The objective of this work is to investigate the possibility to set a national diagnostic reference levels (nDRLs) for diagnostic and screening mammography in Serbia based on local practice and available resources. This study included all types of mammography systems that are currently used in Serbia, namely screen-film mammography (SFM), computed radiography (CR) and full-field digital mammography (FFDM). The nDRLs are provided in terms of mean glandular dose (MGD) for different breast thicknesses simulated by polymethyl methacrylate (PMMA) phantom. For each breast thickness, MGD was calculated for the X-ray tube output, using clinically used exposure parameters. DRLs were chosen as the 75th percentile of MGD distribution for 20-, 40-, 45-, 60- and 70-mm phantom thicknesses. For SFM units proposed nDRL values are 0.7, 2.1, 2.7, 4.6 and 6.8 mGy; for CR units proposed nDRL values are 0.7, 1.8, 2.4, 4.5 and 5.6 mGy; and corresponding values for FFDM units are 0.8, 1.7, 2, 2. and 3.2 mGy for 20-, 40-, 45-, 60- and 70-mm PMMA thickness, respectively.
Abstract. The purpose of this study is to investigate the radiation dose and technic in Serbia after two years of implementation of the breast screening programme. A total of 186 mammography units, including Full-Field Digital Mammography (FFDM), (SFM) units were used in the patient Dose (MGD), was assessed for the standard breast, while image quality was evaluated in terms of spatial resolution, threshold contrast visibility and Contrast to (1.8±0.94) mGy, (1.3±0.51) and (1.7±0.64) for CR, FFDM and SFM, respectively. Spatial resolution was better than lp/mm only for 3/186 (1.6%) units. In 34/186 (18%) units, spatial resolution was less tha contrast visibility was better than 1.2 in 41/186 (22%). initial implementation at the beginning of the population establish an effective system of regular and periodic mammograms with minimal possible radiation dose to population
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