A Survey of Mean Glandular Doses and Suggestions on National Diagnostic Reference Levels for Digital Mammography in China.

ABSTRACT: The primary purpose of this study was to report the mean glandular doses and to determine the national diagnostic reference levels for digital mammography based on data between 2016 and 2018 in China. The data from 19,076 mammograms (4,769 examinations) by random sampling from 118 digital mammography systems were compiled. Exposure factors included age, compressed breast thickness, kVp, mAs, target/filter combination, entrance surface air kerma, and mean glandular doses, which were retrospectively surveyed and recorded from the monitor. The national diagnostic reference levels (75th percentiles) in mean glandular dose were calculated across median value obtained for all included data and stratified to specific compressed breast thickness ranges. The patients' ages ranged from 22 to 88 y, with a median age of 45. The applied voltage and output medians were 28 kVp and 75.1 mAs for all exposure, respectively. The median CBTs were 45 mm and 48 mm for craniocaudal views and mediolateral oblique views, and the corresponding median mean glandular doses were 1.32 mGy and 1.40 mGy, respectively. The national diagnostic reference level at compressed breast thickness of 40-50 mm was 1.67 mGy for CC views and 1.71 mGy for MLO views. The median mean glandular doses varied significantly and increased with compressed breast thickness, demonstrating the necessity of establishing DRL according to breast thickness and optimizing the clinic's digital mammography practice in China.

What happened when medical staff in Beijing, China wore over-apron dosemeters?

The wearing method of personal dosemeters for medical staff changed from under to outside the operator's protective apron in April 2020. We measured the radiation dose Hp(10) for medical staff in Beijing from September 2020 to October 2021. The study population consisted of 3291 medical staff. All participants were divided into three groups. After excluding unusually low doses, the collected data higher than the detection limit involved 811 (7.8%) of 10 395 readings from 479 (14.6%) of 3291 staff. The mean equivalent dose was 1.4 mSv/3 months, with an SD of 2.3 mSv. The calculated average annual effective doses of radiation workers in the three groups after the interventional procedures from September 2020 to October 2021 ranged from 0.47 to 0.63 mSv/year, with median values of 0.32, 0.23 and 0.26 mSv/year, respectively.

Temporal variations of 7Be and 210Pb activity concentrations in the atmospheric aerosols during 2018-2019 in Beijing, China and their correlations with meteorological parameters.

In order to establish a regional database on natural radioactivity, a series of measurements of 713 atmospheric aerosol samples collected on filters over a two-year period (2018-2019) in center of Beijing, northeastern China have been performed to analyze 7Be and 210Pb activity concentrations. The mean activity concentrations of 7Be and 210Pb were found to be 7.10 ± 2.44 mBq m-3 and 2.93 ± 1.52 mBq m-3, respectively. Both the radionuclides exhibited strong seasonal variations, with maximum concentration of 7Be occurring in the spring and that of 210Pb in the winter. The concentration of both the radionuclides was minimum in the rainy summer. Higher 7Be concentration in the spring was mainly caused by the stratosphere to troposphere exchange. Higher 210Pb concentration during winter was maybe attributed to the combustion processes in heating systems and the ingression of continental air masses resulted from winds originating from northwest. The dependence of the activity concentrations of 7Be and 210Pb with meteorological parameters such as rainfall, temperature, and humidity was studied through linear correlation analysis. Statistically significant negative correlations were observed between 7Be and 210Pb activity concentrations with rainfall, respectively, which suggested that the removal mechanisms of these two radionuclides were similar. Lead-210 showed statistically significant correlations with temperature, humidity and PM10. A comparison of the data obtained in the present study for Beijing with the northern hemisphere literature values of 7Be and 210Pb in the atmospheric aerosols showed that the values were smaller than the ones observed in the present study. Overall, the study provides an improved understanding of the temporal variability and correlation of 7Be and 210Pb concentrations in the atmosphere in center of Beijing, northeastern China.

Chemical content and source apportionment of 36 heavy metal analysis and health risk assessment in aerosol of Beijing.

The concentration levels of 36 airborne heavy metals and atmospheric radioactivity in total suspended particulate (TSP) samples were measured to investigate the chemical characteristics, potential sources of aerosols, and health risk in Beijing, China, from September 2016 to September 2017. The TSP concentrations varied from 6.93 to 469.18 µg/m3, with a median of 133.97 µg/m3. The order for the mean concentrations of heavy metals, known as hazardous air pollutants (HAPs), was as follows: Mn > Pb > As > Cr > Ni > Se > Cd > Co > Sb > Hg > Be; Non-Designated HAPs Metals: Ca > Fe > Mg > Al > K > Na > Zn > P > Ba > Ti > Cu > Sr > B > Sn > I > V > Rb > Ce > Mo > Cs > Th > Ag > U > Pt. The median concentration of As was higher than China air quality standard (6 ng/m3). The gross α and ß concentration levels in aerosols were (1.84 ± 1.59) mBg/m3 and (1.15 ± 0.85) mBg/m3, respectively. The enrichment factor values of Cu, Ba, B, Ce, Tl, Cs, Pb, As, Cd, Sb, Hg, Fe, Zn, Sn, I, Mo, and Ag were higher than 10, which indicated enriched results from anthropogenic sources. Pb, As, and Cd are considered to originate from multiple sources; fireworks released Ba during China spring festival; Fe, Ce, and Cs may come from stable emissions such as industrial gases. The health risks from anthropogenic metals via inhalation, ingestion, and dermal pathway were estimated on the basis of health quotient as well as the results indicated that children faced the higher risk than adults during the research period. For adults, the health risk posed by heavy metals in atmospheric particles was below the acceptable level.

DOSE DISTRIBUTION IN A BREAST UNDERGOING MAMMOGRAPHY BASED ON A 3D DETAILED BREAST MODEL FOR CHINESE WOMEN.

Not only the mean glandular dose (MGD) but also the glandular dose distribution is important in describing the radiation exposure to breast in mammography. For a more precise knowledge of the absorbed dose distribution in the breast, experimental measurements with thermoluminescence dosemeter and Monte Carlo simulations with Geant4 were performed in this study. The experimental measurements with homogeneous physical breast phantoms were used to validate Monte Carlo simulations of homogeneous mathematical breast models undergoing mammography. Then a 3D detailed breast model with a compressed breast thickness of 4 cm and a glandular content of 50%, which has been constructed in previous work, was used to study the absorbed dose distribution inside the breast undergoing mammography. Furthermore, the effects of the glandular tissue distribution on MGD were studied by reversing the breast model in head-toe direction to get a breast model with a different distribution of glandular tissues.