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Female breast radiation exposure during thorax multidetector computed tomography and the effectiveness of bismuth breast shield to reduce breast radiation dose.
J Comput Assist Tomogr. 2007 Jan-Feb; 31(1):138-42.JC

Abstract

OBJECTIVE

The purpose of our study was to determine the breast radiation dose when performing routine thoracic multidetector computed tomography (MDCT). We also evaluated dose reduction and the effect on image quality of using a bismuth breast shield when performing thoracic MDCT.

MATERIAL AND METHODS

The dose reduction achievable by shielding the adult (18 years or older) female breasts was studied in 50 women who underwent routine thoracic MDCT. All examinations were performed with a 16-MDCT scanner (Sensation Cardiac 16; Siemens Medical Solutions). To compare the shielded/unshielded breast dose, the examination was performed with (right breast) and without (left breast) breast shielding in all patients. With this technique, the superficial breast doses were calculated. To determine the average glandular breast radiation dose, we imaged an anthropomorphic dosimetric phantom into which calibrated dosimeters were placed to measure the dose to breast. The phantom was imaged using the same protocol. Radiation doses to the breasts with and without the breast shielding were measured and compared using the Student t test.

RESULTS

In the qualitative evaluation of the MDCT scans, all were considered to be of diagnostic quality. We did not see any differences in quality between the shielded and unshielded lung. The mean radiation doses to the breasts with the shield and to those without the shield were 8.6 +/- 2.33 versus 14.46 +/- 3.94 mGy, respectively. The breast shield enabled a 40.53% decrease in radiation dose to the breast. The difference between the dose received by the breasts with and that received by the breasts without bismuth shielding was significant, with a P value of less than 0.001.

CONCLUSIONS

Bismuth in-plane shielding for routine thoracic MDCT decreased radiation dose to the breast without qualitative changes in image quality. The other radiosensitive superficial organs (eg, testes and thyroid gland) specifically must be protected with shielding.

Authors+Show Affiliations

Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Turkey. drmhyilmaz@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17259846

Citation

Yilmaz, Mehmet Halit, et al. "Female Breast Radiation Exposure During Thorax Multidetector Computed Tomography and the Effectiveness of Bismuth Breast Shield to Reduce Breast Radiation Dose." Journal of Computer Assisted Tomography, vol. 31, no. 1, 2007, pp. 138-42.
Yilmaz MH, Albayram S, Yaşar D, et al. Female breast radiation exposure during thorax multidetector computed tomography and the effectiveness of bismuth breast shield to reduce breast radiation dose. J Comput Assist Tomogr. 2007;31(1):138-42.
Yilmaz, M. H., Albayram, S., Yaşar, D., Ozer, H., Adaletli, I., Selçuk, D., Akman, C., & Altuğ, A. (2007). Female breast radiation exposure during thorax multidetector computed tomography and the effectiveness of bismuth breast shield to reduce breast radiation dose. Journal of Computer Assisted Tomography, 31(1), 138-42.
Yilmaz MH, et al. Female Breast Radiation Exposure During Thorax Multidetector Computed Tomography and the Effectiveness of Bismuth Breast Shield to Reduce Breast Radiation Dose. J Comput Assist Tomogr. 2007 Jan-Feb;31(1):138-42. PubMed PMID: 17259846.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female breast radiation exposure during thorax multidetector computed tomography and the effectiveness of bismuth breast shield to reduce breast radiation dose. AU - Yilmaz,Mehmet Halit, AU - Albayram,Sait, AU - Yaşar,Doğan, AU - Ozer,Harun, AU - Adaletli,Ibrahim, AU - Selçuk,Doğan, AU - Akman,Canan, AU - Altuğ,Ayça, PY - 2007/1/30/pubmed PY - 2007/3/21/medline PY - 2007/1/30/entrez SP - 138 EP - 42 JF - Journal of computer assisted tomography JO - J Comput Assist Tomogr VL - 31 IS - 1 N2 - OBJECTIVE: The purpose of our study was to determine the breast radiation dose when performing routine thoracic multidetector computed tomography (MDCT). We also evaluated dose reduction and the effect on image quality of using a bismuth breast shield when performing thoracic MDCT. MATERIAL AND METHODS: The dose reduction achievable by shielding the adult (18 years or older) female breasts was studied in 50 women who underwent routine thoracic MDCT. All examinations were performed with a 16-MDCT scanner (Sensation Cardiac 16; Siemens Medical Solutions). To compare the shielded/unshielded breast dose, the examination was performed with (right breast) and without (left breast) breast shielding in all patients. With this technique, the superficial breast doses were calculated. To determine the average glandular breast radiation dose, we imaged an anthropomorphic dosimetric phantom into which calibrated dosimeters were placed to measure the dose to breast. The phantom was imaged using the same protocol. Radiation doses to the breasts with and without the breast shielding were measured and compared using the Student t test. RESULTS: In the qualitative evaluation of the MDCT scans, all were considered to be of diagnostic quality. We did not see any differences in quality between the shielded and unshielded lung. The mean radiation doses to the breasts with the shield and to those without the shield were 8.6 +/- 2.33 versus 14.46 +/- 3.94 mGy, respectively. The breast shield enabled a 40.53% decrease in radiation dose to the breast. The difference between the dose received by the breasts with and that received by the breasts without bismuth shielding was significant, with a P value of less than 0.001. CONCLUSIONS: Bismuth in-plane shielding for routine thoracic MDCT decreased radiation dose to the breast without qualitative changes in image quality. The other radiosensitive superficial organs (eg, testes and thyroid gland) specifically must be protected with shielding. SN - 0363-8715 UR - https://www.unboundmedicine.com/medline/citation/17259846/Female_breast_radiation_exposure_during_thorax_multidetector_computed_tomography_and_the_effectiveness_of_bismuth_breast_shield_to_reduce_breast_radiation_dose_ L2 - https://doi.org/10.1097/01.rct.0000235070.50055.e6 DB - PRIME DP - Unbound Medicine ER -