Rpdir-P19.10 Aec Web

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IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology

RADIATION PROTECTION IN
DIAGNOSTIC AND
INTERVENTIONAL RADIOLOGY

Part 19.10: Optimization of protection in


mammography
Practical exercise

IAEA
International Atomic Energy Agency
Contents

• To be able to apply quality control


protocol to mammography equipment
• To measure the AEC performance
• Optical density control setting
• Short term reproducibility
• Long term reproducibility
• Object thickness compensation
• Tube voltage compensation

IAEA 19.10: Optimization of protection in mammography 2


IAEA Training Material on Radiation Protection in Diagnostic and Interventional Radiology

Part 19.10: Optimization of protection in


mammography

AEC
(Automatic Exposure Control)

IAEA
International Atomic Energy Agency
AEC system

• The performance of the Automatic Exposure


Control (AEC) system can be described by
the reproducibility and accuracy of the
automatic optical density control under
varying conditions, e.g., different object
thicknesses and tube voltages.
• An essential prerequisite for these
measurements is a stable operating film-
processor and the use of the reference
cassette.
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Equipment needed

• PMMA: plates 20 x 300 x 300 mm


• Densitometer
• Reference cassette
• Dosimeter

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Optical density control setting:
central value and difference per step

• Produce exposures with a breast equivalent


phantom material with varying positions of
the optical density control selector
• A target value for the mean optical density
should be established according to local
preference.

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OD control setting: central value and
difference per step

Limiting value : The film density (base + fog


included) at the reference point should
remain within ± 0.20 in density of
the target value.
Target value is typically in the range: 1.30-1.80
(base + fog included)
The desirable control step difference is 0.10; 
0.20 per step is acceptable
Adjustable range > 1.00
Frequency : Step size: every six months
Central density: daily

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(AEC) - Short term reproducibility

• Position the dosimeter in the x-ray beam but


without covering the AEC-detector.
• The short term reproducibility of the AEC system is
the deviation of the radiation dose for five
exposures with a breast equivalent phantom
Limiting value : The deviation must be < ± 5%;
desirable would be < ± 2%.
Frequency : Every six months

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(AEC) - Long term reproducibility

• The long term reproducibility can be


assessed from the measurement of the film
optical density resulting from the exposure of
a breast equivalent phantom
Limiting value : < ± 0.20 optical density
acceptable;
< ± 0.15 desirable
Frequency :Daily

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Object thickness compensation (AEC)

• Compensation for object thickness is measured by


exposures of PMMA plates in the thickness range
20 to 40 mm, using the clinical setting for the AEC

Limiting value : All density variations must be


within ± 0.20 of the target density.
Desirable : ± 0.15
Frequency : Weekly

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Tube voltage compensation (AEC)

• Compensation for tube voltage is measured over


the clinical range of kV, filters, and target materials

Limiting value : All density variations must be


within ± 0.15 of the target
density; Desirable : ± 0.10
Frequency : Every six months

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Where to Get More Information

European protocol for the quality control of the


physical and technical aspects of mammography
screening. http://euref.org/index.php?
option=com_phocadownload&view=category&id=
1&Itemid=8

American College of Radiology Mammography


Quality Control Manual, Reston VA, 1999.

IAEA 15.3: Optimization of protection in radiography 12

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