PubMed · 10107656
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L Dewerd. 1990. Monitoring mammographic performance.. https://pubmed.ncbi.nlm.nih.gov/10107656/
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PURPOSE: To evaluate a comprehensive array of scatter cleanup techniques in mammography by using a consistent methodology. MATERIALS AND METHODS: Monte Carlo techniques were used to evaluate the Bucky factor (BF) and the contrast improvement factor (CIF) for linear and cellular grids and for slot scan and scanning multiple-slot assembly (SMSA) systems. RESULTS: For a 28-kVp molybdenum anode-molybdenum filter spectrum with a standard detector and a 6-cm-thick 50% adipose-50% glandular breast phantom, slot scan techniques delivered an ideal BF. For slot widths greater than 4 mm, however, the CIF was lower than that achieved by the high-transmission cellular grid with a grid ratio of 3.8:1. A tungsten-septa air-interspaced cellular grid with a 4:1 grid ratio outperformed the high-transmission cellular grid in both BF and CIF. The SMSA was shown to be efficacious when 4-mm-wide slots were separated by at least 20 mm. In comparison with the literature, 3.6% agreement was achieved with other Monte Carlo studies, 3.3% with an experimental study that used a digital detector, and 13%-29% agreement was demonstrated in comparison to film-based experimental studies. CONCLUSION: With use of consistent methods for comparison, cellular grids were shown to substantially outperform linear grids but have slightly higher BFs compared with that of slot scan geometries at the same CIF.
The X-ray systems study group used the Victoreen NERO mAx model 8000, a new non-invasive X-ray output analyzer, to measure the tube voltage, tube voltage waveform, tube current, and irradiation time for conditions corresponding to general radiography and mammography. The measurement results were then compared with those obtained using a conventional invasive measuring instrument. The peak values of the tube voltage measured by the NERO mAx and the invasive measuring instrument were compared. The NERO mAx had a good measurement error range of -1.2 to +0.9 kV. For tube current measurement by the NERO mAx, the maximum error for general radiography conditions was +11 mA and that for mammography conditions was +6 mA. For irradiation time measurement, the value for general radiography conditions was slightly greater and the value for mammography conditions was slightly less than the corresponding values obtained by the invasive measuring instrument. If radiation quality is changed during measurement of the characteristics, measurement values change. Since the NERO mAx incorporates two types of X-ray detectors, it shows good measurement reproducibility. The NERO mAx has been shown to have suitable characteristics for use as a measuring instrument for constancy tests. In the future, constancy tests should be used to quantitatively control the factors determining clinical image quality.
A novel x-ray source for mammography application is being investigated. Quasimonochromatic x rays have been produced via Bragg diffraction with a W-anode x-ray tube and a graphite mosaic crystal array. The system provides 18 keV x rays with an energy resolution deltaE/E approximately equals 0.12. A thorough analysis of the spatial resolution of the system has been performed in order to understand and quantify the effect of the introduction of an active optical element such as a mosaic crystal in the x-ray path. The focal spot of the source and its emission properties have been studied by using the slit camera method. Experiments have shown that the introduction of a mosaic crystal in the optical path modifies the resolution properties of the Bragg diffraction-based radiography system. Along the direction perpendicular to the diffraction plane the resolution properties of the imaging system mainly depend on the x-ray tube focal spot size and position. Along the diffraction plane the focal spot size depends on mosaic characteristics and on the geometrical setup. Hence, it could be modified by setting the appropriate experimental conditions.