Background/introduction
Mammography is the gold standard to detect breast cancer at an early stage and,
when followed up with appropriate diagnosis and treatment,
reduces mortality from breast cancer.
However,
as a diagnostic method,
it presents problems inherent to image quality,
perhaps greater than those of other radiological technologies,
if it is expected to fulfill its purpose properly.
This is a study that delivers doses of the order of 4.5 mGy in digital equipment and that many women repeat annually.
The positioning,
the compression during the study...
Description of activity and work performed
In the Mammography Department,
in the Hospital Italiano of Buenos Aires during the EroSafe Imaging accreditation plan we made especial emphasis in the three EuroSafe Action mentioned below.
Action 2 – Develop clinical diagnostic reference levels (DRLs) for adults and children
Action 3 – Develop image quality assessment based on clinical indications
Action 6 – Implement a clinical audit tool for imaging to improve the quality of patient care
With the advance of medical technology in the use of ionizing radiation,
the need to contemplate...
Conclusion and recommendations
The culture of quality and the culture of security are always not easy to inculcate and maintained in all cases.
This task that began in the Italian Hospital with accreditation with the Joint Commission and now with EuroSafe Imaging and reaccreditation of the Joint has the sustainability for to be maintained over time and has the improvement plans that a quality system requires.
Personal/organisational information
Karina Pesce MD PhD: Chief breast radiology,
Hospital Italiano of Buenos Aires,
Argentina.
Marina Ulla MD:chief quality officer of the Imaging department,
Hospital Italiano of Buenos Aires,
coordinating activities of the audit team in the radiology department.
Argentina.
Ricardo García-Mónaco MD PhD: Head of the Imaging Department,
Hospital Italiano of Buenos Aires,
Argentina.
Susana Blanco MD:medical physicist.Hospital Italiano of Buenos Aires,
Argentina.
Jesus Zanabria MD:resident,of the Imaging department.Hospital Italiano of Buenos Aires,
Argentina.
Carolina Zanabria MD:resident,of the Imaging department .Hospital Italiano of Buenos Aires,
Argentina....
References
1- Tabar L,
Vitak B,
Chen HH,
Duffy SW,
Yen MF,
Chiang CF,
Smith RA,
et al.
The Swedish Two-County Trial twenty years later.
Updated mortality results and new insights from long-term follow-up.
Radiol Clin North Am.
2000; 38:625–651.
2- Screening Mammography: Recommendations and Controversies.
Witten M,
Parker CC.
Surg Clin North Am.
2018 Aug;98(4):667-675.
3- IAEA—International Atomic Energy Agency: Optimization of the Radiological Protection of Patients: Image Quality and Dose in Mammography (coordinated research in Europe).
At Energy 1–83,
2005.
4- IAEA—International Atomic Energy...
