Assessment of male patients' average glandular dose during mammography procedure

Abdelmoneim Sulieman; Hasan Salah; Mohammad Rabbaa; Mohammad Abuljoud; M Alkhorayef; Dahlang Tahir; N Tamam; Mohammed K Saeed; D A Bradley

doi:10.1016/j.apradiso.2022.110626

Assessment of male patients' average glandular dose during mammography procedure

Appl Radiat Isot. 2023 Mar:193:110626. doi: 10.1016/j.apradiso.2022.110626. Epub 2022 Dec 29.

Authors

Abdelmoneim Sulieman¹, Hasan Salah², Mohammad Rabbaa³, Mohammad Abuljoud³, M Alkhorayef⁴, Dahlang Tahir⁵, N Tamam⁶, Mohammed K Saeed⁷, D A Bradley⁸

Affiliations

¹ Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, Alkharj, Saudi Arabia; College of Medical Radiologic Science, Sudan University of Science and Technology, Khartoum, Sudan. Electronic address: abdelmoneim_a@yahoo.com.
² College of Medical Radiologic Science, Sudan University of Science and Technology, Khartoum, Sudan; INAYA Medical Collage, Nuclear Medicine Department, Riyadh, Saudi Arabia.
³ Radiology Department, Riyadh Care Hospital, Riyadh, Saudi Arabia.
⁴ Department of Radiological Sciences, College of Applied Medical Sciences, King Saud University, P.O Box 10219, Riyadh, 11433, Saudi Arabia.
⁵ Department of Physics, College of Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
⁶ Department of Physics, Hasanuddin University, Makassar, 90245, Indonesia.
⁷ Department of Radiological Sciences, College of Applied Medical Sciences, Najran University, Najran, Saudi Arabia.
⁸ Centre for Nuclear and Radiation Physics, Department of Physics, University of Surrey, Guildford, United Kingdom; Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, 47500, Bandar Sunway, Selangor, Malaysia.

PMID: 36640699
DOI: 10.1016/j.apradiso.2022.110626

Abstract

Breast cancer is a common malignancy for females (25% of female cancers) and also has low incidence in males. It was estimated that 1% of all breast malignancies occur in males with mortality rate about 20%, with annual increase in incidence. Risk factors include age, family history, exposure to ionizing radiation and high estrogen and low of androgens hormones level. Diagnosis and screening are challenging due to limiting effectiveness of breast cancer screening. Therefore, patients may expose to ionizing radiation that may contribute in breast cancer incidence in males. In literature, limited studies were published regarding radiation exposure for males during mammography. The objective of this research is to quantify patient doses during male mammogram and to estimate the projected radiogenic risk during the procedure. In total, 42 male patients were undergone mammogram for breast cancer diagnosis during two consecutive years. The mean and range of patient age (years) is 45 (23-80). The mean and standard deviation (SD) of the peak tube potential and tube current time product are 28.64 ± 2. and 149 ± 35.1, respectively. The mean, and range of patients' entrance surface air kerma (ESAK, mGy) per single breast procedure was 5.3 (0.47-27.5). Male patient's received comparable radiation dose per mammogram compared to female procedures. With increasing incidence of male breast cancer, proper guidelines are necessary for the mammographic procedure are necessary to reduce unnecessary radiation doses and radiogenic risk.

Keywords: AGD; Male breast cancer; Mammography; Radiation risk; Radiology.

MeSH terms

Breast / diagnostic imaging
Breast Neoplasms* / pathology
Female
Humans
Male
Mammography / methods
Radiation Dosage
Radiation Exposure* / analysis