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Towards Standardization of X-Ray Filters in Digital Mammography-Enabled Breast Tomosynthesis Systems


S Shrestha

S Shrestha*, S Vedantham , A Karellas , University of Massachusetts Medical School, Worcester, MA

Presentations

WE-DE-207B-8 (Wednesday, August 3, 2016) 10:15 AM - 12:15 PM Room: 207B


Purpose: In digital breast tomosynthesis (DBT) systems capable of digital mammography (DM), Al filters are used during DBT and K-edge filters during DM. The potential for standardizing the x-ray filters with Al, instead of K-edge filters, was investigated with intent to reduce exposure duration and to promote a simpler system design.

Methods: Analytical computations of the half-value thickness (HVT) and the photon fluence per mAs (photons/mm2/mAs) for K-edge filters (50μm Rh; 50μm Ag) were compared with Al filters of varying thickness. Two strategies for matching the HVT from K-edge and Al filtered spectra were investigated: varying the kVp for fixed Al thickness, or varying the Al thickness at matched kVp. For both strategies, Al filters were an order of magnitude thicker than K-edge filters. Hence, Monte Carlo simulations were conducted with the GEANT4 toolkit to determine if the scatter-to-primary ratio (SPR) and the point spread function of scatter (scatter PSF) differed between Al and K-edge filters.

Results: Results show the potential for replacing currently used K-edge filters with Al. For fixed Al thickness (700μm), ±1 kVp and +(1-3) kVp change, matched HVT of Rh and Ag filtered spectra. At matched kVp, Al thickness range (650,750)μm and (750,860)μm matched the HVT from Rh and Ag filtered spectra. Photon fluence/mAs with Al filters were 1.5–2.5 times higher, depending on kVp and Al thickness, compared to K-edge filters. Although Al thickness was an order higher than K-edge filters, neither the SPR nor the scatter PSF differed from K-edge filters.

Conclusion: The use of Al filters for digital mammography is potentially feasible. The increased fluence/mAs with Al could decrease exposure duration for the combined DBT+DM exam and simplify system design. Effect of x-ray spectrum change due to Al filtration on radiation dose, signal, noise, contrast and related metrics are being investigated.

Funding Support, Disclosures, and Conflict of Interest: Funding support: Supported in part by NIH R21CA176470 and R01CA195512. The contents are solely the responsibility of the authors and do not reflect the official views of the NIH or NCI.


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