Relationship between radiation dose and reduced X-ray sensitivity surrounding breast region using CR stimulable phosphor plate for mammography

摘要

Computed radiography (CR) systems use a photostimulable phosphor plate (imaging plate ; IP) as a sensor for digital mammography. In clinical mammography, breast is almost exposed same region of IP, and therefor, direct x-ray regions surrounding suffer from reduced x-ray sensitivity. Consequently, the difference in x-ray sensitivity between the breast regions and the unattenuated x-ray region was obtained. However, radiation dose quantity that reduces x-ray sensitivity is not known. In this study, we imaged a breast phantom under fixed conditions, and subsequently, we investigated the pixel value differences between the breast region and the unattenuated x-ray regions. We measured the entrance air-kerma using 550 sensing elements of glass dosimeter, 22x25 lines, that were placed at the surface of the cassette including the IP. In order to measure the x-ray sensitivity, pre- and post-exposure breast phantom images were acquired after 500, 1,000, 1,350, and 1,500 trials. The pixel values were measured at four points; in the breast region and in the unattenuated x-ray region. The ratio of these pixel values was compared with the cumulative exposure dose. The ratio was nearly constant until 1,000 trials, but a significant reduction was observed after 1,350 trials. Further, in the image obtained after 1,500th trials, the shape of breast phantom could be observed. This image supports the fact that the x-ray sensitivity was lowered in the unattenuated x-ray region. The difference in the pixel value between the breast region and the unattenuated x-ray region was obtained over 1,000 exposures at 100,000 mAs.