• Progress in Medical Physics
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• v.20 no.1
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• pp.21-29
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• 2009

Breast cancer is the most common form of cancer among korean woman. Therefore, the early detection activities of breast cancer such as breast self-examinations, clinical breast examinations, mammography are important. A yearly mammography examination has been recommended for women aged 40 and older for the early detection of breast cancer in asymptomatic periods. However, the glandular tissue of breast is the most radiation-sensitive tissue, and the determination of average glandular dose (AGD) forms an important part of the quality control of the mammographic systems. Because of the difficulty of estimating AGD directly, it is often estimated from the measurements of the incident air kerma and by applying the appropriate conversion factors. The primary objective of this study was to standardize the method of measuring AGD. The secondary objective was to evaluate the relationships between AGD per various composition and thickness of the breast using Monte Carlo simulations. As a result, we standardized the method of measuring AGD according to International Atomic Energy Agency (IAEA) guidelines (CoP: an international code of practice). Overall, AGD for mammographic practice in Korea was less than 3.0 mGy recommended by the Korea Food and Drug Adminstration (KFDA) protocol, and Korean Institute for Accreditation of Medical Image (KIAMI). The measured and simulated AGD for a given condition were calculated as 1.7 and 1.6 mGy, respectively. For the AGDs obtained, there was no significant difference between them. The simulated AGD was dependent on the fraction of glandular tissue of the breast. The AGD increases with increasing of the breast glandularity due to increasing absorption of low energy photons. The AGD also increases as a function of breast thickness. In conclusion, the results of this study could be used as a baseline to establish a reference level of radiation dose in mammography.

• Journal of radiological science and technology
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• v.35 no.4
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• pp.293-298
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• 2012

In digital mammography, Exposure factor were automatically chosen using by measurement breast thickness and the density of mammary gland. It may cause a increase glandular dose. The purpose of this study was to investigate optimal image quality in digital magnification mammography to decrease radiation exposure of patient dose. Auto mode gives the best image quality however, AGD showed better image quality. Image quality of manual mode passed phantom test and SNR at 55% mAs of auto mode commonly used in the digital magnification mammography. Also it could reduce AGD. According to result, manual mode may reduce the unnecessary radiation exposure in digital magnification mammography.

• Journal of radiological science and technology
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• v.32 no.3
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• pp.261-270
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• 2009

The study examined the relationship between the compressed breast thickness and Average Glandular Dose (AGD) among 1,969 outpatients who went through breast X-ray in a university hospital for 10 months from July 1st, 2007 to April 30th, 2008. Then it analyzed the result acquired from 3,900 cases of Cranio-Caudal (CC) view, especially, when the breasts were compressed (13-15daN). The following is the conclusion driven from the relationship analysis. 1. The subjects aged in 40s and 50s were 2,679 out of 3,900 cases and this figure was 68.69% in all. 2. In terms of distribution depending on focus/filter, 41.0% was Mo/Mo, 34.8% was Mo/Rh, and 24.2% was Rh/Rh. 3. In terms of compressed breast thickness depending on focus/filter, the average thickness was 26.91 mm at Mo/Mo, 38.84 mm at Mo/Rh, and 48.80 mm at Rh/Rh. The average thickness of the entire cases was shown to be 36.27 mm. 4. AGD depending on focus/filter was 1.27 mGy at Mo/Mo, 1.55 mGy at Mo/Rh, and 1.42 mGy at Rh/Rh. The average glandular dose of the entire cases was shown to be 1.43 mGy. 5. The relationship of AGD depending on compressed breast thickness at Mo/Mo was y=0.0318x + 0.470 while it was y=0.0206x + 0.709 at Mo/Rh and y=0.0248x + 0.335 at Mo/Rh. It was highly influenced by the compressed breast thickness, however, more variation was detected at Mo/Mo depending on breast thickness.

• Journal of the Korean Society of Radiology
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• v.16 no.3
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• pp.303-308
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• 2022

Mammography using X-rays is currently the most used for early diagnosis of breast cancer. As the frequency of use of X-ray devices increases, interest in radiation hazards caused by mammography is increasing. Therefore, in this study, in order to measure the exposure dose of the mammary gland in X-ray mammography that requires high contrast and high resolution, the international Atomic Energy Agency (IAEA) stipulates the international standards presented by IEC 62220-1-2: 2015. Based on the beam quality criteria of the recommendation, we tried to present a guideline for evaluating the average mammary gland dose. As a result, the average streamline dose value of the 4.5 cm PMMA phantom was 2.3 mGy at the maximum within the 30 kV range, and was evaluated to be 1.19 mGy based on 28 kV.

• Journal of radiological science and technology
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• v.28 no.4
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• pp.293-299
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• 2005

In the present investigation, we analyzed the data of 1,318 patients (2,636 images) who underwent mammographic examinations and obtained the distribution of the patient age and compressed breast thickness. We measured also average glandular doses (AGD) as function of compressed breast thickness. In order to obtain the values of AGD, we measured half value layer (HVL) and tube output (mR/mAs) for each kVp and target/filter combination. Entrance surface air kerma (ESAK) was calculated from the tube output as measured for each voltage used under clinical conditions and from the tube loading (mAs). AGD per exposure were calculated by multiplying the ESAK values by the conversion factors tabulated by Dance. We obtained in this study the following conclusions. The mean value of compressed breast thickness for cranio-caudal (CC) view was 35.8mm and that for medio-lateral oblique (MLO) view was 43.3 mm. The mean value of AGD for CC view was 1.55 mGy and that for MLO view was 1.70 mGy. The AGD for MLO view was 0.15 mGy (10%) higher than that for CC view because the thickness for MLO view was on average 4.8 mm higher than that for CC view. The values of AGD increased with increasing compressed brest thickness. The increased AGD value was on average 0.34 mGy per 10 mm in the thickness ranges $10{\sim}80\;mm$, therefore differences between the AGD values of each thickness were relative large. Thus, it is considered to need limited doses for mammography with the upper end of exposure range at several different compressed brest thickness.

• Journal of the Korean Society of Radiology
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• v.5 no.3
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• pp.111-120
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• 2011

A purpose of study is to develop optimization and radiation dose exposure reference level by measuring actual radiation dose in condition of quality control of mammography equipment for 39 clinics. The result were as follows. First, we measured T-test separating radiology from general clinic. According to the test, mAs was measured at average 78.58 mAs; radiology at 80.16 mAs and general clinic at 77.22 mAs. And, kerma rate was measured at average 7.71 mGy/mR; radiology at 8.94 mGy/mR and general clinic at 6.66 mGy/mR. HVL was measured at average 0.42 mmAl; radiology at 0.40 mmAl and general clinic at 0.43 mmAl. Average glandular dose was measured at average 1.14 mGy; radiology at 1.09 mGy and general clinic at 1.19 mGy. Second, we measured value of mAs, HVL, processing method and so on dividing two groups. And, we compared and analyzed average value measured using T-test. As a result, there was significance level in SID(P<0.05). There was significance level in mAs(P<0.05). Because processor was measured at 1.00 mGy and CR at 1.17 mGy according to the processing method of radiology. Third, according to the correlation analysis, radiology had significance level between average glandular dose and mAs and general clinic had significance level between average glandular dose and SID(P<0.05). Forth, as a result of regression analysis, mAs affected 22.7%t of average glandular dose and SID affected 21.7% of average glandular dose, which had significance level(P<0.05). And, mAs affected 29.0% of average glandular dose in radiology and SID affected 29.1% of average glandular dose in general clinic, which was most influential.

• Journal of the Korean Society of Radiology
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• v.7 no.3
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• pp.181-189
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• 2013

The optimum exposure parameters are found when examined using the automatic mode in FFDM. improve the image quality by applying denoising algorithm and propose methods to reduce AGD(Average Grandular Dose) a patient can receive. For the experiment, Nuclear Associates Model 18-222 phantom was the used, and the entrance dose and AGD were measured. And then, Signal, Noise, SNR and FOM(Figure of Merit) were measured, compared and analyzed image denoising before and after. As the experiment result, first, SNR was the highest at Mo/Mo 23kVp and W/Rh 35kvp was the lowest for the average glandular dose. It showed to use 28kVp of W/Rh to be the best through the result of FOM. SNR was the highest at Mo/Mo 23kVp(image denoising), and it showed to W/Rh and 28kVp to be the best in the FOM result which AGD was considered at the same time. By the image denoising, it is possible to reduce noise while maintain important information in the image.

• Journal of radiological science and technology
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• v.38 no.3
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• pp.221-228
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• 2015

Purpose: In digital mammography QC program was used for the purpose of reducing low-dose and high-definition images of the radiation dose. Materials and Methods: In digital mammography using a QC phantom according to the average glandular dose in the exposure method MLO view $0^{\circ}C$, $30^{\circ}C$, $45^{\circ}C$, $50^{\circ}C$, $55^{\circ}C$, $70^{\circ}C$, was measured at $90^{\circ}C$ intervals, an image with Hologic QC program to the SNR and CNR was measured to evaluate. Results: The average dose in the MLO view was wired to $90^{\circ}C$ when the maximum was 1.75 mGy, it decreased approximately 6% was measured at $45^{\circ}C$ 1.65 mGy. In addition, 1.67 mGy, manual record, there were an average wired in accordance with the exposure dose and the dose of 1.52 mGy difference in the way auto filter. Image quality evaluation at every angular section SNR 50 ~ 52, shows a slight difference in CNR 11 ~ 12, it was included in the manufacturer's recommended value. Conclusion: The dose was lowest in MLO view $45^{\circ}C$, the difference between SNR and CNR were insignificant. The method of exposure will need a way to reduce the exposure of the patient's body or unnecessary patient by placing a difference in settings in which the characteristics.

• Journal of radiological science and technology
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• v.37 no.2
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• pp.101-107
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• 2014

The purpose of this study was investigated optimal exposure condition in digital magnification mammography to decrease radiation dose and increase image quality of the examinee. Auto mode, the average glandular dose is higher than the manual mode. Average glandular dose and image quality were many differences on between grid and air gap technique in auto mode. However, Average glandular dose and signal-to-noise ratio were not different on between grid and air gap technique in manual mode. The signal-to-noise ratio was increased when using the air-gap technique in both mode. According to result, air gap technique may reduce average glandular dose and increase signal-to-noise ratio in digital magnification mammography.

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.322-328
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• 2015

This study evaluated the diagnostic value and compares the Mammogram Tomosynthesis, and as compared to the AGD, was studied with respect to utilization of Tomosynthesis. During January 2015 one month were enrolled patients admitted to 62 people present. The ACR phantom was used. AEC was set to be. kVp is fixed and given a step-by-step changing the mAs analyzed AGD. Tomosynthesis was superior to the distinction of breast lesions when compared with Mammogram showed a noticeable difference in contrast. AGD(Average Glandular Dose) was higher 0.33 mGy. However, in the long run, the dose was reduced. Tomosynthesis is therefore increase the diagnostic value of the breast, a examination that can reduce the dose.