A Protocol for Quality Control Testing for Contrast-Enhanced Dual Energy Mammography Systems

  • Jennifer Oduko
  • Peter Homolka
  • Vivienne Jones
  • David Whitwam
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8539)


Physics and radiographer QC procedures are urgently needed as the first few contrast-enhanced dual energy systems have been installed in the U.K. Preliminary work on one commercially available system has enabled us to propose new tests, relevant to the properties of dual energy imaging systems. Results are presented for measurements with the chosen phantom, which contains disks with a range of iodine content from 0.25 to 2 mg/cm2. Breasts of different thicknesses and different glandularity were simulated by adding slabs of CIRS material, of a range of compositions, on top of the phantom. The system tested had a response which was proportional to the iodine content of disks in the phantom, had good reproducibility, and did not change significantly when simulated breast thickness and composition were varied.


mammography contrast-enhanced dual energy 


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  1. 1.
    Kulama, E., Burch, A., Castellano, I., Lawinski, C.P., Marshall, N., Young, K.C.: Commissioning and Routine Testing of Full Field Digital Mammography Systems (NHSBSP Equipment Report 0604). NHS Cancer Screening Programmes, Sheffield (2009)Google Scholar
  2. 2.
    Van Engen, R., Young, K.C., Bosmans, H., Thijssen, M.: The European Protocol for the Quality Control of the Physical and Technical Aspects of Mammography Screening. In: European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis, 4th edn. European Commission, Luxembourg (2006)Google Scholar
  3. 3.
    Leithner, R., Knogler, T., Homolka, P.: Development and Production of a Prototype Iodine Contrast Phantom for CEDEM. Phys. Med. Biol. 58, N25–N35 (2013)Google Scholar
  4. 4.
    Dance, D.R., Skinner, C.L., Young, K.C., Beckett, J.R., Kotre, C.J.: Additional Factors for the Estimation of Mean Glandular Breast Dose using the UK Mammography Dosimetry Protocol. Phys. Med. Biol. 45, 3225–3240 (2000)CrossRefGoogle Scholar
  5. 5.
    Dance, D.R., Young, K.C.: Estimation of Mean Glandular Dose for Contrast Enhanced Digital Mammography: Factors for use with the UK, European and IAEA Breast Dosimetry Protocols. Phys. Med. Biol. 59(9), 2127–2137Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Jennifer Oduko
    • 1
  • Peter Homolka
    • 2
  • Vivienne Jones
    • 3
  • David Whitwam
    • 3
  1. 1.National Coordinating Centre for the Physics of MammographyGuildfordUK
  2. 2.Centre for Medical Physics and Biomedical EngineeringMedical University of ViennaViennaAustria
  3. 3.Medical Physics DepartmentNorthampton General HospitalNorthamptonUK

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