GEANT4 for breast dosimetry: parameters optimization study

Mean glandular dose (MGD) is the main dosimetric quantity in mammography. MGD evaluation is obtained by multiplying the entrance skin air kerma (ESAK) by normalized glandular dose (DgN) coefficients. While ESAK is an empirical quantity, DgN coefficients can only be estimated with Monte Carlo (MC) methods. Thus, a MC parameters benchmark is needed for effectively evaluating DgN coefficients. GEANT4 is a MC toolkit suitable for medical purposes that offers to the users several computational choices. In this work we investigate the GEANT4 performances testing the main PhysicsLists for medical applications. Four electromagnetic PhysicsLists were implemented: the linear attenuation coefficients were calculated for breast glandularity 0%, 50%, 100% in the energetic range 8-50 keV and DgN coefficients were evaluated. The results were compared with published data. Fit equations for the estimation of the G-factor parameter, introduced by the literature for converting the dose delivered in the heterogeneous medium to that in the glandular tissue, are proposed and the application of this parameter interaction-by-interaction or retrospectively is discussed. G4EmLivermorePhysicsList shows the best agreement for the linear attenuation coefficients both with theoretical values and published data. Moreover, excellent correlation factor ([Formula: see text]) is found for the DgN coefficients with the literature.The final goal of this study is to identify, for the first time, a benchmark of parameters that could be useful for future breast dosimetry studies with GEANT4

Optimization of the energy for Breast monochromatic absorption X-ray Computed Tomography

The limits of mammography have led to an increasing interest on possible alternatives such as the breast Computed Tomography (bCT). The common goal of all X-ray imaging techniques is to achieve the optimal contrast resolution, measured through the Contrast to Noise Ratio (CNR), while minimizing the radiological risks, quantified by the dose. Both dose and CNR depend on the energy and the intensity of the X-rays employed for the specific imaging technique. Some attempts to determine an optimal energy for bCT have suggested the range 22keV\u201334keV, some others instead suggested the range 50keV\u201360keV depending on the parameters considered in the study. Recent experimental works, based on the use of monochromatic radiation and breast specimens, show that energies around 32keV give better image quality respect to setups based on higher energies. In this paper we report a systematic study aiming at defining the range of energies that maximizes the CNR at fixed dose in bCT. The study evaluates several compositions and diameters of the breast and includes various reconstruction algorithms as well as different dose levels. The results show that a good compromise between CNR and dose is obtained using energies around 28keV

Application of a CdTe Detector for Measurements of Mammographic X-ray Spectra

This work aims to characterize mammographic x-ray beams incident and transmitted by breast phantoms (from 0 to 45 mm) composed from known proportion of glandular and adipose tissue-equivalent materials. This study was performed for mammographic x-ray beams generated by a mammography equipment using different target/filter combinations (Mo/Mo, Mo/Rh and W/Rh). It was studied the modification of spectra shape of the beams transmitted through different thicknesses of these materials. It was also evaluated the penetrability of these transmitted beams by its correlations to the HVL, which were experimentally estimated and derived from the x-ray spectra measured using a spectrometry system with a CdTe detector. The x-ray spectra transmitted by the phantom with higher density presented lower intensity than those transmitted by those with lower density, as expected. The differences between the HVL values derived from the spectra and those estimated using air kerma measurements are lesser than 6% for about 88% of the spectra measured in this work. The expected spectra variations with phantom thickness, revealed by the measured transmitted x-ray spectra, were also confirmed by HVL measurements and agree with the estimated attenuation curves.The motivation of the study was related to the robustness of the spectra as a descriptor of radiation beams and the possibility of using these transmitted spectra for dose assessment related to mammographic procedures. We can conclude that developed method is able to characterize mammographic x-ray beams making it possible the use of this kind of data for dose assessment in mammography