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Understanding the risk of ionizing radiation in breast imaging: Concepts and quantities, clinical importance, and future directions

Di Maria S, van Nijnatten TJ, Jeukens CR, Vedantham S, Dietzel M, Vaz P (2024)

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Publication Type: Journal article

Publication year: 2024

Journal

Book Volume: 181

Article Number: 111784

DOI: 10.1016/j.ejrad.2024.111784

Abstract

Background: Conventional mammography remains the primary imaging modality for state-of-the-art breast imaging practice and its benefit (both on diagnostic and screening) was largely reported. In mammography, the typical Mean Glandular Dose (MGD) from X-ray radiation to the breast spans, on average, from 1 to 10 mGy, depending on breast thicknesses, percentage of fibroglandular tissue, and on the examination purpose. Methods: The aim of this narrative review is to describe the extent of radiation risk in X-ray breast imaging and discuss the main steps and parameters (e.g. MGD, screening frequency and number of examination views) that may have an influence on the radiation risk assessment. Results: Even though the radiation doses used with these examinations are very low, as compared to other medical or natural radiation exposures, there is a non-negligible associated risk of radiation-induced cancer. Accurate radiation risk assessment permits to better balance the overall estimation of the benefit-to-risk ratio in X-ray breast imaging. Conclusions: It is expected that a better knowledge about radiation-induced cancer risk among population could improve the communications skills between patients and clinicians and could help to increase the awareness in women about radiation risk perception for a transparent and proper informed choice of imaging exam.

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How to cite

APA:

Di Maria, S., van Nijnatten, T.J., Jeukens, C.R., Vedantham, S., Dietzel, M., & Vaz, P. (2024). Understanding the risk of ionizing radiation in breast imaging: Concepts and quantities, clinical importance, and future directions. European Journal of Radiology, 181. https://doi.org/10.1016/j.ejrad.2024.111784

MLA:

Di Maria, S., et al. "Understanding the risk of ionizing radiation in breast imaging: Concepts and quantities, clinical importance, and future directions." European Journal of Radiology 181 (2024).

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