Reduction of radiation dose to the female breast

Preliminary data with a custom-designed tungsten-antimony composite breast shield

Mark S. Parker, Jiyearn K. Chung, Panos P. Fatouros, Jessica A. Hoots, Nicole M. Kelleher, Stanley H Benedict

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: This purpose of this study was to estimate the radiation dose to the female breast incurred during chest computed tomography (CT) and to determine if that dose can be reduced by the external application of a custom-designed tungsten-antimony breast shield. Materials and Methods: A 6.0-cm thick breast tissue equivalent slab phantom (53% adipose/47% water) was placed on the chest wall of an anthropomorphic head and torso phantom. Thermoluminescent dosimeters (TLDs) were positioned on the breast phantom surface at the 12 o'clock, 3 o'clock, and 6 o'clock positions; at the nipple level equivalent; and underneath the breast phantom on the chest wall. The phantom combination was scanned four times on a 16-head multi-detector CT, with identical TLD positioning, and imaging parameters simulating our pulmonary embolus protocol. The first and third scans employed no breast shielding. The second scan used a commercially available bismuth breast shield. The fourth scan utilized our custom-designed tungsten-antimony composite (0.25 lead equivalent) breast shield. An automated TLD reader read the exposed TLDs. Results: The unshielded breast phantom radiation dose ranged from 84.8 to 122.9 mGy. The bismuth shield reduced the dose 37% at the 12 o'clock position, 56% at 3 o'clock, 30% at 6 o'clock, 42% at the nipple level, and 28% at the chest wall. Our tungsten-antimony composite breast shield reduced the unshielded dose by 55% at the 12 o'clock position, 73% at the 3 o'clock position, 57% at the 6 o'clock position, 43% at the nipple level, and 55% at the chest wall. Conclusions: The unshielded breast tissue equivalent phantom incurred a dose of 84.8-122.9 mGy. Our custom-designed Tungsten-Antimony composite breast shield reduced this dose between 43% and 73%.

Original languageEnglish (US)
Pages (from-to)230-239
Number of pages10
JournalJournal of Applied Research
Volume6
Issue number3
StatePublished - 2006
Externally publishedYes

Fingerprint

Antimony
Tungsten
Breast
Radiation
Thoracic Wall
Nipples
Bismuth
Head
Tomography
Torso
Embolism
Thorax

Keywords

  • Antimony
  • Breast shield
  • Multi-detector computed tomography
  • Radiation exposure
  • Tungsten

ASJC Scopus subject areas

  • Medicine(all)
  • Pharmacology

Cite this

Reduction of radiation dose to the female breast : Preliminary data with a custom-designed tungsten-antimony composite breast shield. / Parker, Mark S.; Chung, Jiyearn K.; Fatouros, Panos P.; Hoots, Jessica A.; Kelleher, Nicole M.; Benedict, Stanley H.

In: Journal of Applied Research, Vol. 6, No. 3, 2006, p. 230-239.

Research output: Contribution to journalArticle

Parker, Mark S. ; Chung, Jiyearn K. ; Fatouros, Panos P. ; Hoots, Jessica A. ; Kelleher, Nicole M. ; Benedict, Stanley H. / Reduction of radiation dose to the female breast : Preliminary data with a custom-designed tungsten-antimony composite breast shield. In: Journal of Applied Research. 2006 ; Vol. 6, No. 3. pp. 230-239.
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abstract = "Objective: This purpose of this study was to estimate the radiation dose to the female breast incurred during chest computed tomography (CT) and to determine if that dose can be reduced by the external application of a custom-designed tungsten-antimony breast shield. Materials and Methods: A 6.0-cm thick breast tissue equivalent slab phantom (53{\%} adipose/47{\%} water) was placed on the chest wall of an anthropomorphic head and torso phantom. Thermoluminescent dosimeters (TLDs) were positioned on the breast phantom surface at the 12 o'clock, 3 o'clock, and 6 o'clock positions; at the nipple level equivalent; and underneath the breast phantom on the chest wall. The phantom combination was scanned four times on a 16-head multi-detector CT, with identical TLD positioning, and imaging parameters simulating our pulmonary embolus protocol. The first and third scans employed no breast shielding. The second scan used a commercially available bismuth breast shield. The fourth scan utilized our custom-designed tungsten-antimony composite (0.25 lead equivalent) breast shield. An automated TLD reader read the exposed TLDs. Results: The unshielded breast phantom radiation dose ranged from 84.8 to 122.9 mGy. The bismuth shield reduced the dose 37{\%} at the 12 o'clock position, 56{\%} at 3 o'clock, 30{\%} at 6 o'clock, 42{\%} at the nipple level, and 28{\%} at the chest wall. Our tungsten-antimony composite breast shield reduced the unshielded dose by 55{\%} at the 12 o'clock position, 73{\%} at the 3 o'clock position, 57{\%} at the 6 o'clock position, 43{\%} at the nipple level, and 55{\%} at the chest wall. Conclusions: The unshielded breast tissue equivalent phantom incurred a dose of 84.8-122.9 mGy. Our custom-designed Tungsten-Antimony composite breast shield reduced this dose between 43{\%} and 73{\%}.",
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T2 - Preliminary data with a custom-designed tungsten-antimony composite breast shield

AU - Parker, Mark S.

AU - Chung, Jiyearn K.

AU - Fatouros, Panos P.

AU - Hoots, Jessica A.

AU - Kelleher, Nicole M.

AU - Benedict, Stanley H

PY - 2006

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N2 - Objective: This purpose of this study was to estimate the radiation dose to the female breast incurred during chest computed tomography (CT) and to determine if that dose can be reduced by the external application of a custom-designed tungsten-antimony breast shield. Materials and Methods: A 6.0-cm thick breast tissue equivalent slab phantom (53% adipose/47% water) was placed on the chest wall of an anthropomorphic head and torso phantom. Thermoluminescent dosimeters (TLDs) were positioned on the breast phantom surface at the 12 o'clock, 3 o'clock, and 6 o'clock positions; at the nipple level equivalent; and underneath the breast phantom on the chest wall. The phantom combination was scanned four times on a 16-head multi-detector CT, with identical TLD positioning, and imaging parameters simulating our pulmonary embolus protocol. The first and third scans employed no breast shielding. The second scan used a commercially available bismuth breast shield. The fourth scan utilized our custom-designed tungsten-antimony composite (0.25 lead equivalent) breast shield. An automated TLD reader read the exposed TLDs. Results: The unshielded breast phantom radiation dose ranged from 84.8 to 122.9 mGy. The bismuth shield reduced the dose 37% at the 12 o'clock position, 56% at 3 o'clock, 30% at 6 o'clock, 42% at the nipple level, and 28% at the chest wall. Our tungsten-antimony composite breast shield reduced the unshielded dose by 55% at the 12 o'clock position, 73% at the 3 o'clock position, 57% at the 6 o'clock position, 43% at the nipple level, and 55% at the chest wall. Conclusions: The unshielded breast tissue equivalent phantom incurred a dose of 84.8-122.9 mGy. Our custom-designed Tungsten-Antimony composite breast shield reduced this dose between 43% and 73%.

AB - Objective: This purpose of this study was to estimate the radiation dose to the female breast incurred during chest computed tomography (CT) and to determine if that dose can be reduced by the external application of a custom-designed tungsten-antimony breast shield. Materials and Methods: A 6.0-cm thick breast tissue equivalent slab phantom (53% adipose/47% water) was placed on the chest wall of an anthropomorphic head and torso phantom. Thermoluminescent dosimeters (TLDs) were positioned on the breast phantom surface at the 12 o'clock, 3 o'clock, and 6 o'clock positions; at the nipple level equivalent; and underneath the breast phantom on the chest wall. The phantom combination was scanned four times on a 16-head multi-detector CT, with identical TLD positioning, and imaging parameters simulating our pulmonary embolus protocol. The first and third scans employed no breast shielding. The second scan used a commercially available bismuth breast shield. The fourth scan utilized our custom-designed tungsten-antimony composite (0.25 lead equivalent) breast shield. An automated TLD reader read the exposed TLDs. Results: The unshielded breast phantom radiation dose ranged from 84.8 to 122.9 mGy. The bismuth shield reduced the dose 37% at the 12 o'clock position, 56% at 3 o'clock, 30% at 6 o'clock, 42% at the nipple level, and 28% at the chest wall. Our tungsten-antimony composite breast shield reduced the unshielded dose by 55% at the 12 o'clock position, 73% at the 3 o'clock position, 57% at the 6 o'clock position, 43% at the nipple level, and 55% at the chest wall. Conclusions: The unshielded breast tissue equivalent phantom incurred a dose of 84.8-122.9 mGy. Our custom-designed Tungsten-Antimony composite breast shield reduced this dose between 43% and 73%.

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KW - Multi-detector computed tomography

KW - Radiation exposure

KW - Tungsten

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