The objective of this study was to examine the mammographic breast density of women with breast cancer detected on voluntary mammographic screening at two selected screening centersin Malaysia.This was a retrospective study of Full-Field Digital Mammography(FFDM) images of150 Malaysian women with biopsy-proven breast cancer. The study population comprised 73 Malays(37.7%), 59 Chinese (39.3%) and 18 Indians (12.0%). The Tabár breast density Patterns(I -V) wereused to evaluate mammographic breast density. Data were analyzed using descriptive statistics. The results were compared with findings from a similar study on a group of 668 women who did not have breast cancer.The results showed that 44.7% of the study populationhad dense breasts (Patterns IV and V), 14.7% had predominantly fatty breasts (Patterns II and III) while 40.7% had Pattern I. The proportion of study populationwith dense breasts decreased with age. In conclusion, the proportion of women with dense breasts decreased with age. Majority of the women with cancer (44.7%) had dense breasts of Tabár Patterns IV and V, which has been associated with increased risk of breast cancer detected by voluntary mammographic screening. The results support the notion that increased breast density is a risk factor of breast cancer.
The objective of this study is to compare low-contrast detectability of computed radiography (CR) and screen/film (SF) mammography systems. The Nijimegen contrast detail test object (CDMAM type 3.4) was imaged at 28 kV, in automatic exposure control mode separately. Six medical imaging physicists read each CDMAM phantom image. Contrast detail curves were plotted to compare lowcontrast detectability of CR (soft copy and hard copy) and SF mammography systems. Effect of varying exposure parameters, namely kV, object position inside the breast phantom, and entrance surface exposure (ESE) on the contrast detail curve were also investigated using soft copy CR. The significance of the difference in contrast between CR and SF, and for each exposure parameter, was tested using non-parametric Kruskal-Wallis test. The low- contrast detectability of the CR (soft copy and hard copy) system was found to be not significantly different to that of the SF system (p>0.05, Kruskal-Wallis test). For CR soft copy, no significant relationship (p>0.05, Kruskal-Wallis test) was seen for variation of kV, object position inside the breast phantom and ESE. This indicates that CR is comparable with SF for useful detection and visualization of low-contrast objects such as small lowcontrast areas corresponding to breast pathology.
This paper aims at presenting preliminary results of a survey on physical factors, namely tube
potential (kV), tube current exposure time product (mAs) and compressed breast thickness (CBT)
during voluntary mammography screening using Full-Field Digital Mammography (FFDM) System
in Malaysia. Retrospective data were collected from 1128 FFDM images of 282 women from three
major ethnic groups (Malay, Chinese and Indian) who underwent voluntary screening
mammography at Breast Centre, International Islamic University Malaysia from January to March
2008. Results from the present study were then compared with results from the previous study on
Screen-Film Mammography System (SFM) according to the ethnic group for both Cranio-caudal
(CC) and Mediol-Lateral (MLO) views. We found that the mean kV for CC view for the three ethnic
groups are Malay (28), Chinese (28) and Indian (28), and for MLO view are Malay (29), Chinese
(28) and Indian (29). These values are higher than the kV for SFM which were Malay (26), Chinese
(27) and Indian (26) for CC and Malay (26), Chinese (27) and Indian (26) for CC and MLO views
respectively. The mean mAs for CC and MLO views for FFDM were lower compared to SFM
systems. These values were Malay (104), Chinese (108) and Indian (91) for CC views and Malay
(106), Chinese (105), and Indian (94) for MLO views for the FFDM system. The values for SFM
system are for CC and MLO views were Malay (120), Chinese (106) and Indian (126), and Malay
(166), Chinese (132), Indian (183) respectively. The median CBT for CC and MLO views increased
by 27% and 7% respectively on the FFDM compared to the SFM system. In conclusion, the FFDM
operates with higher kV, lower mAs, and higher CBT when compared with SFM system. Median
CBT on CC and MLO view with FFDM system are 27% and 7% higher respectively compared to
the SFM. We are currently collecting data on mean glandular dose with FFDM systems to assess
how the change in local mammography practice influences this value. This will allow comparison
with related data from other parts of the world.
Kajian ini telah menilai kesan pelbagai faktor persekitaran terhadap darjah pengembungan hidrogel selulosa bakteria-asid akrilik. Campuran akues selulosa bakteria-asid akrilik (4:1) telah disediakan dan didedahkan dengan irradiasi alur elektron pada 35 kGy dan 50 kGy. Kadar pengembungan di bawah pengaruh pH, suhu dan kekuatan ionik telah dikaji dari 1 hingga 24 jam. Darjah pengembungan hidrogel bergantung kepada dos irradiasi yang diberi: hidrogel yang telah disintesis pada 50 kGy mempunyai darjah pengembungan yang lebih tinggi secara signifikan (p<0.0001) dalam metanol (619%) berbanding air suling (510%) pada suhu bilik selepas 24 jam. Kekuatan ionik persekitaran mempengaruhi dengan peningkatan kepekatan natrium klorida menurunkan darjah pengembungan. Hidrogel juga peka terhadap perubahan pH: pengembungan meningkat dengan peningkatan pH dan nilai optimal dicapai pada pH 7. Selain itu pengembungan juga meningkat dengan peningkatan suhu dari 25°C sehingga 50°C. Kesimpulannya, keupayaan hidrogel selulosa bakteria-asid akrilik dedahan irradiasi elektron bertindak balas terhadap pelbagai rangsangan faktor persekitaran, menjadikan ia satu bahan yang boleh dibangunkan sebagai sistem penyampaian aktif untuk dadah, protein dan hormon.
The blooming use of ionizing radiation in industry, research, agriculture, medicine and nuclear industry increases the risk of overexposure for radiation workers as well as members of the public. Ionizing radiation is a strong clastogen, causing chromosome breakage, and resulting in cytogenetic aberrations in exposed cells. Cytogenetic analysis of human blood lymphocytes has been widely used as the biological technique for quantifying radiation dose in man. In the investigation of radiation accident, it is important to estimate the dose absorbed by the exposed person in order for the attending medical doctor to plan for their therapy. This paper reviews the current status on cytogenetic biodosimetry methods for radiation dose assessment.
For more than two decades, biodosimetry has been used in biomonitoring of occupational and envir onmental exposure to ionising radiation. Chromosome aberration analysis is a method used to dete ct unstable aberrations in the lymphocytes of irradiated personnel. The Malaysian National Biodosi metry Laboratory is a referance centre for activity relating to biodosimetry in the country. This pap er aims at presenting dicentric assay technique for the assessment of whole body dose to low LET ra diation at the Malaysian National Biodosimetry Laboratory.