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At the present time, three whole breast digital mammography units are undergoing clinical trials for FDA 510 (k) approval. During the two years of this grant period, the TREX system has been tested extensively over an 18-month period with a phantom designed for digital use. The GE and Fischer units have been tested with similar phantoms. A semi-automatic analysis program has been written in C++. The program can be used by a trained technologist for weekly quality control. For the TREX application, all 12 CCD's are tested independently for signal to noise ratio, contrast to noise ratio, calcification visibility, and dynamic range. Mean, standard deviation, and coefficient of variation are reported across all CCD's and over time. For the GE digital unit, a similar phantom and analysis program is used because of variations across the amorphous silicon. For the Fischer unit, the 4 CCD's in the slot are tested. As a result of this research, there have been three presentations at national meetings, a peer reviewed article has been accepted for publication, and a poster was presented at SPIE in San Diego. A simple method to monitor digital mammography quality control has been devised and tested. Modifications in the phantom and analysis program for specific systems has been shown to be feasible and all current manufacturers or the physicists at clinical sites have been supplied with a phantom and analysis program for their systems.
This manual provides a harmonized approach to quality assurance (QA) in the emerging area of digital mammography. It outlines the principles of, and specific instructions that can be used for, a QA programme for the optimal detection of early stage breast cancer within a digital environment. Intended for use by Member States that are now using digital mammography or that are assessing the implications of using digital mammography, it addresses major areas such as considerations concerning the transition from screen film to digital mammography, basic principles of QA, clinical image quality, quality control tests for radiographers, and quality control tests for medical physicists, including dosimetry assessment. Instructional materials to supplement the knowledge of professionals already working in the field of diagnostic radiology, as well as quality control worksheets, are also provided.
Bogen er en grundlæggende lærebog om digital mammografi, hvori digital mammografi og traditionel mammografi også sammenlignes i forhold til screening, diagnoser og radiografisk billedteknik. Der er en komplet billedsamling af cases indenfor digital mammografi.
Digital Radiography has been ? rmly established in diagnostic radiology during the last decade. Because of the special requirements of high contrast and spatial resolution needed for roentgen mammography, it took some more time to develop digital m- mography as a routine radiological tool. Recent technological progress in detector and screen design as well as increased ex- rience with computer applications for image processing have now enabled Digital Mammography to become a mature modality that opens new perspectives for the diag- sis of breast diseases. The editors of this timely new volume Prof. Dr. U. Bick and Dr. F. Diekmann, both well-known international leaders in breast imaging, have for many years been very active in the frontiers of theoretical and translational clinical research, needed to bring digital mammography ? nally into the sphere of daily clinical radiology. I am very much indebted to the editors as well as to the other internationally rec- nized experts in the ? eld for their outstanding state of the art contributions to this v- ume. It is indeed an excellent handbook that covers in depth all aspects of Digital Mammography and thus further enriches our book series Medical Radiology. The highly informative text as well as the numerous well-chosen superb illustrations will enable certi? ed radiologists as well as radiologists in training to deepen their knowledge in modern breast imaging.
This book offers a single publication to be utilised comprehensively as a reference manual within current mammographic clinical practice for use by assistant practitioners and practitioners as well as trainees in radiography and related disciplines. In recent years mammographic clinical practice and technology have evolved rapidly and become increasingly sophisticated, this book will cover these issues. The public feel increasingly empowered to ‘have a say’ in their care and expectations of their mammography experience is high. Consequently a well-trained, well-informed practitioner is of paramount importance in clinical practice today. This book addresses patient/client-related issues in the form of psychological and emotional support they may require. This will enable the reader to gain insight into the patient/client perspective and thereby assist in meeting their needs.
This book provides a comprehensive description of the screening and clinical applications of digital breast tomosynthesis (DBT) and offers straightforward, clear guidance on use of the technique. Informative clinical cases are presented to illustrate how to take advantage of DBT in clinical practice. The importance of DBT as a diagnostic tool for both screening and diagnosis is increasing rapidly. DBT improves upon mammography by depicting breast tissue on a video clip made of cross‐sectional images reconstructed in correspondence with their mammographic planes of acquisition. DBT results in markedly reduced summation of overlapping breast tissue and offers the potential to improve mammographic breast cancer surveillance and diagnosis. This book will be an excellent practical teaching guide for beginners and a useful reference for more experienced radiologists.
This is the first of two new titles geared for the advanced exams taken by radiologic technologists. The books have been written in response to the new ARRT requirement for proof of competency in specific modalities prior to taking advanced level exams.
Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDA's oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.