 12.9%), sensitivity was 76.1% (95% CI = 69.2% to 82.6%), specificity was 87.5% (95% CI = 87.2% to 87.7%), positive predictive value was 1.3% (95% CI = 1.1% to 1.5%), and cancer detection rate was 1.6 cancers per 1000 mammograms (95% CI = 1.3 to 1.9 cancers per 1000 mammograms). Most (67 468 [77.7%]) of the 86 871 women screened reported no family history of breast cancer. For diagnostic mammograms, the age-adjusted rates across all age groups were: sensitivity of 85.7% (95% CI = 82.7% to 88.7%), specificity of 88.8% (95% CI = 88.4% to 89.1%), positive predictive value of 14.6% (95% CI = 13.3% to 15.8%), and cancer detection rate of 14.3 cancers per 1000 mammograms (95% CI = 13.0 to 15.7 cancers per 1000 mammograms). Mammography performance, except for specificity, improved in the presence of a breast lump. Conclusions Younger women have very low breast cancer rates but after mammography experience high recall rates, high rates of additional imaging, and low cancer detection rates. We found no cancers in women younger than 25 years and poor performance for the large group of women aged

  3. 3.0 Tesla breast magnetic resonance imaging in patients with nipple discharge when mammography and ultrasound fail.

    Science.gov (United States)

    Lubina, Nóra; Schedelbeck, Ulla; Roth, Anne; Weng, Andreas Max; Geissinger, Eva; Hönig, Arnd; Hahn, Dietbert; Bley, Thorsten Alexander

    2015-05-01

    To compare 3.0 Tesla breast magnetic resonance imaging (MRI) with galactography for detection of benign and malignant causes of nipple discharge in patients with negative mammography and ultrasound. We prospectively evaluated 56 breasts of 50 consecutive patients with nipple discharge who had inconspicuous mammography and ultrasound, using 3.0 Tesla breast MRI with a dedicated 16-channel breast coil, and then compared the results with galactography. Histopathological diagnoses and follow-ups were used as reference standard. Lesion size estimated on MRI was compared with the size at histopathology. Sensitivity and specificity of MRI vs. galactography for detecting pathologic findings were 95.7 % vs. 85.7 % and 69.7 % vs. 33.3 %, respectively. For the supposed concrete pathology based on MRI findings, the specificity was 67.6 % and the sensitivity 77.3 % (PPV 60.7 %, NPV 82.1 %). Eight malignant lesions were detected (14.8 %). The estimated size at breast MRI showed excellent correlation with the size at histopathology (Pearson's correlation coefficient 0.95, p Tesla is an accurate imaging test and can replace galactography in the workup of nipple discharge in patients with inconspicuous mammography and ultrasound. • Breast MRI is an excellent diagnostic tool for patients with nipple discharge. • MRI of the breast reveals malignant lesions despite inconspicuous mammography and ultrasound. • MRI of the breast has greater sensitivity and specificity than galactography. • Excellent correlation of lesion size measured at MRI and histopathology was found.

  4. Application value of mammography combined with ultrasound in benign and malignant breast diseases%乳腺钼钯结合超声在乳腺良、恶性疾病中的应用价值

    Institute of Scientific and Technical Information of China (English)

    张君华; 张连江; 陈才霞

    2016-01-01

    Objective:To explore the application value of mammography combined with ultrasound in benign and malignant breast diseases.Methods:The clinical data of 100 cases of patients with breast neoplasms were analyzed retrospectively and the imaging features of mammography and ultrasonography were analyzed.Results:The diagnostic accuracy of mammography was 75.9%,the diagnostic accuracy of ultrasonography was 83.1%,and the diagnostic accuracy of mammography combined with ultrasound was 92.3% .Conclusion:Mammography combined with ultrasound could improve the diagnostic accuracy for breast neoplasms effectively and had good clinical application effect.%目的:探讨乳腺钼钯结合超声在乳腺良、恶性疾病中的应用价值。方法:回顾性分析收治的乳腺肿瘤患者100例的临床资料,分析乳腺钼钯技术和超声的影像表现。结果:乳腺钼钯诊断准确率75.9%,超声诊断准确率83.1%,乳腺钼钯结合超声诊断准确率92.3%。结论:乳腺钼钯结合超声能有效提高对乳腺肿瘤检测的准确率,临床应用效果良好。

  5. A prospective assessment of racial/ethnic differences in future mammography behavior among women who had early mammography

    Science.gov (United States)

    Kapp, Julie M.; Walker, Rod; Haneuse, Sebastien; Yankaskas, Bonnie C.

    2011-01-01

    BACKGROUND 29% of women aged 30-39 report having had a mammogram though sensitivity and specificity are low. We investigate racial/ethnic differences in future mammography behavior among women who had a baseline screening mammogram prior to age 40. METHODS Using 1994-2008 data from the Breast Cancer Surveillance Consortium (BCSC), we identified 29,390 women ages 35-39 with a baseline screening mammogram. We followed this cohort for two outcomes: (1) future BCSC mammography between ages 40-45; and (2) among those, delay in screening mammography until ages 43-45 compared to 40-42. Using adjusted log-linear models, we estimated the relative risk (RR) of these outcomes by race/ethnicity, while also considering the impact of false positive/true negative (FP/TN) baseline mammography results on these outcomes. RESULTS Relative to non-Hispanic white women, Hispanic women had an increased risk of no future BCSC mammography (RR: 1.21, 95% confidence interval (CI): 1.13-1.30); Asian women had a decreased risk (RR: 0.67, 95% CI: 0.61-0.74). Women with a FP, compared to TN, had a decreased risk of no future BCSC mammography (RR: 0.89, 95% CI: 0.85-0.95). Among those with future BCSC screening mammography, African American women were more likely to delay the timing (RR: 1.26, 95% CI: 1.09-1.45). The interaction between race/ethnicity and FP/TN baseline results was not significant. CONCLUSIONS Race/ethnicity is differentially associated with future BCSC mammography and the timing of screening mammography after age 40. IMPACT These findings introduce the need for research that examines disparities in lifetime mammography use patterns from the initiation of mammography screening. PMID:21242330

  6. Diagnostic value of color Doppler ultrasonography and full-field digital mammography for benign and malignant breast lesions%彩色多普勒超声与全数字化乳腺摄影对乳腺良恶性病变的诊断价值

    Institute of Scientific and Technical Information of China (English)

    王明军; 杨德华; 于龙飞; 辛世杰; 段志泉

    2011-01-01

    目的 探讨彩色多普勒超声(CDU)与全数字化乳腺摄影(FFDM)对乳腺良恶性病变诊断与鉴别诊断的价值.方法 回顾性分析经手术和病理证实的107例乳腺良性病变和100例乳腺癌患者的临床资料.将患者术前CDU和FFDM检查结果与最后诊断对比,评价两项检查方法各自的准确性及两项联合的诊断效能.结果 所有患者术前均行CDU和FFDM检查,CDU、FFDM及两项联合对乳腺癌诊断的敏感性、特异性分别为88%和82.24%;89%和75.7%;97%和88.78%.经ROC分析,对乳腺良恶性病变诊断的整体准确性依次为两项联合> CDU> FFDM.CDU,FFDM对乳腺癌肿块影显示率分别为95%和70%,两者差异有统计学意义(P<0.01).对绝经前、后乳腺癌检出率,CDU分别为93.5%和83.3%(P>0.05),FFDM分别为80.4%和96.3%(P<0.05).绝经前乳腺癌检出率CDU与FFDM无明显差异(P>0.05),绝经后乳腺癌检出率FFDM高于CDU(P<0.05).结论 CDU检查对肿块敏感性高,FFDM对绝经后乳腺癌的检出率高;两者联用可提高对乳腺良恶性病变诊断的整体准确性,降低误诊率和漏诊率.%Objective To investigate the value of color Doppler ultrasonography ( CDU) and full-field digital mammography ( FFDM ) in diagnosis and differential diagnosis of benign and malignant breast lesions. Methods Retrospective analysis was performed on the clinical data of 107 patients with benign breast lesions and 100 patients with breast cancer, which were confirmed by surgical and pathological findings. The results of CDU and FFDM examination of the patients before operation were compared with the final diagnoses to assess the accuracy of the two methods and the diagnostic efficacy of their combination. Results All the patients underwent both CDU and FFDM examinations. The sensitivity and specificity was 88% and 82.84% for CDU, 89% and 75. 7% for FFDM, and 97% and 88. 78% for combination of CDU and FFDM, respectively. Based on

  7. Patterns and determinants of mammography screening in Lebanese women

    Directory of Open Access Journals (Sweden)

    Nadia Elias

    2017-03-01

    Providing mammography free-of-charge may alleviate some obstacles among women with socio-economic disadvantage. Stressing that good results one year do not make the cancer less likely or repeating the test less important, as well as improving the comfort of mammography testing could ensure test repeating.

  8. THE VALUE OF ULTRASOUND MAMMOGRAPHY IN PALPABLE BREAST MASSES

    NARCIS (Netherlands)

    VANOORD, JC; VANDERVLIET, AM; THYN, CJP; MAK, B; HOOGEBOOM, GJ

    1991-01-01

    Between January 1987 and May 1988 a prospective study was carried out on 232 women with a palpable breast mass. They underwent physical examination, x-ray mammography and ultrasound mammography. The results of each study were interpreted independently by separate observers, and consensus was achieve

  9. Screening Mammography Utilization in Tennessee Women: The Association with Residence

    Science.gov (United States)

    Brown, Kathleen C.; Fitzhugh, Eugene C.; Neutens, James J.; Klein, Diane A.

    2009-01-01

    Context: Approximately 70% of US women over age 40 report mammography screening within 2 years. However, rates are likely to vary by age, income, educational level, and residence. Purpose: To describe the prevalence of screening mammography and associated factors in women living in rural and urban areas of Tennessee. Methods: Using pooled data…

  10. Breast density and outcome of mammography screening: a cohort study

    DEFF Research Database (Denmark)

    Olsen, A H; Bihrmann, K; Jensen, M-B

    2009-01-01

    The purpose of this study was to investigate the effect of breast density on breast cancer (BC) mortality in a mammography screening programme. The cohort included 48 052 women participating in mammography screening in Copenhagen, Denmark, where biennial screening is offered to women aged 50-69 y...

  11. Shapelet analysis of pupil dilation for modeling visuo-cognitive behavior in screening mammography

    Science.gov (United States)

    Alamudun, Folami; Yoon, Hong-Jun; Hammond, Tracy; Hudson, Kathy; Morin-Ducote, Garnetta; Tourassi, Georgia

    2016-03-01

    Our objective is to improve understanding of visuo-cognitive behavior in screening mammography under clinically equivalent experimental conditions. To this end, we examined pupillometric data, acquired using a head-mounted eye-tracking device, from 10 image readers (three breast-imaging radiologists and seven Radiology residents), and their corresponding diagnostic decisions for 100 screening mammograms. The corpus of mammograms comprised cases of varied pathology and breast parenchymal density. We investigated the relationship between pupillometric fluctuations, experienced by an image reader during mammographic screening, indicative of changes in mental workload, the pathological characteristics of a mammographic case, and the image readers' diagnostic decision and overall task performance. To answer these questions, we extract features from pupillometric data, and additionally applied time series shapelet analysis to extract discriminative patterns in changes in pupil dilation. Our results show that pupillometric measures are adequate predictors of mammographic case pathology, and image readers' diagnostic decision and performance with an average accuracy of 80%.

  12. Influence of the radiographer on the pain felt during mammography

    Energy Technology Data Exchange (ETDEWEB)

    Goethem, M. van; Verslegers, I.; Biltjes, I.; De Schepper, A. [Department of Radiology, University of Antwerp (UZA), Wilrijkstraat 10, 2650 Edegem (Belgium); Mortelmans, D.; Bruyninckx, E.; Hove, E. Van [Department of Political and Social Sciences, Department PSW, University of Antwerp (UIA), Universiteitsplein 1, 2610 Wilrijk (Belgium)

    2003-10-01

    Mammography is the only useful examination in screening for breast cancer. Mortality from breast cancer can be reduced if women go regularly for a screening mammography. Moreover, it is still the key examination in diagnosis of breast diseases and in the follow-up of patients treated for breast cancer. Pain with mammography can deter women from going for regular screening or follow-up; therefore, it is important to reduce pain experience or discomfort from mammography. In this study we evaluate the impact of the ''radiographer'' on the pain risk during mammography by analysing questionnaires filled in by women and radiographers. Study results reveal that the opinion of the radiographer, the information and communication during the examination and the number of years of experience are important factors in pain and discomfort experience. The attitude of the radiographer plays an important role in the pain experience. (orig.)

  13. Influence of the radiographer on the pain felt during mammography.

    Science.gov (United States)

    Van Goethem, M; Mortelmans, D; Bruyninckx, E; Verslegers, I; Biltjes, I; Van Hove, E; De Schepper, A

    2003-10-01

    Mammography is the only useful examination in screening for breast cancer. Mortality from breast cancer can be reduced if women go regularly for a screening mammography. Moreover, it is still the key examination in diagnosis of breast diseases and in the follow-up of patients treated for breast cancer. Pain with mammography can deter women from going for regular screening or follow-up; therefore, it is important to reduce pain experience or discomfort from mammography. In this study we evaluate the impact of the "radiographer" on the pain risk during mammography by analysing questionnaires filled in by women and radiographers. Study results reveal that the opinion of the radiographer, the information and communication during the examination and the number of years of experience are important factors in pain and discomfort experience. The attitude of the radiographer plays an important role in the pain experience.

  14. Programme level implementation of malaria rapid diagnostic tests (RDTs use: outcomes and cost of training health workers at lower level health care facilities in Uganda

    Directory of Open Access Journals (Sweden)

    Kyabayinze Daniel J

    2012-04-01

    Full Text Available Abstract Background The training of health workers in the use of malaria rapid diagnostic tests (RDTs is an important component of a wider strategy to improve parasite-based malaria diagnosis at lower level health care facilities (LLHFs where microscopy is not readily available for all patients with suspected malaria. This study describes the process and cost of training to attain competence of lower level health workers to perform malaria RDTs in a public health system setting in eastern Uganda. Methods Health workers from 21 health facilities in Uganda were given a one-day central training on the use of RDTs in malaria case management, including practical skills on how to perform read and interpret the test results. Successful trainees subsequently integrated the use of RDTs into their routine care for febrile patients at their LLHFs and transferred their acquired skills to colleagues (cascade training model. A cross-sectional evaluation of the health workers’ competence in performing RDTs was conducted six weeks following the training, incorporating observation, in-depth interviews with health workers and the review of health facility records relating to tests offered and antimalarial drug (AMD prescriptions pre and post training. The direct costs relating to the training processes were also documented. Results Overall, 135 health workers were trained including 63 (47% nursing assistants, a group of care providers without formal medical training. All trainees passed the post-training concordance test with ≥ 80% except 12 that required re-training. Six weeks after the one-day training, 51/64 (80% of the health workers accurately performed the critical steps in performing the RDT. The performance was similar among the 10 (16% participants who were peer-trained by their trained colleagues. Only 9 (14% did not draw the appropriate amount of blood using pipette. The average cost of the one-day training was US$ 101 (range $92-$112, with the

  15. TL dosimetry for quality control of CR mammography imaging systems

    Science.gov (United States)

    Gaona, E.; Nieto, J. A.; Góngora, J. A. I. D.; Arreola, M.; Enríquez, J. G. F.

    The aim of this work is to estimate the average glandular dose with thermoluminescent (TL) dosimetry and comparison with quality imaging in computed radiography (CR) mammography. For a measuring dose, the Food and Drug Administration (FDA) and the American College of Radiology (ACR) use a phantom, so that dose and image quality are assessed with the same test object. The mammography is a radiological image to visualize early biological manifestations of breast cancer. Digital systems have two types of image-capturing devices, full field digital mammography (FFDM) and CR mammography. In Mexico, there are several CR mammography systems in clinical use, but only one system has been approved for use by the FDA. Mammography CR uses a photostimulable phosphor detector (PSP) system. Most CR plates are made of 85% BaFBr and 15% BaFI doped with europium (Eu) commonly called barium flourohalideE We carry out an exploratory survey of six CR mammography units from three different manufacturers and six dedicated X-ray mammography units with fully automatic exposure. The results show three CR mammography units (50%) have a dose greater than 3.0 mGy without demonstrating improved image quality. The differences between doses averages from TLD system and dosimeter with ionization chamber are less than 10%. TLD system is a good option for average glandular dose measurement for X-rays with a HVL (0.35-0.38 mmAl) and kVp (24-26) used in quality control procedures with ACR Mammography Accreditation Phantom.

  16. Thyroid absorbed dose using TLDs during mammography

    Energy Technology Data Exchange (ETDEWEB)

    Gonzalez A, M.; Melendez L, M. [IPN, Centro de Investigacion y de Estudios Avanzados, Av. IPN 2508, Col. San Pedro Zacatenco, 07360 Mexico D. F. (Mexico); Davila M, P., E-mail: biomedica.sst@gmail.com [UNEME-DEDICAM de Ciudad Victoria, Circuito Medico s/n, 87087 Ciudad Victoria, Tamaulipas (Mexico)

    2015-10-15

    Full text: In this study, the mean glandular dose (MGD) and the thyroid dose (D Thy) were measured in 200 women screened with mammography in Cranio caudal (Cc) and mediolateral oblique projections. All mammograms were performed with Giotto-Ims (6000-14-M2 Model) equipment, which was verified to meet the criteria of quality of NOM-229-Ssa-2002. During audits performance and HVL, for each anode filter combinations was measured with the camera Radcal mammography equipment 10 X 6-6M (HVL = 0.26 mm Al). D Thy measurements were performed with TLD dosimeters (LiF:Mn) , that were read with the Harshaw 3500 TLD reader. The MGD, was obtained according to the UK and European protocols for mammographic dosimetry using a plane parallel chamber (Standard Imaging, Model A-600) calibrated by a radiation beam UW-23-Mo (= 0.279 mm Al HVL). A comparative statistical analysis was carried out with the measured MGD and D thy. The thyroid mean dose was 0.063 mGy and 0.078 mGy for Cc and mediolateral oblique respectively. There is a linear correlation between the MGD and the D Thy slightly influenced by the anode-filter combination. Using a 95% for the confidence interval in MGD (1.07 mGy), the 90% of measurements are in agreement with the established uncertainty limits. The D Thy are lower than the MGD. There is no risk for cancer induction in thyroid in women due to mammography screening. (Author)

  17. Colour application on mammography image segmentation

    Science.gov (United States)

    Embong, R.; Aziz, N. M. Nik Ab.; Karim, A. H. Abd; Ibrahim, M. R.

    2017-09-01

    The segmentation process is one of the most important steps in image processing and computer vision since it is vital in the initial stage of image analysis. Segmentation of medical images involves complex structures and it requires precise segmentation result which is necessary for clinical diagnosis such as the detection of tumour, oedema, and necrotic tissues. Since mammography images are grayscale, researchers are looking at the effect of colour in the segmentation process of medical images. Colour is known to play a significant role in the perception of object boundaries in non-medical colour images. Processing colour images require handling more data, hence providing a richer description of objects in the scene. Colour images contain ten percent (10%) additional edge information as compared to their grayscale counterparts. Nevertheless, edge detection in colour image is more challenging than grayscale image as colour space is considered as a vector space. In this study, we implemented red, green, yellow, and blue colour maps to grayscale mammography images with the purpose of testing the effect of colours on the segmentation of abnormality regions in the mammography images. We applied the segmentation process using the Fuzzy C-means algorithm and evaluated the percentage of average relative error of area for each colour type. The results showed that all segmentation with the colour map can be done successfully even for blurred and noisy images. Also the size of the area of the abnormality region is reduced when compare to the segmentation area without the colour map. The green colour map segmentation produced the smallest percentage of average relative error (10.009%) while yellow colour map segmentation gave the largest percentage of relative error (11.367%).

  18. 全数字化乳腺点压摄影诊断致密型乳腺中乳腺癌%Digital spot mammography for breast cancer in dense breasts

    Institute of Scientific and Technical Information of China (English)

    杜牧; 曹满瑞; 赵弘; 张方璟; 朱志军

    2011-01-01

    目的 探讨数字化乳腺点压摄影对致密型乳腺的乳腺癌的诊断价值.方法 对68例致密型乳腺的乳腺癌患者经全数字化乳腺X线检查常规检查(首尾位及内外斜位)后,对触诊异常区域加摄无放大点压摄影,分别分析常规摄影和点压摄影的影像表现并进行对比.结果 点压摄影在肿块显示、毛刺显示方面明显优于常规摄影.两种方法对钙化的显示率无显著差别,但在显示钙化数量、大小、形态及密度等具体特征方面,压点摄影优于常规摄影.4例常规摄影显示乳腺结构扭曲的患者,点压摄影可见小肿块;5例常规摄影显示乳腺局灶性不对称患者,点压摄影均可见肿块.点压摄影的诊断准确率(86.76%)高于常规摄影(63.24%),漏诊及误诊率(4.41%)低于常规摄影(14.70%).结论 常规乳腺摄影结合点压摄影能够明显提高致密型乳腺的乳腺癌的诊断准确率.%Objective To observe the diagnostic value of digital spot mammography for breast cancer in dense breasts.Methods Sixty-eight patients with breast cancer in dense breasts proved pathologicaly were enrolled. After conventional digital mammography (including craniocaudal view and midiolateral oblique view) were conducted for every patient, digital spot mammography without magnification were performed in the suspected area. The image findings of both digital spot mammography and conventional mammography were analyzed and compared. Results Digital spot mammography was superior to conventional mammography in showing the margin and spiculated features of masses. There was no significant difference in showing calcification of tumors, whereas digital spot mammography was superior to conventional mammography in showing the specific features of calcification like quantity, size, shape and density. Masses were found with digital spot mammography in 4 cases of architectural distortion and 5 cases of focal asymmetric density on conventional mammography

  19. A PET imaging system dedicated to mammography

    CERN Document Server

    Varela, J

    2007-01-01

    The imaging system Clear-PEM for positron emission mammography, under development within the framework of the Crystal Clear Collaboration at CERN, is presented. The detector is based on pixelized LYSO crystals optically coupled to avalanche photodiodes (APD) and readout by a fast low-noise electronic system. A dedicated digital trigger and data acquisition system is used for on-line selection of coincidence events with high efficiency, large bandwidth and negligible dead-time. The detector module performance was characterized in detail.

  20. Staging mammography nonadherent women: a qualitative study.

    Science.gov (United States)

    LaPelle, Nancy; Costanza, Mary E; Luckmann, Roger; Rosal, Milagros C; White, Mary Jo; Stark, Jennifer Rider

    2008-01-01

    Few studies have related stages of mammography screening nonadherence with the rationale used by overdue women. We used a grounded theory approach to obtain and analyze data from focus groups, telephone interviews, and surveys. Emergent specific themes were compared with emerging decision levels of nonadherence. Each decision level was then compared with the Precaution Adoption Process Model and the Transtheoretical Model. A total of 6 key themes influencing mammogram nonadherence emerged as did 6 decision levels. Variability within themes was associated with specific decision levels. The decision levels were not adequately classified by either stage model. Stage-based educational strategies may benefit by tailoring interventions to these 6 decision levels.

  1. Optical mammography: bilateral breast symmetry in hemoglobin saturation maps

    Science.gov (United States)

    Anderson, Pamela G.; Sassaroli, Angelo; Kainerstorfer, Jana M.; Krishnamurthy, Nishanth; Kalli, Sirishma; Makim, Shital S.; Graham, Roger A.; Fantini, Sergio

    2016-10-01

    We present a study of the bilateral symmetry of human breast hemoglobin saturation maps measured with a broadband optical mammography instrument. We have imaged 21 patients with unilateral breast cancer, 32 patients with unilateral benign lesions, and 27 healthy patients. An image registration process was applied to the bilateral hemoglobin saturation (SO2) images by assigning each pixel to the low, middle, or high range of SO2 values, where the thresholds for the categories were the 15th and 85th percentiles of the individual saturation range. The Dice coefficient, which is a measure of similarity, was calculated for each patient's pair of right and left breast SO2 images. The invasive cancer patients were found to have an average Dice coefficient value of 0.55±0.07, which was significantly lower than the benign and healthy groups (0.61±0.11 and 0.62±0.12, respectively). Although differences were seen in a group analysis, the healthy patient Dice coefficients spanned a wide range, limiting the diagnostic capabilities of this SO2 symmetry analysis on an individual basis. Our results suggest that for assessing the SO2 contrast of breast lesions, it may be better to select a reference tissue in the ipsilateral rather than the contralateral breast.

  2. Idiopathic granulomatous mastitis: a diagnostic dilemma for the breast radiologist.

    Science.gov (United States)

    Sripathi, Smiti; Ayachit, Anurag; Bala, Archana; Kadavigere, Rajagopal; Kumar, Sandeep

    2016-08-01

    Idiopathic granulomatous mastitis is a chronic inflammatory disease of the breast, which is often difficult to differentiate both clinically and radiologically from infectious aetiologies such as tuberculosis, fungal infections, and also from malignancy, thus posing a diagnostic dilemma. We present a pictorial review of the commonly encountered imaging findings in idiopathic granulomatous mastitis on mammography and ultrasound. Mammographic and ultrasound findings of histopathologically proven cases of granulomatous mastitis are discussed. Idiopathic granulomatous mastitis has varied and non-specific appearances on ultrasound and mammography. Histopathology is essential to establish diagnosis. • Idiopathic granulomatous mastitis often poses a diagnostic dilemma for the radiologist by mimicking malignancy. • It has varied and non-specific appearances on mammography and ultrasound. • Histopathology is mandatory to establish the diagnosis and decide management.

  3. Interpretation of automated breast ultrasound (ABUS) with and without knowledge of mammography: a reader performance study.

    Science.gov (United States)

    Skaane, Per; Gullien, Randi; Eben, Ellen B; Sandhaug, Merete; Schulz-Wendtland, Ruediger; Stoeblen, Frank

    2015-04-01

    Automated breast ultrasonography (ABUS) has the potential to be an important adjunct to mammography in women with dense breasts. To compare reader performance and inter-observer variation of ABUS alone and in combination with mammography. This retrospective study had ethical committee approval. All women gave written informed consent. One hundred and fourteen breasts in 90 women examined by digital mammography and ABUS were interpreted by five radiologists using BI-RADS categories. The 114 breasts included 38 cancers and 76 normal or benign findings. In the first reading session ABUS only was interpreted, and in the second ABUS plus digital mammography. Image interpretations were done without knowledge of clinical or imaging results. A consensus panel analyzed false negative and false positive interpretations. Reading time was recorded for one radiologist. AUC was used for performance measurement, and kappa statistic for inter-observer variability. Mean size for cancers was 16.2 mm; area under the curve (AUC) values for ABUS alone and for combined reading were, respectively: reader A, 0.592-0.744; reader B, 0.740-0.947; reader, C 0.759-0.823; reader D, 0.670-0.688; reader E, 0.904-0.923; and all readers combined 0.730-0.823. The higher AUC for combined reading was statistically significant (P reader B and for all readers. There was a considerable inter-observer variability. Observer agreement revealed following kappa values for ABUS alone and combined reading, respectively: reader A, 0.22-0.30; reader B, 0.33-0.44; reader C, 0.32-0.39; reader D, 0.07-0.14; and reader E, 0.34-0.43. Shadowing from dense parenchyma was the most common cause of false positive ABUS interpretations. Mean interpretation time for a bilateral normal ABUS examination was 9 min. Observer agreement was higher and all radiologists improved diagnostic performance using combined ABUS and mammography interpretation. Combined reading should be standard if ABUS is implemented in screening of

  4. Quality control in digital mammography: the noise components

    Energy Technology Data Exchange (ETDEWEB)

    Leyton, Fernando [Universidade de Tarapaca, Arica (Chile). Centro de Estudios en Ciencias Radiologicas; Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Nogueira, Maria do Socorro, E-mail: mnogue@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Duran, Maria Paz [Clinica Alemana, Santiago (Chile). Dept. de Radiologia; Dantas, Marcelino, E-mail: marcelino@inb.gov.b [Industrias Nucleares do Brasil (INB), Caldas, MG (Brazil). Unidade de Tratamento de Minerios; Ubeda, Carlos, E-mail: cubeda@uta.c [Universidade de Tarapaca, Arica (Chile). Fac. de Ciencias de la Salud

    2011-07-01

    To measure the linearity of the detector and determine the noise components (quantum, electronic and structural noise) that contributed to losing image quality and to determine the signal noise ratio (SNR) and contrast noise ratio (CNR). This paper describes the results of the implementation of a protocol for quality control in digital mammography performed in two direct digital mammography equipment (Hologic, Selenia) in Santiago of Chile. Shows the results of linearity and noise analysis of the images which establishes the main cause of noise in the image of the mammogram to ensure the quality and optimize procedures. The study evaluated two digital mammography's Selenia, Hologic (DR) from Santiago, Chile. We conducted the assessment of linearity of the detector, the signal noise ratio, contrast noise ratio and was determined the contribution of different noise components (quantum, electronics and structural noise). Used different thicknesses used in clinical practice according to the protocol for quality control in digital mammography of Spanish society of medical physics and NHSBSP Equipment Report 0604 Version 3. The Selenia mammography software was used for the analysis of images and Unfors Xi detector for measuring doses. The mammography detector has a linear performance, the CNR and SNR did not comply with the Protocol for the thicknesses of 60 and 70 mm. The main contribution of the noise corresponds to the quantum noise, therefore it is necessary to adjust and optimize the mammography system. (author)

  5. Computer Aided Diagnosis in Digital Mammography

    Directory of Open Access Journals (Sweden)

    "H. Mirzaalian

    2005-08-01

    Full Text Available Introduction & Background: Breast cancer is a lead-ing cause of cancer deaths among women.Early de-tection is the most effective way to reduce mortality. Mammography is the best method for early detection. In order to improve the accuracy of interpretation of mammogram, Computer Aided Diagnosis (CAD sys-tems have been proposed. The main goal of this re-search is to implement one of the algorithms and techniques for the enhancement of mammogram for easier detection of abnormalities. Patients & Methods: In the presented algorithm, morphological methods are used first for removing artifacts. Then thresholding, labeling, and active con-tours methods are used to extract the breast region, which allow the search for abnormalities to be lim-ited to the region of the breast. Finally, Gaussian fil-ter and White Top Hat Transform is used for contrast enhancement of mammogram. This algorithm has been applied on 50 images from Mammography Im-age Analysis Society (MIAS. An expert radiologist then verified improvement on the processed images. Results and Conclusions: Implementing the presented algorithm causes easier and better interpretation of mammogram without increasing the number of false positive and false negative results. Because of the spe-cial shapes and statistical features of abnormal tex-tures, it is possible to apply pattern recognition and artificial intelligence techniques as an aid for diagnos-ing suspicious regions. Research on using some of these techniques to distinguish benign abnormalities from malignant ones is on the way.

  6. Classification of breast microcalcifications using spectral mammography

    Science.gov (United States)

    Ghammraoui, B.; Glick, S. J.

    2017-03-01

    Purpose: To investigate the potential of spectral mammography to distinguish between type I calcifications, consisting of calcium oxalate dihydrate or weddellite compounds that are more often associated with benign lesions, and type II calcifications containing hydroxyapatite which are predominantly associated with malignant tumors. Methods: Using a ray tracing algorithm, we simulated the total number of x-ray photons recorded by the detector at one pixel from a single pencil-beam projection through a breast of 50/50 (adipose/glandular) tissues with inserted microcalcifications of different types and sizes. Material decomposition using two energy bins was then applied to characterize the simulated calcifications into hydroxyapatite and weddellite using maximumlikelihood estimation, taking into account the polychromatic source, the detector response function and the energy dependent attenuation. Results: Simulation tests were carried out for different doses and calcification sizes for multiple realizations. The results were summarized using receiver operating characteristic (ROC) analysis with the area under the curve (AUC) taken as an overall indicator of discrimination performance and showing high AUC values up to 0.99. Conclusion: Our simulation results obtained for a uniform breast imaging phantom indicate that spectral mammography using two energy bins has the potential to be used as a non-invasive method for discrimination between type I and type II microcalcifications to improve early breast cancer diagnosis and reduce the number of unnecessary breast biopsies.

  7. Adding the power of iodinated contrast media to the credibility of mammography in breast cancer diagnosis.

    Science.gov (United States)

    Tsigginou, Alexandra; Gkali, Christina; Chalazonitis, Athanasios; Feida, Eleni; Vlachos, Dimitrios Efthymios; Zagouri, Flora; Rellias, Ioannis; Dimitrakakis, Constantine

    2016-11-01

    Dual-energy contrast-enhanced spectral mammography (CESM) represents a relatively new diagnostic tool adjunct to mammography. The aim of this study was to strengthen the breast imaging-reporting and data system (BIRADS) classification score in order to improve early breast cancer diagnosis. For this reason, we propose a sum score, termed malignancy potential score (MPS), incorporating the standard BIRADS score and our proposed CESM score. From September 2014 to September 2015, 216 females (age range, 26-85 years; mean age 54.6 years) underwent CESM evaluation of mammographic findings that were primarily assessed as BIRADS 2-5. 10 of these patients had bilateral findings; a total of 226 lesions were examined. High-energy image evaluation was based on the intensity of contrast enhancement of the lesion compared with background enhancement, categorized as Type -1, 0, 1 or 2 enhancement. Histopathology reports were compared with imaging assessment. 98 of 226 lesions were malignant and 128 of 226 lesions were benign. The area under the curve was 0.843, 0.888 and 0.917 for mammographic BIRADS score, CESM score and MPS, respectively, with p-value BIRADS score and our proposed type of enhancement in dual-energy CESM and is a diagnostic tool that increases the accuracy rate in early breast cancer diagnosis.

  8. Digital breast tomosynthesis versus mammography and breast ultrasound: a multireader performance study

    Energy Technology Data Exchange (ETDEWEB)

    Thibault, Fabienne; Malhaire, Caroline; Tardivon, Anne [Department of Radiology, Paris Cedex 05 (France); Dromain, Clarisse; Balleyguier, Corinne S. [Institut de cancerologie Gustave-Roussy, Department of Radiology, Villejuif (France); Breucq, Catherine [Universitair Ziekenhuis-VUB, Department of Radiology, Bruxelles (Belgium); Steyaert, Luc [Department of Radiology, Brugge (Belgium); Baldan, Enrica [Veneto Institute of Oncology (IOV)-IRCCS, Department of Radiology, Padua (Italy); Drevon, Harir [Numerus Ltd, Lyon (France)

    2013-09-15

    To compare the diagnostic performance of single-view breast tomosynthesis (BT) with that of dual-view mammography (MX); to assess the benefit of adding the craniocaudal (CC) mammographic view to BT, and of adding BT to MX plus breast ultrasound, considered to be the reference work-up. One hundred and fifty-five consenting patients with unresolved mammographic and/or ultrasound findings or breast symptoms underwent conventional work-up plus mediolateral oblique-view BT of the affected breast. The final study set in 130 patients resulted in 55 malignant and 76 benign and normal cases. Seven breast radiologists rated the cases through five sequential techniques using a BIRADS-based scale: MX, MX + ultrasound, MX + ultrasound + BT, BT, BT + MX(CC). Multireader, multicase receiver operating characteristic (ROC) analysis was performed and performance of the techniques was assessed from the areas under ROC curves. The performance of BT and of BT + MX(CC) was tested versus MX; the performance of MX + ultrasound + BT tested versus MX + ultrasound. Tomosynthesis was found to be non-inferior to mammography. BT + MX(CC) did not appear to be superior to MX, and MX + ultrasound + BT not superior to MX + ultrasound. Overall, none of the five techniques tested outperformed the others. Further clinical studies are needed to clarify the role of BT as a substitute for traditional work-up in the diagnostic environment. (orig.)

  9. An assessment of American Indian women's mammography experiences

    Directory of Open Access Journals (Sweden)

    Faseru Babalola

    2010-12-01

    Full Text Available Abstract Background Mortality from breast cancer has increased among American Indian/Alaskan Native (AI/AN women. Despite this alarming reality, AI/AN women have some of the lowest breast cancer screening rates. Only 37% of eligible AI/AN women report a mammogram within the last year and 52% report a mammogram within the last two years compared to 57% and 72% for White women. The experiences and satisfaction surrounding mammography for AI/AN women likely are different from that of women of other racial/ethnic groups, due to cultural differences and limited access to Indian Health Service sponsored mammography units. The overall goals of this study are to identify and understand the mammography experiences and experiential elements that relate to satisfaction or dissatisfaction with mammography services in an AI/AN population and to develop a culturally-tailored AI/AN mammography satisfaction survey. Methods and Design The three project aims that will be used to guide this work are: 1 To compare the mammography experiences and satisfaction with mammography services of Native American/Alaska Native women with that of Non-Hispanic White, Hispanic, and Black women, 2 To develop and validate the psychometric properties of an American Indian Mammography Survey, and 3 To assess variation among AI/AN women's assessments of their mammography experiences and mammography service satisfaction. Evaluations of racial/ethnic differences in mammography patient satisfaction have received little study, particularly among AI/AN women. As such, qualitative study is uniquely suited for an initial examination of their experiences because it will allow for a rich and in-depth identification and exploration of satisfaction elements. Discussion This formative research is an essential step in the development of a validated and culturally tailored AI/AN mammography satisfaction assessment. Results from this project will provide a springboard from which a maximally

  10. Trends in breast biopsy pathology diagnoses among women undergoing mammography in the United States: a report from the Breast Cancer Surveillance Consortium.

    Science.gov (United States)

    Allison, Kimberly H; Abraham, Linn A; Weaver, Donald L; Tosteson, Anna N A; Nelson, Heidi D; Onega, Tracy; Geller, Berta M; Kerlikowske, Karla; Carney, Patricia A; Ichikawa, Laura E; Buist, Diana S M; Elmore, Joann G

    2015-05-01

    Current data on the pathologic diagnoses of breast biopsy after mammography can inform patients, clinicians, and researchers about important population trends. Breast Cancer Surveillance Consortium data on 4,020,140 mammograms between 1996 and 2008 were linked to 76,567 pathology specimens. Trends in diagnoses in biopsies by time and risk factors (patient age, breast density, and family history of breast cancer) were examined for screening and diagnostic mammography (performed for a breast symptom or short-interval follow-up). Of the total mammograms, 88.5% were screening and 11.5% diagnostic; 1.2% of screening and 6.8% of diagnostic mammograms were followed by biopsies. The frequency of biopsies over time was stable after screening mammograms, but increased after diagnostic mammograms. For biopsies obtained after screening, frequencies of invasive carcinoma increased over time for women ages 40-49 and 60-69, Ductal carcinoma in situ (DCIS) increased for those ages 40-69, whereas benign diagnoses decreased for all ages. No trends in pathology diagnoses were found following diagnostic mammograms. Dense breast tissue was associated with high-risk lesions and DCIS relative to nondense breast tissue. Family history of breast cancer was associated with DCIS and invasive cancer. Although the frequency of breast biopsy after screening mammography has not changed over time, the percentages of biopsies with DCIS and invasive cancer diagnoses have increased. Among biopsies following mammography, women with dense breasts or family history of breast cancer were more likely to have high-risk lesions or invasive cancer. These findings are relevant to breast cancer screening and diagnostic practices. © 2015 American Cancer Society.

  11. Problems, solutions, and perspectives in the evaluation of interval cancers in Italian mammography screening programmes: a position paper from the Italian group for mammography screening (GISMa).

    Science.gov (United States)

    Bucchi, Lauro; Frigerio, Alfonso; Zorzi, Manuel; Fedato, Chiara; Angiolucci, Giovanni; Bernardi, Daniela; Campari, Cinzia; Crocetti, Emanuele; Ferretti, Stefano; Giorgi, Daniela; Marchisio, Francesca; Morrone, Doralba; Naldoni, Carlo; Petrella, Marco; Ponti, Antonio; Ravaioli, Alessandra; Saguatti, Gianni; Santini, Dolores; Sassoli de Bianchi, Priscilla; Serafini, Monica; Vergini, Viviana; Giordano, Livia

    2015-01-01

    , finally, analysis could be restricted to the absolute incidence rate of IBC, which would make comparison of the risk between neighbouring populations possible. Epidemiologists must extend their attention to the prevention of the risk of IBC and the implementation of breast radiology quality assurance practices. Epidemiologists and radiologists can share common objectives: it is necessary to promote the idea that the availability of a registry-based series of IBCs is not a prerequisite for their radiological review; radiological review of breast cancers greater than 20mm in size detected at second and subsequent screens, that are potential substitutes for IBCs, needs radiological and epidemiological validation studies; the advent of digital mammography brings about the possibility to create libraries of mammograms accessible online, which enables the conduct of large studies of the diagnostic variability of radiologists; and, finally, epidemiologists and radiologists have the responsibility to monitor the effects that a loss of cumulative professional experience in screening centres, due to the imminent retirement of a substantial proportion of healthcare workforce, could cause on their performance.

  12. Course: general radiodiagnostics. Qualification to hand x-ray facilities with diagnostics purposes. Curso: radiodiagnostico general. Capacitacion para operar instalaciones de rayos X con fines diagnosticos

    Energy Technology Data Exchange (ETDEWEB)

    1993-01-01

    This book contains 13 lectures in order to teach personnel of x-ray facilities. The topics are: (1) Interaction photon-matter. (2) Characteristics of x-ray equipments. (3) Ionizing radiation detection. (4) Quality control of x-ray facilities. (5) Radiation effects of ionizing radiations. (6) Radiation protection. (7) Quality control of radiodiagnostic facilities. (81) Spanish legislation.

  13. Influence of advertisement on women's attitudes toward mammography screening.

    Science.gov (United States)

    Collins, C; Davis, L S; Rentz, K; Vannoy, D

    1997-01-01

    This project represents an effort to incorporate a feminist perspective into research on mammography screening. The purpose of this study was to assess women's attitudes toward four advertisements designed to encourage mammography screening. The goal was to create awareness about women's attitudes toward mammography advertisements in order to encourage the development of more effective and responsive motivational materials. The results indicated that each ad communicated different messages about the seriousness of breast cancer and the efficacy of mammography in detecting early breast cancer. Each ad also affected women differently regarding their feelings of control over breast cancer, their perceived loss of sex appeal resulting from a breast cancer diagnosis, and their general fear of breast cancer.

  14. Improvement of detectability of microcalcifications by magnification digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Higashida, Yoshiharu [Kumamoto Univ. (Japan). College of Medical Science; Hatemura, Masahiro; Yoshida, Akira; Takada, Takao; Takahashi, Mutsumasa

    1998-08-01

    Our aim in this study was to evaluate the potential utility of magnification mammography with a CR system by investigating the basic imaging parameters and detectability of microcalcifications in comparison with those of conventional screen-film systems. The basic imaging parameters were evaluated by measuring scatter fraction, modulation transfer function (MTF), Wiener spectrum, and incident dose for the various magnification factors. The detection of simulated microcalcifications in radiographs of a mammographic phantom and breast specimens were evaluated subjectively and quantitatively for screen-film and CR techniques with various magnification factors. The scatter fraction of digital magnification mammography decreased with increasing magnification factor. MTF of magnification digital mammography improved with increasing magnification factor. The detectability of microcalcifications with the CR system was significantly improved by magnification technique. From the above results, it is expected that the use of magnification mammography with a CR system will improve the detectability of microcalcification. (author)

  15. ROC study of screen-film mammography and storage phosphor digital mammography: analysis of nonconcordant classifications and implications for the approval of digital mammography systems

    Science.gov (United States)

    Freedman, Matthew T.; Artz, Dorothy S.; Hogge, Jacquelyn; Zuurbier, Rebecca A.; Jafroudi, Hamid; Lo, Shih-Chung B.; Mun, Seong K.

    1997-04-01

    A recently completed ROC study of digital mammography using a 100 micron pixel storage phosphor receptor showed that digital mammography and conventional screen film mammography were essentially equivalent in areas under the ROC curve. In this study, there were 24 biopsy proven breast cancer cases, 25 benign biopsy cases and 48 clinically normal breast images each with matched screen film and storage phosphor images. Fifteen of the 24 cancer cases were 10 mm or less in size. Of these 10 presented with microcalcifications as the sign of disease. Six radiologists not involved with the research program and without prior experience with digital mammography and who met qualification criteria under the Mammography Quality Standards Act of 1992 served as readers. This poster looks at the cases in which there was variance between the radiologists ROC classification system for the digital and screen film system in order to analyze case specific discrepancies that may indicate benefits or deficits of the digital system. Aspects of the ROC ratings are also analyzed including an evaluation of the different thresholds used by radiologists on the digital and screen film systems, the distribution of ROC ratings in normal and abnormal cases, the effect of using different gold standards of proof on the results and the effect of substituting an ACR BIRADS category agreement study as proposed by the FDA compared to the ROC study outcome.

  16. Variability and errors when applying the BIRADS mammography classification.

    Science.gov (United States)

    Boyer, Bruno; Canale, Sandra; Arfi-Rouche, Julia; Monzani, Quentin; Khaled, Wassef; Balleyguier, Corinne

    2013-03-01

    To standardize mammographic reporting, the American College of Radiology mammography developed the Breast Imaging Reporting and Data System (BIRADS) lexicon. However, wide variability is observed in practice in the application of the BIRADS terminology and this leads to classification errors. This review analyses the reasons for variations in BIRADS mammography, describes the types of errors made by readers with illustrated examples, and details BIRADS category 3 which is the most difficult category to use in practice.

  17. Benefits of visualization in the mammography problem

    DEFF Research Database (Denmark)

    Khan, Azam; Breslav, Simon; Glueck, Michael

    2015-01-01

    making under uncertainty. In an effort to improve decision making with Bayesian problems, previous work has studied supplementing the textual description of problems with visualizations, such as graphs and charts. However, results have been varied and generally indicate that visualization......Abstract Trying to make a decision between two outcomes, when there is some level of uncertainty, is inherently difficult because it involves probabilistic reasoning. Previous studies have shown that most people do not correctly apply Bayesian inference to solve probabilistic problems for decision...... is not an effective technique. As these studies were performed over many years with a variety of goals and experimental conditions, we sought to re-evaluate the use of visualization as an aid in solving Bayesian problems. Many of these studies used the classic Mammography Problem with visualizations portraying...

  18. Fundamental limits of positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.; Qi, Jinyi

    2001-06-01

    We explore the causes of performance limitation in positron emission mammography cameras. We compare two basic camera geometries containing the same volume of 511 keV photon detectors, one with a parallel plane geometry and another with a rectangular geometry. We find that both geometries have similar performance for the phantom imaged (in Monte Carlo simulation), even though the solid angle coverage of the rectangular camera is about 50 percent higher than the parallel plane camera. The reconstruction algorithm used significantly affects the resulting image; iterative methods significantly outperform the commonly used focal plane tomography. Finally, the characteristics of the tumor itself, specifically the absolute amount of radiotracer taken up by the tumor, will significantly affect the imaging performance.

  19. Instrumentation optimization for positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Moses, William W.; Qi, Jinyi

    2003-06-05

    The past several years have seen designs for PET cameras optimized to image the breast, commonly known as Positron Emission Mammography or PEM cameras. The guiding principal behind PEM instrumentation is that a camera whose field of view is restricted to a single breast has higher performance and lower cost than a conventional PET camera. The most common geometry is a pair of parallel planes of detector modules, although geometries that encircle the breast have also been proposed. The ability of the detector modules to measure the depth of interaction (DOI) is also a relevant feature. This paper finds that while both the additional solid angle coverage afforded by encircling the breast and the decreased blurring afforded by the DOI measurement improve performance, the ability to measure DOI is more important than the ability to encircle the breast.

  20. BIRADS{sup TM} classification in mammography

    Energy Technology Data Exchange (ETDEWEB)

    Balleyguier, Corinne [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France)]. E-mail: balleyguier@igr.fr; Ayadi, Salma [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Van Nguyen, Kim [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Vanel, Daniel [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Dromain, Clarisse [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France); Sigal, Robert [Department of Radiology, Institut de Cancerologie Gustave-Roussy, 39 rue Camille Desmoulins, 94805 Villejuif (France)

    2007-02-15

    The Breast Imaging Report and Data System (BIRADS) of the American College of Radiology (ACR) is today largely used in most of the countries where breast cancer screening is implemented. It is a tool defined to reduce variability between radiologists when creating the reports in mammography, ultrasonography or MRI. Some changes in the last version of the BIRADS{sup TM} have been included to reduce the inaccuracy of some categories, especially for category 4. The BIRADS{sup TM} includes a lexicon and descriptive diagrams of the anomalies, recommendations for the mammographic report as well as councils and examples of mammographic cases. This review describes the mammographic items of the BIRADS classification with its more recent developments, while detailing the advantages and limits of this classification.

  1. Screening for breast cancer with mammography

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C; Nielsen, Margrethe

    2009-01-01

    BACKGROUND: A variety of estimates of the benefits and harms of mammographic screening for breast cancer have been published and national policies vary. OBJECTIVES: To assess the effect of screening for breast cancer with mammography on mortality and morbidity. SEARCH STRATEGY: We searched Pub...... excluded a biased trial and included 600,000 women in the analyses. Three trials with adequate randomisation did not show a significant reduction in breast cancer mortality at 13 years (relative risk (RR) 0.90, 95% confidence interval (CI) 0.79 to 1.02); four trials with suboptimal randomisation showed...... a significant reduction in breast cancer mortality with an RR of 0.75 (95% CI 0.67 to 0.83). The RR for all seven trials combined was 0.81 (95% CI 0.74 to 0.87). We found that breast cancer mortality was an unreliable outcome that was biased in favour of screening, mainly because of differential...

  2. X-ray source for mammography

    Science.gov (United States)

    Logan, Clinton M.

    1994-01-01

    An x-ray source utilizing anode material which shifts the output spectrum to higher energy and thereby obtains higher penetrating ability for screening mammography application, than the currently utilized anode material. The currently used anode material (molybdenum) produces an energy x-ray spectrum of 17.5/19.6 keV, which using the anode material of this invention (e.g. silver, rhodium, and tungsten) the x-ray spectrum would be in the 20-35 keV region. Thus, the anode material of this invention provides for imaging of breasts with higher than average x-ray opacity without increase of the radiation dose, and thus reduces the risk of induced breast cancer due to the radiation dose administered for mammograms.

  3. X-ray light valve (XLV): a novel detectors' technology for digital mammography

    Science.gov (United States)

    Marcovici, Sorin; Sukhovatkin, Vlad; Oakham, Peter

    2014-03-01

    A novel method, based on X-ray Light Valve (XLV) technology, is proposed for making good image quality yet inexpensive flat panel detectors for digital mammography. The digital mammography markets, particularly in the developing countries, demand quality machines at substantially lower prices than the ones available today. Continuous pressure is applied on x-ray detectors' manufacturers to reduce the flat panel detectors' prices. XLV presents a unique opportunity to achieve the needed price - performance characteristics for direct conversion, x-ray detectors. The XLV based detectors combine the proven, superior, spatial resolution of a-Se with the simplicity and low cost of liquid crystals and optical scanning. The x-ray quanta absorbed by a 200 μm a-Se produce electron - hole pairs that move under an electric field to the top and bottom of a-Se layer. This 2D charge distribution creates at the interface with the liquid crystals a continuous (analog) charge image corresponding to the impinging radiation's information. Under the influence of local electrical charges next to them, the liquid crystals twist proportionally to the charges and vary their light reflectivity. A scanning light source illuminates the liquid crystals while an associated, pixilated photo-detector, having a 42 μm pixel size, captures the light reflected by the liquid crystals and converts it in16 bit words that are transmitted to the machine for image processing and display. The paper will describe a novel XLV, 25 cm x 30 cm, flat panel detector structure and its underlying physics as well as its preliminary performance measured on several engineering prototypes. In particular, the paper will present the results of measuring XLV detectors' DQE, MTF, dynamic range, low contrast resolution and dynamic behavior. Finally, the paper will introduce the new, low cost, XLV detector based, digital mammography machine under development at XLV Diagnostics Inc.

  4. Impact of full field digital mammography on the classification and mammographic characteristics of interval breast cancers

    Energy Technology Data Exchange (ETDEWEB)

    Knox, Mark, E-mail: marktknox@gmail.com; O’Brien, Angela, E-mail: angelaobrien@doctors.org.uk; Szabó, Endre, E-mail: endrebacsi@freemail.hu; Smith, Clare S., E-mail: csmith@mater.ie; Fenlon, Helen M., E-mail: helen.fenlon@cancerscreening.ie; McNicholas, Michelle M., E-mail: michelle.mcnicholas@cancerscreening.ie; Flanagan, Fidelma L., E-mail: fidelma.flanagan@cancerscreening.ie

    2015-06-15

    Highlights: • Digital mammography has changed the presentation of interval breast cancer. • Less interval breast cancers are associated with microcalcifications following FFDM. • Interval breast cancer audit remains a key feature of any breast screening program. - Abstract: Objective: Full field digital mammography (FFDM) is increasingly replacing screen film mammography (SFM) in breast screening programs. Interval breast cancers are an issue in all screening programs and the purpose of our study is to assess the impact of FFDM on the classification of interval breast cancers at independent blind review and to compare the mammographic features of interval cancers at FFDM and SFM. Materials and methods: This study included 138 cases of interval breast cancer, 76 following an FFDM screening examination and 62 following screening with SFM. The prior screening mammogram was assessed by each of five consultant breast radiologists who were blinded to the site of subsequent cancer. Subsequent review of the diagnostic mammogram was performed and cases were classified as missed, minimal signs, occult or true interval. Mammographic features of the interval cancer at diagnosis and any abnormality identified on the prior screening mammogram were recorded. Results: The percentages of cancers classified as missed at FFDM and SFM did not differ significantly, 10.5% (8 of 76) at FFDM and 8.1% (5 of 62) at SFM (p = .77). There were significantly less interval cancers presenting as microcalcifications (alone or in association with another abnormality) following screening with FFDM, 16% (12 of 76) than following a SFM examination, 32% (20 of 62) (p = .02). Conclusion: Interval breast cancers continue to pose a problem at FFDM. The switch to FFDM has changed the mammographic presentation of interval breast cancer, with less interval cancers presenting in association with microcalcifications.

  5. Identification, segmentation, and characterization of microcalcifications on mammography

    Science.gov (United States)

    Drukker, Karen; Malkov, Serghei; Avila, Jesus; Kerlikowske, Karla; Joe, Bonnie; Krings, Gregor; Creasman, Jennifer; Drukteinis, Jennifer S.; Pereira, Malesa M.; Kazemi, Leila; Shepherd, John; Giger, Maryellen

    2016-03-01

    The purpose was to develop a characterization method for breast lesions visible only as microcalcifications on digital mammography. The method involved 4 steps: 1) image preprocessing through morphological filtering, 2) un-supervised identification of microcalcifications in the region surrounding the radiologist-indicated location through k-means clustering, 3) segmentation of the identified microcalcifications using an active contour model, and 4) characterization by computer-extracted image-based phenotypes describing properties of individual microcalcifications, cluster, and surrounding parenchyma. The image-based phenotypes were investigated for their ability to distinguish - individually, i.e., without merging with other phenotypes with a classifier - between invasive breast cancers, in-situ (non-invasive) breast cancers, fibroadenomas, and other benign-type lesions. The data set contained diagnostic mammograms of 82 patients with 2 views per patient - cranio-caudal (CC) and medio-lateral (ML) views of the affected breast with a single biopsy-proven finding indicated per view - with 7 invasive cancers, 14 in situ cancers, 13 fibroadenomas, and 48 other benign-type lesions. Analysis was performed per lesion and calculated phenotypes were averaged over views. Performance was assessed using ROC analysis with individual phenotypes as decision variables in the tasks of a) pairwise distinction amongst the 4 finding types, b) distinction between each finding type and all others, and c) distinction between cancer and non-cancer. Different phenotypes emerged as the best performers with areas under the ROC curve ranging from 0.69 (0.05) to 0.92 (0.09) depending on the task. We obtained encouraging preliminary results beyond the classification of cancer versus non-cancer in the distinction between different types of breast lesions visible as mammographic calcifications.

  6. Eight years of quality control in Bulgaria: impact on mammography practice.

    Science.gov (United States)

    Avramova-Cholakova, S; Lilkov, G; Kaneva, M; Terziev, K; Nakov, I; Mutkurov, N; Kovacheva, D; Ivanova, M; Vasilev, D

    2015-07-01

    The requirements for quality control (QC) in diagnostic radiology were introduced in Bulgarian legislation in 2005. Hospital medical physicists and several private medical physics groups provide QC services to radiology departments. The aim of this study was to analyse data from QC tests in mammography and to investigate the impact of QC introduction on mammography practice in the country. The study was coordinated by the National Centre of Radiobiology and Radiation Protection. All medical physics services were requested to fill in standardised forms with information about most important parameters routinely measured during QC. All QC service providers responded. Results demonstrated significant improvement of practice since the introduction of QC, with reduction of established deviations from 65 % during the first year to 7 % in the last year. The systems that do not meet the acceptability criteria were suspended from use. Performance of automatic exposure control and digital detectors are not regularly tested because of the absence of requirements in the legislation. The need of updated guidance and training of medical physicists to reflect the change in technology was demonstrated.

  7. Understanding, applying, optimizing the X-ray mammography; Roentgenmammographie. Verstehen, anwenden und optimieren

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, U. (ed.); Hermann, K.P. [Diagnostisches Brustzentrum Goettingen (BZG) (Germany); Baum, F. [Universitaetsklinikum Goettingen (Germany). Abt. Diagnostische Radiologie

    2003-07-01

    This book in the German language gives a full account of current X-ray mammography and deals with new aspects and developments. To mention only a few: dosimetry, image quality and quality assurance, a new digital imaging technique; diagnostic evaluation of findings and new approaches like BIRADS, ACR terminology, and the PGMI system; the high imaging quality of the X-ray mammography and the interpretation of specific features of benign and malignant findings and borderline cases. (orig./CB) [German] Mit diesem Buch zur Roentgenmammographie wird ein Werk vorgelegt, das besonders den aktuellen Aspekten gerecht wird und neben innovativen technischen Entwicklungen, wie z. B. der digitalen Vollfeldmammographie, auch neue Trends in der Befundbeschreibung und -bewertung beruecksichtigt. Erwaehnt seien hier nur BIRADS, ACR-Terminologie und PGMI. Gestuetzt werden die in pragmatischer Kuerze verfassten Aussagen und Statements durch eine Vielzahl qualitativ hochwertiger Roentgenmammographien. So stellt die bildgebende Dokumentation benigner und maligner Befunde auf ueber 110 Seiten das Herzstueck dieses Buches dar. (orig./AJ)

  8. Mammography Prevalence within 2 Two Years (Age 40+) - Small Area Estimates

    Science.gov (United States)

    For mammography, a woman 40 years of age or older must have reported having at least one mammography in her life. Furthermore, she should have had the most recent one within the last two years by the time of interview.

  9. Existing data sources for clinical epidemiology: the Danish Quality Database of Mammography Screening

    Directory of Open Access Journals (Sweden)

    Langagergaard V

    2013-03-01

    Full Text Available Vivian Langagergaard,1 Jens P Garne,2 Ilse Vejborg,3 Walter Schwartz,4 Martin Bak,5 Anders Lernevall,1 Nikolaj B Mogensen,6 Heidi Larsson,7 Berit Andersen,1 Ellen M Mikkelsen7 1Department of Public Health Programs, Randers Hospital, Randers, Denmark; 2Department of Breast Surgery, Aalborg Hospital, Aalborg, Denmark; 3Diagnostic Imaging Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 4Center of Mammography, 5Department of Pathology, Odense University Hospital, Denmark; 6Department of Radiology, Ringsted Hospital, Ringsted, Denmark; 7Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark Abstract: The Danish Quality Database of Mammography Screening (DKMS was established in 2007, when screening was implemented on a nationwide basis and offered biennially to all Danish women aged 50–69 years. The primary aims of the database are to monitor and evaluate the quality of the screening program and – after years of follow-up – to evaluate the effect of nationwide screening on breast cancer-specific mortality. Here, we describe the database and present results for quality assurance from the first round of national screening. The steering committee for the DKMS defined eleven organizational and clinical quality indicators and standards to monitor the Danish breast cancer screening program. We calculated the relevant proportions and ratios with 95% confidence intervals for each quality indicator. All indicators were assessed on a national and regional level. Of 670,039 women invited for mammography, 518,823 (77.4% participated. Seventy-one percent of the women received the result of their mammography examination within 10 days of screening, and 3% of the participants were recalled for further investigation. Among all detected cancers, 86% were invasive cancers, and the proportion of women with node negative cancer was 67%. There were 36% women with small cancers, and the ratio of surgery for

  10. Optimizing Imaging Instruments for Emission Mammography

    Science.gov (United States)

    Weinberg, Irving N.

    1996-05-01

    Clinical studies have demonstrated that radiotracer methods can noninvasively detect breast cancers in vivo(L.P. Adler, J.P.Crowe, N.K. Al-Kaisis, et al, Radiology 187,743-750 (1993)) (I. Khalkhali, I. Mena, E. Jouanne, et al, J. Am. Coll. Surg. 178, 491-497 (1994)). Due to spatial resolution and count efficiency considerations, users of conventional nuclear medicine instruments have had difficulty in detecting subcentimeter cancers. This limitation is unfortunate, since cancer therapy is generally most efficacious when tumor diameter at detection is less than a centimeter. A more subtle limitation of conventional nuclear medicine imaging instruments is that they are poorly suited to guiding interventions. With the assistance of C.J. Thompson from McGill University, and the CEBAF Detector Physics Group, we have explored the possibility of configuring detectors for nuclear medicine imaging devices into geometries that resemble conventional x-ray mammography cameras(I.N. Weinberg, U.S.Patent 5,252,830 (1993)). Phantom and pilot clinical studies suggest that applying breast compression within such geometries may offer several advantages(C.J. Thompson, K. Murthy, I.N. Weinberg, et al, Med. Physics 21, 259-538 (1994)): For coincident detection of positron emitters, efficiency and spatial resolution are improved by bringing the detectors very close to the source (the breast tumor). For single-photon detection, attenuation due to overlying tissue is reduced. Since, for a high-efficiency collimator, spatial resolution worsens with increasing source to collimator distance, adoption of compression allows more efficient collimators to be employed. Economics are favorable in that detectors can be deployed in the region of interest, rather than around the entire body, and that such detectors can be mounted in conventional mammographic gantries. The application of conventional mammographic geometry promises to assist physicians in conducting radiotracer-guided biopsies, and in

  11. Mammography calibration qualities establishment in a Mo-Mo clinical system

    Energy Technology Data Exchange (ETDEWEB)

    Correa, E.L.; Santos, L.R. dos; Vivolo, V.; Potiens, M.P.A., E-mail: educorrea1905@gmail.com [Instituto de Pesquisas Energeticas e Nucleres (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    In this study the mammography calibration qualities were established in a clinical mammography system. The objective is to provide the IPEN instruments calibration laboratory with both mammography calibration methods (using a clinical and an industrial system). The results showed a good behavior of mammography equipment, in terms of kVp, PPV and exposure time. The additional filtration of molybdenum is adequate, air-kerma rates were determined and spectra were obtained. (author)

  12. Comparison of mammography in combination with breast ultrasonography versus mammography alone for breast cancer screening in asymptomatic women.

    Science.gov (United States)

    Boonlikit, Sarawan

    2013-01-01

    To compare the agreement of screening breast mammography plus ultrasound and reviewed mammography alone in asymptomatic women. All breast imaging data were obtained for women who presented for routine medical checkup at National Cancer Institute (NCI), Thailand from January 2010 to June 2013. A radiologist performed masked interpretations of selected mammographic images retrieved from the computer imaging database. Previous mammography, ultrasound reports and clinical data were blinded before film re-interpretation. Kappa values were calculated to assess the agreement between BIRADS assessment category and BIRADS classification of density obtained from the mammography with ultrasound in imaging database and reviewed mammography alone. Regarding BIRADS assessment category, concordance between the two interpretations were good. Observed agreement was 96.1%. There was moderate agreement in which the Kappa value was 0.58% (95%CI; 0.45, 0.87). The agreement of BI-RADS classification of density was substantial, with a Kappa value of 0.60 (95%CI; 0.54, 0.66). Different results were obtained when a subgroup of patients aged ≥60 years were analyzed. In women in this group, observed agreement was 97.6%. There was also substantial agreement in which the Kappa value was 0.74% (95%CI; 0.49, 0.98). The present study revealed that concordance between mammography plus ultrasound and reviewed mammography alone in asymptomatic women is good. However, there is just moderate agreement which can be enhanced if age- targeted breast imaging is performed. Substantial agreement can be achieved in women aged ≥60. Adjunctive breast ultrasound is less important in women in this group.

  13. Image quality and dose in mammography in 17 countries in Africa, Asia and Eastern Europe: Results from IAEA projects

    Energy Technology Data Exchange (ETDEWEB)

    Ciraj-Bjelac, Olivera, E-mail: ociraj@vinca.rs [Vinca Institute of Nuclear Sciences, Belgrade (Serbia); Avramova-Cholakova, Simona, E-mail: s_avramova@mail.bg [National Centre of Radiobiology and Radiation Protection (NCRRP), Ministry of Health, Sofia (Bulgaria); Beganovic, Adnan, E-mail: adnanbeg@gmail.com [University of Sarajevo, Institute of Radiology, Sarajevo, Bosnia and Herzegovina (Bosnia and Herzegovina); Economides, Sotirios, E-mail: adnanbeg@gmail.com [Ministry of Development, Greek Atomic Energy Commission, Athens (Greece); Faj, Dario, E-mail: dariofaj@mefos.hr [University Hospital Osijek, Osijek (Croatia); Gershan, Vesna, E-mail: vgersan@gmail.com [National Commission on Radiation Protection, Institute of Radiology, Skopje, The Former Yugoslav Republic of Macedonia (Macedonia, The Former Yugoslav Republic of); Grupetta, Edward, E-mail: edward.gruppetta@gov.mt [St. Luke' s Hospital, Diagnostic Radiology Unit, Guardamangia (Malta); Kharita, M.H., E-mail: mhkharita@aec.org.sy [Atomic Energy Commission of Syria (AECS), Department of Protection and Safety, Radiation and Nuclear Regulatory Office, Damascus (Syrian Arab Republic); Milakovic, Milomir, E-mail: mmilomir@teol.net [Ministry of Health of the Republic of Srpska, Public Health Institute of Republic of Srpska, Banja Luka, Bosnia and Herzegovina (Bosnia and Herzegovina); Milu, Constantin, E-mail: milu.constantin@yahoo.com [Institute of Public Health, SSDL, Bucharest (Romania); Muhogora, Wilbroad E., E-mail: wmuhogora@yahoo.com [Tanzania Atomic Energy Commission, Arusha, Tanzania (Tanzania, United Republic of); Muthuvelu, Pirunthavany, E-mail: mpvany@gmail.com [Ministry of Health, Radiation Health Safety Branch, Putra Jaya (Malaysia); Oola, Samuel, E-mail: ooladavidson@yahoo.com [Mulago Hospital, Department of Radiology, Kampala (Uganda); Setayeshi, Saeid, E-mail: setayesh@aut.ac.ir [Ministry of Health, Treatment, and Medical Training, Tehran (Iran, Islamic Republic of); and others

    2012-09-15

    Purpose: The objective is to study mammography practice from an optimisation point of view by assessing the impact of simple and immediately implementable corrective actions on image quality. Materials and methods: This prospective multinational study included 54 mammography units in 17 countries. More than 21,000 mammography images were evaluated using a three-level image quality scoring system. Following initial assessment, appropriate corrective actions were implemented and image quality was re-assessed in 24 units. Results: The fraction of images that were considered acceptable without any remark in the first phase (before the implementation of corrective actions) was 70% and 75% for cranio-caudal and medio-lateral oblique projections, respectively. The main causes for poor image quality before corrective actions were related to film processing, damaged or scratched image receptors, or film-screen combinations that are not spectrally matched, inappropriate radiographic techniques and lack of training. Average glandular dose to a standard breast was 1.5 mGy (mean and range 0.59–3.2 mGy). After optimisation the frequency of poor quality images decreased, but the relative contributions of the various causes remained similar. Image quality improvements following appropriate corrective actions were up to 50 percentage points in some facilities. Conclusions: Poor image quality is a major source of unnecessary radiation dose to the breast. An increased awareness of good quality mammograms is of particular importance for countries that are moving towards introduction of population-based screening programmes. The study demonstrated how simple and low-cost measures can be a valuable tool in improving of image quality in mammography.

  14. 42 CFR 405.535 - Special rule for nonparticipating physicians and suppliers furnishing screening mammography...

    Science.gov (United States)

    2010-10-01

    ... suppliers furnishing screening mammography services before January 1, 2002. 405.535 Section 405.535 Public... Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002. The provisions in this section apply for screening mammography services...

  15. 42 CFR 405.534 - Limitation on payment for screening mammography services.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Limitation on payment for screening mammography... for Determining Reasonable Charges § 405.534 Limitation on payment for screening mammography services... January 1, 1991 until December 31, 2001. Screening mammography services provided after December 31,...

  16. The Assessment of the Likelihood of Mammography Usage with Relevant Factors among Women with Disabilities

    Science.gov (United States)

    Kung, Pei-Tseng; Tsai, Wen-Chen; Chiou, Shang-Jyh

    2012-01-01

    Research that identifies the determinants of low mammography use among disabled people is scant. This study examines the determining factors related to the low usage of mammography among women with disabilities. To identify the barriers that prevent women with disabilities from participating in mammography screening can help authorities conceive…

  17. 42 CFR 410.34 - Mammography services: Conditions for and limitations on coverage.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Mammography services: Conditions for and... Medical and Other Health Services § 410.34 Mammography services: Conditions for and limitations on... mammography means a radiologic procedure furnished to a man or woman with signs or symptoms of breast...

  18. Predicting the risk of a false-positive test for women following a mammography screening programme

    DEFF Research Database (Denmark)

    Njor, Sisse Helle; Olsen, Anne Helene; Schwartz, Walter

    2007-01-01

    OBJECTIVES: The objectives of this study was to provide a simple estimate of the cumulative risk of a false-positive test for women participating in mammography screening. To test the method, we used data from two well-established, organized mammography screening programmes offering biennial...... be calculated in a simple way relatively early after the start of a mammography screening programme....

  19. [Influence of Detector Radiation Damage on CR Mammography Quality Control].

    Science.gov (United States)

    Moriwaki, Atsumi; Ishii, Mie; Terazono, Shiho; Arao, Keiko; Ishii, Rie; Sanada, Taizo; Yoshida, Akira

    2016-05-01

    Recently, radiation damage to the detector apparatus employed in computed radiography (CR) mammography has become problematic. The CR system and the imaging plate (IP) applied to quality control (QC) program were also used in clinical mammography in our hospital, and the IP to which radiation damage has occurred was used for approximately 5 years (approximately 13,000 exposures). We considered using previously acquired QC image data, which is stored in a server, to investigate the influence of radiation damage to an IP. The mammography unit employed in this study was a phase contrast mammography (PCM) Mermaid (KONICA MINOLTA) system. The QC image was made newly, and it was output in the film, and thereafter the optical density of the step-phantom image was measured. An input (digital value)-output (optical density) conversion curve was plotted using the obtained data. The digital values were then converted to optical density values using a reference optical density vs. digital value curve. When a high radiation dose was applied directly, radiation damage occurred at a position on the IP where no object was present. Daily QC for mammography is conducted using an American College of Radiology (ACR) accreditation phantom and acrylic disc, and an environmental background density measurement is performed as one of the management indexes. In this study, the radiation damage sustained by the acrylic disc was shown to differ from that of the background. Thus, it was revealed that QC results are influenced by radiation damage.

  20. Characterizing mammography reports for health analytics.

    Science.gov (United States)

    Rojas, Carlos C; Patton, Robert M; Beckerman, Barbara G

    2011-10-01

    As massive collections of digital health data are becoming available, the opportunities for large-scale automated analysis increase. In particular, the widespread collection of detailed health information is expected to help realize a vision of evidence-based public health and patient-centric health care. Within such a framework for large scale health analytics we describe the transformation of a large data set of mostly unlabeled and free-text mammography data into a searchable and accessible collection, usable for analytics. We also describe several methods to characterize and analyze the data, including their temporal aspects, using information retrieval, supervised learning, and classical statistical techniques. We present experimental results that demonstrate the validity and usefulness of the approach, since the results are consistent with the known features of the data, provide novel insights about it, and can be used in specific applications. Additionally, based on the process of going from raw data to results from analysis, we present the architecture of a generic system for health analytics from clinical notes.

  1. Feasibility of using LODOX technology for mammography

    Science.gov (United States)

    Lease, Alyson; Vaughan, Christopher; Beningfield, Stephan; Potgieter, Herman; Booysen, Andre

    2002-05-01

    The LODOX (Low Dose X-ray) Scanner, created by De Beers, is currently being clinically tested at the Trauma Unit of Groote Schuur Hospital and the University of Cape Town in South Africa. High quality images with exceedingly low radiation suggest that the technology may also be used to identify breast cancer lesions and microcalcifications. The measured LODOX modulation transfer function averages 6 percent at 10 cycles per millimeter, while the detected quantum efficiency is approximately 25 percent at 1 cycle per millimeter. The mean glandular doses calculated for a breast thickness of 4 cm at various intensities -- ranging from 0.022 rad at 70mAs to 0.043 rad at 125mAs -- were approximately 10 times less than the value designated by the American College of Radiology (0.3 rad per breast image). At 40kV, LODOX exhibits an average half value layer of 1.59 mm of Al (compared to 0.3 to 0.4 mm recommended for mammography), illustrating the unfavorable higher penetration of LODOX X-rays. The extremely low radiation dose delivered by the LODOX suggests that the technology would be feasible for detecting and diagnosing cancers in the sensitive tissue of the breast, once adjustments to X-ray range and beam hardness had been accomplished.

  2. MammoGrid: a mammography database

    CERN Multimedia

    2002-01-01

    What would be the advantages if physicians around the world could gain access to a unique mammography database? The answer may come from MammoGrid, a three-year project under the Fifth Framework Programme of the EC. Led by CERN, MammoGrid involves the UK (the Universities of Oxford, Cambridge and the West of England, Bristol, plus the company Mirada Solutions of Oxford), and Italy (the Universities of Pisa and Sassari and the Hospitals in Udine and Torino). The aim of the project is, in light of emerging GRID technology, to develop a Europe-wide database of mammograms. The database will be used to investigate a set of important healthcare applications as well as the potential of the GRID to enable healthcare professionals throughout the EU to work together effectively. The contributions of the partners include building the GRID-database infrastructure, developing image processing and Computer Aided Detection techniques, and making the clinical evaluation. The first project meeting took place at CERN in Sept...

  3. Comparative Study on Mammography and MRI in the Diagnosis of Breast Cancer%乳腺癌X线摄影与磁共振成像的对比研究

    Institute of Scientific and Technical Information of China (English)

    洪勇; 王娟婷; 夏学文; 彭剑峰

    2015-01-01

    Objective To comparative study the diagnostic value of mammography and MRI to breast cancer; to improve the diagnostic accuracy of breast cancer.Methods 47 case with breast cancer confirmed by surgery and pathology were collected, and the preoperative image data of mammography and MRI were retrospectively analyzed. Results The diagnostic accuracy of breast cancer by mammography was 83%(39/47); The diagnostic accuracy of breast cancer by MRI was 91% (43/47); the diagnostic accuracy of breast cancer combined mammography with MRI was 98% (46/47) which was statistically higher than single mammography or MRI (P<0.05).Conclusions The diagnostic accuracy of breast cancer by MRI were higher than mammography. Combined mammography with MRI can significantly improve the diagnosis accuracy of breast cancer and have great significance in the screening and treatment of breast cancer.%目的:通过对乳腺癌的乳腺X线摄影与MRI的对比研究,探讨两者对乳腺癌的单独、联合诊断价值,以提高乳腺癌的诊断准确率。方法收集广州市花都区人民医院经手术或穿刺病理证实的47例乳腺癌患者,回顾性分析其乳腺X线及MRI影像学表现及其诊断价值。结果乳腺X线摄影诊断准确率83%(39/47),MRI诊断准确率为91%(43/47);两种影像检查联合的诊断准确率为98%(46/47),明显优于单一乳腺X线摄影或MRI检查(P<0.05)。结论 MRI诊断乳腺癌的敏感性较乳腺X线摄影高;两者结合能显著提高乳腺癌的检出率和诊断准确率,对乳腺癌的筛查和临床诊治有重要意义。

  4. Statistical methods for determining the effect of mammography screening

    DEFF Research Database (Denmark)

    Lophaven, Søren

    2016-01-01

    In an overview of five randomised controlled trials from Sweden, a reduction of 29% was found in breast cancer mortality in women aged 50-69 at randomisation after a follow up of 5-13 years. Organised, population based, mammography service screening was introduced on the basis of these resultsin...... the municipality of Copenhagen in 1991, in the county of Fyn in 1993 and in the municipality of Frederiksberg in 1994, although reduced mortality in randomised controlled trials does not necessarily mean that screening also works in routine health care. In the rest of Denmark mammography screening was introdueed...... in 2007-2008. Women aged 50-69 were invited to screening every second year. Taking advantage of the registers of population and health, we present statistical methods for evaluating the effect of mammography screening on breast cancer mortality (Olsen et al. 2005, Njor et al. 2015 and Weedon-Fekjær etal...

  5. Statistical methods for determining the effect of mammography screening

    DEFF Research Database (Denmark)

    Lophaven, Søren

    2016-01-01

    In an overview of five randomised controlled trials from Sweden, a reduction of 29% was found in breast cancer mortality in women aged 50-69 at randomisation after a follow up of 5-13 years. Organised, population based, mammography service screening was introduced on the basis of these resultsin...... the municipality of Copenhagen in 1991, in the county of Fyn in 1993 and in the municipality of Frederiksberg in 1994, although reduced mortality in randomised controlled trials does not necessarily mean that screening also works in routine health care. In the rest of Denmark mammography screening was introdueed...... in 2007-2008. Women aged 50-69 were invited to screening every second year. Taking advantage of the registers of population and health, we present statistical methods for evaluating the effect of mammography screening on breast cancer mortality (Olsen et al. 2005, Njor et al. 2015 and Weedon-Fekjær etal...

  6. Performance evaluation of a full line of medical diagnostic displays and test of a web-based service for remote calibration and quality assurance

    Science.gov (United States)

    Busoni, S.; Belli, G.; Taddeucci, A.; Targetti, S.; Menchi, I.; Gori, C.; Capaccioli, L.; Falivene, A.; Spanò, G.; Guasti, A.; Saletti, P.; Rossi, F.

    2009-02-01

    Main goal of this study is to compare the performances of a full line of LCD diagnostic display systems, in terms of white point luminance, accuracy and stability over time, GSDF conformance and luminance uniformity, and to test a web-based service for remote calibration and QA in a large hospital. The display systems under test included 3MP and 5MP grayscale, 2MP and 6MP color and 5MP mammography LCD monitors, all manufactured by BARCO, for a total amount of 119 units. Measured performances were all within the acceptance range proposed by the major international protocols and show a very good stability in time, except for a few cases. The web-based service for remote QA and calibration resulted well suited for the management of a large scale medical facility, where high performance displays are in use and time saving QA programs and a central QA policy are both needed.

  7. Intervention to increase mammography utilization in a public hospital.

    Science.gov (United States)

    Davis, T C; Berkel, H J; Arnold, C L; Nandy, I; Jackson, R H; Murphy, P W

    1998-04-01

    To study the effects of three approaches to increasing utilization of screening mammography in a public hospital setting in Northwest Louisiana. Randomized intervention study. Four hundred forty-five women aged 40 years and over, predominantly low-income and with low literacy skills, who had not had a mammogram in the preceding year. All interventions were chosen to motivate women to get a mammogram. Group 1 received a personal recommendation from one of the investigators. Group 2 received the recommendation plus an easy-to-read National Cancer Institute (NCI) brochure. Group 3 received the recommendation, the brochure, and a 12-minute interactive educational and motivational program, including a soap-opera-style video, developed in collaboration with women from the target population. Mammography utilization was determined at 6 months and 2 years after intervention. A significant increase (p = .05) in mammography utilization was observed after the intervention designed in collaboration with patients (29%) as compared with recommendation alone (21%) or recommendation with brochure (18%) at 6 months. However, at 2 years the difference favoring the custom-made intervention was no longer significant. At 6 months there was at least a 30% increase in the mammography utilization rate in the group receiving the intervention designed in collaboration with patients as compared with those receiving the recommendation alone or recommendation with brochure. Giving patients an easy-to-read NCI brochure and a personal recommendation was no more effective than giving them a recommendation alone, suggesting that simply providing women in a public hospital with a low-literacy-level, culturally appropriate brochure is not sufficient to increase screening mammography rates. In a multivariate analysis, the only significant predictor of mammography use at 6 months was the custom-made intervention.

  8. Performance of screening mammography: A report of the alliance for breast cancer screening in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eun Hye [Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); Kim, Keum Woo [Konyang University Hospital, Konyang University College of Medicine, Daejeon (Korea, Republic of); Kim, Young Joong [Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of); and others

    2016-07-15

    To analyze the diagnostic accuracy and trend in screening mammography in Korea. We retrospectively linked the information from hospitals participating in the Alliance of Breast Cancer Screening in Korea (ABCS-K) and the database of the National Cancer Screening Program. We calculated performance indicators, including the recall rate, cancer detection rate (CDR), positive predictive value (PPV), sensitivity, specificity, false-positive rate (FPR), and interval cancer rate (ICR). Changes in the performance indicators were calculated as the annual percent change with 95% confidence interval (CI). We enrolled 128756 cases from 10 hospitals from 2005 to 2010. The recall rate was 19.1% with a downward trend over time (-12.1% per year; 95% CI, -15.9 to -8.2). The CDR was 2.69 per 1000 examinations, without a significant trend. The PPV was 1.4% with an upward trend (20.8% per year; 95% CI, 15.2 to 26.7). The sensitivity was 86.5% without a significant trend, whereas the specificity was 81.1% with an upward trend (3.3% per year; 95% CI, 2.1 to 4.5). The FPR was 18.9% with a downward trend (-12.4% per year; 95% CI, -16.2 to -8.4). The ICR was 0.5 per 1000 negative examinations without a significant trend. There were institutional variations in the diagnostic accuracy and trend except for the CDR, sensitivity, and ICR. The sensitivity and CDR of screening mammography in the ABCS-K from 2005 to 2010 were compatible with those for Western women. The recall rate, PPV and specificity, however, were suboptimal, although they showed significant improvements over this period. A further analysis is required to explain institutional variations.

  9. MR mammography: influence of menstrual cycle on the dynamic contrast enhancement of fibrocystic disease

    Energy Technology Data Exchange (ETDEWEB)

    Rieber, A.; Nuessle, K.; Merkle, E.; Tomczak, R.; Brambs, H.J. [Ulm Univ. (Germany). Abt. Radiologie 1 (Roentgendiagnostik); Kreienberg, R. [Ulm Univ. (Germany). Dept. of Gynecology

    1999-08-01

    Magnetic resonance mammography (MRM) provides data regarding the nature of tumours based on contrast medium dynamics; fibrocystic changes in the breast, however, may lead to false-positive results. This study investigated whether the contrast medium dynamics of fibrocystic changes are dependent on the menstrual cycle. Twenty-four patients with palpable lumps but normal mammographies and ultrasound studies were examined. The MRM technique was performed during the first and second part of the menstrual cycle using a FLASH 3D sequence, both native and at 1, 2, 3 and 8 min after intravenous application of 0.15 mmol/kg body weight of gadodiamide. The calculated time-intensity curves were evaluated based on the following criteria: early percentage of contrast medium uptake in relation to the native value; formation of a plateau phenomenon after the second minute; the point of maximal contrast medium uptake; and calculation of the contrast enhancing index. During the second half of the menstrual cycle, a generally greater contrast medium uptake was observed. Nevertheless, when further diagnostic criteria, such as continuous contrast medium increase as a function of time, were considered, there was no increased rate of false-positive findings. The phase of the menstrual cycle may affect the specificity of the examination, if only the quantitative contrast medium uptake and the percentage of contrast medium uptake in the first 2 min are considered. A control MRM during the other half of the cycle may then be indicated and additional diagnostic criteria may improve specificity. (orig.) With 2 figs., 2 tabs., 24 refs.

  10. Overdiagnosis in organised mammography screening in Denmark. A comparative study

    DEFF Research Database (Denmark)

    Jørgensen, Karsten J; Zahl, Per-Henrik; Gøtzsche, Peter C

    2009-01-01

    BACKGROUND: Overdiagnosis in cancer screening is the detection of cancer lesions that would otherwise not have been detected. It is arguably the most important harm. We quantified overdiagnosis in the Danish mammography screening programme, which is uniquely suited for this purpose, as only 20......% of the Danish population has been offered organised mammography screening over a long time-period. METHODS: We collected incidence rates of carcinoma in situ and invasive breast cancer in areas with and without screening over 13 years with screening (1991-2003), and 20 years before its introduction (1971...

  11. Evaluation of image quality versus doses in service of mammography of Belo Horizonte, MG, BR; Avaliacao da qualidade da imagem versus doses em servicos de mamografia de Belo Horizonte

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira, M.; Nogueira, M.S.; Guedes, E. [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil). Seguranca Nuclear; Andrade, M.C. [Superintendencia Estadual de Vigilancia Sanitaria, Belo Horizonte, MG (Brazil); Peixoto, J.E. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Faculdade de Medicina. Radiologia; Silva, V.L.S.; Borges, J.C. [Vigilancia Sanitaria da Secretaria Municipal de Saude de Belo horizonte (VISA/PBH), MG (Brazil)

    2004-07-01

    Cancer is the second cause of death for Brazilian women and breast cancer is the most common neoplasm amongst women. Mammography is an essential tool for diagnosis and early detection of this disease. In order to be effective, the mammography must be of good quality. This study sought to evaluate the radiation protection and quality of 37 services out a total of 82 mammography facilities existing in the city of Belo Horizonte, Brazil. Two instruments were used: a proposed evaluation protocol of the Health Surveillance -VISA and a protocol for evaluation of image quality. Of the 37 services who completed the study, none was achieved 100% conformity in image quality. The results of radiation protection requirements according to the VISA protocol bore close relation to final image quality, a central issue for early cancer detection (p>0.05)

  12. Positron Emission Mammography with Multiple Angle Acquisition

    Energy Technology Data Exchange (ETDEWEB)

    Mark F. Smith; Stan Majewski; Raymond R. Raylman

    2002-11-01

    Positron emission mammography (PEM) of F-18 fluorodeoxyglucose (FbG) uptake in breast tumors with dedicated detectors typically has been accomplished with two planar detectors in a fixed position with the breast under compression. The potential use of PEM imaging at two detector positions to guide stereotactic breast biopsy has motivated us to use PEM coincidence data acquired at two or more detector positions together in a single image reconstruction. Multiple angle PEM acquisition and iterative image reconstruction were investigated using point source and compressed breast phantom acquisitions with 5, 9, 12 and 15 mm diameter spheres and a simulated tumor:background activity concentration ratio of 6:1. Image reconstruction was performed with an iterative MLEM algorithm that used coincidence events between any two detector pixels on opposed detector heads at each detector position. This present study compared two acquisition protocols: 2 angle acquisition with detector angular positions of -15 and +15 degrees and 11 angle acquisition with detector positions spaced at 3 degree increments over the range -15 to +15 degrees. Three-dimensional image resolution was assessed for the point source acquisitions, and contrast and signal-to-noise metrics were evaluated for the compressed breast phantom with different simulated tumor sizes. Radial and tangential resolutions were similar for the two protocols, while normal resolution was better for the 2 angle acquisition. Analysis is complicated by the asymmetric point spread functions. Signal- to-noise vs. contrast tradeoffs were better for 11 angle acquisition for the smallest visible 9 mm sphere, while tradeoff results were mixed for the larger and more easily visible 12 mm and 15 mm diameter spheres. Additional study is needed to better understand the performance of limited angle tomography for PEM. PEM tomography experiments with complete angular sampling are planned.

  13. Positron Emission Mammography with Multiple Angle Acquisition

    Energy Technology Data Exchange (ETDEWEB)

    Mark F. Smith; Stan Majewski; Raymond R. Raylman

    2002-11-01

    Positron emission mammography (PEM) of F-18 fluorodeoxyglucose (FDG) uptake in breast tumors with dedicated detectors typically has been accomplished with two planar detectors in a fixed position with the breast under compression. The potential use of PEM imaging at two detector positions to guide stereotactic breast biopsy has motivated us to use PEM coincidence data acquired at two or more detector positions together in a single image reconstruction. Multiple angle PEM acquisition and iterative image reconstruction were investigated using point source and compressed breast phantom acquisitions with 5, 9, 12 and 15 mm diameter spheres and a simulated tumor:background activity concentration ratio of 6:1. Image reconstruction was performed with an iterative MLEM algorithm that used coincidence events between any two detector pixels on opposed detector heads at each detector position. This present study compared two acquisition protocols: 2 angle acquisition with detector angular positions of -15 and +15 degrees and 11 angle acquisition with detector positions spaced at 3 degree increments over the range -15 to +15 degrees. Three- dimensional image resolution was assessed for the point source acquisitions, and contrast and signal-to-noise metrics were evaluated for the compressed breast phantom with different simulated tumor sizes. Radial and tangential resolutions were similar for the two protocols, while normal resolution was better for the 2 angle acquisition. Analysis is complicated by the asymmetric point spread functions. Signal- to-noise vs. contrast tradeoffs were better for 11 angle acquisition for the smallest visible 9 mm sphere, while tradeoff results were mixed for the larger and more easily visible 12 mm and 15 mm diameter spheres. Additional study is needed to better understand the performance of limited angle tomography for PEM. PEM tomography experiments with complete angular sampling are planned.

  14. Mammography use and mode of detection among breast cancer patients in Estonia.

    Science.gov (United States)

    Innos, Kaire; Valvere, Vahur; Padrik, Peeter; Eelma, Evelyn; Kütner, Riina; Lehtsaar, Jaak; Tekkel, Mare

    2016-01-01

    The aim of this study was to examine past mammography use and mode of detection among breast cancer (BC) patients in Estonia, a country that has low screening coverage and high BC mortality. Women newly diagnosed with primary BC in Estonia in 2008-2010 were interviewed. Determinants of past mammography use and the detection of BC by mammography were studied using multivariate logistic regression. Among 977 participants, almost half reported no mammograms prior to the detection of BC. Overall, 22% of the cases were detected by mammography (16% by screening mammography). Detection by mammography was strongly related to age, past mammography use, and obesity. Among cases detected by mammography, 10% were stage III/IV at diagnosis (32% among cases detected by other modes). This study showed low mammography utilization and high rate of self-detection of BC in Estonia. Increased detection by mammography would help diagnose the disease at an earlier stage and consequently avoid premature BC deaths. Efforts should be undertaken to increase participation in screening and improve the availability of mammography among older and high-risk women. The results are likely to be relevant for other countries and population groups with low screening coverage.

  15. Comparison of tissue equalization, and premium view post-processing methods in full field digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Chen Baoying, E-mail: chenby128@yahoo.co [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Wang Wei; Huang Jin; Zhao Ming; Cui Guangbin [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Xu Jing [Cell Engineering Research Centre and Department of Cell Biology, State Key Laboratory of Cancer Biology, Fourth Military Medical University, Changle West Road 169, 710032 Xi' an, Shaanxi (China); Guo Wei; Du Pang; Li Pei [Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xinsi Road 1, 710038 Xi' an, Shaanxi (China); Yu Jun, E-mail: pclamper@163.co [Department of Preclinical Experiment Center, Fourth Military Medical University, Changle West Road 169, 710032 Xi' an, Shaanxi (China)

    2010-10-15

    Objective: To retrospectively evaluate the diagnostic abilities of 2 post-processing methods provided by GE Senographe DS system, tissue equalization (TE) and premium view (PV) in full field digital mammography (FFDM). Materials and methods: In accordance with the ethical standards of the World Medical Association, this study was approved by regional ethics committee and signed informed patient consents were obtained. We retrospectively reviewed digital mammograms from 101 women (mean age, 47 years; range, 23-81 years) in the modes of TE and PV, respectively. Three radiologists, fully blinded to the post-processing methods, all patient clinical information and histologic results, read images by using objective image interpretation criteria for diagnostic information end points such as lesion border delineation, definition of disease extent, visualization of internal and surrounding morphologic features of the lesions. Also, overall diagnostic impression in terms of lesion conspicuity, detectability and diagnostic confidence was assessed. Between-group comparisons were performed with Wilcoxon signed rank test. Results: Readers 1, 2, and 3 demonstrated significant overall better impression of PV in 29, 27, and 24 patients, compared with that for TE in 12, 13, and 11 patients, respectively (p < 0.05). Significant (p < 0.05) better impression of PV was also demonstrated for diagnostic information end points. Importantly, PV proved to be more sensitive than TE while detecting malignant lesions in dense breast rather than benign lesions and malignancy in non-dense breast (p < 0.01). Conclusion: PV compared with TE provides marked better diagnostic information in FFDM, particularly for patients with malignancy in dense breast.

  16. Objective assessment of mammography systems. Part II. Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Hessler, C.; Depeursinge, C.; Grecescu, M.; Pochon, Y.; Raimondi, S.; Valley, J.F.

    1985-07-01

    A quality control program for mammography units was carried out, based on objective tests of image quality and dose. Results are reported for 31 units, including correlation between various parameters. Satisfactory results were obtained in the case of 21 installations; for the other 10, comparison between measured quality parameters and those of the reference system suggested ways in which quality might be improved.

  17. Significance of screening mammography in the detection of breast diseases

    Energy Technology Data Exchange (ETDEWEB)

    Ham, Soo Youn; Kim, Kyoung Ah; Oh, Yu Whan; Kim, Hong In; Chung, Kyoo Byung [College of Medicine Korea University, Seoul (Korea, Republic of)

    1995-02-15

    To evaluate the clinical significance of the screening mammography in the detection of the breast diseases, especially breast carcinoma. We analyzed 1,800 cases of mammography retrospectively. The mammography was done as a part of routine check in Health Counselling Center, Korea University Medical Center, during 9 months from November 1993 to July 1994. The age range was from 23 years to 76 years, mean 49.8 years, and the largest age group was 6th decade (31.4%). According to the mammographic findings, we divided the subjects into three groups; normal group, abnormal group in need of follow-up study, abnormal group requiring biopsy. On mammography, the normal group consisted of 1,534 cases (85%), and the abnormal group consisted of 266 cases (15%). The abnormal findings were benign-looking calcification (n = 140), fibroadeno ma (n = 29), fibrocystic changes (n = 27), cyst (n = 23), malignant lesion (n = 15) lipoma (n = 7), and others. In four of 15 cases, which were suspected to be malignant on mammograms, breast carcinoma was confirmed pathologically. In four cases of breast carcinoma, one was under 40 and the other 3 were over 50 years of age. All of the breast cancers were under 3 cm in size, and the mammographic findings of breast cancer included spiculated margin (n = 3), parenchymal distortion (n = 3), malignant calcification (n = 2) and enlarged axillary node (n = 1). Screening mammogram is helpful for early detection of non-palpable breast cancer, especially for women over 50 years of age.

  18. Objective assessment of mammography systems. Part I. Method

    Energy Technology Data Exchange (ETDEWEB)

    Hessler, C.; Depeursinge, C.; Grecescu, M.; Pochon, Y.; Raimondi, S.; Valley, J.F.

    1985-07-01

    The authors have developed an experimental method for simultaneous determination of dose and image parameters in mammography. A global and objective quality concept, the image quality index, is proposed and its reliability demonstrated by tests of reproducibility. Objective quality tests and subjective evaluation by radiologists showed good correlation.

  19. Assertiveness with physicians: does it predict mammography use?.

    Science.gov (United States)

    Andersen, M Robyn; Guthrie, Katherine A

    2004-01-01

    In a prior study we found that women's self-reported assertiveness with their healthcare providers was associated with their use of mammography in a population-based cross-sectional sample of women. Women who reported being more assertive, by repeating information if they felt their doctor didn't hear them, asking their doctor to explain information they didn't understand, or reminding their doctor about screening tests, were more likely to have received a mammogram recently than those who reported being less assertive. Here we examined how women's self-reports of assertiveness predicted their use of mammography three years later. We examined this using a population-based sample of 781 women living in rural Washington State who were participating in a trial of mammography promotion. We found that assertive women were younger on average than less assertive women, but that even after controlling for age, education, income, and marital status, women who reported being assertive with their doctor in 1994 were more likely to receive regular mammograms in the next three years than those who did not (OR 2.1; CI 1.5, 2.9). If future studies also suggest that assertiveness predicts use of mammography or other preventive healthcare services, it would be valuable to examine the promotion of assertiveness as a means of improving public health.

  20. An equivalent relative utility metric for evaluating screening mammography.

    Science.gov (United States)

    Abbey, Craig K; Eckstein, Miguel P; Boone, John M

    2010-01-01

    Comparative studies of performance in screening mammography are often ambiguous. A new method will frequently show a higher sensitivity or detection rate than an existing standard with a concomitant increase in false positives or recalls. The authors propose an equivalent relative utility (ERU) metric based on signal detection theory to quantify screening performance in such comparisons. The metric is defined as the relative utility, as defined in classical signal detection theory, needed to make 2 systems equivalent. ERU avoids the problem of requiring a predefined putative relative utility, which has limited application of utility theory in receiver operating characteristic analysis. The metric can be readily estimated from recall and detection rates commonly reported in comparative clinical studies. An important practical advantage of ERU is that in prevalence matched populations, the measure can be estimated without an independent estimate of disease prevalence. Thus estimating ERU does not require a study with long-term follow-up to find cases of missed disease. The approach is applicable to any comparative screening study that reports results in terms of recall and detection rates, although the authors focus exclusively on screening mammography in this work. They derive the ERU from the definition of utility given in classical treatments of signal detection theory. They also investigate reasonable values of relative utility in screening mammography for use in interpreting ERU using data from a large clinical study. As examples of application of ERU, they reanalyze 2 recently published reports using recall and detection rates in screening mammography.

  1. Response costs of mammography adherence: Iranian women’sperceptions

    Directory of Open Access Journals (Sweden)

    Mahsa Khodayarian

    2016-06-01

    Conclusion: Useful information was provided about the response costs of mammography utilization based on the perceptions of women. Cognitive barriers may be decreased by conducting modifications in women’s awareness and attitude toward MA as well as changing the national health system infrastructures. Incorporating religious and cultural belief systems into MA educational programs through motivational messages is recommended.

  2. Impact of screening mammography on breast cancer mortality.

    Science.gov (United States)

    Bleyer, Archie; Baines, Cornelia; Miller, Anthony B

    2016-04-15

    The degree to which observed reductions in breast cancer mortality is attributable to screening mammography has become increasingly controversial. We examined this issue with three fundamentally different approaches: (i) Chronology--the temporal relationship of the onset of breast cancer mortality decline and the national implementation of screening mammography; (ii) Magnitude--the degree to which breast cancer mortality declined relative to the amount (penetration) of screening mammography; (iii) Analogy--the pattern of mortality rate reductions of other cancers for which population screening is not conducted. Chronology and magnitude were assessed with data from Europe and North America, with three methods applied to magnitude. A comparison of eight countries in Europe and North America does not demonstrate a correlation between the penetration of national screening and either the chronology or magnitude of national breast cancer mortality reduction. In the United States, the magnitude of the mortality decline is greater in the unscreened, younger women than in the screened population and regional variation in the rate of breast cancer mortality reduction is not correlated with screening penetrance, either as self-reported or by the magnitude of screening-induced increase in early-stage disease. Analogy analysis of United States data identifies 14 other cancers with a similar distinct onset of mortality reduction for which screening is not performed. These five lines of evidence from three different approaches and additional observations discussed do not support the hypothesis that mammography screening is a primary reason for the breast cancer mortality reduction in Europe and North America.

  3. Entrance surface dose measurements in mammography using thermoluminescence technique

    Energy Technology Data Exchange (ETDEWEB)

    Rivera, T. [Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada Unidad Legaria del IPM Av. Legaria 694, 11500 Mexico D.F. (Mexico); Vega C, H.R.; Manzanares A, E [Unidad Academica de Estudios Nucleares, Universidad Autonoma de Zacatecas, Apdo. Postal 336, 98000 Zacatecas (Mexico); Azorin, J. [Universidad Autonoma Metropolitana-lztapalapa, Av. San Rafael Atlixco 186, 09340 Mexico D.F. (Mexico); Gonzalez, P.R. [Instituto Nacional de Investigaciones Nucleares, Carretera Mexico Toluca, 52045 Salazar Estado de Mexico (Mexico)

    2007-07-01

    Full text: Of the various techniques that can be used for personnel dosimetry, thermoluminescence dosimetry (TLD) has emerged as a superior technique due to its manifold advantages over other methods of dose estimation. Various phosphors have been therefore investigated regarding their suitability for dosimetry. In this paper, a dosimetry system based on thermally stimulated luminescence (TSL) from zirconium oxide phosphors embedded in polytetrafluorethylene (ZrO{sub 2}+PTFE) was developed for entrance surface doses (ES) measurements in mammography. Small ZrO{sub 2} pellets of 5 mm in diameter and 0.8 mm in thickness were used. The reproducibility of measurements and linearity of ZrO{sub 2} were also studied. The results were compared with those obtained from LiF:Mg,Cu,P usually used for the determination of absorbed dose in mammography. Measurements both per unit air kerma and In vivo were performed using a mammography unit model DMR (General Electric). The results showed that ZrO{sub 2} TLDs can be used for the same X-ray dosimetry applications as LiF:Mg,Cu,P, with each type having the disadvantage of a response dependent on energy, particularly at low energies. These results indicate a considerable potential for use in routine control and In vivo ES measurements in mammography. (Author)

  4. Issues to Consider in Converting to Digital Mammography

    Science.gov (United States)

    Pisano, Etta D.; Zuley, Margarita; Baum, Janet K.; Marques, Helga S.

    2007-01-01

    This paper will outline the reasons that many radiology practices are converting to digital mammography. In addition, we will provide basic information on the issues that must be considered in making the transformation. These include technical matters regarding image display, storage and retrieval, as well as clinical and ergonomic considerations. PMID:17888771

  5. ORION laser target diagnostics.

    Science.gov (United States)

    Bentley, C D; Edwards, R D; Andrew, J E; James, S F; Gardner, M D; Comley, A J; Vaughan, K; Horsfield, C J; Rubery, M S; Rothman, S D; Daykin, S; Masoero, S J; Palmer, J B; Meadowcroft, A L; Williams, B M; Gumbrell, E T; Fyrth, J D; Brown, C R D; Hill, M P; Oades, K; Wright, M J; Hood, B A; Kemshall, P

    2012-10-01

    The ORION laser facility is one of the UK's premier laser facilities which became operational at AWE in 2010. Its primary mission is one of stockpile stewardship, ORION will extend the UK's experimental plasma physics capability to the high temperature, high density regime relevant to Atomic Weapons Establishment's (AWE) program. The ORION laser combines ten laser beams operating in the ns regime with two sub ps short pulse chirped pulse amplification beams. This gives the UK a unique combined long pulse/short pulse laser capability which is not only available to AWE personnel but also gives access to our international partners and visiting UK academia. The ORION laser facility is equipped with a comprehensive suite of some 45 diagnostics covering optical, particle, and x-ray diagnostics all able to image the laser target interaction point. This paper focuses on a small selection of these diagnostics.

  6. ORION laser target diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Bentley, C. D.; Edwards, R. D.; Andrew, J. E.; James, S. F.; Gardner, M. D.; Comley, A. J.; Vaughan, K.; Horsfield, C. J.; Rubery, M. S.; Rothman, S. D.; Daykin, S.; Masoero, S. J.; Palmer, J. B.; Meadowcroft, A. L.; Williams, B. M.; Gumbrell, E. T.; Fyrth, J. D.; Brown, C. R. D.; Hill, M. P.; Oades, K. [Plasma Physics Department, Atomic Weapons Establishment, Aldermaston, Reading, Berkshire RG7 4PR (United Kingdom); and others

    2012-10-15

    The ORION laser facility is one of the UK's premier laser facilities which became operational at AWE in 2010. Its primary mission is one of stockpile stewardship, ORION will extend the UK's experimental plasma physics capability to the high temperature, high density regime relevant to Atomic Weapons Establishment's (AWE) program. The ORION laser combines ten laser beams operating in the ns regime with two sub ps short pulse chirped pulse amplification beams. This gives the UK a unique combined long pulse/short pulse laser capability which is not only available to AWE personnel but also gives access to our international partners and visiting UK academia. The ORION laser facility is equipped with a comprehensive suite of some 45 diagnostics covering optical, particle, and x-ray diagnostics all able to image the laser target interaction point. This paper focuses on a small selection of these diagnostics.

  7. [Fine needle aspiration cytology of mammography screening

    DEFF Research Database (Denmark)

    Engvad, B.; Laenkholm, A.V.; Schwartz, Thue W.

    2009-01-01

    INTRODUCTION: In the year 2000 a quality assurance programme for the preoperative breast diagnostics was introduced in Denmark. The programme was based on the "European guidelines for quality assurance in breast cancer screening and diagnosis" where - among other measures - five cytological...... diagnostic classes were introduced. The aim of this study was to evaluate the quality assurance programme in a screening population to determine whether fine needle aspiration cytology (FNAC) as first choice remains a useful tool in the preoperative diagnostics, or if needle core biopsy should be the first...... of 66% of the 783 FNACs had a malignant cytology diagnosis, which in 99% of the cases turned out to be the correct diagnosis. Four lesions were false positives all of which represented benign proliferative breast diseases. The surgical procedures in these cases were either excisional biopsy...

  8. Predicting Malignancy from Mammography Findings and Surgical Biopsies.

    Science.gov (United States)

    Ferreira, Pedro; Fonseca, Nuno A; Dutra, Inês; Woods, Ryan; Burnside, Elizabeth

    2011-11-01

    Breast screening is the regular examination of a woman's breasts to find breast cancer earlier. The sole exam approved for this purpose is mammography. Usually, findings are annotated through the Breast Imaging Reporting and Data System (BIRADS) created by the American College of Radiology. The BIRADS system determines a standard lexicon to be used by radiologists when studying each finding. Although the lexicon is standard, the annotation accuracy of the findings depends on the experience of the radiologist. Moreover, the accuracy of the classification of a mammography is also highly dependent on the expertise of the radiologist. A correct classification is paramount due to economical and humanitarian reasons. The main goal of this work is to produce machine learning models that predict the outcome of a mammography from a reduced set of annotated mammography findings. In the study we used a data set consisting of 348 consecutive breast masses that underwent image guided or surgical biopsy performed between October 2005 and December 2007 on 328 female subjects. The main conclusions are threefold: (1) automatic classification of a mammography, independent on information about mass density, can reach equal or better results than the classification performed by a physician; (2) mass density seems to be a good indicator of malignancy, as previous studies suggested; (3) a machine learning model can predict mass density with a quality as good as the specialist blind to biopsy, which is one of our main contributions. Our model can predict malignancy in the absence of the mass density attribute, since we can fill up this attribute using our mass density predictor.

  9. Postmortem validation of breast density using dual-energy mammography

    Energy Technology Data Exchange (ETDEWEB)

    Molloi, Sabee, E-mail: symolloi@uci.edu; Ducote, Justin L.; Ding, Huanjun; Feig, Stephen A. [Department of Radiological Sciences, University of California, Irvine, California 92697 (United States)

    2014-08-15

    Purpose: Mammographic density has been shown to be an indicator of breast cancer risk and also reduces the sensitivity of screening mammography. Currently, there is no accepted standard for measuring breast density. Dual energy mammography has been proposed as a technique for accurate measurement of breast density. The purpose of this study is to validate its accuracy in postmortem breasts and compare it with other existing techniques. Methods: Forty postmortem breasts were imaged using a dual energy mammography system. Glandular and adipose equivalent phantoms of uniform thickness were used to calibrate a dual energy basis decomposition algorithm. Dual energy decomposition was applied after scatter correction to calculate breast density. Breast density was also estimated using radiologist reader assessment, standard histogram thresholding and a fuzzy C-mean algorithm. Chemical analysis was used as the reference standard to assess the accuracy of different techniques to measure breast composition. Results: Breast density measurements using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean algorithm, and dual energy were in good agreement with the measured fibroglandular volume fraction using chemical analysis. The standard error estimates using radiologist reader assessment, standard histogram thresholding, fuzzy C-mean, and dual energy were 9.9%, 8.6%, 7.2%, and 4.7%, respectively. Conclusions: The results indicate that dual energy mammography can be used to accurately measure breast density. The variability in breast density estimation using dual energy mammography was lower than reader assessment rankings, standard histogram thresholding, and fuzzy C-mean algorithm. Improved quantification of breast density is expected to further enhance its utility as a risk factor for breast cancer.

  10. [Comparison of dignity determination of mammographic microcalcification with two systems for digital full-field mammography with different detector resolution: a retrospective clinical study].

    Science.gov (United States)

    Schulz-Wendtland, R; Hermann, K-P; Adamietz, B; Meier-Meitinger, M; Wenkel, E; Lell, M; Anders, K; Uder, M

    2011-02-01

    The aim of this retrospective clinical study was to compare the diagnostic accuracy of the novel 50 µm FFDM (full-field digital mammography) system (DR) with an established 70 µm system (DR) in the differential diagnosis between benign and malignant clusters of microcalcification (n=50) (BI-RADS™ classification 4/5) and to assess the possible incremental value of the 50 µm pixel-pitch on specificity. From March 2009 to September 2009, 50 patients underwent full-field digital mammography (FFDM) (detector resolution 70 µm) (Novation, Siemens, Erlangen, Germany). As there were suspicious signs of microcalcification classified with BI-RADS™ 4/5 after diagnosis and preoperative wire localization, control images were made with the new FFDM system (detector: resolution 50 µm) (Amulet, Fujifilm, Tokyo, Japan) with the same exposure parameters. The diagnosis was determined after the operation by five radiologists with different experience in digital mammography from randomly distributed mediolateral views (monitor reading) whose results were correlated with the final histology of all lesions. Histopathology revealed 19 benign and 31 malignant lesions in 50 patients after open biopsy. The results of the five readers showed a higher sensitivity of the new FFDM system (80.0%) in the ability to recognize malignant microcalcification in comparison to the established system (74.8%). The specificity (75.8 versus 71.6%) was slightly higher for the new system but these results were not statistically significant (p<0.001). Considering the diagnostic accuracy, the new system (detector: resolution 50 µm) was also slightly superior to the well-known system (detector: resolution 70 µm) (80.1% versus 76.4%). Our study has shown that the new full-field digital mammography system using the novel detector compared with the already established FFDM system with respect to the assessment of microcalcification is at least equivalent.

  11. Breast cancer - Early detection with mammography. Crushed stone-like calcifications - The most frequent malignant type

    Energy Technology Data Exchange (ETDEWEB)

    Tabar, Laszlo [Univ. of Uppsala (Sweden). School of Medicine]|[Central Hospital, Falun (Sweden). Dept. of Mammography; Tot, Tibor [Univ. of Uppsala (Sweden). School of Medicine]|[Central Hospital, Falun (Sweden). Dept. of Pathology and Clinical Cytology; Dean, Peter B. [Turku Univ. (Finland). Dept. of Diagnostic Radiology

    2008-07-01

    A comprehensive guide for analyzing the most common malignant type calcifications on the mammogram Internationally renowned breast cancer imagers Laszlo Tabar and Peter B. Dean and the eminent breast pathologist Tibor Tot distill decades of clinical expertise in this new volume covering the most frequently occurring malignant type calcifications: the pleomorphic, crushed stone-like calcifications. The book presents a systematic approach to using mammographic features to distinguish different subtypes of breast diseases originating within the terminal ductal lobular unit (TDLU). More than 800 images demonstrate abnormal findings with superb clarity, providing a state-of-the-art visual reference for interpreting mammograms in the clinical setting. Features: - Concise descriptions of mammographic and MRI findings correlated with high-quality histopathologic images to provide a reliable guide for accurate diagnosis and differential diagnosis, as well as prognostic classification - Extensive coverage of all aspects of the benign differential diagnostic counterparts of pleomorphic calcifications, including fibrocystic change, fibroadenoma, and papilloma - Straightforward discussion of terminology based on a thorough analysis of subgross anatomy, 3D histologic features, and long-term disease outcomes - 3D viewing glasses enclosed in the book for perceiving specially marked images in their true 3D form This book is ideal for all breast imagers and breast pathologists, as well as for surgeons and oncologists specializing in breast diseases. For the radiologist, this book is an indispensable reference for harnessing the power of mammography to detect breast cancer at the earliest stages possible. About the Breast Cancer: Early Detection with Mammography series: This series grew out of the bestselling book Breast Cancer: The Art and Science of Early Detection with Mammography. Written by the same authors, this series is based on 30 years of experience with more than one

  12. Needs assessment for next generation computer-aided mammography reference image databases and evaluation studies.

    Science.gov (United States)

    Horsch, Alexander; Hapfelmeier, Alexander; Elter, Matthias

    2011-11-01

    Breast cancer is globally a major threat for women's health. Screening and adequate follow-up can significantly reduce the mortality from breast cancer. Human second reading of screening mammograms can increase breast cancer detection rates, whereas this has not been proven for current computer-aided detection systems as "second reader". Critical factors include the detection accuracy of the systems and the screening experience and training of the radiologist with the system. When assessing the performance of systems and system components, the choice of evaluation methods is particularly critical. Core assets herein are reference image databases and statistical methods. We have analyzed characteristics and usage of the currently largest publicly available mammography database, the Digital Database for Screening Mammography (DDSM) from the University of South Florida, in literature indexed in Medline, IEEE Xplore, SpringerLink, and SPIE, with respect to type of computer-aided diagnosis (CAD) (detection, CADe, or diagnostics, CADx), selection of database subsets, choice of evaluation method, and quality of descriptions. 59 publications presenting 106 evaluation studies met our selection criteria. In 54 studies (50.9%), the selection of test items (cases, images, regions of interest) extracted from the DDSM was not reproducible. Only 2 CADx studies, not any CADe studies, used the entire DDSM. The number of test items varies from 100 to 6000. Different statistical evaluation methods are chosen. Most common are train/test (34.9% of the studies), leave-one-out (23.6%), and N-fold cross-validation (18.9%). Database-related terminology tends to be imprecise or ambiguous, especially regarding the term "case". Overall, both the use of the DDSM as data source for evaluation of mammography CAD systems, and the application of statistical evaluation methods were found highly diverse. Results reported from different studies are therefore hardly comparable. Drawbacks of the DDSM

  13. MR mammography in the pre-operative staging of breast cancer in patients with dense breast tissue: comparison with mammography and ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Van Goethem, M.; Schelfout, K.; Verslegers, I.; Biltjes, I.; De Schepper, A. [Department of Radiology, University Hospital Antwerp, Antwerp (Belgium); Dijckmans, L. [Department of Gynecology, University Hospital Antwerp, Antwerp (Belgium); Van Der Auwera, J.C.; Weyler, J. [Department of Epidemiology and Social Medicine, University Hospital Antwerp, Antwerp (Belgium)

    2004-05-01

    The aim of this study was to determine whether pre-operative MR mammography could predict the extent of breast cancer in patients with dense breasts or whether dense parenchyma will lead to false-positive or inconclusive examinations. Sixty-seven patients with dense breasts with a malignant breast tumor planned for conservative surgery were reviewed. Detection rates of mammography, ultrasound, and MR mammography were studied, and the diameters of the lesions were measured and compared with pathological examination. Pathology revealed breast cancer in 65 patients. Sensitivity for detection of index lesions was 83% for mammography, 70.8% for ultrasound, and 98% for MR mammography. Mammography underestimated tumor extent in 37%, ultrasound in 40%, and MR in 12.5%. Of the 20 patients (31%) with multifocal or multicentric carcinoma, mammography detected the lesions in 35%, ultrasound in 30%, and MR in 100%, with a false-positive rate of 12.5, 14, and 23%. The MR mammography is more accurate in assessing tumor extent and multifocality in patients with dense breasts, but benign changes may lead to false-positive examinations. (orig.)

  14. Comparison of digital screening mammography and screen-film mammography in the early detection of clinically relevant cancers: a multicenter study

    NARCIS (Netherlands)

    Bluekens, A.M.; Holland, R.; Karssemeijer, N.; Broeders, M.J.M.; Heeten, G.J. den

    2012-01-01

    Purpose: To compare screen-film mammography with digital mammography in a breast cancer screening program, with a focus on the clinical relevance of detected cancers. Materials and Methods: The study was approved by the regional medical ethics review board. Informed consent was not required. Before

  15. Creating a semantic lesion database for computer-aided MR mammography

    Science.gov (United States)

    Wang, Xiaogang; Martel, Anne

    2012-02-01

    This work presents the creation of a semantic lesion database which will support research into computer-aided lesion detection (CAD) in breast screening MRI. As an adjunct to conventional X-ray mammography, MR-mammography has become a popular screening tool for women with a high risk of breast cancer because of its high sensitivity in detecting malignancy. To address the needs of research and development into CAD for breast MRI an integrated tool has been designed to collect all lesion related information, conduct quantitative analysis, and then present crucial data to clinicians and researchers. A lesion database is an essential component of this system as it provides a link between the DICOM database of MR images and the meta-information contained in the Electronic Patient Record. The patient history, radiology reports from MRI screening visits and pathology reports are all collected, dissected, and stored in a hierarchical structure in the database. Moreover, internal links between pathology specimens and the location of the corresponding lesion in the image are established allowing diagnostic information to be displayed alongside the relevant images. If "ground truth" for an imaging visit can be established either by biopsy or by 2-year follow-up, then the case is labeled as suitable for use in training and testing CAD algorithms. At present a total of 1882 lesions (benign/malignant), 200 pathology specimens over 405 subjects and 1794 screening (455 CAD studies) are included in the database. As well as providing an excellent resource for CAD development this also has potential applications in resident radiologists' training and education.

  16. The use of magnetic resonance mammography in women at increased risk for developing breast cancer

    Science.gov (United States)

    Popiela, Tadeusz J.; Herman-Sucharska, Izabela; Urbanik, Andrzej

    2012-01-01

    Introduction The use of conventional imaging techniques, namely mammography (MMG) and ultrasound (US), for breast cancer (BC) detection in women at high risk for the disease does not bring optimal results in many cases. Aim The present study evaluated the effectiveness of magnetic resonance (MR) mammography (MRM) in cases where US and MMG failed to detect suspected breast lesions. Material and methods The study group consisted of 379 women who had had no breast pathologies detected by US and MMG. This group was then divided into 4 groups according to the relative risk of breast cancer development. All the women underwent MRM, and any breast pathology detected by MRM was then verified by open surgical biopsy (OSB). Results Based on the MRM findings, 37 women with breast pathologies were identified. All detected pathologies were then classified into one of the BIRADS (Breast Imaging Reporting and Data System) categories. Of these, 33 patients underwent open surgical biopsy. There were a total of 17 benign and 16 malignant breast pathologies that were not visualized by US and MMG. The types of malignancies found, in order of their frequency, were as follows: invasive ductal carcinoma (11 cases), ductal carcinoma in situ (2 cases), invasive lobular carcinoma (2 cases), and lobular carcinoma in situ (1 case). An analysis of MRM effectiveness in detecting BC showed 93.7% sensitivity and 64.71% specificity. Conclusions All women with a 20% or greater lifetime risk of developing BC should undergo annual MRM as a diagnostic adjunct to US and MMG. PMID:23630555

  17. Mean glandular doses in mammography: a comparison of values displayed by a mammography unit with in-house values, both using the method proposed by Dance.

    Science.gov (United States)

    Pasicz, Katarzyna; Fabiszewska, Ewa; Grabska, Iwona; Skrzyński, Witold

    2016-09-01

    The purpose of this work is to compare the mean glandular dose (MGD) displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women. This study also attempts to analyse whether the relationship between the calculated and the displayed values is constant and what factors influence this relationship. Material for this study included data from 1200 exposures (i.e. six series; each series consisting of 200 exposures) performed with one full-field digital mammography unit. Based on collected parameters of exposures, values of the MGD for individual mammography examinations were calculated according to the methods proposed by Dance. Obtained values of the MGD were compared with the values displayed by the mammography system. The MGD displayed by the mammography system and the MGD calculated according to the method proposed by Dance for women are significantly different. This result emphasises the importance of verifying MGD values for patient radiation protection, particularly after machine servicing.

  18. The clinical value of the mammography X-ray, ultrasound and MRI for the qualitative diagnosis of breast cancer%钼靶X射线、超声及MRI对乳腺癌诊断的应用价值

    Institute of Scientific and Technical Information of China (English)

    赵军

    2014-01-01

    Objective:To evaluate the diagnostic value of the mammography X-ray, ultrasound and MRI for breast cancer, expected to provide a reference for the clinical diagnosis of these diseases. Methods:117 cases patients with suspected breast cancer were the objects of the study, compared the results of the detection with mammography X-ray, ultrasound and MRI between the results of pathological examination, to investigate the diagnostic ability of different image means for all types of breast disease.Results:The sensitivity, accuracy of MRI for breast cancer were better than X-ray mammography and ultrasound, but the speciifcity was similar with X-ray mammography. Compared ultrasound, the specificity, positive predictive value of X-ray mammography was much higher, but had no advantage in the other parameters related with diagnostic capabilities.Conclusions:Mammography X-ray, ultrasound and MRI have their own advantages and disadvantages for the diagnosis of breast diseases, but the mammography X-ray can be as the preferred means for the ifrst diagnosis of breast cancer, and multiple imaging means could be joint based on the needs of clinical diagnosis.%目的:探讨钼靶X射线、超声及MRI对乳腺癌的临床诊断价值。方法:以117例疑似乳腺癌患者为研究对象,将钼靶X射线、超声及MRI检查结果与病理诊断结果对比,考察不同影像手段对各类乳腺疾病的诊断能力。结果:MRI对乳腺癌的敏感性、准确度等均优于钼靶X射线和超声,但特异性与钼靶X射线相当。与超声相比,钼靶X射线的特异性、阳性预测值较高,但在其他诊断能力相关的参数方面则无优势。结论:钼靶X射线、超声及MRI在诊断乳腺疾病方面各有优劣,但钼靶X射线可作为乳腺癌临床初诊的首选手段,临床确诊时可联用多种影像手段。

  19. Idiopathic granulomatous mastitis: a diagnostic dilemma for the breast radiologist

    OpenAIRE

    Sripathi, Smiti; Ayachit, Anurag; Bala, Archana; Kadavigere, Rajagopal; Kumar, Sandeep

    2016-01-01

    Background Idiopathic granulomatous mastitis is a chronic inflammatory disease of the breast, which is often difficult to differentiate both clinically and radiologically from infectious aetiologies such as tuberculosis, fungal infections, and also from malignancy, thus posing a diagnostic dilemma. We present a pictorial review of the commonly encountered imaging findings in idiopathic granulomatous mastitis on mammography and ultrasound. Materials and methods Mammographic and ultrasound find...

  20. Gynecomastia: a common indication for mammography in men of all age.

    Science.gov (United States)

    Capasso, Raffaella; Sica, A; D'Amora, M; Mostardi, Maurizio; Martella, Ilenia; Totaro, Marilina; Della Casa, Giovanni; Vallara, Manuela; Pesce, Antonella; Gatta, G; Cappabianca, S

    2016-07-28

    Gynecomastia (GM) is the most frequent cause of male breast-related signs and symptoms and represents also the most common indication for mammography (MX) in men. In this article, our 7-year long experience with MX in men suffering from GM is reviewed, and the mammographic features of GM are presented. MXs performed in male patients at our institution from January 2009 to January 2016 were retrospectively reviewed and patients with mammographic features of GM were selected. Informed consent was waived by the local institutional review board given the retrospective nature of the study. Mammograms were performed in both cranio-caudal (CC) and medio-lateral-oblique (MLO) views according to diagnostic needs. Clinical and pathologic data were obtained by review of patient charts. 37 males (aged between 13-79 years, mean 59 years) referred for MX at our institution because of palpable lump (31/37; 83.8%), breast enlargement (33/37; 89.2%), tenderness or pain (25/37; 67.6%). Of the 37 patients evaluated, 32 (86.5%) had true GM while 5 (13.5%) had pseudoGM. The evaluation of GM can be complex but a stepwise approach that starts with careful history taking and physical examination may obviate the need for extensive work-up. In this context, MX has been shown to be an accurate diagnostic tool for detecting GM and should be the first imaging examination to be performed in all clinically suspicious lesions referred for imaging.

  1. Estimating the benefits of mammography screening: the impact of study design

    DEFF Research Database (Denmark)

    Olsen, Anne Helene; Njor, Sisse H; Lynge, Elsebeth

    2007-01-01

    BACKGROUND: Mammography screening is justifiable only if it leads to reduction in breast cancer mortality. However, evaluation of routine screening is not straightforward, as no unscreened control group is available. We report here on a cohort study of the effect of routine mammography on breast...... control group resulted in an estimated increase of 6% in breast cancer mortality. CONCLUSION: Estimated changes in breast cancer mortality following the introduction of routine mammography ranged from a 25% reduction (based on the best methodology) to a 6% increase with a less rigid study design....... The estimated effect of routine mammography on breast cancer mortality is thus highly dependent on study design....

  2. Performance of combined clinical mammography and needle biopsy: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Rank, Fritz; Dyreborg, Uffe

    2006-01-01

    Clinical mammography and needle biopsy are key tools for non-operative assessment of breast lesions. We evaluated the performance of all combined tests undertaken in Denmark in 2000. Clinical mammography and needle biopsy data were collected and linked to final cancer outcome, to determine...... sensitivity, specificity, and predictive values of clinical mammography, needle biopsy, and combined test. In 2000, 6709 combined tests were performed in 36 mammography clinics in Denmark. The combined test was consistently more sensitive than any single test, increasing the proportion of women correctly...

  3. Healthcare Factors for Obtaining a Mammogram in Latinas With a Variable Mammography History

    Science.gov (United States)

    Scheel, John R.; Molina, Yamile; Coronado, Gloria D.; Bishop, Sonia; Doty, Sarah; Jimenez, Ricardo; Thompson, Beti; Lehman, Constance D.; Beresford, Shirley A.A.

    2017-01-01

    Purpose/Objectives To understand the relationship between mammography history and current thoughts about obtaining a mammogram among Latinas and examine the mediation effects of several healthcare factors. Design Cross-sectional survey. Setting Federally qualified health centers (Sea Mar Community Health Centers) in western Washington. Sample 641 Latinas nonadherent and adherent with screening mammography. Methods Baseline survey data from Latinas with a mammography history of never, not recent (more than two years), or recent (less than two years) were analyzed. Preacher and Hayes methods were used to estimate the mediation effect of healthcare factors. Main Research Variables The survey assessed mammography history, sociodemographic and healthcare factors, and current thoughts about obtaining a mammogram. Findings Latinas’ thoughts about obtaining a mammogram were associated with mammography history. Having had a clinical breast examination mediated 70% of differences between Latinas with a never and recent mammography history. Receipt of a provider recommendation mediated 54% of differences between Latinas with and without a recent mammography history. Conclusions These findings emphasize the importance of the patient–provider relationship during a clinic visit and help inform how nurses may be incorporated into subsequent screening mammography interventions tailored to Latinas. Implications for Nursing As providers, health educators, and researchers, nurses have critical roles in encouraging adherence to screening mammography guidelines among Latinas. PMID:27991613

  4. Socio-demographic determinants of participation in mammography screening

    DEFF Research Database (Denmark)

    von Euler-Chelpin, My; Olsen, Anne Helene; Njor, Sisse

    2008-01-01

    Our objective was to use individual data on socio-demographic characteristics to identify predictors of participation in mammography screening and control to what extent they can explain the regional difference. We used data from mammography screening programmes in Copenhagen, 1991-1999, and Funen......, 1993-2001, Denmark. Target groups were identified from the Population Register, screening data came from the health authority, and socio-demographic data from Statistics Denmark. Included were women eligible for at least 3 screens. The crude RR of never use versus always use was 3.21 (95%CI, 3...... women in Copenhagen, irrespective of their socio-demographic characteristics, had low participation. Screening programmes have to find ways to handle this urbanity factor....

  5. Psychosocial predictors of first attendance for organised mammography screening

    DEFF Research Database (Denmark)

    Aro, A R; de Koning, H J; Absetz, P

    1999-01-01

    of breast cancer risk as moderate were also predictive of attendance. Expectation of pain at mammography was predictive of non-attendance. CONCLUSION: Mammography screening organised as a public health service was well accepted. A recent mammogram, high reliance on self control of breast cancer......OBJECTIVE: To study psychosocial predictors of attendance at an organised breast cancer screening programme. SETTING: Finnish screening programme based on personal first round invitations in 1992-94, and with 90% attendance rate. METHODS: Attenders (n = 946) belonged to a 10% random sample (n...... Scale, Illness Attitude Scale, Health Locus of Control Scale, Anxiety Inventory, and Depression Inventory. Univariate and multivariate logistic regression analyses were used to predict attendance. RESULTS: Those most likely to attend were working, middle income, and averagely educated women, who had...

  6. Measurement of half-value layer in mammography

    CERN Document Server

    Yagi, H; Saruwatari, R; Doi, N; Yamane, E

    2003-01-01

    The half-value layer (HVL) of an X-ray beam for film-screen mammography is considered an important parameter for image quality and patient dose. Thus, HVL must be measured in accordance with The Manual of Accuracy for Mammography printed by the Japanese Society of Radiological Technology. The manual prescribes exactly the geometry of measurement, chamber position of measurement in the field, selection of chamber, and so on. However, the measurement of HVL is difficult in the actual clinical setting. This study examined the results of failure to perform the measurement of HVL in accordance with the manual for measuring HVL in the clinical setting. The investigation indicated that serious problems do not arise when measuring HVL for routine quality control even if the chamber in the field is not always set according to the manual and if a chamber for radiotherapy or diagnosis is used that is not recommended for soft X-ray by the manual. (author)

  7. A comparison of the performance of digital mammography systems.

    Science.gov (United States)

    Monnin, P; Gutierrez, D; Bulling, S; Guntern, D; Verdun, F R

    2007-03-01

    An objective analysis of image quality parameters was performed for six digital mammography systems. The presampled modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) for the systems were determined at different doses, for 28 kVp with a Mo/Mo or W/Al target/filter combination and 2 mm of additional aluminium filtration. The flat-panel units have higher MTF and DQE in the mid to high frequency range than standard CR systems. The highest DQE, over the whole dose range, is for the slit-scanning direct photon counting system. Dual-side read CR can overcome the inherent x-ray absorption and signal collection limitations of standard CR mammography, improving the low-frequency DQE by 40%, to the same level as full-field systems, but it does not improve the poor spatial resolution of phosphor.

  8. Multiple diagnostic approaches to palpable breast mass

    Energy Technology Data Exchange (ETDEWEB)

    Chin, Soo Yil; Kim, Kie Hwan; Moon, Nan Mo; Kim, Yong Kyu; Jang, Ja June [Korea Cancer Center Hospital, Seoul (Korea, Republic of)

    1985-12-15

    The combination of the various diagnostic methods of palpable breast mass has improved the diagnostic accuracy. From September 1983 to August 1985 pathologically proven 85 patients with palpable breast masses examined with x-ray mammography, ultrasonography, penumomammography and aspiration cytology at Korea Cancer Center Hospital were analyzed. The diagnostic accuracies of each methods were 77.6% of mammogram, 74.1% of ultrasonogram, 90.5% of penumomammogram and 92.4% of aspiration cytology. Pneumomammograms was accomplished without difficulty or complication and depicted more clearly delineated mass with various pathognomonic findings; air-ductal pattern in fibroadenoma (90.4%) and cystosarcoma phylloides (100%), air-halo in fibrocystic disease (14.2%), fibroadenoma (100%), cystosarcoma phylloides (100%), air-cystogram in cystic type of fibrocystic disease (100%) and vaculoar pattern or irregular air collection without retained peripheral gas in carcinoma.

  9. 全数字化乳腺平板摄影技术探讨%Research of Examination Technique of Digital Mammography Using Digital Flat Panel Detector System

    Institute of Scientific and Technical Information of China (English)

    许静; 袁彩云; 徐莉

    2011-01-01

    目的:探讨数字化乳腺摄影规范的操作方法,以优化乳腺图像质量,从而提高乳腺病变的检出率和诊断的正确率.方法:回顾性分析4 000例患者的数字化乳腺摄影的图像,对每一个摄影位置的摆位方法进行主观评价,对相应图像质量进行分级,进行相关性总结分析.结果:15 420幅所摄图像中,规范操作获得的Ⅰ级片15 012幅,占97.35%;因患者配合问题、不规范操作、设备引起的图像质量下降等问题导致的Ⅱ级片达376幅,占2.44%:需重新拍摄有32次,占0.21%.结论:在全数字化乳腺摄影中,高质量乳腺片的获得需规范的摄影投照方法、定期的设备质量图像校正.%Objective To research the normative operation method of digital mammography for optimizing image quality, so as to improve the diagnostic accuracy of pathological changes. Methods Four thousand cases of mammography images were analyzed retrospectively. Each radiography operation method was evaluated in image quality classification. The relationship between mammography operation and image quality was analyzed. Results There were 15,012 images classified as class I, which accounted for 97.35% among all 15,420 images, and 376 images(2.44%) were class II, which were caused by patient's bad cooperation, abnormal operation of technician and other causes of equipment problem. Thirty two images (0.21%) needed re-operation of mammography due to severely low image quality. Conclusion For acquisition of high quality of mammography images, normative mammography operation and periodical equipment image quality calibration are essential.[Chinese Medical Equipment Journal.2011,32( 12): 112-113

  10. Variation in Screening Mammography Rates Among Medicare Advantage Plans.

    Science.gov (United States)

    Rosenkrantz, Andrew B; Fleming, Margaret; Duszak, Richard

    2017-08-01

    Prior studies have shown higher screening mammography rates for beneficiaries in capitated managed care Medicare Advantage (MA) plans compared with traditional fee-for-service Medicare. The aim of this study was to explore variation in screening mammography rates at the level of MA managed care plans. Using the 2016 MA Healthcare Effectiveness Data and Information Set Public Use File, screening mammography rates were identified for all 385 reporting MA plans. Associations were explored with a range of plan characteristics from this file, as well as from the CMS Part C and Part D Medicare Star Ratings Data File, Medicare Advantage Plan Directory, and Medicare Monthly Enrollment by Plan File. Overall MA plan screening rates were high (mean, 72.6 ± 9.4%) but varied substantially among plans (range, 14.3%-91.8%). Screening rates were higher in nonprofit versus for-profit plans (77.3% versus 71.8%, P plans versus private fee-for-service or regional preferred provider organization plans (71.9%-73.2% versus 65.5%-66.8%, P = .001). Among parent organizations with five or more plans, screening rates were highest for Kaiser Foundation (median, 88.4%) and lowest for Molina Healthcare (median, 65.3%). Screening rates showed small but significant associations with plans' contract lengths, enrolled populations, and counties served. Screening rates showed strong associations (r = 0.796-0.798) with colorectal cancer screening and annual flu vaccine rates and showed moderate associations (r = 0.283-0.365) with ambulatory and preventive care visits, osteoporosis screenings, body mass index assessments, and nonrecommended prostate-specific antigen screenings after age 70. Screening mammography rates vary considerably among MA plans. With increased federal interest in promoting the MA program, enhanced transparency will be necessary to ensure appropriate Medicare beneficiary participation decision making. Copyright © 2017 American College of Radiology. Published by Elsevier Inc

  11. Mammography controversy: a case for breast self-examination

    Energy Technology Data Exchange (ETDEWEB)

    Gorringe, R.; Lee, M.M.; Voda, A.

    1978-07-01

    The mammography controversy and the directives in the NIH guidelines must be considered by nurses because of their implications for preventive health care and early detection of breast cancer. Nursing is in an ideal position within the health care delivery system to promote breast self-examination. In the meantime the relative risks and benefits of the procedure for women under age 50 must be studied.

  12. Studies on design of 351  nm focal plane diagnostic system prototype and focusing characteristic of SGII-upgraded facility at half achievable energy performance.

    Science.gov (United States)

    Liu, Chong; Ji, Lailin; Yang, Lin; Zhao, Dongfeng; Zhang, Yanfeng; Liu, Dong; Zhu, Baoqiang; Lin, Zunqi

    2016-04-01

    In order to obtain the intensity distribution of a 351 nm focal spot and smoothing by spectral dispersion (SSD) focal plane profile of a SGII-upgraded facility, a type of off-axis imaging system with three spherical mirrors, suitable for a finite distance source point to be imaged near the diffraction limit has been designed. The quality factor of the image system is 1.6 times of the diffraction limit tested by a 1053 nm point source. Because of the absence of a 351 nm point source, we can use a Collins diffraction imaging integral with respect to λ=351  nm, corresponding to a quality factor that is 3.8 times the diffraction limit at 351 nm. The calibration results show that at least the range of ±10  mrad of view field angle and ±50  mm along the axial direction around the optimum object distance can be satisfied with near diffraction limited image that is consistent with the design value. Using this image system, the No. 2 beam of the SGII-upgraded facility has been tested. The test result of the focal spot of final optics assembly (FOA) at 351 nm indicates that about 80% of energy is encompassed in 14.1 times the diffraction limit, while the output energy of the No. 2 beam is 908 J at 1053 nm. According to convolution theorem, the true value of a 351 nm focal spot of FOA is about 12 times the diffraction limit because of the influence of the quality factor. Further experimental studies indicate that the RMS value along the smoothing direction is less than 15.98% in the SSD spot test experiment. Computer simulations show that the quality factor of the image system used in the experiment has almost no effect on the SSD focal spot test. The image system can remarkably distort the SSD focal spot distribution under the circumstance of the quality factor 15 times worse than the diffraction limit. The distorted image shows a steep slope in the contour of the SSD focal spot along the smoothing direction that otherwise has a relatively flat top region

  13. Development of Automatic Cluster Algorithm for Microcalcification in Digital Mammography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Seok Yoon [Dept. of Medical Engineering, Korea University, Seoul (Korea, Republic of); Kim, Chang Soo [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Pusan (Korea, Republic of)

    2009-03-15

    Digital Mammography is an efficient imaging technique for the detection and diagnosis of breast pathological disorders. Six mammographic criteria such as number of cluster, number, size, extent and morphologic shape of microcalcification, and presence of mass, were reviewed and correlation with pathologic diagnosis were evaluated. It is very important to find breast cancer early when treatment can reduce deaths from breast cancer and breast incision. In screening breast cancer, mammography is typically used to view the internal organization. Clusterig microcalcifications on mammography represent an important feature of breast mass, especially that of intraductal carcinoma. Because microcalcification has high correlation with breast cancer, a cluster of a microcalcification can be very helpful for the clinical doctor to predict breast cancer. For this study, three steps of quantitative evaluation are proposed : DoG filter, adaptive thresholding, Expectation maximization. Through the proposed algorithm, each cluster in the distribution of microcalcification was able to measure the number calcification and length of cluster also can be used to automatically diagnose breast cancer as indicators of the primary diagnosis.

  14. Ultra-Fast Image Reconstruction of Tomosynthesis Mammography Using GPU

    Directory of Open Access Journals (Sweden)

    Arefan D

    2015-06-01

    Full Text Available Digital Breast Tomosynthesis (DBT is a technology that creates three dimensional (3D images of breast tissue. Tomosynthesis mammography detects lesions that are not detectable with other imaging systems. If image reconstruction time is in the order of seconds, we can use Tomosynthesis systems to perform Tomosynthesis-guided Interventional procedures. This research has been designed to study ultra-fast image reconstruction technique for Tomosynthesis Mammography systems using Graphics Processing Unit (GPU. At first, projections of Tomosynthesis mammography have been simulated. In order to produce Tomosynthesis projections, it has been designed a 3D breast phantom from empirical data. It is based on MRI data in its natural form. Then, projections have been created from 3D breast phantom. The image reconstruction algorithm based on FBP was programmed with C++ language in two methods using central processing unit (CPU card and the Graphics Processing Unit (GPU. It calculated the time of image reconstruction in two kinds of programming (using CPU and GPU.

  15. Spectral lesion characterization on a photon-counting mammography system

    Science.gov (United States)

    Erhard, Klaus; Fredenberg, Erik; Homann, Hanno; Roessl, Ewald

    2014-03-01

    Spectral X-ray imaging allows to differentiate between two given tissue types, provided their spectral absorption characteristics differ measurably. In mammography, this method is used clinically to determine a decomposition of the breast into adipose and glandular tissue compartments, from which the glandular tissue fraction and, hence, the volumetric breast density (VBD) can be computed. Another potential application of this technique is the characterization of lesions by spectral mammography. In particular, round lesions are relatively easily detected by experienced radiologists, but are often difficult to characterize. Here, a method is described that aims at discriminating cystic from solid lesions directly on a spectral mammogram, obtained with a calibrated spectral mammography system and using a hypothesis-testing algorithm based on a maximum likelihood approach. The method includes a parametric model describing the lesion shape, compression height variations and breast composition. With the maximum likelihood algorithm, the model parameters are estimated separately under the cyst and solid hypothesis. The resulting ratio of the maximum likelihood values is used for the final tissue characterization. Initial results using simulations and phantom measurements are presented.

  16. Theoretical analysis of high-resolution digital mammography.

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan; Sechopoulos, Ioannis

    2006-06-21

    The performance of a high-resolution charge coupled device-based full-field digital mammography imager was analysed using a mathematical framework based on an adaptation of cascaded linear systems theory described by other investigators. This work has been conducted in order to understand the impact of various design parameters on the physical performance characteristics of the imager. Specifically, the effect of pixel size, scintillator thickness and packing density, x-ray spectra, air kerma, dark current, charge integration time, and pixel fill-factor on the frequency dependent detective quantum efficiency was studied using a charge-coupled device as a reference platform. The imaging system was modelled as a series of physical processes with gain and spatial spreading. For each stage, the signal and noise power spectra were computed and propagated through the imaging chain as inputs to subsequent stages. Good agreement between experimental and theoretical predictions was obtained for various x-ray spectral conditions that were investigated. The modulation transfer function, MTF(f) and detective quantum efficiency DQE(f) characteristics obtained in this study are encouraging and comparable to other digital mammography systems. The results of this study strongly suggest the feasibility of large area scintillator-based digital mammography imagers with pixel sizes below 100 microm.

  17. A task-based quality control metric for digital mammography

    Science.gov (United States)

    Maki Bloomquist, A. K.; Mainprize, J. G.; Mawdsley, G. E.; Yaffe, M. J.

    2014-11-01

    A reader study was conducted to tune the parameters of an observer model used to predict the detectability index (dʹ ) of test objects as a task-based quality control (QC) metric for digital mammography. A simple test phantom was imaged to measure the model parameters, namely, noise power spectrum, modulation transfer function and test-object contrast. These are then used in a non-prewhitening observer model, incorporating an eye-filter and internal noise, to predict dʹ. The model was tuned by measuring dʹ of discs in a four-alternative forced choice reader study. For each disc diameter, dʹ was used to estimate the threshold thicknesses for detectability. Data were obtained for six types of digital mammography systems using varying detector technologies and x-ray spectra. A strong correlation was found between measured and modeled values of dʹ, with Pearson correlation coefficient of 0.96. Repeated measurements from separate images of the test phantom show an average coefficient of variation in dʹ for different systems between 0.07 and 0.10. Standard deviations in the threshold thickness ranged between 0.001 and 0.017 mm. The model is robust and the results are relatively system independent, suggesting that observer model dʹ shows promise as a cross platform QC metric for digital mammography.

  18. Characteristics of YouTube™ Videos Related to Mammography.

    Science.gov (United States)

    Basch, Corey H; Hillyer, Grace Clarke; MacDonald, Zerlina L; Reeves, Rachel; Basch, Charles E

    2015-12-01

    With a monthly total of more than one billion unique visitors, YouTube™ is one of the Internet's most visited websites and contributes to the growing amount of health-related information on the Internet. The purpose of this study was to analyze coverage of mammography screening in popular YouTube™ videos. A total of 173 videos were included in the analysis. Compared with professionally created videos, consumer-created videos had a significantly greater number of comments (>9 comments 38.0% for consumer vs. 11.8% for professional videos, p=<0.001). Videos created by professionals more often portrayed general mammography information (97.1 vs. 88.7%) compared to those created by consumers. The vast majority of videos presented general information (93.6%) related to mammography, and almost two thirds addressed preparing for the test. Less than 20% dealt with other types of examinations. Approximately 30% discussed pain associated with the examination (35.3%) and addressed issues of anxiety (32.4%) and fear (29.5%). Nearly half of the videos presented information about the test results (46.2%). Over 25% covered medical or family history. The majority did not pertain to a specific age group. Future research should focus on analyzing the accuracy of the information in the videos.

  19. The promise of computer aided detection in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Roehrig, Jimmy E-mail: jimmy@enrico.r2tech.com; Castellino, Ronald A. E-mail: castellr@mskcc.org

    1999-07-01

    Computer-aided detection (CAD) is a new technology now being implemented in many clinics to reduce the false negative rate in mammography screening. A large clinical study has been completed which shows that a substantial false negative (miss) rate exists in screening mammography, a significant fraction of the missed cancers are not subtle, and CAD has high sensitivity to these missed cancers. Full field digital mammography is now coming on the scene, but has not yet been proven in clinical practice. The authors believe that full acceptance of the new digital technology depends not merely on demonstrations of 'substantial equivalence' to film-screen technology, but rather on more complete exploitation of the unique advantages of digital technology, and that CAD can play a key role. These advantages derive from CAD's ability to quickly (in near real-time) perform analytical computations on digital information that is not readily available to the radiologist until after the cost of film-processing has occurred.

  20. Sensitivity and specificity of unenhanced MR mammography (DWI combined with T2-weighted TSE imaging, ueMRM) for the differentiation of mass lesions

    Energy Technology Data Exchange (ETDEWEB)

    Baltzer, Pascal A.T.; Benndorf, Matthias; Dietzel, Matthias; Kaiser, Werner A. [Friedrich Schiller University Jena, Institute of Diagnostic and Interventional Radiology, Jena (Germany); Gajda, Mieczyslaw [Institute of Pathology, Friedrich Schiller University Jena, Jena (Germany); Camara, Oumar [Friedrich Schiller University Jena, Clinic of Gynecology, Jena (Germany)

    2010-05-15

    This study was performed to assess the sensitivity and specificity for malignant and benign mass lesions of a diagnostic approach combining DWI with T2-weighted images (unenhanced MR mammography, ueMRM) and compare the results with contrast-enhanced MR mammography (ceMRM). Consecutive patients undergoing histopathological verification of mass lesions after MR mammography without prior breast interventions (contrast-enhanced T1-weighted, T2-weighted and DWI sequences) were eligible for this retrospective investigation. Two blinded observers first rated ueMRM and then ceMRM according to the BIRADS scale. Lesion size, ADC values and T2-weighted TSE descriptors were assessed. This study examined 81 lesions (27 benign, 54 malignant). Sensitivity of ueMRM was 93% (observer 1) and 86% (observer 2), respectively. Sensitivity of ceMRM was 96.5% (observer 1) and 98.3% (observer 2). Specificity was 85.2% (ueMRM) and 92.6% (ceMRM) for both observers. The differences between both methods and observers were not significant (P {>=} 0.09). Lesion size measurements did not differ significantly among all sequences analyzed. Tumor visibility was worse using ueMRM for both benign (P < 0.001) and malignant lesions (P = 0.004). Sensitivity and specificity of ueMRM in mass lesions equal that of ceMRM. However, a reduced lesion visibility in ueMRM may lead to more false-negative findings. (orig.)

  1. Application and Analysis of the Isoelectronic Line Ratio Temperature Diagnostic in a Planar Ablating-Plasma Experiment at the National Ignition Facility

    Science.gov (United States)

    Epstein, R.; Rosenberg, M. J.; Solodov, A. A.; Myatt, J. F.; Regan, S. P.; Seka, W.; Hohenberger, M.; Barrios, M. A.; Moody, J. D.

    2015-11-01

    The Mn/Co isoelectronic emission-line ratio from a microdot source in planar CH foil targets was measured to infer the electron temperature (Te) in the ablating plasma during two-plasmon-decay experiments at the National Ignition Facility (NIF). We examine the systematic uncertainty in the Te estimate based on the temperature and density sensitivities of the line ratio in conjunction with plausible density constraints, and its contribution to the total Te estimate uncertainty. The potential advantages of alternative microdot elements (e.g., Ti/Cr and Sc/V) are considered. The microdot mass was selected to provide ample line strength while minimizing the effect of self-absorption on the line emission, which is of particular concern, given the narrow linewidths of mid- Z emitters at subcritical electron densities. Atomic line-formation theory and detailed atomic-radiative simulations show that the straight forward interpretation of the isoelectronic ratio solely in terms of its temperature independence remains valid with lines of moderate optical thickness (up to ~ 10) at line center. This material is based upon work supported by the Department of Energy National Nuclear Security Administration under Award Number DE-NA0001944.

  2. A Comparative Study on Digital Mammography and Ultrasonography in Diagnosis of Breast Ductal Carcinoma%乳腺导管内癌数字化摄影与超声诊断的对比研究

    Institute of Scientific and Technical Information of China (English)

    徐向红; 赵玉年; 王慧华

    2012-01-01

    Objective To investigate the value of digital mammography and ultrasonography in diagnosis of breast ductal carcinoma. Methods 53 cases of ductal carcinoma were retrospectively analyzed. The digital mammography and ultrasonography were performed in all cases. The diagnosis of digital mammography and ultrasonography was divided into probably malignant, indeterminate , probably benign, and negative. According to surgical and histopathological outcomes, a comparative study on the value of digital mammo-graphy and ultrasonography was performed. Results There are 36 cases and 33 cases of probably malignant ,4 cases and 5 cases of indeterminate,7 cases and 10 cases of of probably benign,6 cases and 5 cases of negative diagnosed by digital mammography and ultrasonography respectively. The accuracy of digital mammography and ultrasonography were 67. 9%( 36/53 ) and 62. 3% ( 33/53 ) respectively. The accuracy of digital mammography associated with ultrasonography was 88. 7%( 47/53 ). Conclusion Digital mammography and ultrasonography are valuable in the diagnosis of breast ductal carcinoma. The diagnostic accuracycan be improved by the combination of the two methods.%目的 探讨数字化摄影与超声检查对乳腺导管内癌的诊断价值.方法 回顾性分析53例乳腺导管内癌病例,所有病例都接受了数字化摄影及超声检查.数字化摄影和超声诊断分为可能恶性、性质待定、可能良性和阴性.对照手术和病理组织学检查结果,比较数字化摄影和超声检查的价值.结果 数字化摄影和超声分别诊断可能恶性36例和33例,性质待定4例和5例,可能良性7例和10例,阴性6例和5例.数字化摄影和超声诊断的准确性分别是67.9%(36/53)和62.3%(33/53).数字化摄影结合超声诊断的准确性是88.7%(47/53).结论 数字化摄影和超声诊断可用于乳腺导管内癌的诊断,联合应用可提高诊断的准确性.

  3. Analysis of 107 breast lesions with automated 3D ultrasound and comparison with mammography and manual ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Kotsianos-Hermle, D. [Department of Clinical Radiology, University of Munich (Germany)], E-mail: dorothea.hermle@med.uni-muenchen.de; Hiltawsky, K.M. [General Electric, Global Research, Garching (Germany); Wirth, S.; Fischer, T. [Department of Clinical Radiology, University of Munich (Germany); Friese, K. [Department of Gynaecology, University of Munich (Germany); Reiser, M. [Department of Clinical Radiology, University of Munich (Germany)

    2009-07-15

    Objectives: Our aim was to investigate the diagnostic potential of an automated ultrasound (US) breast scanner prototype and compare it with manual US and mammography. Methods: Ninety-seven patients with a total of 107 breast lesions had mammograms, manual US and an automated breast US scan. Multiplanar reconstructions in coronal, axial and the sagittal view were reconstructed from the automated dataset and visualized. After biopsy, all lesions were confirmed histologically. The data were evaluated according to the BIRADS (Breast Imaging Reporting and Data System) classification. The sensitivity and specificity were analyzed. Results: The BIRADS criterion 'margin' was significantly related to the overall BIRADS classification, independently of the US method being used. The sensitivity of mammography was significantly lower than of each US method (Fisher's exact test with p < 0.05). There were no significant differences between the US methods. Conclusions: The reconstructed third (axial) image plane of the whole breast, which corresponds to a craniocaudal mammogram, can give additional information about both, site and differential diagnosis of a lesion. Although image quality was sufficient, automated US is not good enough to replace manual US at this time.

  4. Analysis of 107 breast lesions with automated 3D ultrasound and comparison with mammography and manual ultrasound.

    Science.gov (United States)

    Kotsianos-Hermle, D; Hiltawsky, K M; Wirth, S; Fischer, T; Friese, K; Reiser, M

    2009-07-01

    Our aim was to investigate the diagnostic potential of an automated ultrasound (US) breast scanner prototype and compare it with manual US and mammography. Ninety-seven patients with a total of 107 breast lesions had mammograms, manual US and an automated breast US scan. Multiplanar reconstructions in coronal, axial and the sagittal view were reconstructed from the automated dataset and visualized. After biopsy, all lesions were confirmed histologically. The data were evaluated according to the BIRADS (Breast Imaging Reporting and Data System) classification. The sensitivity and specificity were analyzed. The BIRADS criterion "margin" was significantly related to the overall BIRADS classification, independently of the US method being used. The sensitivity of mammography was significantly lower than of each US method (Fisher's exact test with p<0.05). There were no significant differences between the US methods. The reconstructed third (axial) image plane of the whole breast, which corresponds to a craniocaudal mammogram, can give additional information about both, site and differential diagnosis of a lesion. Although image quality was sufficient, automated US is not good enough to replace manual US at this time.

  5. Applying the Fuzzy Delphi Method for determining socio-ecological factors that influence adherence to mammography screening in rural areas of Mexico.

    Science.gov (United States)

    Sánchez-Lezama, Ana Paola; Cavazos-Arroyo, Judith; Albavera-Hernández, Cidronio

    2014-02-01

    In Mexico, regular participation in mammography screening is low, despite higher survival rates. The objective of our research is to highlight healthcare procedures to be optimized and target areas to encourage investment and to raise awareness about the benefits of early diagnosis. Those socio-ecological factors (community, interpersonal and individual) were collected through a review of literature and based on the spatial interaction model of mammography use developed by Mobley et al. The opinion of diverse groups of experts on the importance of those factors was collected by survey. The Fuzzy Delphi Method helped to solve the inherent uncertainty of the survey process. Our findings suggest that population health behaviors, proximity-density to facilities/ physicians and predisposing factors are needed to increase the screening rate. Variations in expert group size could affect the accuracy of the conclusions. However, the application of the enhanced aggregation method provided a group consensus that is less susceptible to misinterpretation and that weighs the opinion of each expert according to their clinical experience in mammography research.

  6. Mammography Screening in a Large Health System Following the U.S. Preventive Services Task Force Recommendations and the Affordable Care Act.

    Science.gov (United States)

    Nelson, Heidi D; Weerasinghe, Roshanthi; Wang, Lian; Grunkemeier, Gary

    2015-01-01

    Practice recommendations for mammography screening were issued by the U.S. Preventive Services Task Force in 2009 and expansion of insurance coverage was provided under the Patient Protection and Affordable Care Act soon thereafter, yet the influence of these changes on screening practices in the United States is not known. To determine changes in mammography screening and their associations with new practice recommendations and the Affordable Care Act, we examined patient-level data from 249,803 screening mammograms from January 1, 2008 through December 31, 2012 in a large community-based health system in the northwestern United States. Associations were determined by an intervention analysis of time-series data method. Among women screened, 64% were age 50-74 years; 84% self-identified as white race; 62% had commercial insurance; and 70% were seen in facilities located in metropolitan areas. Practice recommendations were associated with decreased screening volumes among women age Act was associated with increased screening among women age 50-74 (+184.3 mammograms/month; +7.2% change; P=0.001), but not women Act was associated with increased screening for women with Medicare, Medicaid, or other noncommercial sources of payment. Mammography screening volumes in a large community health system decreased among women age Act were associated with increased screening volumes among women age 50-74.

  7. Solid-state dosimeters: A new approach for mammography measurements

    Energy Technology Data Exchange (ETDEWEB)

    Brateman, Libby F., E-mail: bratel@radiology.ufl.edu [Department of Radiology, University of Florida College of Medicine Box 100374, Gainesville, Florida 32610-0374 (United States); Heintz, Philip H. [Department of Radiology, University of New Mexico, MSC10 5530, Albuquerque, New Mexico 87131 (United States)

    2015-02-15

    Purpose: To compare responses of modern commercially available solid-state dosimeters (SStDs) used in mammography medical physics surveys for two major vendors of current digital mammography units. To compare differences in dose estimates among SStD responses with ionization chamber (IC) measurements for several target/filter (TF) combinations and report their characteristics. To review scientific bases for measurements of quantities required for mammography for traditional measurement procedures and SStDs. Methods: SStDs designed for use with modern digital mammography units were acquired for evaluation from four manufacturers. Each instrument was evaluated under similar conditions with the available mammography beams provided by two modern full-field digital mammography units in clinical use: a GE Healthcare Senographe Essential (Essential) and a Hologic Selenia Dimensions 5000 (Dimensions), with TFs of Mo/Mo, Mo/Rh; and Rh/Rh and W/Rh, W/Ag, and W/Al, respectively. Measurements were compared among the instruments for the TFs over their respective clinical ranges of peak tube potentials for kVp and half-value layer (HVL) measurements. Comparisons for air kerma (AK) and their associated relative calculated average glandular doses (AGDs), i.e., using fixed mAs, were evaluated over the limited range of 28–30 kVp. Measurements were compared with reference IC measurements for AK, reference HVLs and calculated AGD, for two compression paddle heights for AK, to evaluate scatter effects from compression paddles. SStDs may require different positioning from current mammography measurement protocols. Results: Measurements of kVp were accurate in general for the SStDs (within −1.2 and +1.1 kVp) for all instruments over a wide range of set kVp’s and TFs and most accurate for Mo/Mo and W/Rh. Discrepancies between measurements and reference values were greater for HVL and AK. Measured HVL values differed from reference values by −6.5% to +3.5% depending on the SStD and

  8. 超声对致密型乳腺疾病的诊断价值%Clinical value of ultrasonography in dense breasts by mammography

    Institute of Scientific and Technical Information of China (English)

    蒋珺; 陈亚青; 李文英; 徐依耑

    2011-01-01

    Objective To evaluate the role of breast ultrasonography in women with dense breast tissue by mammography. Methods The breast ultrasonography appearance in 115 patients with dense breasts and 304 patients without dense breasts were retrospectively analyzed. The findings by ultrasound, mammography and subsequent histopathology were used to calculate the detection rate, sensitivity, specificity and accuracy of breast ultrasonography. Results The detection rates of breast neoplasms by ultrasonography in patients with or without dense breast were 96. 3% and 98. 3% , respectively, which were significantly higher than mammography ( 36. 0% , 83. 7% , P <0. 01 ). In the dense breasts, the diagnostic sensitivity for breast cancer by ultrasonography was higher than that by mammography (83.9%, 51.6%, P < 0.01 ), while the diagnostic sensitivity of ultrasonography was lower than that by mammography ( 88.6% , 98. 1% , P <0. 01 ). The diagnostic accuracy rate of the two methods was 87. 5% . In the patients without dense breast, no statistical difference was found in the diagnosis for sensitivity, specificity and accuracy of the two imaging techniques ( P > 0. 05 ). Conclusion The breast ultrasonography could significantly improve the detection rate of breast neoplasm and the diagnosis sensitivity of breast cancer in the dense breasts by mammography, which could be a useful supplement for screening mammography in women with dense breast.%目的 探讨超声在致密型乳腺疾病中的诊断价值.方法 回顾性分析115例致密型乳腺患者和304例非致密型乳腺患者的超声声像图表现,并与其钼靶X线检查结果和病理结果相比较,统计分析超声对致密型乳腺疾病的检出率和诊断准确率.结果 超声对致密型、非致密型乳腺中的病灶检出率分别为96.3%、98.3%,均显著高于钼靶(36.0%、83.7%;P<0.01).在致密型乳腺患者中,超声对乳腺癌的诊断敏感度显著高于钼靶(83.9%

  9. Two-view versus single-view mammography at subsequent screening in a region of the Dutch breast screening programme.

    NARCIS (Netherlands)

    Smallenburg, V.v.; Duijm, L.E.M.; Heeten, G.J. den; Groenewoud, J.H.; Jansen, F.H.M.; Fracheboud, J.; Plaisier, M.L.; Doorne-Nagtegaal, H.J. van; Broeders, M.J.M.

    2012-01-01

    We retrospectively determined the effect of analogue two-view mammography versus single-view mammography at subsequent screens on breast cancer detection and determined financial consequences for a current digital mammography setting. Two screening radiologists reviewed the mammograms of 536 screen

  10. 超声联合X线钼靶诊断乳腺癌的价值探讨%Study of Ultrasonography and Mammography for Breast Cancer Diagnosis Value

    Institute of Scientific and Technical Information of China (English)

    王玉清; 王平; 刘忠岐

    2015-01-01

    Objective The clinical value of ultrasonography and mammography in diagnosis of breast cancer were discussed. Methods 95 cases conifrmed by operation and pathology in patients with breast cancer were analyzed. Results Combined diagnostic sensitivity is higher than that of diagnostic ultrasound and molybdenum target X-ray diagnosis sensitivity (P<0.05). Conclusion Taking of ultrasonography and mammography for diagnosis of breast cancer patients, can improve the diagnostic sensitivity.%目的:对超声联合X线钼靶诊断乳腺癌的临床价值进行探讨。方法对95例经手术病理证实为乳腺癌患者的资料进行分析。结果联合诊断的敏感度高于超声诊断与X线钼靶诊断的敏感度(P<0.05)。结论采取超声联合X线钼靶对乳腺癌患者进行诊断,能够提高诊断敏感度。

  11. Web-based platform for patient dose surveys in diagnostic and interventional radiology in Bulgaria: Functionality testing and optimisation.

    Science.gov (United States)

    Simeonov, F; Palov, N; Ivanova, D; Kostova-Lefterova, D; Georgiev, E; Zagorska, A; Madzharova, R; Vassileva, J

    2017-05-04

    In the period 2013-2016 the National Centre of Radiobiology and Radiation Protection (NCRRP) at the Ministry of Health of Bulgaria has developed a web based platform for performing national patient dose surveys and establishing Diagnostic Reference Levels (DRLs). It is accessible via internet browser, allowing the users to submit data remotely. Electronic questionnaires, specific for radiography, fluoroscopy, image guided interventional procedures, mammography and CT, were provided. Short and clear manuals were added to guide users and minimise human errors. The web-based data collection platform is functional and is currently being used for performing the third national dose survey in Bulgaria, launched in 2016. Data analysis is facilitated due to the standardisation of collected data and their storing. Using the platform, the participating facilities can establish their typical dose levels based on the median value, and compare them to DRLs. A disadvantage of the platform is the need to enter data manually, but it is opened for future upgrades for automatic data harvesting and analysis. Various practical approaches were used to overcome the lack of qualified human resources and insufficient understanding of the DRL and dose tracking concept and to motivate facilities to submit data. Copyright © 2017. Published by Elsevier Ltd.

  12. Impact of prior mammograms on combined reading of digital mammography and digital breast tomosynthesis.

    Science.gov (United States)

    Kim, Won Hwa; Chang, Jung Min; Koo, Hye Ryoung; Seo, Mirinae; Bae, Min Sun; Lee, Joongyub; Moon, Woo Kyung

    2017-02-01

    Background Although digital breast tomosynthesis (DBT) is an emerging technique yielding higher sensitivity and specificity compared to digital mammography (DM) alone, relative contribution of prior mammograms on the interpretation of DBT combined with DM has not been investigated. Purpose To retrospectively compare the diagnostic performances of DM, DM + DBT, and DM + DBT with prior mammograms. Material and Methods Three breast radiologists independently reviewed images of 116 patients with 24 cancers in the sequential order of DM, DM + DBT, and DM + DBT with prior mammograms using Breast Imaging Reporting and Data System (BI-RADS) assessment categories. Results The average areas under the receiver operating characteristic curve (AUC) of DM, DM + DBT, and DM + DBT with prior mammograms were 0.712, 0.777, and 0.816, respectively. Adding prior mammograms did not significantly affect the AUC of DM + DBT ( P = 0.108), whereas adding DBT significantly increased the AUC of DM ( P = 0.009). Sensitivity for DM, DM + DBT, and DM + DBT with prior mammograms was 58.3%, 69.4%, and 69.4%, and specificities were 84.1%, 85.9%, and 93.8%, respectively. Addition of DBT significantly increased the sensitivity ( P = 0.0090) of DM. Prior mammograms significantly improved the specificity of DM + DBT ( P = 0.0004), whereas adding prior mammogram did not affect sensitivity of DM + DBT ( P = 1.000). Conclusion DBT significantly increases the overall sensitivity and diagnostic performance of DM. Prior mammograms significantly increase the specificity of DM + DBT but have no significant effect on sensitivity and overall diagnostic performance.

  13. Mediating factors in the relationship between income and mammography use in low-income insured women.

    Science.gov (United States)

    Park, Alice N; Buist, Diana S M; Tiro, Jasmin A; Taplin, Stephen H

    2008-10-01

    We used secondary data from a prospective randomized mammography recruitment trial to examine whether attitudinal and facilitating characteristics mediate the observed relationship between annual household income and mammogram receipt among women in an integrated health plan. We compared 1419 women due for a screening mammogram based on the 1995 annual household income poverty definition for a family of four ($15,000). A telephone survey was used to collect information on household income, demographics, health behavior, attitudinal and facilitating variables. Administrative databases were used to document mammography receipt. We used Cox proportional hazards models to estimate the hazards ratio (HR) and 95% confidence interval (CI) of subsequent mammography use separately for women with and without a prior mammogram. Several variables, including employment, living alone, believing that mammograms are unnecessary, having friends supportive of mammography, and ease of arranging transportation, completely mediated the effect of income on mammography use. In multivariable models, the direct predictive effect of income on mammography was reduced to nonsignificance (HR 1.13, 95% CI 0.82-1.54 in women with previous mammogram and HR 0.91, 95% CI 0.41-2.00 in women without previous mammogram). Providing insurance does not ensure low-income populations will seek screening mammography. Efficacious interventions that address attitudes and facilitating conditions may motivate mammography use among low-income women with insurance.

  14. Screening Mammography: A Pilot Study on Its Pertinence in Indian Population by Means of a Camp.

    Science.gov (United States)

    Kumar, Joish Upendra; Sreekanth, Vivek; Reddy, Harikiran R; Sridhar, Aishwarya B; Kodali, Niveditha; Prabhu, Anitha S

    2017-08-01

    Breast cancer incidence and related mortality is increasing in Indian women. Indian ladies hesitate to seek medical care for breast related issues. Screening mammography, proved to effectively reduce mortality, has been deemed not feasible in Indian context due to cost considerations. The suggested alternatives have not been proven to improve mortality rates. To find the relevance of screening mammography camp among Indian women. A week long screening mammography camp was organized in a tertiary care hospital. Clinical examination was done followed by bilateral mammography. Mammograms were reported as per American College of Radiology-Breast Imaging Reporting and Data Systems (ACR-BIRADS) 5(th) edition specifications. Lesions deemed BIRADS 4 and 5 were biopsied. BIRADS 3 category findings were suggested short interval follow up. A total of 118 women, ranging from 35 to 64 years of age with mean age of 49.6 years underwent mammography. Thirty ladies with dense breast compositions further underwent sono-mammography. Six (5.1%) new cases of breast carcinomas were detected during this study and 28 (23.7%) cases with probably benign findings were advised short interval follow up. Mammography, being a proven screening modality effective in reducing mortality, needs incorporation into the nationwide program for breast cancer detection, inspite of financial considerations. Organizing mammography camps will help create awareness and encourage public to utilize services.

  15. Mammography in Norway: Image quality and total performance; Mammografivirksomhet i Norge: Bildekvalitet og totalytelse

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, J.B.; Skretting, A. [Norske Radiumhospital, Oslo (Norway); Widmark, A. [Statens Straalevern, Oesteraas (Norway)

    1997-04-01

    This report describes a method for assessing the total performance in mammography based on Receiver Operating Characteristic (ROC) analysis. In the time period from December 1993 to March 1994 the method was applied to assess the total performance of all the 45 Norwegian mammography laboratories operative at that time. Image quality characteristics in each laboratory was established by use of well-known phantoms.

  16. Performance of systematic and non-systematic ('opportunistic') screening mammography: a comparative study from Denmark

    DEFF Research Database (Denmark)

    Bihrmann, Kristine; Jensen, Allan; Olsen, Anne Helene;

    2008-01-01

    OBJECTIVES: Evaluation and comparison of the performance of organized and opportunistic screening mammography. METHODS: Women attending screening mammography in Denmark in 2000. The study included 37,072 women attending organized screening. Among these, 320 women were diagnosed with breast cancer...

  17. 75 FR 70011 - Guidance for Industry, Mammography Quality Standards Act Inspectors, and Food and Drug...

    Science.gov (United States)

    2010-11-16

    ... HUMAN SERVICES Food and Drug Administration Guidance for Industry, Mammography Quality Standards Act Inspectors, and Food and Drug Administration Staff; The Mammography Quality Standards Act Final Regulations: Modifications and Additions to Policy Guidance Help System 13; Availability AGENCY: Food and Drug...

  18. Latinas' Mammography Intention Following a Home-Based Promotores-Led Intervention.

    Science.gov (United States)

    Scheel, John R; Molina, Yamile; Briant, Katherine J; Ibarra, Genoveva; Lehman, Constance D; Thompson, Beti

    2015-12-01

    Despite increases in mammography rates among Latinas, screening rates remain lower than in non-Latina Whites and Latinas typically present with breast cancer at a later stage. Trained lay community workers (promotores) have been successfully used to increase screening mammography intention in Latinas. Little is known, however, about the potential mechanisms of these interventions, such as increased breast cancer knowledge (knowledge) and social interactions concerning mammography practices (social engagement). This prospective pre-post study examined this gap in the literature by (1) documenting changes in knowledge and social engagement after receipt of a promotores-based intervention; and (2) establishing if post-intervention knowledge and social engagement predicted mammography intention, after adjusting for socio-demographic and lifetime mammography history. There were significant increases in knowledge and social engagement about mammography. Finally, post-intervention social engagement was a significant predictor of mammography intention. Future promotores-based interventions should focus on enhancing social engagement to improve mammography intention and use.

  19. Contrast-enhanced dual-energy mammography : a promising new imaging tool in breast cancer detection

    NARCIS (Netherlands)

    Lalji, Ulrich; Lobbes, Marc

    2014-01-01

    Contrast-enhanced dual-energy mammography (CEDM) is a promising new breast imaging tool for breast cancer detection. In CEDM, an iodine-based contrast agent is intravenously administered and subsequently, dual-energy mammography is performed. This results in a set of images containing both a regular

  20. Mammography use among women with and without diabetes: results from the Southern Community Cohort Study.

    Science.gov (United States)

    Sanderson, Maureen; Lipworth, Loren; Han, Xijing; Beeghly-Fadiel, Alicia; Shen-Miller, David; Patel, Kushal; Blot, William J; Hargreaves, Margaret K

    2014-09-01

    Studies have shown an increased risk of breast cancer associated with diabetes which may be due to differences in mammography use among women who have diabetes compared with women who do not have diabetes. Baseline data was used from the Southern Community Cohort Study - a prospective cohort study conducted primarily among low-income persons in the southeastern United States - to examine the association between diabetes and mammography use. In-person interviews collected information on diabetes and mammography use from 14,665 white and 30,846 black women aged 40-79years between 2002 and 2009. After adjustment for potential confounding, white women with diabetes were no more likely (odds ratio [OR] 0.95, 95% confidence interval [CI] 0.85-1.06) to undergo mammography within the past 12months than white women without diabetes. Nor was there an association between diabetes and mammography use among black women (OR 1.00, 95% CI 0.93-1.07). An increase in mammography use was seen within one year following diabetes diagnosis, more so among white than black women, but this was offset by decreases thereafter. Although there was some evidence of an increase in mammography use within one year of diabetes diagnosis, these results suggest that mammography use is not related to diabetes.

  1. Attitudes and Beliefs Associated with Mammography in a Multiethnic Population in Israel

    Science.gov (United States)

    Baron-Epel, Orna

    2010-01-01

    This article highlights beliefs, attitudes, and barriers that are associated with mammography use in four distinct cultural and ethnic groups in Israel: veteran, ultra-orthodox, and immigrant Jewish and Arab women. A random telephone survey of 1,550 women was performed. Information from claims records concerning mammography use was obtained for…

  2. Overdiagnosis, sojourn time, and sensitivity in the Copenhagen mammography screening program

    DEFF Research Database (Denmark)

    Olsen, Anne Helene; Agbaje, Olorunsola F; Myles, Jonathan P

    2006-01-01

    The goal of this research was to estimate the overdiagnosis at the first and second screens of the mammography screening program in Copenhagen, Denmark. This study involves a mammography service screening program in Copenhagen, Denmark, with 35,123 women screened at least once. We fit multistate...

  3. Cultural Views, Language Ability, and Mammography Use in Chinese American Women

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S.

    2009-01-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a…

  4. Evaluation of patient dose saving in grid-less x-ray mammography acquisition compared with full field digital mammography (FFDMG) acquisition

    DEFF Research Database (Denmark)

    Abdi, Ahmed Jibril; Mussmann, Bo Redder

    2017-01-01

    Purpose: To investigate the patient radiation dose saving of grid-less X-ray mammography acquisitions compared with conventional full-field digital X-ray mammography (FFDMG). Methods and materials: The Siemens Inspiration MAMMOMAT PRIME system with Software Based Scatter Correction (SBSC) was used...... to investigate the dose saving in grid-less acquisition compared with conventional full-field digital mammography (FFDMG) acquisitions. A Piranha 657 was used to measure the entrance exposure. The entrance exposure was directly measured on different PMMA thicknesses of 20-70mm in steps of 10mm. The PMMA block...... thicknesses were then converted to an equivalent compressed breast tissue thicknesses. The average glandular dose (AGD) is calculated. Results: Dose reduction in both the directly measured entrance exposure and the calculated AGD is between 13% and 32% in the grid-less mammography acquisition. The contrast...

  5. Cultural views, language ability, and mammography use in Chinese American women.

    Science.gov (United States)

    Liang, Wenchi; Wang, Judy; Chen, Mei-Yuh; Feng, Shibao; Yi, Bin; Mandelblatt, Jeanne S

    2009-12-01

    Mammography screening rates among Chinese American women have been reported to be low. This study examines whether and how culture views and language ability influence mammography adherence in this mostly immigrant population. Asymptomatic Chinese American women (n = 466) aged 50 and older, recruited from the Washington, D.C. area, completed a telephone interview. Regular mammography was defined as having two mammograms at age-appropriate recommended intervals. Cultural views were assessed by 30 items, and language ability measured women's ability in reading, writing, speaking, and listening to English. After controlling for risk perception, worry, physician recommendation, family encouragement, and access barriers, women holding a more Chinese/Eastern cultural view were significantly less likely to have had regular mammograms than those having a Western cultural view. English ability was positively associated with mammography adherence. The authors' results imply that culturally sensitive and language-appropriate educational interventions are likely to improve mammography adherence in this population.

  6. Is mammography screening history a predictor of future breast cancer risk?

    DEFF Research Database (Denmark)

    Andersen, Sune Bangsbøll; Törnberg, Sven; Kilpeläinen, Sini

    2015-01-01

    Inspired by the model by Walter and Day for risk of cervical cancer following negative screens, one might hypothesize that women in a mammography screening programme with a certain number of negative screens had a lower remaining breast cancer risk than that of women in general. We studied whether...... number of negative screens was a predictor for a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Copenhagen and Funen. Data were collected from the mammography screening programmes in Stockholm, Sweden (1989-2012), Copenhagen, Denmark (1991...... was not a predictor of a low remaining breast cancer risk in women participating in the mammography screening programmes in Stockholm, Sweden, Copenhagen and Funen, Denmark. The history of previous negative screens is therefore not suitable for personalisation of mammography screening....

  7. Evaluation of the performance characteristic for mammography by using edge device

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Won [Dept. of Radiology, Kyung Hee University Hospital at Gang-dong, Seoul (Korea, Republic of); Choi, Jwan Woo [Dept. of Radiology, Asan Medical Center, Seoul (Korea, Republic of); Jeong, Hoi Woun [Dept. of Radiological Technology, The Baekseok Culture University, Cheonan (Korea, Republic of); Jang, Seo Goo [Dept. of Medical Science, The Soonchunhyang University, Asan (Korea, Republic of); Lee, Eul Kyu [Dept. of Radiology, Inje Paik University Hospital Jeo-dong, Seoul (Korea, Republic of); Son, Soon Yong [Dept. of Radiological Technology, The Wonkwang Health Science University, Iksan (Korea, Republic of); Son, Jin Hyun; Min, Jung Whan [Dept. of Radiological Technology, The Shingu University, Sungnam (Korea, Republic of)

    2016-09-15

    The purpose of this study was to evaluation of the performance characteristic for mammography by using edge device that mammography equipment improves essential in the correct diagnosis for the maintenance. We measured the modulation transfer function (MTF), the noise power spectrum (NPS), and the detective quantum efficiency (DQE) using the 61267 RQA-M2 based on commission standard international electro-technical commission (IEC). As a results, spatial resolution of dimensions tomo and lorad selenia mammography were maintained at 10 mm-1 and NPS and DQE including the low nyquist frequency indicated to 6.0 mm-1. Therefore, regularly QA of mammography system should be necessary. This study can be contribute to evaluate QA for performance characteristic of mammography of DDR system.

  8. Health insurance and household income associated with mammography utilization among American women, 2000-2008

    Institute of Scientific and Technical Information of China (English)

    ZHAO Da-hai; ZHANG Zhi-ruo; RAO Ke-qin

    2011-01-01

    Background National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has provided free or low-costmammograms to low-income or no health insurance women in all of the states of the United States (US) since 1997.The objective of this study was to understand whether health insurance and annual household income impacted the mammography utilization since the implementation of NBCCEDP,in order to evaluate how the implementation of NBCCEDP impacted mammography utilization among American women.Methods Data were from the database of Behavioral Risk Factor Surveillance System (BRFSS) of the CDC in US.Mammography utilization was measured by whether the American woman aged 40 to 64 years had the mammography within the last two years.The chi square test and multivariate Logistic regression were used to evaluate the associations between mammography utilization and health insurance,annual household income,and other factors for any given year.Results From 2000 to 2008,the rate of mammography utilization among participants had a steady decrease on the whole from 86.7% to 83.8%.The results showed that the mammography utilization correlated significantly with health insurance and annual household income for any given year.The results also showed that compared with participants who were uninsured,those who were insured had a greater times higher rate of mammography in 2008 than any other year from 2000 to 2008,and compared with participants whose annual household income was below $15 000,those whose annual household income was above $50 000 had a greater times higher rate of mammography in 2008 than in 2004 and 2006.Conclusions Health insurance and annual household income impacted the mammography utilization for any given year from 2000 to 2008,and the implementation of NBCCEDP has not achieved its original goal on breast cancer screening.

  9. Value of color Doppler ultrasonograph combined with mammography in diagnosis of breast cancer%彩色多普勒超声联合 X线钼靶在乳腺癌诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    许慧婷; 陈永海

    2014-01-01

    目的:分析彩色多普勒超声( CDU)与X线钼靶联合应用于乳腺癌诊断的价值。方法对98例乳腺肿瘤患者的CDU与X线钼靶摄片的诊断及鉴别诊断结果进行回顾性分析和比较。结果98例患者中71例病理证实乳腺癌。联合诊断的符合率与单独应用CDU、X线钼靶相比,差异均有统计学意义(χ2值分别为5.87和13.14,均P<0.05)。联合诊断乳腺癌的准确率为91.5%,高于单独应用X线钼靶、CDU诊断乳腺癌的准确率分别为76.1%和77.5%,差异有统计学意义(χ2值分别为6.27和5.38,均P<0.05)。直径<1.0cm的肿块,联合诊断的准确率高于单用CDU、X线钼靶(χ2值分别为3.11和5.60,均P<0.05)。结论 CUD检查和X线钼靶摄片检查各具优势,联合应用能明显提高乳腺癌的检出率。%Objective To investigate the value of color Doppler ultrasonograph ( CDU) combined with mammography in diagnosis of breast cancer.Methods The results of CDU and mammography for 98 patients with breast tumor were analyzed retrospectively , and they were compared with final obtained surgical-pathological examinations .Results The surgical-pathologic examinations confirmed breast cancer in 71 of 98 breast tumor patients .The diagnostic coincident rate of CDU combined with mammography was significantly higher than that of CDU or mammography (χ2 value was 5.87 and 13.14, respectively, both P<0.05).The diagnostic accuracy rate of CDU combined with mammography was 91.5%, which was significantly higher than of CDU (77.5%) or mammography (76.1%) (χ2 value was 6.27 and 5.38, respectively, both P<0.05).The accuracy rate of CDU combined with mammography was significantly higher than that of CDU or mammography in detecting small cancer (diameter<1.0cm) (χ2 value was 3.11 and 5.60, respectively, both P<0.05).Conclusion CUD and mammography examination have their own advantages .Combining CDU with mammography can

  10. Use of a histidine-rich protein 2-based rapid diagnostic test for malaria by health personnel during routine consultation of febrile outpatients in a peripheral health facility in Yaounde, Cameroon.

    Science.gov (United States)

    Sayang, Collins; Soula, Georges; Tahar, Rachida; Basco, Leonardo K; Gazin, Pierre; Moyou-Somo, Roger; Delmont, Jean

    2009-08-01

    The role of a rapid diagnostic test (RDT) in the case management of Plasmodium falciparum malaria infections has not been determined in Africa. Our study was conducted during November 2007-January 2008 to assess test accuracy of an RDT in the management of febrile outpatients in a peripheral urban health facility in Cameroon. We found the overall sensitivity to be 71.4% and a specificity of 82.2%; the positive predictive value and negative predictive value were 73.8% and 80.4%, respectively. False-negative and false-positive cases represented 11.8% and 10.5% of all febrile patients. Malaria alone (31.3%) was the first cause of fever; 33.5% of fever cases were of unknown origin. Acute respiratory infections were common among children 0-2 years of age (25.5%) and decreased with age. The risk of having a clinical failure with the presumptive treatment of febrile children was seven times greater than that of the RDT-oriented management (relative risk = 6.8, 95% confidence interval = 0.88-53.4, P = 0.03) because of the delay of appropriate treatment of non-malarial febrile illness. Our results suggest that the RDT may be of limited utility for children greater than five years of age and adults and that diagnosis based on microscopic examination of blood smears should be recommended for these patient populations, as well as in areas of low transmission.

  11. Socio-demographic determinants of participation in mammography screening.

    Science.gov (United States)

    von Euler-Chelpin, My; Olsen, Anne Helene; Njor, Sisse; Vejborg, Ilse; Schwartz, Walter; Lynge, Elsebeth

    2008-01-15

    Our objective was to use individual data on socio-demographic characteristics to identify predictors of participation in mammography screening and control to what extent they can explain the regional difference. We used data from mammography screening programmes in Copenhagen, 1991-1999, and Funen, 1993-2001, Denmark. Target groups were identified from the Population Register, screening data came from the health authority, and socio-demographic data from Statistics Denmark. Included were women eligible for at least 3 screens. The crude RR of never use versus always use was 3.21 (95%CI, 3.07-3.35) for Copenhagen versus Funen, and the adjusted RR was 2.55 (95%CI, 2.43-2.67). The adjusted RR for never use among women without contact to a primary care physician was 2.50 (95% CI, 2.31-2.71) and 2.89 (95% CI, 2.66-3.14), and for women without dental care 2.94 (95% CI, 2.77-3.12) and 2.88 (95% CI, 2.68-3.10) for Copenhagen and Funen, respectively. Other important predictive factors for nonparticipation were not being married and not being Danish. In conclusion, to enhance participation in mammography screening programmes special attention needs to be given to women not using other primary health care services. All women in Copenhagen, irrespective of their socio-demographic characteristics, had low participation. Screening programmes have to find ways to handle this urbanity factor. Copyright 2007 Wiley-Liss, Inc.

  12. SU-E-I-88: Mammography Imaging: Does Positioning Matter?

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J; Szabunio, M [University of Kentucky, Lexington, KY (United States)

    2014-06-01

    Purpose: In mammography, compression is imperative for quality images and glandular radiation exposure dose. The thickness of the compressed breast directly determines mammography acquisition parameters. The compressed thickness varies due to variation in technologist practice, even for the same patient imaged at different time. This study is to investigate potential effect of the variation in breast positioning on radiation dose and image quality. Methods: Radiation dose at different thicknesses was measured with a BR-12 breast phantom for both conventional craniocaudal view and tomosynthesis in a Hologic Tomosynthesis mammography system. The CIRS stereotactic needle biopsy training phantom embedded dense masses and microcalcification in various sizes were imaged for image quality evaluation. Radiologists evaluated images. Clinical mammograms from the same patient but acquired at different time were retrospectively retrieved to evaluate potential effects of variation in positioning. Results: Acquisition parameters (kVp and mAs) increase with the increased phantom thickness. Radiation exposure increases following an exponential trend. The stereotactic phantom images showed loss of spatial and contrast resolution with inappropriate positioning. The compressed pressure may not be a good indicator for appropriate positioning. The inclusion of different amount of pectoralis muscle may lead to the same compressed pressure but different compressed thickness. The initial retrospective study of 3 patients showed that there were potential large variations in positioning the same patient at different examination time, resulting in large variations in patient radiation dose and image quality. Conclusion: Variations in patient positioning potentially influence patient radiation dose and image quality. The technologist has the critical responsibility to position patient to provide quality images in spite of different breast and body types. To reduce intra and inter practice

  13. Bone mineral imaging using a digital magnification mammography system

    Science.gov (United States)

    Toyofuku, Fukai; Tokumori, Kenji; Higashida, Yoshiharu; Arimura, Hidetaka; Morishita, Junji; Ohki, Masafumi

    2008-03-01

    The measurement of bone mineral content is important for diagnosis of demineralization diseases such as osteoporosis. A reliable method of obtaining bone mineral images using a digital magnification mammography system has been developed. The full-field digital phase contrast mammography (PCM) system, which has a molybdenum target of 0.1mm focal spot size, was used with 1.75 x magnification. We have performed several phantom experiments using aluminum step wedges (0.2 mm - 6.0 mm in thickness) and a bone mineral standard phantom composed of calcium carbonate and polyurethane (CaCO 3 concentration: 26.7 - 939.0 mg/cm 3) within a water or Lucite phantom. X-ray spectra on the exposure field are measured using a CdTe detector for evaluation of heel effect. From the equations of x-ray attenuation and the thickness of the subjects, quantitative images of both components were obtained. The quantitative images of the two components were obtained for different tube voltages of 24 kV to 39 kV. The relative accuracy was less than 2.5% for the entire aluminum thickness of 0.5 to 6.0 mm at 5 cm water thickness. Accuracy of bone mineral thickness was within 3.5% for 5cm water phantom. The magnified quantitative images of a hand phantom significantly increased the visibility of fine structures of bones. The digital magnification mammography system is useful not only for measurement of bone mineral content, but also high-resolution quantitative imaging of trabecular structure.

  14. Clear-PEM, a dedicated PET camera for mammography

    CERN Document Server

    Lecoq, P

    2002-01-01

    Preliminary results suggest that Positron Emission Mammography (PEM) can offer a noninvasive method for the diagnosis of breast cancer. Metabolic images from PEM contain unique information not available from conventional morphologic imaging techniques and aid in expeditiously establishing the diagnosis of cancer. A dedicated machine seems to offer better perspectives in terms of position resolution and sensitivity. This paper describes the concept of Clear-PEM, the system presently developed by the Crystal Clear Collaboration at CERN for an evaluation of this approach. This device is based on new crystals introduced by the Crystal Clear as well as on modern data acquisition techniques developed for the large experiments in high energy physics experiments.

  15. Digital mammography with multi-electrode ionization chamber

    CERN Document Server

    Groshev, V R; Nifontov, V I; Pishenuok, S M; Samsonov, A A; Shekhtman, L I; Telnov, V I

    2000-01-01

    For viewing micro-calcifications smaller than 100 mu m investigation of image formation in mammography shows that a significant dose to the patient is imperative. We propose a novel one-dimensional Multi- electrode Ionisation Chamber (MIC), with high spatial resolution, and lowered doses. In this work, first results from a prototype are presented. High spatial resolution is demonstrated working with Xe mixture at high pressure. An addition of a Gas Electron Multiplier (GEM) allowed an improvement in sensitivity up to almost single- photon level. (8 refs).

  16. Early breast cancer detection using techniques other than mammography

    Energy Technology Data Exchange (ETDEWEB)

    Kopans, D.B.

    1984-09-01

    X-ray mammography is the only imaging method currently available with any proven efficacy for screening to detect early-stage, clinically occult breast cancer. Sonography has a limited role in the differentiation of cystic from solid masses and as a guide for aspiration and preoperative localization of selected breast lesions. Computed tomography has a more limited role to determine the spatial orientation of a lesion detected only in the lateral mammographic position. All other imaging methods should be considered experimental at this time.

  17. Mammography: an effective instrument in the medical image; Mastografia: un instrumento eficaz en la imagenologia medica

    Energy Technology Data Exchange (ETDEWEB)

    Palacios P, L.L.; Rivera M, T. [CICATA-IPN, Av. Legaria 694, 11500 Mexico D.F. (Mexico)

    2007-07-01

    Full text: The history of the mastographers goes back from 1895 in that the german physique Roentgen of Guillermo discovered the radiographs. In 1913 Albert Solomon used one it schemes of conventional x-ray machine to visualize breast cancer but it is not until that in 1966 the first one is developed a machine dedicated to the mastography. The evolution of the radiology technology has had a lot of turnaround in such a way that in the present time is required to emit digital mammographies via satellite to the doctors in remote position around the world. The mastography is a diagnostic method that is good to detect possible lesions in mamma, in the one that X-rays are used to obtain images of the mamma. This should be carried out by an X-ray equipment specially designed to make the study of mamma. According to those data of the Secretary of Health, in Mexico, to the beginning of the previous six year period, in existence had single 132 mastographers in the whole country, and to the finish of this six years they had 441 mastographers. Likewise, the one numbers of mastographs arrive at 172,000 at the end of the 2006 of 43,000 that its were carried out in 2000. This index reflects the concern of our group of concerning investigation to the radiological protection, for what the present work is an analysis about the situation of mastography in Mexico and it dosimetry. (Author)

  18. Determinants of mammography screening behavior in Iranian women: A population-based study

    Directory of Open Access Journals (Sweden)

    Mitra Moodi

    2012-01-01

    Full Text Available Background: Breast cancer remains a substantial health concern in Iran due to delay and late stage at diagnosis and treatment. Despite the potential benefits of mammography screening for early detection of breast cancer, the performance of this screening among Iranian women is low. For planning appropriate intervention, this study was carried out to identify mammography rates and explore determinants of mammography screening behavior in females of Isfahan, Iran. Materials and Methods: In this population-based study, 384 women of 40 years and older were interviewed by telephone. The Farsi version of Champion′s Health Belief Model scale (CHBMS was used to examine factors associated with mammography screening. The obtained data were analyzed by SPSS (version 16.0 using statistical Chi-square, Fisher Exact test, t-test and multiple logistic regression model to identify the importance rate of socio-demographic and Health Belief Model (HBM variables to predict mammography screening behavior. In all of tests, the level of significant was considered a = 0.05. Results: Mean age ΁ SD of women was 52.24 ΁ 8.2 years. Of the 384 participants, 44.3% reported at least one mammogram in their lifetime. Logistic regression analysis indicated that women were more likely to have mammography if they heard/read about breast cancer (OR = 4.17, 95% CI 2.09, 8.34, menopause in lower age (OR = 0.2, 95% CI 0.87, 0.99 and history of breast problem (OR = 0.9, 95% CI 0.12, 0.32. Also, women who perceived more benefits of mammography (OR = 1.84, 95% CI 1.63, 2.09, fewer barriers of mammography (OR = 0.91, 95% CI 0.86, 0.96 and had more motivation for health (OR = 0.94, 95% CI 0.89, 1 were more likely to have mammography. Conclusion: The findings indicated that the rate of mammography screening among women in Isfahan province is low and highlights the need for developing a comprehensive national breast cancer control program, which should be considered as the first

  19. Facilities & Leadership

    Data.gov (United States)

    Department of Veterans Affairs — The facilities web service provides VA facility information. The VA facilities locator is a feature that is available across the enterprise, on any webpage, for the...

  20. Uncertainty modeling for ontology-based mammography annotation with intelligent BI-RADS scoring.

    Science.gov (United States)

    Bulu, Hakan; Alpkocak, Adil; Balci, Pinar

    2013-05-01

    This paper presents an ontology-based annotation system and BI-RADS (Breast Imaging Reporting and Data System) score reasoning with Semantic Web technologies in mammography. The annotation system is based on the Mammography Annotation Ontology (MAO) where the BI-RADS score reasoning works. However, ontologies are based on crisp logic and they cannot handle uncertainty. Consequently, we propose a Bayesian-based approach to model uncertainty in mammography ontology and make reasoning possible using BI-RADS scores with SQWRL (Semantic Query-enhanced Web Rule Language). First, we give general information about our system and present details of mammography annotation ontology, its main concepts and relationships. Then, we express uncertainty in mammography and present approaches to handle uncertainty issues. System is evaluated with a manually annotated dataset DEMS (Dokuz Eylul University Mammography Set) and DDSM (Digital Database for Screening Mammography). We give the result of experimentations in terms of accuracy, sensitivity, precision and uncertainty level measures. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Breast cancer detection: radiologists' performance using mammography with and without automated whole-breast ultrasound.

    Science.gov (United States)

    Kelly, Kevin M; Dean, Judy; Lee, Sung-Jae; Comulada, W Scott

    2010-11-01

    Radiologist reader performance for breast cancer detection using mammography plus automated whole-breast ultrasound (AWBU) was compared with mammography alone. Screenings for non-palpable breast malignancies in women with radiographically dense breasts with contemporaneous mammograms and AWBU were reviewed by 12 radiologists blinded to the diagnoses; half the studies were abnormal. Readers first reviewed the 102 mammograms. The American College of Radiology (ACR) Breast Imaging Reporting and Data System (BIRADS) and Digital Mammographic Imaging Screening Trial (DMIST) likelihood ratings were recorded with location information for identified abnormalities. Readers then reviewed the mammograms and AWBU with knowledge of previous mammogram-only evaluation. We compared reader performance across screening techniques using absolute callback, areas under the curve (AUC), and figure of merit (FOM). True positivity of cancer detection increased 63%, with only a 4% decrease in true negativity. Reader-averaged AUC was higher for mammography plus AWBU compared with mammography alone by BIRADS (0.808 versus 0.701) and likelihood scores (0.810 versus 0.703). Similarly, FOM was higher for mammography plus AWBU compared with mammography alone by BIRADS (0.786 versus 0.613) and likelihood scores (0.791 versus 0.614). Adding AWBU to mammography improved callback rates, accuracy of breast cancer detection, and confidence in callbacks for dense-breasted women.

  2. STELLA Experiment - Microbunch Diagnostic

    Energy Technology Data Exchange (ETDEWEB)

    He, P.; Liu, Y.; Cline, D. B.; Babzien, M.; Gallardo, J. C.; Kusche, K. P.; Pogorelsky, I. V.; Skaritka, J.; van Steenbergen, A.; Yakimenko, V.; Kimura, W. D.

    1998-07-01

    A microbunch diagnostic system is built at the Accelerator Test Facility (ATF) of Brookhaven National Laboratory for monitoring microbunches (10-fs bunch length) produced by the Inverse Free Electron Laser accelerator in Staged Electron Laser Acceleration experiment. It is similar to one already demonstrated at the ATF. With greatly improved beam optics conditions higher order harmonic coherent transition radiation will be measurable to determine the microbunch length and shape.

  3. Biochemistry Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Biochemistry Facility provides expert services and consultation in biochemical enzyme assays and protein purification. The facility currently features 1) Liquid...

  4. Mammographic density measurements are not affected by mammography system.

    Science.gov (United States)

    Damases, Christine N; Brennan, Patrick C; McEntee, Mark F

    2015-01-01

    Mammographic density (MD) is a significant risk factor for breast cancer and has been shown to reduce the sensitivity of mammography screening. Knowledge of a woman's density can be used to predict her risk of developing breast cancer and personalize her imaging pathway. However, measurement of breast density has proven to be troublesome with wide variations in density recorded using radiologists' visual Breast Imaging Reporting and Data System (BIRADS). Several automated methods for assessing breast density have been proposed, each with their own source of measurement error. The use of differing mammographic imaging systems further complicates MD measurement, especially for the same women imaged over time. The purpose of this study was to investigate whether having a mammogram on differing manufacturer's equipment affects a woman's MD measurement. Raw mammographic images were acquired on two mammography imaging systems (General Electric and Hologic) one year apart and processed using VolparaDensity™ to obtain the Volpara Density Grade (VDG) and average volumetric breast density percentage (AvBD%). Visual BIRADS scores were also obtained from 20 expert readers. BIRADS scores for both systems showed strong positive correlation ([Formula: see text]; [Formula: see text]), while the VDG ([Formula: see text]; [Formula: see text]) and AvBD% ([Formula: see text]; [Formula: see text]) showed stronger positive correlations. Substantial agreement was shown between the systems for BIRADS ([Formula: see text]; [Formula: see text]), however, the systems demonstrated an almost perfect agreement for VDG ([Formula: see text]; [Formula: see text]).

  5. Frequency-domain optical mammography: edge effect corrections.

    Science.gov (United States)

    Fantini, S; Franceschini, M A; Gaida, G; Gratton, E; Jess, H; Mantulin, W W; Moesta, K T; Schlag, P M; Kaschke, M

    1996-01-01

    We have investigated the problem of edge effects in laser-beam transillumination scanning of the human breast. Edge effects arise from tissue thickness variability along the scanned area, and from lateral photon losses through the sides of the breast. Edge effects can be effectively corrected in frequency-domain measurements by employing a two-step procedure: (1) use of the phase information to calculate an effective tissue thickness for each pixel location; (2) application of the knowledge of tissue thickness to calculate an edge-corrected optical image from the ac signal image. The measurements were conducted with a light mammography apparatus (LIMA) designed for feasibility tests in the clinical environment. Operating in the frequency-domain (110 MHz), this instrument performs a transillumination optical scan at two wavelengths (685 and 825 nm). We applied the proposed two-step procedure to data from breast phantoms and from human breasts. The processed images provide higher contrast and detectability in optical mammography with respect to raw data breast images.

  6. Dose and risk evaluation in digital mammography using computer modeling

    Energy Technology Data Exchange (ETDEWEB)

    Correa, Samanda Cristine Arruda; Souza, Edmilson Monteiro de, E-mail: scorrea@nuclear.ufrj.b, E-mail: emonteiro@nuclear.ufrj.b [Centro Universitario Estadual da Zona Oeste (CCMAT/UEZO), Rio de Janeiro, RJ (Brazil); Silva, Humberto de Oliveira, E-mail: hbetorj@gmail.co [Universidade Federal do Rio de Janeiro IF/UFRJ, RJ (Brazil). Inst. de Fisica; Silva, Ademir Xavier da; Lopes, Ricardo Tadeu; Magalhaes, Sarah Braga, E-mail: ademir@nuclear.ufrj.b, E-mail: ricardo@lin.ufrj.b, E-mail: smagalhaes@nuclear.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear

    2010-07-01

    Digital mammography has been introduced in several countries in the last years. The new technology requires new optimising methods considering for instance the increased possibility of changing the absorbed dose, mainly in modern mammographic systems that allow the operator to choose the beam quality by varying the tube voltage, and filter and target materials. In this work, the Monte Carlo code MCNPX is used in order to investigate how the average glandular dose vary with tube voltage (23-32 kV) and anode-filter combination (Mo-Mo,Mo-Rh and Rh-Rh) in digital mammographic examinations. Furthermore, the risk of breast cancer incidence attributable to mammography exams was estimated using the Biological Effects of Ionizing Radiations (BEIR) VII Committee Report. The results show that the risk of breast cancer incidence in women younger than 30 years of age tends to decrease significantly using Rh-Rh anode-filter combination and higher tube voltage. For women older than 50 years of age the variation of tube voltage, and anode-filter combination did not influence the risk values considerably. (author)

  7. Spousal influence on mammography screening: a life course perspective.

    Science.gov (United States)

    Missinne, Sarah; Colman, Elien; Bracke, Piet

    2013-12-01

    Recently, researchers have challenged the basic tenet that marriage is universally protective for all individuals. We scrutinize socio-economic differences between married couples to shed light on the mechanisms underlying the effects of marriage. We introduce the life course perspective to investigate if differences in positive health behavior between couples are related to their early life conditions. Within the theoretical framework of cultural health capital, we hypothesize that the accumulation of cultural health capital proceeds at the marriage level when partners provide each other with health-related information and norms. For this purpose, we examine the influence of the childhood preventive health care behavior of both wives and husbands on the initiation of mammography screening for a sample of Belgian women (N = 734). Retrospective life histories of both partners are provided by the Survey of Health, Ageing and Retirement (SHARE) and are examined by means of event history analysis. The results show that a partner's cultural health capital affects the initiation of mammography screening by a woman in later life, even after her own cultural health capital and traditional measures of socio-economic status (SES) are taken into account. In line with cumulative advantage theory, it seems that inequalities in cultural health capital are accumulated at the marriage level. In order to shed further light on the spousal influence on health behavior, researchers should revert to early life in order to discern the attribution of premarital and marital conditions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Short communication: A printed image quality test phantom for mammography.

    Science.gov (United States)

    Kotre, C J; Porter, D J T

    2005-08-01

    This communication describes a novel design for a mammographic image quality test phantom, the final design of which was produced as a radiographer weekly quality assurance phantom for breast screening and symptomatic mammography. The phantom is based on low contrast test features which are built up by superimposing sheets of Mylar overhead projector transparency, on which the test features are printed using a standard LaserJet printer. The required radiation contrast at mammographic energies is produced by the approximately 50% by weight component of iron oxide (Fe(3)O(4)) present in the toner. An easily replicated design of mammographic image quality phantom based on LaserJet printed test features is described. Approximately 40 of these phantoms were constructed, and these have been used successfully for 5 years in both breast screening and symptomatic mammography. The phantom design offers a performance similar to much more expensive mammographic contrast-detail phantoms, but suffers from the disadvantage that high contrast resolution bar patterns cannot be produced using the standard printing process.

  9. [Performance of mammography and Papanicolaou among rural women in Mexico].

    Science.gov (United States)

    Sosa-Rubí, Sandra G; Walker, Dilys; Serván, Edson

    2009-01-01

    To analyze the frequency of reporting a recently conducted mammogram and/or pap smear and follow-up of abnormal findings among rural poor women in Mexico. We performed a cross-sectional analysis using data collected in the ENCEL 2007 - Oportunidades survey carried out between July - November, 2007. We used multilevel logistic regression to model the use of mammography and pap smears. We found a low frequency of reported recent mammogram among the rural poor from 30-39 years old (12%) and 40-49 years old (16%) and a low frequency of reported medical follow-up of abnormal findings (60%), particularly among women at higher risk because of age or abnormal findings. These findings were associated with a lack of availability of medical resources and being of indigenous origin. It is fundamental to strengthen both access to and follow-up of mammography and papsmears, particularly among high-risk rural women in order to reduce the level of mortality associated with breast and cervical-uterine cancer.

  10. Exploring the potential of context-sensitive CADe in screening mammography

    Energy Technology Data Exchange (ETDEWEB)

    Tourassi, Georgia D.; Mazurowski, Maciej A.; Harrawood, Brian P.; Krupinski, Elizabeth A. [Department of Radiology, Carl E. Ravin Advanced Imaging Laboratories, Duke University Medical Center, Durham, North Carolina 27705 (United States); Department of Radiology, University of Arizona, Tucson, Arizona 85724 (United States)

    2010-11-15

    Purpose: Conventional computer-assisted detection (CADe) systems in screening mammography provide the same decision support to all users. The aim of this study was to investigate the potential of a context-sensitive CADe system which provides decision support guided by each user's focus of attention during visual search and reporting patterns for a specific case. Methods: An observer study for the detection of malignant masses in screening mammograms was conducted in which six radiologists evaluated 20 mammograms while wearing an eye-tracking device. Eye-position data and diagnostic decisions were collected for each radiologist and case they reviewed. These cases were subsequently analyzed with an in-house knowledge-based CADe system using two different modes: Conventional mode with a globally fixed decision threshold and context-sensitive mode with a location-variable decision threshold based on the radiologists' eye dwelling data and reporting information. Results: The CADe system operating in conventional mode had 85.7% per-image malignant mass sensitivity at 3.15 false positives per image (FPsI). The same system operating in context-sensitive mode provided personalized decision support at 85.7%-100% sensitivity and 0.35-0.40 FPsI to all six radiologists. Furthermore, context-sensitive CADe system could improve the radiologists' sensitivity and reduce their performance gap more effectively than conventional CADe. Conclusions: Context-sensitive CADe support shows promise in delineating and reducing the radiologists' perceptual and cognitive errors in the diagnostic interpretation of screening mammograms more effectively than conventional CADe.

  11. Breast screening using 2D-mammography or integrating digital breast tomosynthesis (3D-mammography) for single-reading or double-reading--evidence to guide future screening strategies.

    Science.gov (United States)

    Houssami, Nehmat; Macaskill, Petra; Bernardi, Daniela; Caumo, Francesca; Pellegrini, Marco; Brunelli, Silvia; Tuttobene, Paola; Bricolo, Paola; Fantò, Carmine; Valentini, Marvi; Ciatto, Stefano

    2014-07-01

    We compared detection measures for breast screening strategies comprising single-reading or double-reading using standard 2D-mammography or 2D/3D-mammography, based on the 'screening with tomosynthesis or standard mammography' (STORM) trial. STORM prospectively examined screen-reading in two sequential phases, 2D-mammography alone and integrated 2D/3D-mammography, in asymptomatic women participating in Trento and Verona (Northern Italy) population-based screening services. Outcomes were ascertained from assessment and/or excision histology or follow-up. For each screen-reading strategy we calculated the number of detected and non-detected (including interval) cancers, cancer detection rates (CDRs), false positive recall (FPR) measures and incremental CDR relative to a comparator strategy. We estimated the false:true positive (FP:TP) ratio and sensitivity of each mammography screening strategy. Paired binary data were compared using McNemar's test. Amongst 7292 screening participants, there were 65 (including six interval) breast cancers; estimated first-year interval cancer rate was 0.82/1000 screens (95% confidence interval (CI): 0.30-1.79/1000). For single-reading, 35 cancers were detected at both 2D and 2D/3D-mammography, 20 cancers were detected only with 2D/3D-mammography compared with none at 2D-mammography alone (preading, 39 cancers were detected at 2D-mammography and 2D/3D-mammography, 20 were detected only with 2D/3D-mammography compared with none detected at 2D-mammography alone (preading. Incremental CDR attributable to double-reading (versus single-reading) of 0.55/1000 screens (95% CI: -0.02-1.4) was evident for 2D-mammography and for 2D/3D-mammography. Estimated FP:TP ratios showed that 2D/3D-mammography screening strategies had more favourable FP to TP trade-off and higher sensitivity, applying single-reading or double-reading, relative to 2D-mammography screening. The evidence we report warrants rethinking of breast screening strategies and should

  12. Metrological aspects of the dosimetry in X-ray diagnostics; Metrologische Aspekte der Dosimetrie in der Roentgendiagnostik

    Energy Technology Data Exchange (ETDEWEB)

    Bueermann, Ludwig [Physikalisch-Technische Bundesanstalt (PTB), Braunschweig (Germany). Arbeitsgruppe ' Dosimetrie fuer die Roentgendiagnostik'

    2013-06-15

    The author describes the evaluation methods in dosimetry with special regards to the air kerma. Furthermore application-specific quantities in radiography, mammography, and computer tomography are described. Then quality assurance in X-ray diagnostics and the determination of the organ dosis and the effective patient dosis are described. Finally the requirements on the uncertainties of dose measurements in X-ray diagnostics are considered. (HSI)

  13. The role of epidemiological quality parameters in a mammography screening programme; Die Rolle der epidemiologischen Qualitaetsparameter im Mammographie-Screeningprogramm

    Energy Technology Data Exchange (ETDEWEB)

    Becker, N. [Deutsches Krebsforschungszentrum, Heidelberg (Germany). Abt. Klinische Epidemiologie

    2006-11-15

    In the recently established mammography screening programme, for the first time in Germany an extensive data collection for prompt quantification of specified quality parameters will be intrinsic to an early detection programme. Epidemiological parameters taken from the European Guidelines are central. This article outlines how epidemiology is involved in quality assurance of cancer screening and why epidemiological quality indicators will be quantified. The reasons for focussing on those parameters, on which the European Guidelines and now the German programme are based, and their significance in the long-term effectiveness of this programme are explained. (orig.) [German] Bei dem gerade im Aufbau begriffenen Mammographie-Screeningprogramm wird erstmalig in Deutschland eine umfangreiche Datenerhebung zur zeitnahen Quantifizierung bestimmter Qualitaetsparameter zum integralen Bestandteil eines Frueherkennungsprogramms. Ein Herzstueck dieser in europaeischen Richtlinien festgelegten und in das deutsche Programm uebernommenen Parameter sind epidemiologische Groessen. In dem vorliegenden Beitrag wird dargestellt, weshalb im Kontext der Qualitaetssicherung von Krebsfrueherkennung die Epidemiologie eine Rolle spielt, und warum epidemiologische Qualitaetsparameter zu quantifizieren sind. Darauf aufbauend wird erlaeutert, aus welchen Gruenden man gerade diejenigen Groessen gewaehlt hat, die im Zentrum der europaeischen Richtlinien und nun auch der Qualitaetssicherung des deutschen Programms stehen, und was sie hinsichtlich der langfristigen Effektivitaet des Programms aussagen. (orig.)

  14. Imaging mammary diagnostics. Diagnostic techniques, archetypical findings, differential diagnostcs and interventions.. 2. rev. and enl. ed.; Bildgebende Mammadiagnostik. Untersuchungstechnik, Befundmuster, Differenzialdiagnose und Interventionen. Kartonierte Sonderausgabe

    Energy Technology Data Exchange (ETDEWEB)

    Heywang-Koebrunner, S. [Martin-Luther-Univ., Halle-Wittenberg (Germany). Klinik fuer Diagnostische Radiologie; Schreer, I. (eds.) [Mamma-Zentrum des UK Kiel (Germany). Klinik fuer Geburtshilfe und Gynaekologie

    2008-07-01

    The book includes the following chapters: I. Methodology: anamnesis and interview; clinical evidence, mammography, sonography, magnetic resonance tomography, new imaging techniques (scintigraphy, PET), transcutaneous biopsy, pre-operative marking; II. phenotypes: normal mammary glands, mastopathics, cysts, benign tumors, inflammatory diseases, in-situ carcinomas, invasive carcinomas, lymphomas, other semi-malign and malign tumors, post-traumatic, post-surgical and post-therapeutic changes, skin changes, male mamma, screening, continuative diagnostics of screening evidence and problem solving for symptomatic patients.

  15. The diagnostic value of xero-mammography in clinically occult breast carcinoma.

    Science.gov (United States)

    Kambouris, T; Kotoulas, K; Pontifex, G

    1984-05-01

    Seventy-four clinically occult breast carcinomas were detected in 7535 patients who were examined clinically and by xeromammography. The criteria by which a diagnosis of clinically occult breast carcinoma was established are described in detail. The most frequent finding of a clinically occult breast carcinoma in the xeromammogram was an irregular mass density 1 cm in diameter or less with microcalcifications. Axillary lymph node metastases were present in 29.7% of the total group of patients, which is much fewer than what might have been expected if the carcinomas had been discovered by palpation during the clinical examination or by the patient herself. This means a better prognosis and a lower death rate from breast carcinoma. Screening xeromammography is encouraged for all women after the age of 40, especially for those who belong to the high-risk group, even though they are quite asymptomatic, as there is hope of detecting cancers before they become palpable.

  16. Sensitivity and Specificity of Screening Mammographies and Ultrasonographies Performed in Women at Seven Health Promotion Centers for One year

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Sung; Kang, Bong Joo; Yim, Hyeon Woo [Catholic University of Korea College of Medicine, Seoul (Korea, Republic of)

    2010-03-15

    We wanted to evaluate the sensitivity and specificity of screening mammography and ultrasonography for breast examinations and we assessed the clinical usefulness of breast ultrasound for cancer screening. Of all the women who visited the health promotion center of seven medical institutions from Mar 2004 to Feb 2005, we compared the sensitivity and specificity between a single use of mammography and mammography with ultrasonography for the patients who underwent both mammography and ultrasonography. Here, the reference criteria were the follow-up and the histopathology, which were performed after one year. A total of 1123 patients underwent both mammography and ultrasonography and they could be followed up for a year. For the 1123 patients who underwent both mammography and ultrasonography, the sensitivity and specificity of a single use of mammography were 14.3% and 86.9%, respectively. The sensitivity and specificity of mammography with ultrasonography were 85.7% and 85.9%, respectively. These results showed that the sensitivity was significantly increased when mammography was combined with ultrasonography (< 0.05). The sensitivity was improved for the cases that underwent both mammography and ultrasonography

  17. Breast cancer detection using single-reading of breast tomosynthesis (3D-mammography) compared to double-reading of 2D-mammography: Evidence from a population-based trial.

    Science.gov (United States)

    Houssami, Nehmat; Bernardi, Daniela; Pellegrini, Marco; Valentini, Marvi; Fantò, Carmine; Ostillio, Livio; Tuttobene, Paolina; Luparia, Andrea; Macaskill, Petra

    2017-04-01

    Most population breast cancer (BC) screening programs use double-reading of 2D-mammography. We recently reported the screening with tomosynthesis or standard mammography-2 (STORM-2) trial, showing that double-read tomosynthesis (pseudo-3D-mammography) detected more BC than double-read 2D-mammography. In this study, we compare screen-detection measures for single-reading of 3D-mammography with those for double-reading of 2D-mammography, to inform screening practice. This is a secondary analysis based on STORM-2 which prospectively compared 3D-mammography and 2D-mammography in sequential screen-readings. Asymptomatic women ≥49 years who attended population-based screening (Trento, 2013-2015) were recruited. Participants recalled at any screen-read from parallel double-reading arms underwent further testing and/or biopsy. Single-reading of 3D-mammography, integrated with acquired or synthetized 2D-mammograms, was compared to double-reading of 2D-mammograhy alone for screen-detection measures: number of detected BCs, cancer detection rate (CDR), number and percentage of false-positive recall (FPR). Paired binary data were compared using McNemar's test. Screening detected 90, including 74 invasive, BCs in 85 of 9672 participants. CDRs for single-reading using integrated 2D/3D-mammography (8.2 per 1000 screens; 95% CI 6.5-10.2) or 2D synthetic/3D-mammography (8.4 per 1000 screens; 95% CI: 6.7-10.4) were significantly higher than CDR for double-reading of 2D-mammography (6.3 per 1000 screens; 95% CI: 4.8-8.1), Pread 2D/3D-mammography (2.60%; 95% CI: 2.29-2.94), or single-read 2D synthetic/3D-mammography (2.76%; 95% CI: 2.45-3.11), were significantly lower than FPR% for double-read 2D-mammography (3.42%; 95% CI: 3.07-3.80), Preading of 3D-mammography (integrated 2D/3D or 2Dsynthetic/3D) detected more BC, and had lower FPR, compared to current practice of double-reading 2D-mammography alone - these findings have implications for population BC screening programs. Copyright

  18. Latin American dose survey results in mammography studies under IAEA programme: radiological protection of patients in medical exposures (TSA3).

    Science.gov (United States)

    Mora, Patricia; Blanco, Susana; Khoury, Helen; Leyton, Fernando; Cárdenas, Juan; Defaz, María Yolanda; Garay, Fernando; Telón, Flaviano; Aguilar, Juan Garcia; Roas, Norma; Gamarra, Mirtha; Blanco, Daniel; Quintero, Ana Rosa; Nader, Alejandro

    2015-03-01

    Latin American countries (Argentina, Brazil, Chile, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Paraguay, Uruguay and Venezuela) working under the International Atomic Energy Agency (IAEA) Technical Cooperation Programme: TSA3 Radiological Protection of Patients in Medical Exposures have joined efforts in the optimisation of radiation protection in mammography practice. Through surveys of patient doses, the region has a unique database of diagnostic reference levels for analogue and digital equipment that will direct future optimisation activities towards the early detection of breast cancer among asymptomatic women. During RLA9/057 (2007-09) 24 institutions participated with analogue equipment in a dose survey. Regional training on methodology and measurement equipment was addressed in May 2007. The mean glandular dose (DG) was estimated using the incident kerma in air and relevant conversion coefficients for both projections craneo caudal and mediolateral oblique (CC and MLO). For Phase 2, RLA9/067 (2010-11), it was decided to include also digital systems in order to see their impact in future dose optimisation activities. Any new country that joined the project received training in the activities through IAEA expert missions. Twenty-nine new institutions participated (9 analogue and 20 digital equipment). A total of 2262 patient doses were collected during this study and from them D(G) (mGy) for both projections were estimated for each institution and country. Regional results (75 percentile in mGy) show for CC and MLO views, respectively: RLA9/057 (analogue) 2.63 and 3.17; RLA/067: 2.57 and 3.15 (analogue) and 2.69 and 2.90 (digital). Regarding only digital equipment for CC and MLO, respectively, computed radiography systems showed 2.59 and 2.78 and direct digital radiography (DDR) systems 2.78 and 3.04. Based on the IAEA Basic Safety Standard (BSS) reference dose (3 mGy), it can be observed that there is enough room to start

  19. Assessment of PAtient Doses During mAmmogrAPhy PrActice At ...

    African Journals Online (AJOL)

    2011-11-11

    Nov 11, 2011 ... specific tests on the mammography x-ray unit, image quality assessment, consistency tests, and radiation dose ... The equipment has manual and AEC systems, Mo/Mo ..... inclusion of the denser pectoral muscle in the image.

  20. Statistical Methods for Estimating the Cumulative Risk of Screening Mammography Outcomes

    NARCIS (Netherlands)

    Hubbard, R.A.; Ripping, T.M.; Chubak, J.; Broeders, M.J.; Miglioretti, D.L.

    2016-01-01

    BACKGROUND: This study illustrates alternative statistical methods for estimating cumulative risk of screening mammography outcomes in longitudinal studies. METHODS: Data from the US Breast Cancer Surveillance Consortium (BCSC) and the Nijmegen Breast Cancer Screening Program in the Netherlands were

  1. Impact of Medicare Shared Savings Program Accountable Care Organizations at Screening Mammography: A Retrospective Cohort Study.

    Science.gov (United States)

    Narayan, Anand K; Harvey, Susan C; Durand, Daniel J

    2017-02-01

    Purpose To evaluate the impact of accountable care organizations (ACOs) on use of screening mammography in the Medicare Shared Savings Program (MSSP), the largest value-based reimbursement program in U.S.

  2. A Radial Sclerosing Lesion Mimicking Breast Cancer on Mammography in a Young Woman

    Directory of Open Access Journals (Sweden)

    Masashi Furukawa

    2012-02-01

    Full Text Available A spiculated mass on a mammogram is highly suggestive of malignancy. We report the case of a 32-year-old woman with a radial sclerosing lesion that mimicked breast cancer on mammography. She visited her physician after palpating a lump in her left breast. Mammography showed architectural distortion in the upper inner quadrant of the left breast. Ultrasonography showed a low echoic area with an ambiguous boundary. Core needle biopsy was performed because of the suspicion of malignancy. Histological examination did not reveal any malignant cells. After 6 months, the breast lump became larger and the patient was referred to our hospital. Mammography performed in our hospital showed a spiculated mass, and therefore mammotome biopsy was performed. Histological examination revealed dense fibroelastic stroma with a wide variety of mastopathic changes, leading to a diagnosis of a radial sclerosing lesion. One year after the biopsy, the lump on her left breast had disappeared and mammography showed no spiculated mass.

  3. 触诊阳性乳腺病变的钼靶X线诊断%Application of mammography in diagnosis of palpable breast lesions

    Institute of Scientific and Technical Information of China (English)

    刘卫敏; 孔庆聪; 陈健宁; 孟晓春; 王晓红; 单鸿

    2014-01-01

    目的:探讨钼靶X线在触诊阳性的乳腺病变中的诊断价值。方法分析836例乳腺触诊到结节或肿块(直径0.5~12.6 cm)患者的钼靶X线特点,并以病理学检查结果作为金标准,总结该检查法诊断的准确情况。结果836例患者中病理学检查示增生性病变457例,钼靶X线多表现为棉絮状或结节状致密影,其中硬化性腺病的钼靶X线多表现为肿块形式。炎性病变78例,钼靶X线多表现为斑片状、条索状致密影或腺体局灶性结构扭曲。良性肿瘤129例,钼靶X线多表现为边缘光滑、清楚的类圆形肿块。恶性肿瘤172例,原发性乳腺癌的钼靶X线可表现为不规则肿块、单纯簇状钙化、局限性致密影或腺体局灶性结构扭曲;1例乳腺转移癌表现为皮肤增厚,皮下脂肪层及乳腺腺体脂肪间隙模糊不清。钼靶X线对于增生性病变、炎性病变、良性肿瘤及恶性肿瘤的诊断准确率分别91.9%(420/457)、26.9%(21/78)、91.5%(118/129)、91.3%(157/172)(P<0.01),钼靶X线检查对于炎性病变的诊断准确率低于其他3种病变(P均<0.01)。结论钼靶X线对临床触诊阳性的乳腺病变具有较大的诊断价值,对于增生性病变及肿瘤的诊断准确率高于炎性病变。%Objective To discuss the diagnostic value of mammography in the diagnosis of palpable breast lesions. Methods The mammography characteristics of 836 patients with breast nodes or masses (0.5-1 2.6 cm in diameter)by palpation were analyzed. Pathological examination was deemed as the gold standard.The diagnostic accuracy of mammography was evaluated. Results Among 836 patients,457 cases had prolif-erative lesions,characterized as flocculent or nodular dense shadow revealed by mammography. Sclerosing ade-nosis was manifested with masses detected by mammography. Seventy-eight patients had inflammatory lesions, mainly characterized as lamellar and strip dense

  4. Curvas de isodose no ar em uma sala de mamografia Air isodose curves in a mammography room

    Directory of Open Access Journals (Sweden)

    Maria Cecília Baptista Todeschini Adad

    2008-08-01

    of additional shielding in mammography facilities might not be necessary for craniocaudal acquisition, provided the distances considered for the present study are observed. However, the necessity of radiation protection of the patient should be emphasized.

  5. Is the ''blooming sign'' a promising additional tool to determine malignancy in MR mammography?

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, D.R.; Baltzer, P.; Malich, A.; Wurdinger, S.; Freesmeyer, M.G.; Marx, C.; Kaiser, W.A. [Inst. of Diagnostic and Interventional Radiology, Univ. Jena (Germany)

    2004-03-01

    The aim of this study was to evaluate potential diagnostic relevance of blooming effect for verification of suspicious breast lesions in MR mammography (MRM). The MRM examinations of 1035 patients, all following the same imaging protocol (from 1994 to 2001) were retrospectively evaluated by two experienced radiologists in consensus. A total of 817 lesions showed a focal enhancement; of these, 793 were histologically verified after surgical intervention so that 514 malignant and 279 benign lesions could be evaluated. Using a 1.5-T Gyroscan ACS II-imager (Philips, Hamburg, Germany) and a double breast coil with the patient lying in a prone position, 0.1 mmol/kgbw Magnevist (Schering, Berlin, Germany) were injected into the cubital vein to obtain dynamic axial and coronal T1-weighted fast-field-echo images every minute up to 7 min after bolus injection. Blooming sign describes a progradient unsharpness of lesion borders initially sharply shaped and fast enhancing 7 min after bolus injection; 324 of 514 (63.0%) malignant lesions and 41 of 279 (14.7%) benign lesions revealed a blooming sign (sensitivity 63.0%, specificity 85.3%, accuracy 70.9%, positive predictive value 88.8%, negative predictive value 56.0%). Forty-one of 279 benign lesions showed a blooming sign; of these, there were 4 of 86 (4.7%) fibroadenomas, 2 of 21 (9.5%) phylloides tumours, 11 of 38 (28.9%) papillomas, 3 of 9 (33.3%) radial scars, 2 of 19 (10.5%) mastitis, 1 of 4 (25%) galactophoritis, 1 of 3 (33.3%) ADH and 19 of 99 (17.2%) mastopathic proliferations, respectively. Blooming sign is a phenomenon which should be taken into account when diagnosing MR mammographies because it might increase the ability to discriminate uncertain breast lesions; however, this effect can only be used as an additional item to other well-known effects such as plateau, washout and cancer corner.

  6. Monte Carlo derivation of filtered tungsten anode X-ray spectra for dose computation in digital mammography

    Energy Technology Data Exchange (ETDEWEB)

    Paixao, L.; Oliveira, B. B.; Nogueira, M. do S. [Centro de Desenvolvimento da Tecnologia Nuclear, Post-graduation in Science and Technology of Radiations, Minerals and Materials, Pte. Antonio Carlos 6.627, Pampulha, 31270-901 Belo Horizonte (Brazil); Viloria, C. [UFMG, Departamento de Engenharia Nuclear, Post-graduation in Nuclear Sciences and Techniques, Pte. Antonio Carlos 6.627, Pampulha, 31270-901 Belo Horizonte (Brazil); Alves de O, M. [UFMG, Department of Anatomy and Imaging, Prof. Alfredo Balena 190, 30130-100 Belo Horizonte (Brazil); Araujo T, M. H., E-mail: lpr@cdtn.br [Dr Maria Helena Araujo Teixeira Clinic, Guajajaras 40, 30180-100 Belo Horizonte (Brazil)

    2014-08-15

    It is widely accepted that the mean glandular dose (D{sub G}) for the glandular tissue is the more useful magnitude for characterizing the breast cancer risk. The procedure to estimate the D{sub G}, for being difficult to measure it directly in the breast, it is to make the use of conversion factors that relate incident air kerma (K{sub i}) at this dose. Generally, the conversion factors vary with the x-ray spectrum half-value layer and the breast composition and thickness. Several authors through computer simulations have calculated such factors by the Monte Carlo (Mc) method. Many spectral models for D{sub G} computer simulations purposes are available in the diagnostic range. One of the models available generates unfiltered spectra. In this work, the Monte Carlo EGSnrc code package with the C++ class library (eg spp) was employed to derive filtered tungsten x-ray spectra used in digital mammography systems. Filtered spectra for rhodium and aluminium filters were obtained for tube potentials between 26 and 32 kV. The half-value layer of simulated filtered spectra were compared with those obtained experimentally with a solid state detector Unfors model 8202031-H Xi R/F and Mam Detector Platinum and 8201023-C Xi Base unit Platinum Plus w m As in a Hologic Selenia Dimensions system using a Direct Radiography mode. Calculated half-value layer values showed good agreement compared to those obtained experimentally. These results show that the filtered tungsten anode x-ray spectra and the EGSnrc Mc code can be used for D{sub G} determination in mammography. (Author)

  7. Type of hormone therapy and risk of misclassification at mammography screening

    DEFF Research Database (Denmark)

    Njor, Sisse H; Hallas, Jesper; Schwartz, Walter;

    2011-01-01

    Current users of hormone therapy (HT) are known to have a lower accuracy of mammography screening than do never users. We studied whether the risk of misclassification depends on type of hormone, administration, regimen, and dose of the therapy.......Current users of hormone therapy (HT) are known to have a lower accuracy of mammography screening than do never users. We studied whether the risk of misclassification depends on type of hormone, administration, regimen, and dose of the therapy....

  8. Breast cancer mortality in organised mammography screening in Denmark: comparative study

    DEFF Research Database (Denmark)

    Juhl Jørgensen, Karsten; Zahl, Per-Henrik; Gøtzsche, Peter C

    2010-01-01

    To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up.......To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up....

  9. First breast cancer mammography screening program in Mexico: initial results 2005-2006.

    Science.gov (United States)

    Rodríguez-Cuevas, Sergio; Guisa-Hohenstein, Fernando; Labastida-Almendaro, Sonia

    2009-01-01

    Breast cancer is the most frequent malignant neoplasia worldwide. In emergent countries as Mexico, an increase has been shown in frequency and mortality, unfortunately, most cases in advanced loco-regional stages developed in young women. The success of breast screening in mortality reduction has been observed since 1995 in Western Europe and the United States, where as many as 40% mortality reduction has been achieved. Most countries guidelines recommends an annual or biannual mammography for all women >40 years of age. In 2005, FUCAM, a nonlucrative civil foundation in Mexico join with Mexico City government, initiated the first voluntary mammography screening program for women >40 years of age residing in Mexico City's Federal District. Mammographies were carried out with analogical mammographs in specially designed mobile units and were performed in the area of women's domiciles. This report includes data from the first 96,828 mammographies performed between March 2005 and December 2006. There were 1% of mammographies in Breast Imaging Reporting and Data System 0, 4, or 5 and 208 out of 949 women with abnormal mammographies (27.7%) had breast cancer, a rate of 2.1 per thousand, most of them in situ or stage I (29.4%) or stage II (42.2%) nevertheless 21% of those women with abnormal mammography did not present for further clinical and radiologic evaluation despite being personally notified at their home addresses. The breast cancer rate of Mexican women submitted to screening mammography is lower than in European or North American women. Family history of breast cancer, nulliparity, absence of breast feeding, and increasing age are factors that increase the risk of breast cancer. Most cancers were diagnosed in women's age below 60 years (68.5%) with a mean age of 53.55 corroborating previous data published. It is mandatory to sensitize and educate our population with regard to accepting to visit the Specialized Breast Centers.

  10. EFFECTIVENESS OF LIDOCAINE/PRILOCAINE CREAM ON PERCEIVED PAIN DURING MAMMOGRAPHY: A PILOT STUDY

    OpenAIRE

    2016-01-01

    Background: Mammography (MG) is an important imaging method in the diagnosis of breast diseases. However, pain during MG is an uncomfortable factor for the majority of women. Aim: The aim of this study is to determine the effectiveness of lidocaine/prilocaine cream on reducing pain during mammography. Methods: This is a prospective clinical study. A total of 60 female patients who had mammographic examination were equally divided into three groups; patients receiving 10 g EMLA cream (EM...

  11. Study on knowledge, experiences and barriers to mammography among working women from Delhi

    OpenAIRE

    Khokhar, A.

    2015-01-01

    INTRODUCTION: Mammography is not a popular screening tool for deducting breast cancer in India although regular screening is associated with reduced mortality from breast cancer. OBJECTIVE: The objective of this study is to find out knowledge, experiences and barriers to mammography among working women of Delhi. MATERIALS AND METHODS: Cross-sectional descriptive study was conducted from October 2012 to March 2013 among working women from Delhi, India. The study was conducted as a part of ongo...

  12. Breast cancer mortality in organised mammography screening in Denmark: comparative study

    DEFF Research Database (Denmark)

    Juhl Jørgensen, Karsten; Zahl, Per-Henrik; Gøtzsche, Peter C

    2010-01-01

    To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up.......To determine whether the previously observed 25% reduction in breast cancer mortality in Copenhagen following the introduction of mammography screening was indeed due to screening, by using an additional screening region and five years additional follow-up....

  13. Breast Cancer Worry among Women Awaiting Mammography: Is It Unfounded? Does Prior Counseling Help?

    OpenAIRE

    Steinemann, Susan K; Chun, Maria BJ; Huynh, Dustin H; Loui, Katherine

    2011-01-01

    The purpose of this study was to explore the prevalence of breast cancer anxiety and risk counseling in women undergoing mammography, and the association with known risk factors for cancer. Women awaiting mammography were surveyed regarding anxiety, prior breast cancer risk counseling, demographic and risk factors. Anxiety was assessed via 7-point Likert-type scale (LS). Risk was defined by Gail model or prior breast cancer. Data were analyzed by nonparametric methods; significance determined...

  14. Digital mammography in a screening programme and its implications for pathology: a comparative study.

    LENUS (Irish Health Repository)

    Feeley, Linda

    2011-03-01

    Most studies comparing full-field digital mammography (FFDM) with conventional screen-film mammography (SFM) have been radiology-based. The pathological implications of FFDM have received little attention in the literature, especially in the context of screening programmes. The primary objective of this retrospective study is to compare FFDM with SFM in a population-based screening programme with regard to a number of pathological parameters.

  15. Photographic Method of X-ray Mammography and Influencing Factors of Photographic Image Quality%乳腺钼靶X线的摄影方法及影响摄影图像质量的因素

    Institute of Scientific and Technical Information of China (English)

    张志芳; 袁利田

    2015-01-01

    Objective To investigate the X-ray mammography photographic method and influencing factors of photographic image quality. Methods 80 patients with breast disease confirmed pathologically admitted in our hospital from May 2013 to May 2014 were selected and randomly divided into the control group and the observation group with 40 cases in each. The control group used the method of ultrasonic diagnosis, and the observation group adopted X-ray mammography. The results of the two diagnostic methods were compared. And the quality of X-ray mammography and influencing factors of photographic image were investigated. Results The diagnostic accordance rate of ultrasound reached 57.5%(23/40), while that of X-ray mammography reached 77.5%(31/40), the difference between the two groups was statistically significant(P<0.05). There are many factors influencing the quality of mammography, such as position does not meet the criteria, imaging level is not clear, and scratch and so forth. Conclusion X-ray mammography can effectively improve the diagnosis rate of breast disease, which is better than the ultrasonic diagnosis. And ensur-ing the standardized mammography examination, can effectively improve the X-ray mammography photographic quality and further enhance the diagnostic value.%目的:探讨乳腺钼靶X线的摄影方法及影响摄影图像质量的因素。方法随机选取该院2013年5月—2014年5月间收治的乳腺病患者80例,且均经过病理确诊,将其随机分为对照组和观察组,分别为40例,对照组采用超声诊断的方法,而观察组则采用乳腺钼靶X线摄影方法,对比两种诊断方式的结果,并探讨乳腺钼靶X线照片的质量及其影响摄影图像质量因素。结果超声诊断符合率达到57.5%(23/40),而乳腺钼靶X线符合率达到77.5%(31/40)两者相较而言,差异有统计学意义(P<0.05);影响乳腺照片质量的因素有多种,其中包括体位不符合标准、显像

  16. Lesion detection and quantitation of positron emission mammography

    Energy Technology Data Exchange (ETDEWEB)

    Qi, Jinyi; Huesman, Ronald H.

    2001-12-01

    A Positron Emission Mammography (PEM) scanner dedicated to breast imaging is being developed at our laboratory. We have developed a list mode likelihood reconstruction algorithm for this scanner. Here we theoretically study the lesion detection and quantitation. The lesion detectability is studied theoretically using computer observers. We found that for the zero-order quadratic prior, the region of interest observer can achieve the performance of the prewhitening observer with a properly selected smoothing parameter. We also study the lesion quantitation using the test statistic of the region of interest observer. The theoretical expressions for the bias, variance, and ensemble mean squared error of the quantitation are derived. Computer simulations show that the theoretical predictions are in good agreement with the Monte Carlo results for both lesion detection and quantitation.

  17. Do shorter wavelengths improve contrast in optical mammography?

    Science.gov (United States)

    Taroni, P.; Pifferi, A.; Torricelli, A.; Spinelli, L.; Danesini, G. M.; Cubeddu, R.

    2004-04-01

    The detection of tumours with time-resolved transmittance imaging relies essentially on blood absorption. Previous theoretical and phantom studies have shown that both contrast and spatial resolution of optical images are affected by the optical properties of the background medium, and high absorption and scattering are generally beneficial. Based on these observations, wavelengths shorter than presently used (680-780 nm) could be profitable for optical mammography. A study was thus performed analysing time-resolved transmittance images at 637, 656, 683 and 785 nm obtained from 26 patients bearing 16 tumours and 15 cysts. The optical contrast proved to increase upon decreasing wavelengths for the detection of cancers in late-gated intensity images, with higher gain in contrast for lesions of smaller size (decrease in contrast with wavelength was observed in scattering images.

  18. High-Resolution Mammography Detector Employing Optical Switching Readout

    Science.gov (United States)

    Irisawa, Kaku; Kaneko, Yasuhisa; Yamane, Katsutoshi; Sendai, Tomonari; Hosoi, Yuichi

    Conceiving a new detector structure, FUJIFILM Corporation has successfully put its invention of an X-ray detector employing "Optical Switching" into practical use. Since Optical Switching Technology allows an electrode structure to be easily designed, both high resolution of pixel pitch and low electrical noise readout have been achieved, which have consequently realized the world's smallest pixel size of 50×50 μm2 from a Direct-conversion FPD system as well as high DQE. The digital mammography system equipped with this detector enables to acquire high definition images while maintaining granularity. Its outstanding feature is to be able to acquire high-precision images of microcalcifications which is an important index in breast examination.

  19. Simultaneous Objective Measurements Of Dose And Image Quality In Mammography

    Science.gov (United States)

    Pochon, Y.; Depeursinge, Ch.; Hessler, Ch.; Raimondi, S.; Valley, J.-F.

    1982-12-01

    The performance of a radiological system can be evaluated on the one hand by an objective determination of the quality of the produced image and, on the other hand, by the dose delivered to the patient. In order to measure these two factors in a single exposure a Kodak breast phantom has been modified so as to simulate the breast absorption. The dose distribution is measured with thermoluminescent detectors. By consideration of a theoretical model of the X-ray imaging in mammography, a single quality factor is computed from the contrast, the spatial resolution and the noise measured on the phantom image. We present results obtained in various working conditions, i.e. variable X-ray tube voltages, use of different screen-film combinations, use of a grid.

  20. Discussing the benefits and harms of screening mammography.

    Science.gov (United States)

    Brennan, Meagan; Houssami, Nehmat

    2016-10-01

    Mammographic screening programs were established around the world following randomised clinical trials showing that women who were screened had a significant reduction in the risk of dying from breast cancer. Now, decades later, several harms of screening have become apparent and the degree of risk reduction is being debated. This article aims to provide clinicians with evidence-based information about the benefits and harms of screening mammography to enable them to confidently discuss the issues with their patients. The issues around screening for breast cancer in asymptomatic women at average risk are complex. Women need accurate, balanced information to make an informed decision about whether they wish to participate in screening. The decision will vary from one woman to another, depending on her level of anxiety about cancer and recall, her personal values and her philosophy about health care. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. FROST: an ASIC for digital mammography with synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Bergamaschi, A. E-mail: bergamaschi@ts.infn.it; Prest, M.; Vallazza, E.; Arfelli, F.; Dreossi, D.; Longo, R.; Olivo, A.; Pani, S.; Castelli, E

    2003-09-01

    The FRONTier RADiography (FRONTRAD) collaboration is developing a digital system for mammography at the Elettra Synchrotron Light Source in Trieste. The system is based on a silicon microstrip detector array. The ASIC FROST (FRONTRAD Read Out sySTem) was developed as a collaboration between INFN Trieste and Aurelia Microelettronica and is designed to operate in single photon counting mode. FROST provides low-noise and high-gain performances and is able to work at incident photon rates higher than 100 kHz with almost 100% efficiency. The ASIC has been tested and the first images of mammographic test objects will be shown. The acquisition time per breast image should be of about 10 s.

  2. Data acquisition electronics for positron emission mammography (PEM) detectors

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, J.D. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain)]. E-mail: jormarp1@doctor.upv.es; Sebastia, A. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Cerda, J. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Esteve, R. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Mora, F.J. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Toledo, J.F. [Digital Systems Design Group, Universidad Politecnica de Valencia, Camino de Vera s/n, 46022 Valencia (Spain); Benlloch, J.M. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Gimenez, N. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Gimenez, M. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Lerche, Ch. W. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Pavon, N. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain); Sanchez, F. [Nuclear Medical Physics Group, Instituto de Fisica Corpuscular (CSIC-UV), Poligono de la Coma s/n, 46980 Paterna, Valencia (Spain)

    2005-01-21

    Positron emission mammography (PEM) is an innovative technique to increase sensitivity and overcome the main drawbacks of conventional X-ray screening. However, dedicated PET imaging systems demand specific hardware solutions for data acquisition and processing that can take advantage of the reduction in the number of channels. Data acquisition issues can affect PEM scanners performance and they should be exhaustively addressed in order to exploit the increment in the event count rate. This is crucial in order to reduce both the scanning time and the total injected dose. This paper presents the electronics for our PEM camera prototype that enables us to achieve very high-count rates and perform comprehensive online processing. Results about acquisition in our detector for a typical clinical setup are studied using Monte Carlo simulation of hot lesion phantoms.

  3. Comparative study of dose estimation in the change a conventional mammography to digital mammography; Estudio comparativo de estimacion de dosis en el cambio de un mamografo convencional a un mamografo digital

    Energy Technology Data Exchange (ETDEWEB)

    Vazquez Vazquez, R.; Otero Martinez, C.; Soto Bua, M.; Santamarina Vazquez, F.; Carril Iglesias, S.; Lobato Busto, R.; Luna Vega, V.; Mosquera Sueiro, J.; Sqanchez Garcia, M.; Pombar Camean, M.

    2011-07-01

    Mammographic studies are now one of the most demanding radiological because of its effectiveness in detecting breast cancer early. The introduction of digital mammography has been a major advance because it has overcome some of the limitations of conventional systems. Due to the nature of the radiosensitive glandular tissue becomes very important control of the dose given to patients. In the present study is to analyze the variations in dosimetry that can exist between a conventional mammography and digital mammography.

  4. Four Principles to Consider Before Advising Women on Screening Mammography.

    Science.gov (United States)

    Keen, John D; Jørgensen, Karsten J

    2015-11-01

    This article reviews four important screening principles applicable to screening mammography in order to facilitate informed choice. The first principle is that screening may help, hurt, or have no effect. In order to reduce mortality and mastectomy rates, screening must reduce the rate of advanced disease, which likely has not happened. Through overdiagnosis, screening produces substantial harm by increasing both lumpectomy and mastectomy rates, which offsets the often-promised benefit of less invasive therapy. Next, all-cause mortality is the most reliable way to measure the efficacy of a screening intervention. Disease-specific mortality is biased due to difficulties in attribution of cause of death and to increased mortality due to overdiagnosis and the resulting overtreatment with radiotherapy and chemotherapy. To enhance participation, the benefit from screening is often presented in relative instead of absolute terms. Third, some screening statistics must be interpreted with caution. Increased survival time and the percentage of early-stage tumors at detection sound plausible, but are affected by lead-time and length biases. In addition, analyses that only include women who attend screening cannot reliably correct for selection bias. The final principle is that accounting for tumor biology is important for accurate estimates of lead time, and the potential benefit from screening. Since "early detection" is actually late in a tumor's lifetime, the time window when screen detection might extend a woman's life is narrow, as many tumors that can form metastases will already have done so. Instead of encouraging screening mammography, physicians should help women make an informed decision as with any medical intervention.

  5. Physical characteristics of a full-field digital mammography system

    Science.gov (United States)

    Suryanarayanan, Sankararaman; Karellas, Andrew; Vedantham, Srinivasan

    2004-11-01

    The physical performance characteristics of a flat-panel clinical full-field digital mammography (FFDM) system were investigated for a variety of mammographic X-ray spectral conditions. The system was investigated using 26 kVp: Mo/Mo, 28 kVp: Mo/Rh, and 30 kVp: Rh/Rh, with polymethyl methacrylate (PMMA) "tissue equivalent material" of thickness 20, 45, and 60 mm for each of three X-ray spectra, resulting in nine different spectral conditions. The experimental results were compared with a theoretical cascaded linear systems-based model that has been developed independently by other investigators. The FFDM imager (Senographe 2000D, GE Medical Systems, Milwaukee, WI) uses an amorphous silicon (aSi:H) photodiode (100 μm pixel) array directly coupled to a cesium iodide (CsI) scintillator. The spatial resolution of the digital mammography system was determined by measuring the presampling modulation transfer function (MTF). The noise power spectra (NPS) of the system were measured under the different mammographic X-ray spectral conditions at an exposure of approximately 10 mR to the detector from which corresponding detective quantum efficiencies (DQE) were determined. The experimental results provide additional information on the performance of the mammographic system for a broader range of experimental conditions than have been reported in the past. The flat-panel imager exhibits favorable physical quality characteristics under the conditions investigated. The experimental results were compared with theoretical estimates under various spectral conditions and demonstrated good agreement.

  6. Mach-Zehnder Fiber-Optic Links for ICF Diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Miller, E. K., Hermann, H. W.

    2012-11-01

    This article describes the operation and evolution of Mach-Zehnder links for single-point detectors in inertial confinement fusion experimental facilities, based on the Gamma Reaction History (GRH) diagnostic at the National Ignition Facility.

  7. Industrial applications of laser diagnostics

    CERN Document Server

    Deguchi, Yoshihiro

    2011-01-01

    Tighter regulations of harmful substances such as NOx, CO, heavy metals, particles, emissions from commercial plants and automobiles reflect a growing demand for lowering the anthropogenic burdens on the environment. It is equally important to monitor controlling factors to improve the operation of industrial machinery and plants. Among the many methods for doing this, laser diagnostics stands out. Taking a practical approach, Industrial Applications of Laser Diagnostics discusses how to apply laser diagnostics to engines, gas turbines, thermal and chemical plant systems, and disposal faciliti

  8. Digital Mammography Diagnosis of Breast Fibroadenoma%乳腺纤维腺瘤的数字化钼靶X线诊断

    Institute of Scientific and Technical Information of China (English)

    张玥玥; 朱正庭; 袁富红; 郑玲

    2011-01-01

    Objective To investigate the diagnostic value of the digital mammography in the breast (ibroadenoma. Methods 37 cases with the breast fibroadenoma confirmed by operation and pathology underwent the digital mammography, the clinical and X-ray signs were analyzed retrospectively. Results The border of the mass was well-defined in 46 masses, partly well-outlined in 4 and ill-defined in 2; the lesions appeared moderate dense and there were calcifications in 5; the shape of the mass appeared round or oval (44/52), lobular (6/50) and irregular (2/52). Conclusion The digital mammography has very important value in diagnosing and differentiating in the breast fibroadenoma. [Chinese Medical Equipment Journal, 2011,32(10):74-75]%目的:探讨数字化钼靶X线检查在乳腺纤维腺瘤诊断中的价值.方法:搜集37例行数字化钼靶X线检查并经手术及病理证实的乳腺纤维腺瘤患者资料,对其临床特点及X线征象进行回顾性分析.结果:X线显示46个病灶边界清楚锐利,4个边界部分清晰,2个边界不清;所有病灶均为中等密度,5个显示有钙化;病灶形态为圆形、类圆形共44个,分叶状6个,不规则形2个.结论:数字化钼靶X线检查对乳腺良性病变的诊断、鉴别诊断具有重要价值.

  9. Real-time in vivo luminescence dosimetry in radiotherapy and mammography using Al{sub 2}O{sub 3}:C

    Energy Technology Data Exchange (ETDEWEB)

    Aznar, M.C.

    2005-06-15

    New treatment and clinical imaging techniques have created a need for accurate and practical in vivo dosimeters in radiation medicine. This work describes the development of a new optical-fiber radiation dosimeter system, based on radioluminescence (RL) and optically stimulated luminescence (OSL) from carbon-doped aluminium oxide (Al2O3:C), for applications in radiotherapy and mammography. This system offers several features, such as a small detector, high sensitivity, real-time read-out, and the ability to measure both dose rate and absorbed dose. Measurement protocols and algorithms for the correction of responses were developed to enable a reliable absorbed dose assessment from the RL and OSL signals. At radiotherapy energies, the variation of the signal with beam parameters was smaller than 1% (1 SD). Treatment-like experiments in phantoms, and in vivo measurements during complex patient treatments (such as intensity-modulated radiation therapy) indicate that the RL/OSL dosimetry system can reliably measure the absorbed dose within 2%. The real-time RL signal also enables an individual dose assessment from each field. The RL/OSL dosimetry system was also used during mammography examinations. In such conditions, the reproducibility of the measurements showed to be around 3%. In vivo measurements on three patients showed that the presence of the RL/OSL probes did not degrade the diagnostic quality of the radiograph and that the system could be used to measure exit doses (i.e., absorbed doses on the inferior surface of the breast). A Monte Carlo study proved that the energy dependence of the RL/OSL system at these low energies could be reduced by optimizing the design of the probes. It is concluded that the new RL/OSL dosimetry system shows considerable potential for applications in both radiotherapy and mammography. (au)

  10. Fabrication Facilities

    Data.gov (United States)

    Federal Laboratory Consortium — The Fabrication Facilities are a direct result of years of testing support. Through years of experience, the three fabrication facilities (Fort Hood, Fort Lewis, and...

  11. Comparison of the Mammography, Contrast-Enhanced Spectral Mammography and Ultrasonography in a Group of 116 patients.

    Science.gov (United States)

    Luczyńska, Elzbieta; Heinze, Sylwia; Adamczyk, Agnieszka; Rys, Janusz; Mitus, Jerzy W; Hendrick, Edward

    2016-08-01

    Mammography (MG) is the gold-standard in breast cancer detection - the only method documented to reduce breast cancer mortality. Breast ultrasound (US) has been shown to increase sensitivity to breast cancers in screening women with dense breasts. Contrast-enhanced spectral mammography (CESM) is a novel technique intensively developed in the last few years. The goal of this study was to compare the sensitivity, specificity and accuracy of MG, US and CESM in detecting malignant breast lesions. The study included 116 patients. All patients were symptomatic and underwent MG, US and CESM. A radiologist with 20 years of experience in US and MG breast imaging and 1 year of experience in CESM reviewed images acquired in each of the three modalities separately, within an interval of 14-30 days. All identified lesions were confirmed at core biopsy. BI-RADS classifications on US, MG and CESM were compared to histopathology. MG, CESM and US were compared among 116 patients with 137 lesions encountered. Sensitivity of CESM was 100%, significantly higher than that of MG (90%, p<0.004) or US (92%, p<0.01). CESM accuracy was 78%, also higher than MG (69%, p<0.004) and US (70%, p=0.03). There was no statistically significant difference between AUCs for CESM and US (both 0.83). The AUCs of both US and CESM, however, were significantly larger than that of MG (p<0.0004 for each). CESM permitted better detection of malignant lesions than both MG and US, read individually. CESM found lesion enhancement in some benign lesions, as well, yielding a rate of false-positive diagnoses similar to that of MG and US.

  12. [Prevalence in the performance of mammographies in Spain: Analysis by Communities 2006-2014 and influencing factors].

    Science.gov (United States)

    Carmona-Torres, Juan Manuel; Cobo-Cuenca, Ana Isabel; Martín-Espinosa, Noelia María; Piriz-Campos, Rosa María; Laredo-Aguilera, José Alberto; Rodríguez-Borrego, María Aurora

    2017-07-18

    To determine the frequency of the performance of mammography with preventive purpose of the screening of breast cancer in Spanish women, the evolution between the years 2006-2014, the sociodemographic profile of the women who undergo the mammography and to analyze the factors that influence in their adhesion. Transversal study. Spain. A total of 53.628 women over 15 years old that are surveyed in the National Health Survey in Spain 2006 and 2011/12 and the European Health Survey in Spain 2009 and 2014. The following variables were used: mammography, frequency of mammography performance and the reason for the realization, as well as sociodemographic variables. Social class was obtained from the last occupation of the main family supporter. A logistic regression analysis was performed with sociodemographic variables. The prevalence of mammography has been increasing from 2006 to 2014, and also for the reason that the participants had received a letter, they were telephoned or offered in their Health Center to undergo this test. There are significant differences in the performance of mammography in the different autonomous communities. Performing mammography has increased significantly from 2006 to 2014, although there are still differences between autonomous communities, with Ceuta and Melilla being the least percentage of performed mammography. The factors that are related to greater performed mammography are: higher educational level, higher social class, married civil status, Spanish nationality and age. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  13. Evaluation of the Relationship Between Family History of Breast Cancer and Risk Perception and Impacts on Repetition of Mammography.

    Science.gov (United States)

    Khoshravesh, Sahar; Taymoori, Parvaneh; Roshani, Daem

    2016-01-01

    Since the mean age of breast cancer in women living in developing countries, compared with those in developed countries, is lower by about 10 years, repetition of mammography can play an important role in reducing morbidity and mortality. Hence, this study aimed to investigate the relationship between family history of breast cancer and risk perception and its impact on repetition of mammography. In this cross-sectional study, 1,507 women aged 50 years and older, referred to the mammography center of Regions 1 and 6 in Tehran, Iran, were enrolled. Data were collected using a self-report questionnaire and analyzed using SPSS and LISREL. According to our findings, knowledge about the time interval of mammography was found to have the highest correlation with repetition of mammography (r =0.4). Among the demographic variables, marital status (β= -0.1) and family history of breast cancer (β=0.1) had the most direct and significant impact on repetition of mammography (P mammography (P mammography, but the results did not prove any relationship with risk perception. Further studies are needed to assess the effect of risk perception and knowledge about time interval on the initiation and continuation of mammography.

  14. Facility Microgrids

    Energy Technology Data Exchange (ETDEWEB)

    Ye, Z.; Walling, R.; Miller, N.; Du, P.; Nelson, K.

    2005-05-01

    Microgrids are receiving a considerable interest from the power industry, partly because their business and technical structure shows promise as a means of taking full advantage of distributed generation. This report investigates three issues associated with facility microgrids: (1) Multiple-distributed generation facility microgrids' unintentional islanding protection, (2) Facility microgrids' response to bulk grid disturbances, and (3) Facility microgrids' intentional islanding.

  15. Survey of mammography practice in Croatia: equipment performance, image quality and dose.

    Science.gov (United States)

    Faj, Dario; Posedel, Dario; Stimac, Damir; Ivezic, Zdravko; Kasabasic, Mladen; Ivkovic, Ana; Kubelka, Dragan; Ilakovac, Vesna; Brnic, Zoran; Bjelac, Olivera Ciraj

    2008-01-01

    A national audit of mammography equipment performance, image quality and dose has been conducted in Croatia. Film-processing parameters, optical density (OD), average glandular dose (AGD) to the standard breast, viewing conditions and image quality were examined using TOR(MAM) test object. Average film gradient ranged from 2.6 to 3.7, with a mean of 3.1. Tube voltage used for imaging of the standard 45 mm polymethylmethacrylate phantom ranged from 24 to 34 kV, and OD ranged from 0.75 to 1.94 with a mean of 1.26. AGD to the standard breast ranged from 0.4 to 2.3 mGy with a mean of 1.1 mGy. Besides clinical conditions, the authors have imaged the standard phantom in the referent conditions with 28 kV and OD as close as possible to 1.5. Then, AGD ranged from 0.5 to 2.6 mGy with a mean of 1.3 mGy. Image viewing conditions were generally unsatisfying with ambient light up to 500 lx and most of the viewing boxes with luminance between 1000 and 2000 cd per m(2). TOR(MAM) scoring of images taken in clinical and referent conditions was done by local radiologists in local image viewing conditions and by the referent radiologist in good image viewing conditions. Importance of OD and image viewing conditions for diagnostic information were analysed. The survey showed that the main problem in Croatia is the lack of written quality assurance/quality control (QA/QC) procedures. Consequently, equipment performance, image quality and dose are unstable and activities to improve image quality or to reduce the dose are not evidence-based. This survey also had an educational purpose, introducing in Croatia the QC based on European Commission Guidelines.

  16. Sci-Fri AM: Imaging - 02: High resolution detectors for PET mammography.

    Science.gov (United States)

    Cuddy, S G; Rowlands, J A

    2012-07-01

    With high specificity for malignant breast lesions, dedicated-breast molecular imaging systems such as positron emission mammography (PEM) have potential to improve the sensitivity of cancer in women with radio-dense breasts and to reduce the false-positive rate of breast screening when used as a diagnostic adjunct. For high signal-to-noise ratio and to minimize the patient dose, scintillation detectors in a PEM system must have high annihilation photon detection efficiency. This efficiency can be increased by accepting annihilation photons from wider incident angles and by using depth-of-interaction (DOI) measurement within a scintillation crystal to minimize parallax blurring. We have developed a dual-ended readout block (DERB) detector that uses asymmetry of signals from photodetectors on either end of a scintillation array to measure DOI and uses Anger Logic with light sharing to identify interacting crystal elements while minimizing the number of photodetectors required. A prototype DERB detector was constructed from two arrays of silicon photomultipliers (SiPM), two glass optical diffusers, and an array of LYSO scintillation crystals. Assembled, each of the 2 × 2 SiPM arrays detect photons that are dispersed via the optical light diffusers originating from either end of 3 × 3 scintillation crystal elements. We evaluated the ability of the detector to identify the crystal index, resolve DOI, and discriminate energy. The DERB detector was able to clearly identify interacting crystal elements, to measure DOI with ̃5mm resolution in 2mm × 2mm × 20mm crystals, and to achieve an average energy resolution of ̃20%. The DERB detector characteristics suggest that it can be used to reduce the parallax effect in PEM systems without increasing the number of required photodetectors. Further investigation is warranted to improve performance with high optical photon detection efficiency photodetectors. © 2012 American Association of Physicists in Medicine.

  17. Travel distance to screening facilities and completion of abnormal mammographic follow-up among disadvantaged women.

    Science.gov (United States)

    Khang, Leepao; Adams, Swann Arp; Steck, Susan E; Zhang, Jiajia; Xirasagar, Sudha; Daguise, Virginie G

    2017-01-01

    Although many studies have examined factors in predicting incomplete and delay in abnormal mammogram follow-up, few have used geospatial methods to examine these factors. Consequently, the purpose of this study was to examine the relationship between travel distance to health facilities and completion of abnormal mammogram follow-up among disadvantaged women in South Carolina. Women participating in South Carolina's Best Chance Network between 1996 and 2009 with abnormal mammogram were included in the study. Kaplan-Meier survival was used to describe the probability of work-up completion after abnormal mammogram among different distance categories, and Cox proportional hazards model was used to further assess the relationship between work-up completion and travel distance to the screening provider and mammography facility. Among 1,073 women, there was significant difference in time to completion of abnormal mammogram work-up by race; African American women had longer time to completion compared to European American women. Accounting for race, age, previous mammograms, income, and insurance status, women who lived closest to their diagnosing mammography facility were more likely to complete their work-up compared to those who lived the farthest (HR = 1.41; 95% CI = 1.00-1.80). Distance to the diagnosing mammography facility may play a role on the completion of abnormal mammogram work-up. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. OPTIMIZATION OF DIAGNOSTIC IMAGING IN BREAST CANCER

    Directory of Open Access Journals (Sweden)

    S. A. Velichko

    2015-01-01

    Full Text Available The paper presents the results of breast imaging for 47200 women. Breast cancer was detected in 862 (1.9% patients, fibroadenoma in 1267 (2.7% patients and isolated breast cysts in 1162 (2.4% patients. Different types of fibrocystic breast disease (adenosis, diffuse fibrocystic changes, local fibrosis and others were observed in 60.1% of women. Problems of breast cancer visualization during mammography, characterized by the appearance of fibrocystic mastopathy (sclerosing adenosis, fibrous bands along the ducts have been analyzed. Data on the development of diagnostic algorithms including the modern techniques for ultrasound and interventional radiology aimed at detecting early breast cancer have been presented.  

  19. Surgical biopsy is still necessary for BI-RADS 4 calcifications found on digital mammography that are technically too faint for stereotactic core biopsy.

    Science.gov (United States)

    Jeffries, Deborah O; Neal, Colleen H; Noroozian, Mitra; Joe, Annette I; Pinsky, Renee W; Goodsitt, Mitchell M; Helvie, Mark A

    2015-12-01

    The purpose of this study was to evaluate the outcome of faint BI-RADS 4 calcifications detected with digital mammography that were not amenable to stereotactic core biopsy due to suboptimal visualization. Following Institutional Review Board approval, a HIPAA compliant retrospective search identified 665 wire-localized surgical excisions of calcifications in 606 patients between 2007 and 2010. We included all patients that had surgical excision for initial diagnostic biopsy due to poor calcification visualization, whose current imaging was entirely digital and performed at our institution and who did not have a diagnosis of breast cancer within the prior 2 years. The final study population consisted of 20 wire-localized surgical biopsies in 19 patients performed instead of stereotactic core biopsy due to poor visibility of faint calcifications. Of the 20 biopsies, 4 (20% confidence intervals 2, 38%) were malignant, 5 (25%) showed atypia and 11 (55%) were benign. Of the malignant cases, two were invasive ductal carcinoma (2 and 1.5 mm), one was intermediate grade DCIS and one was low-grade DCIS. Malignant calcifications ranged from 3 to 12 mm. The breast density was scattered in 6/19 (32%), heterogeneously dense in 11/19 (58%) and extremely dense in 2/19 (10%). Digital mammography-detected faint calcifications that were not amenable to stereotactic biopsy due to suboptimal visualization had a risk of malignancy of 20%. While infrequent, these calcifications should continue to be considered suspicious and surgical biopsy recommended.

  20. Improved Performance of Adjunctive Ultrasonography After Mammography Screening for Breast Cancer Among Chinese Females.

    Science.gov (United States)

    Dong, Henglei; Huang, Yubei; Song, Fengju; Dai, Hongji; Liu, Peifang; Zhu, Ying; Wang, Peishan; Han, Jiali; Hao, Xishan; Chen, Kexin

    2017-08-15

    Until now, no studies have investigated whether women other than those with dense breasts are suitable for adjunctive ultrasonography after negative mammography, and investigated whether all women with negative mammography are suitable for adjunctive ultrasonography. Based on the Multi-modality Independent Screening Trial in China, a total of 31,918 women aged 45 to 65 years underwent both ultrasonography and mammography. Physicians performed ultrasonography and mammography separately and were blinded to each other's findings until their interpretations had been recorded. For both ultrasonography and mammography, suspicious results and those highly suggestive of a malignancy were confirmed by pathologic examination, whereas other results were confirmed by 1-year follow-up after initial screening. Based on Breast Imaging Reporting and Data System (BIRADS) assessments, 84 (84.8%) of 99 cancers were identified on mammography (detection rate, 2.6/1000), and 61 (61.6%) of 99 cancers were identified on ultrasonography (detection rate, 1.9/1000). Integrated mammography with ultrasonography identified 94 (95.0%) of 99 cancers, with an increment of 11.9% in cancer detection rate (from 2.6/1000 to 2.9/1000) (P BIRADS 3, adjunctive ultrasonography detected no cancers. All 10 additional cancers detected by adjunctive ultrasonography were from women with BIRADS 0 to 2, at a cost of 207 women with false positives. Additionally, dense breasts and benign breast disease were significantly associated with positive ultrasonography after BIRADS 0 to 2 (all P values BIRADS 0 to 2 but not BIRADS 3, especially for women with dense breasts or benign breast disease. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Characteristics of primary care office systems as predictors of mammography utilization.

    Science.gov (United States)

    Gann, P; Melville, S K; Luckmann, R

    1993-06-01

    To evaluate the association between primary care office systems and mammography utilization by women older than 50 years. Cross-sectional. An independent-practice association health maintenance organization (HMO) in Massachusetts. One hundred thirty-two primary care practices, representing 321 physicians and 4378 women with at least 12 months of recent, continuous assignment to a practice participating in the HMO. Practice characteristics and procedures for mammography referral and follow-up were ascertained by interviews of office managers. For each practice, the proportion of women older than 50 years who received a mammogram during their most recent 12-month period of assignment to the practice was calculated. Forty-five percent of eligible women received a mammogram during their most recent year of assignment to an HMO practice. In a regression model, use of one particular urban mammography center, group practice, and low percentage of Medicaid patients in the practice were each associated with 9% to 12% higher mammography utilization; use of flowsheets and the scheduling of mammograms by the patients themselves were associated with 7% to 9% higher utilization. Smaller, nonsignificant increases were associated with the use of reminders to patients (5%) and the presence of only internists on staff (5%). The model accounted for 51% of the variation in mammography utilization among practices. Mammography utilization among women older than 50 years, in a population in which cost was not a barrier, was related to specific office characteristics. Features of the mammography center, the process for scheduling mammograms, the use of flowsheets to prompt physicians, and the use of reminders to patients are important.

  2. Promoting mammography: results of a randomized trial of telephone counseling and a medical practice intervention.

    Science.gov (United States)

    Costanza, M E; Stoddard, A M; Luckmann, R; White, M J; Spitz Avrunin, J; Clemow, L

    2000-07-01

    Despite widespread promotion of mammography screening, a distinct minority of women have remained underusers of this effective preventive measure. We sought to measure the effects of barrier-specific telephone counseling (BSTC) and a physician-based educational intervention (MD-ED) on mammography utilization among underusers of mammography screening. This was a randomized controlled trial. Women meeting criteria for mammography underuse at baseline (grouped by practice affiliation) were randomized to a reminder control condition (RC group received annual mailed reminders), BSTC or MD-ED interventions and followed for 3 years. Underuse was defined by failure to get two annual or biannual mammograms over a 2- to 4-year period prior to a baseline survey. The study included 1655 female underusers of mammography aged 50-80 years who were members of two health maintenance organizations (HMO) in central Massachusetts. BSTC consisted of periodic brief, scripted calls from trained counselors to women who had not had a mammogram in the preceding 15 months. Women could receive up to three annual calls during the study. MD-ED consisted of physician and office staff trainings aimed at improving counseling skills and office reminder systems. Self-report of mammography use during the study period was the main outcome measure. Regular use was defined as > or =1 mammogram every 24 mo