journal article·2025-03-19Open access

Assessment of a Patient Dose Monitoring System for Average Glandular Dose (AGD) Estimate in Mammography

Giuseppina Rita Borzì, Elisa Bonanno, Nina Cavalli, Alessia D’Anna, Martina Pace, Giuseppe Stella, Lucia Zirone, Carmelo Marino

Applied Sciences· Volume 15· Issue 6

Abstract

This study assessed the accuracy of average glandular dose (AGD) calculations for two Selenia Dimensions mammography systems using data from the online dose management DoseWatch software version 3.3.5.1. Mammographic images acquired between January 2021 and December 2022 were retrospectively analyzed. The AGD values displayed by the systems were compared with those independently calculated using the Dance and Boone methods. Additionally, real glandular composition of breast was estimated using LIBRA (Laboratory for Individualized Breast Radiodensity Assessment) software version 1.0.4 for a selected subgroup of patients. Results showed that the AGD values displayed by the systems were generally consistent with those calculated using the Dance method, but discrepancies emerged when applying the Boone method, especially when using estimated glandular composition. Most mammograms fell within acceptable and achievable dose limits according to European guidelines, though a small percentage exceeded these thresholds. The findings suggest that the Dance method, using glandular composition estimated through LIBRA, provides a reliable and accurate AGD calculation, offering a simpler alternative to more complex individualized calculations. The study highlights the importance of accurate glandularity estimation for proper dose management in mammography.
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Research context

OpenAlex topics: Digital Radiography and Breast Imaging · Medical Imaging Techniques and Applications · Radiation Dose and Imaging

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Medical Physics Department, Humanitas Istituto Clinico Catanese, 95045 Misterbianco, CT, Italy

Department of Physics and Astronomy “Ettore Majorana”, University of Catania, Via S. Sofia 64, 95123 Catania, CT, Italy

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