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Digital Mammography Delivers Considerably Less Radiation than Standard Mammography

By MedImaging International staff writers
Posted on 09 Feb 2010

Data from one of the largest mammography trials ever conducted demonstrated that overall the radiation dose associated with digital mammography is significantly lower (averaging 22% lower) than that of conventional film mammography and that the reduction could be greater in women with larger and denser breasts, according to a recent study.

"The ability to reduce the radiation dose for many women is another step forward for breast cancer screening with mammography--which saves thousands of lives each year,” said R. Edward Hendrick, Ph.D., from the Feinberg School of Medicine, Northwestern University (Chicago, IL, USA), and lead author of the study, published in the February 2010 issue of the American Journal of Roentgenology (AJR).

The American College of Radiology Imaging Network (ACRIN; Philadelphia, PA, USA) Digital Mammographic Imaging Screening Trial (DMIST) published in 2005, enrolled 49,528 women and discovered that digital mammography detected significantly (up to 28%) more tumors than film mammography in women younger than 50 years of age, premenopausal and perimenopausal women, and women with dense breasts.

In this latest DMIST study, published in AJR, technical data from 5,102 DMIST participants were assessed, revealing that the dose received by women imaged with digital mammography was considerably lower than that received by the same women imaged with standard film mammography. "The average breast radiation dose per view was 2.37 mGy for film mammography and 1.86 mGy for digital [22% lower for digital than film mammography],” stated Dr. Hendrick.

Digital mammography is similar to traditional except with digital, X-ray images are gathered on a digital detector and stored on a computer instead of being collected and stored on film. "While the radiation dose from both film and digital mammography are low, further dose reduction is an added benefit of digital mammography over and above its ability to better detect cancers in women with dense breasts,” said Dr. Hendrick.

Access to digital mammography continues to increase. More than 60% of U.S. breast imaging facilities offer digital mammography and more are acquiring digital services each month. "As digital mammography has now been shown to significantly lower the radiation dose, it is likely that access to it will continue to grow,” concluded Dr. Hendrick.

Related Links:
Feinberg School of Medicine, Northwestern University
American College of Radiology Imaging Network

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68 (308.99047851562): SELECT fid FROM jos_deeppockets WHERE id=294727864 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727864 AND published='1' LIMIT 1

69 (56.028366088867): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

70 (369.07196044922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1833.9157104492): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 2380.8479309082): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 1022.8157043457): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 7717.1325683594): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (215.05355834961): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 3226.0417938232): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (161.17095947266): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (284.91020202637): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (138.0443572998): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (240.80276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (179.05235290527): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (150.91896057129): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (205.03997802734): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (375.03242492676): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 1114.1300201416): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (161.17095947266): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (92.029571533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (144.00482177734): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (154.97207641602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (234.84230041504): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (147.10426330566): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

105 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

106 (!!!!! 3970.8614349365): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (111.81831359863): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (232.21969604492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

109 (180.95970153809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

110 (123.02398681641): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (724.07722473145): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (784.15870666504): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (618.93463134766): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

115 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

116 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

117 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

118 (!!!!! 1205.9211730957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

119 (261.78359985352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

120 (334.02442932129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

121 (542.16384887695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

122 (348.09112548828): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 171078.92036438): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (!!!!! 7776.9756317139): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727864 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727864 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7946.9680786133): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (!!!!! 8168.9357757568): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (!!!!! 7784.8434448242): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (!!!!! 8297.9202270508): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (!!!!! 7571.9356536865): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (!!!!! 7992.0291900635): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (!!!!! 11936.187744141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (!!!!! 8136.9876861572): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (!!!!! 7895.9465026855): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (!!!!! 8090.9729003906): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (!!!!! 1734.9720001221): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (820.15991210938): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (688.07601928711): SELECT name FROM jos_deeppockets WHERE id=211

138 (607.01370239258): SELECT name FROM jos_deeppockets WHERE id=211

139 (990.15235900879): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (631.80923461914): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 4039.0491485596): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

142 (!!!!! 1120.0904846191): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

143 (!!!!! 32230.854034424): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 9028.9115905762): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 2510.0708007812): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294727864 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 7598.1616973877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 4899.0249633789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2861.0229492188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

149 (228.1665802002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

150 (!!!!! 5218.0290222168): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (!!!!! 2722.0249176025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

152 (298.02322387695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

153 (!!!!! 1616.9548034668): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727864 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727864 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (450.84953308105): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

155 (125.88500976562): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

156 (444.17381286621): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 4980.0872802734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

158 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727864 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727864 AND published='1' LIMIT 1

159 (568.86672973633): select jos_twitters.link from jos_twitters where cat=10

160 (161.17095947266): select jos_facebook.link from jos_facebook where cat=10

161 (133.99124145508): select jos_google_plus.link from jos_google_plus where cat=10

162 (347.13745117188): select jos_linkedin.link from jos_linkedin where cat=10

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