Breast radiation dose with contrast-enhanced mammography-guided biopsy : a retrospective comparison with stereotactic and tomosynthesis guidance
Alcántara Souza, Rodrigo (Universitat Autònoma de Barcelona. Departament de Medicina)
Azcona, Javier (Hospital del Mar (Barcelona, Catalunya))
Pitarch Diago, Mireia (Hospital del Mar (Barcelona, Catalunya))
Arenas, Natalia (Hospital del Mar (Barcelona, Catalunya))
Castells, Xavier (Universitat Autònoma de Barcelona. Departament de Medicina)
Milioni, Pablo (GE Healthcare)
Iotti, Valentina (Azienda Unità Sanitaria Locale di Reggio Emilia. Instituto in tecnologie avanzate e modelli assistenziali in oncologia)
Besutti, Giulia (Azienda Unità Sanitaria Locale di Reggio Emilia. Instituto in tecnologie avanzate e modelli assistenziali in oncologia)

Fecha:	2024
Resumen:	Objectives: This retrospective study aimed to compare the average glandular dose (AGD) per acquisition in breast biopsies guided by contrast-enhanced mammography (CEM), conventional stereotactic breast biopsy (SBB), and digital breast tomosynthesis (DBT). The study also investigated the influence of compressed breast thickness (CBT) and density on AGD. Furthermore, the study aimed to estimate the AGD per procedure for each guidance modality. Methods: The study included 163 female patients (mean age 57 ± 10 years) who underwent mammography-guided biopsies using SBB (9%), DBT (65%), or CEM (26%) guidance. AGD and CBT data were extracted from DICOM headers, and breast density was visually assessed. Statistical analyses included two-sample t-tests and descriptive statistics. Results: Mean AGD per acquisition varied slightly among CEM (1. 48 ± 0. 22 mGy), SBB (1. 49 ± 0. 40 mGy), and DBT (1. 55 ± 0. 47 mGy), with CEM presenting higher AGD at lower CBTs and less dose escalation at higher CBTs. For CBT.
Nota:	Altres ajuts: acords transformatius de la UAB
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Breast neoplasms ; Mammography ; Contrast media ; Biopsy ; Radiation dosage
Publicado en:	European radiology, 2024 , ISSN 1432-1084

DOI: 10.1007/s00330-024-10920-3
PMID: 39143245

11 p, 1.1 MB

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