Mammography systems equipped with the Mo target (A) and W target (B) used at our clinic have different characteristics in terms of the image quality obtained and the beam quality. We con-sidered the following to establish indices for examining patients under follow-up, focusing on the ability for visualization of the abnormalities and the average glandular dose (AGD). We in-cluded 175 patients in whom the procedure was conducted with B recently or with A in January 2018. We investigated 1) the ability to visualize the findings, and 2) the AGD. We investigated using display values in AGD. 1-1) The findings in the 26 cases with masses were as follows: A < B, 9cases; A=B, 14cases; A > B, 3cases. 1-2)The findings in the 34 cases with small round calcifications were as follows: A > B, 0case; A=B, 29cases; A < B, 5cases. The findings in the 18 cases with amorphous calcifications were as follows: A > B, 7cases; A=B, 11cases; A < B, 0case. Based on the findings, we concluded that it is better to use A for all cases with calcifications, considering the clinical importance of amorphous calcification. 1-3) The findings in 15 cases with FAD were as follows: A > B, 5cases; A=B, 6cases; A < B, 4cases. Thus, no significant differences between the two devices were found for cases of FAD. 2) In regard to the difference depending on the breast thickness, it was A > B in cases with a breast thickness of 50mm, but B > A in cases with a breast thickness of 55mm. This trend was seen in all the mammary gland ratio . In conclusion, considering the previous findings, it would be de-sirable to select B for cases with masses and A for cases with calcifications. Furthermore, con-sidering the need for use of the minimal radiation dose, B should be selected for cases with a breast thickness of 50mm and A for cases with a breast thickness of 55mm.
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