Potential Role of a Tomosynthesis low dose protocol in the screening setting in women with breast implants

Congress:

EuroSafe 2023

Poster Number:

ESI-21394

Type:

EuroSafe Imaging

Keywords:

Breast, Mammography, Technical aspects, Cancer

Authors:

R. FEDELE, E. Pofi, R. Stella, D. D'Ottavio, P. Ragucci, S. Pedilarco, I. Valenti

DOI:

DOI-Link:

https://dx.doi.org/

References

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2. Lavigne E, Holowaty E J, Pan S Y, Villeneuve P J, Johnson K C, Fergusson D A et al. Breast cancer detection and survival among women with cosmetic breast implants: systematic review and meta-analysis of observational studies BMJ 2013; 346 :f2399 doi:10.1136/bmj.f2399

3. Ekpo EU, Alakhras M, Brennan P. Errors in Mammography Cannot be Solved Through Technology Alone. Asian Pac J Cancer Prev. 2018 Feb 26;19(2):291-301. doi: 10.22034/APJCP.2018.19.2.291.

4.Majid AS, de Paredes ES, Doherty RD, Sharma NR, Salvador X. Missed breast carcinoma: pitfalls and pearls. Radiographics. 2003 Jul-Aug;23(4):881-95. doi: 10.1148/rg.234025083.

5. A. Ciarrapico, A. Laghi, C. Pistolese, Nuove tecnologie, appropriatezza e costo efficacia dei programmi di prevenzione di qualità, Rivista Tendenze nuove, ISSN: 2239-237otto, Il Mulino, art. 3/20013, pp 219-326, Tendenze nuove, ISSN: 2239-237otto, 219-326.

6. Dance DR, Sechopoulos I. Dosimetry in x-ray-based breast imaging. Phys Med Biol. 2016 Oct 7;61(19):R271-R304. doi: 10.1088/0031-9155/61/19/R271.

7. Hande PC, Desai SS, Arneja SK, Sathian S. Utility of Digital Breast Tomosynthesis with Two-Dimensional Synthesized Mammography Images: A Pictorial Essay. Indian J Radiol Imaging. 2021 Aug 23;31(3):678-688. doi: 10.1055/s-0041-1734378

Fig 1: Average glandular dose with Standard dose algorithm

Fig 2: Average glandular dose with exposure control algorithm

Fig 3: Average glandular dose for Eklund projections and with complete breast implant

Fig 4: MLO FFDM with breast implants with exposure control algorithm

Fig 5: CC FFDM with breast implants with exposure control algorithm

Fig 6: Standard Algorithm vs Low Dose Algorithm in tomosynthesis