Tomosíntesis de Mama: Necesidad de Optimización Panamá, 2019
Mammography equipment with tomosynthesis has arisen due to the need to increase the capacity of traditional mammography to detect breast diseases in patients with dense breasts. A high density of fibroglandular tissue in the breast can hide nodules that represent signs of breast malignancies. The...
| Autores Principales: | Ibarra Ramírez, Ernesto Antonio, Castro Saldaña, Simón |
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| Otros Autores: | Bedoya, Raquel |
| Formato: | Tesis |
| Publicado: |
Universidad Especializada de las Américas
2020
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| Materias: | |
| Acceso en línea: |
http://repositorio2.udelas.ac.pa/handle/123456789/263 https://doi.org/10.57819/8wb7-zm43 |
| Sumario: |
Mammography equipment with tomosynthesis has arisen due to the need to
increase the capacity of traditional mammography to detect breast diseases in
patients with dense breasts. A high density of fibroglandular tissue in the breast
can hide nodules that represent signs of breast malignancies. The use of breast
tomosynthesis has greatly helped in the detection of these indications, but there
must be special suspicion in not neglecting Radiological Protection (RP), since it
is a technique that involves the use of ionizing radiation. The RP aims to protect
people against the harmful effects of ionizing radiation. Among the three basic
principles of RP, which also include justification and limitation, is the principle of
optimization. In general terms, optimization can be defined as a process that
seeks the best solution to a given problem. This is how the best solution is called
optimal. The International Commission on Radiological Protection (ICRP)
indicates, in its publication ICRP No. 105, that the RP of patients undergoing
medical processes is mainly applied at two levels. The first level consists of the
design, the appropriate choice, and the elaboration of both the equipment and
the physical facilities; and the second level covers routine work processes, also
known as operating procedures. Due to the recent incorporation of the
mammography technique with tomosynthesis in Panama, this research seeks the
evaluation of this technique in public health institutions that have mammography
equipment with this functionality, focusing mainly on the optimization of the
mammographic technique. The results will be obtained by applying a survey to
the operators of mammography equipment with tomosynthesis, the instrument
will be validated by two qualified specialists, one in Radiology and Medical
Imaging, and another in Radiological Protection. Regarding the performance of
mammography equipment with tomosynthesis, they will be analyzed through
10
quality control reports prepared by the suppliers of each system, which follow the
recommendations of the manufacturers and whose procedure has been
delivered prior to the Regulatory Authority of the Ministry of Health of Panama.
The data obtained will be used to justify the need to optimize the radiological
protection of the mammographic technique with tomosynthesis in public health
institutions in Panama. |
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