title: Quality control for digital mammography in the ACRIN DMIST trial: part I.
abstract: The Digital Mammography Imaging Screening Trial, conducted by the American College of Radiology Imaging Network, is a clinical trial designed to compare the accuracy of full-field digital mammography (FFDM) versus screen-film mammography in a screening population. Five FFDM systems from four manufacturers (Fischer, Fuji, General Electric, and Lorad) were employed in the study at 35 clinical sites. A core physics team devised and implemented tests to evaluate these systems. A detailed description of physics and quality control tests is presented, including estimates of: mean glandular dose, modulation transfer function (MTF), 2D noise power spectra, and signal-to-noise ratio (SNR). The mean glandular doses for the standard breast ranged from 0.79 to 2.98 mGy, with 1.62 mGy being the average across all units and machine types. For the five systems evaluated, the MTF dropped to 50% at markedly different percentages (22% to 87%) of the Nyquist limit, indicating that factors other than detector element (del) size have an important effect on spatial resolution. Noise power spectra and SNR were measured; however, we found that it was difficult to standardize and compare these between units. For each machine type, the performance as measured by the tests was very consistent, and no predictive benefit was seen for many of the tests during the 2-year period of the trial. It was found that, after verification of proper operation during acceptance testing, if systems failed they generally did so suddenly rather than through gradual deterioration of performance. Because of the relatively short duration of this study further, investigation of the long-term failure characteristics of these systems is advisable.
authors.affiliation: Imaging Research Program, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada.
authors.forename: Aili K
authors.initials: AK
authors.lastname: Bloomquist
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Yaffe
authors.forename: Etta D
authors.initials: ED
authors.lastname: Pisano
authors.forename: R Edward
authors.initials: RE
authors.lastname: Hendrick
authors.forename: Gordon E
authors.initials: GE
authors.lastname: Mawdsley
authors.forename: Stewart
authors.initials: S
authors.lastname: Bright
authors.forename: Sam Z
authors.initials: SZ
authors.lastname: Shen
authors.forename: Mahadevappa
authors.initials: M
authors.lastname: Mahesh
authors.forename: Edward L
authors.initials: EL
authors.lastname: Nickoloff
authors.forename: Richard C
authors.initials: RC
authors.lastname: Fleischman
authors.forename: Mark B
authors.initials: MB
authors.lastname: Williams
authors.forename: Andrew D A
authors.initials: AD
authors.lastname: Maidment
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Beideck
authors.forename: Joseph
authors.initials: J
authors.lastname: Och
authors.forename: J A
authors.initials: JA
authors.lastname: Seibert
mesh_terms: D000465:Algorithms; D016477:Artifacts; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging*; D002986:Clinical Trials as Topic; D006801:Humans; D008327:Mammography / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D019047:Phantoms, Imaging; D011786:Quality Control; D011829:Radiation Dosage; D011856:Radiographic Image Enhancement / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013997:Time Factors; D014963:X-Ray Intensifying Screens