[A Study on the Uncertainty of the Average Glandular Dose in Quality Control of Mammographic X-ray Units].

Nihon Hoshasen Gijutsu Gakkai zasshi Pub Date : 2024-07-20 Epub Date: 2024-05-30 DOI:10.6009/jjrt.2024-1448
Tomoyo Takizawa, Michiharu Sekimoto, Naoki Kodama
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Abstract

【Purpose】 Accurate control of X-ray units and dosimeters and analysis of the uncertainties associated with the accurate measurement of radiation doses are essential for the effective establishment and application of diagnostic reference levels. In this study, the uncertainty of the average glandular dose (AGD) in the quality control of mammography equipment was evaluated in detail, and recommendations were provided to improve the accuracy and safety of radiological practice. 【Methods】 In the uncertainty analysis of the AGD, the relative standard uncertainties in the measurements of the half-value layer, the incident air kerma, and the conversion factor were considered and finally expressed as expanded uncertainties, the intervals of which were clearly defined. 【Results】 From the AGD measurements using two types of dosimeters, it was found that the primary sources of uncertainty are the uncertainty of the calibration factors of the dosimeters and the uncertainty of the conversion factors.【Conclusion】 To reduce uncertainty, the use of regularly calibrated dosimeters is effective and reliable. Two types of dosimeters are commonly used; the results of this study may serve as a reference value for the uncertainty of AGD in quality control in medical facilities.

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[关于乳腺 X 射线装置质量控制中平均腺体剂量不确定性的研究]。
目的精确控制 X 射线装置和剂量计以及分析与精确测量辐射剂量相关的不确定性,对于有效建立和应用诊断参考水平至关重要。本研究详细评估了乳腺 X 射线设备质量控制中平均腺体剂量(AGD)的不确定性,并为提高放射实践的准确性和安全性提供了建议。方法在 AGD 的不确定度分析中,考虑了半值层、入射空气开尔马和转换因子测量中的相对标准不确定度,并最终以扩展不确定度表示,明确定义了其区间。结果通过使用两种剂量计进行 AGD 测量,发现不确定度的主要来源是剂量计校准因子的不确定度和转换因子的不确定度。要减少不确定性,使用定期校准的剂量计是有效和可靠的。本研究的结果可作为医疗机构质量控制中 AGD 不确定度的参考值。
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