The Effect of Breast Size and Density in Turkish Women on Radiation Dose in Full-Field Digital Mammography.
Eur J Breast Health
; 17(4): 315-321, 2021 Oct.
Article
en En
| MEDLINE
| ID: mdl-34651109
ABSTRACT
OBJECTIVE:
The purpose of this study was to look into the relationship between breast size and mammographic breast density in women and breast radiation dose on full-field digital mammography (FFDM), as well as the factors that influence radiation dose. MATERIALS ANDMETHODS:
The study included a total of 2,060 FFDM images from 515 consecutive participants. The participants were divided into two groups those exposed to high doses (>3 mGy) and those exposed to low doses (<3 mGy). Moreover, the researchers analyzed the relationship between mean glandular dose (MGD) of the breast and patient age, compressed breast thickness, compression force, mammographic breast composition, and mammographic breast size.RESULTS:
The mean mammographic breast volume was 936.2 ± 425.2 (114.5-3,018) mL, and the mean compressed breast tissue thickness was 56.75 ± 10.44 mm. Moreover, the mean MGD in the high-dose group was 3.51 ± 0.48 mGy and 1.92 ± 0.56 mGy in the low-dose group. The high-dose group had greater breast thickness, diameters, volume, compression pressure, and surgical rate. However, the high-dose group was younger and had less dense breasts. In multivariate logistic regression analysis, the most important predictors of dose determination were breast thickness [odds ratio (OR) 1.178, 95% confidence interval (CI) 1.156-1.200, p<0.001], history of previous surgery (OR 2.210, 95% CI 1.417-3.447, p<0.001), compression force (OR 1.008, 95% CI 1.004-1.013, p<0.001), and breast density (OR 1.873, 95% CI 1.359-2.580, p<0.001).CONCLUSION:
Women with larger breast volumes are subjected to higher doses of radiation. Therefore, breast-screening programs can be individualized to young women with larger breast volumes and women who have had breast-conserving surgery.
Texto completo:
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Bases de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
Eur J Breast Health
Año:
2021
Tipo del documento:
Article
País de afiliación:
Turquía