title: Typetesting of physical characteristics of digital mammography systems for screening within the Flemish breast cancer screening programme.
abstract: To investigate compliance with the acceptance criteria of the European guidelines for quality assurance in breast cancer screening, a typetesting programme of the physical characteristics of digital mammography systems based on direct readout (DR) technology or computed radiography (CR) was organised and executed within the Flemish breast cancer screening programme. While in general image quality/dose characteristics of flat panel DR systems passed the acceptance criteria more easily than CR systems, the slit-scanning direct photon counting system included in present study was outstanding in combining a very low dose with a good image quality. The data obtained up to now indicate the necessity of retuning the AEC for DR systems according to constant contrast to noise ratio (CNR) over the whole range of PMMA thicknesses (20-70 mm) to improve image quality in imaging breasts of large thickness at the cost of higher doses. For the two CR systems which passed the typetesting procedure dose levels do not allow a similar improvement of CNR for thick objects for these systems. The obtained results highlight the importance of the use of high Z target/filter combinations in X-ray generating systems for imaging thick objects to meet the image quality/dose criteria. With respect to image display aspects high-quality 3-megapixel LCD monitors succeeded also in the typetesting procedure in addition to 5-megapixel monitors. However, as zooming and scrolling are necessary for 3-megapixel monitors to get the full resolution capabilities of the image capture system, 5-megapixel monitors are preferred in a busy screening environment.
authors: Department of Medical Physics and Radiation Protection, QCC, Ghent University, Proeftuinstraat 86, B-9000 Ghent, Belgium. hubert.thierens@UGent.be
authors: Hubert
authors: H
authors: Thierens
authors: Hilde
authors: H
authors: Bosmans
authors: Nico
authors: N
authors: Buls
authors: An
authors: A
authors: De Hauwere
authors: Klaus
authors: K
authors: Bacher
authors: Jurgen
authors: J
authors: Jacobs
authors: Peter
authors: P
authors: Clerinx
mesh_terms: D001530:Belgium; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D019544:Equipment Failure Analysis / Q000592:standards; D005260:Female; D006801:Humans; D008327:Mammography / Q000295:instrumentation* / Q000592:standards*; D008403:Mass Screening / Q000295:instrumentation* / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards; D011856:Radiographic Image Enhancement / Q000295:instrumentation* / Q000592:standards*