STRENGTHENING RADIATION PROTECTION AND NUCLEAR SECURITY IN HEALTHCARE ABSTRACT : #33 A Re v i ew on Di a gnos t i c Re f e r enc e L e v e l s in Di g i t a l Mammog r aphy Ni k Mohd Ami rudde en Ni k Pa khe ruddin , Hanif Ha spi Ha run , 1Hospi tal Pengajar U ni v e r s i t i Sul tan Zainal Abidin, Kuala Ne rus , T e r eng ganu, 2 1 3 0 0 , M alay s ia; 2Hospi tal Pulau Pinang , G eor g e town, Pualau Pinang , 1 0 99 0 , M alay s ia; Int roduc t ion: Di g i t a l mammog r aphy ha s be come the s t anda rd ima g ing moda l i t y for br e a s t c anc e r s c r e ening and di a gnos i s due to i t s improv ed ima g e qua l i t y and di g i t a l wor k flow adv ant a g e s . To ensur e the opt ima l us e of thi s t e chnolog y , i t i s c ruc i a l to e s t abl i sh and ma int a in appropr i a t e r adi a t ion dos e l e v e l s towa rds pa t i ent s . Di a gnos t i c Re f e r enc e L e v e l s (DRL s ) s e r v e a s v a luabl e benchma r k s for opt imi z ing pa t i ent r adi a t ion dos e s whi l e ma int a ining the ima g e qua l i t y . Purpos e : Thi s s tudy a ims to r e v i ew the pr e v ious l i t e r a tur e to e v a lua t e the me thods , conv e r s ion f a c tor us ed and a be t t e r approa ch for cons i s t enc y in the t e chnique s us ed to e s t abl i sh the DRL s . Me thods : PubMed, G oog l e Schol a r , Scopus , Sc i enc e Di r e c t , and f r e ehand s e a r che s us ing the r e l e v ant t e rms we r e us ed to s y s t ema t i c a l l y r e v i ew r e l a t ed pape r s (wi thin 2 0 1 3 - 2 0 2 3 ). Fol lowing the s c r e ening of 41 5 abs t r a c t s for r e l e v anc e , 18 a r t i c l e s we r e chos en. Re l e v ant da t a f rom the inc luded s tudi e s we r e summa r i z ed and ana l y z ed. Re sul t s & Di s cus s ion: Whi l e addi t iona l guide l ine s and r e commenda t ions ha v e prov ided c l a r i t y r e g a rding the me thodolog i e s employ ed in e s t abl i shing DRL s , c e r t a in diff e r enc e s pe r s i s t . The s e diff e r enc e s inc lude the choi c e of da t a sour c e wi th a pr e f e r enc e for us ing da t a de r i v ed f rom pa t i ent ins t e ad of phantoms . Fur the rmor e , protocol s now invol v e s t r a t if y ing DRL s ba s ed on compr e s s ed br e a s t thi c kne s s and de t e c tor t e chnolog y . Howe v e r , cha l l eng e s r ema in in compa r ing s tudi e s due to the abs enc e of a s t anda rdi z ed dos e c a l cul a t ion me thod us ed to e s t ima t e the me an g l andul a r dos e (MGD) a s a gold s t anda rd for dos e indi c a tor . C onc lus ions : Incorpor a t ing the l a t e s t guide l ine s and r e commenda t ion f rom the Int e rna t iona l C ommi s s ion on Radiolog i c a l Prot e c t ion (I C RP), thi s s y s t ema t i c r e v i ew upda t e be come s a v a luabl e r e sour c e for futur e r e s e a r ch ende a vor s focus ed on DRL s , dos e moni tor ing and dos e opt imi z a t ion. Ke ywords : Di a gnos t i c Re f e r enc e L e v e l s (DRL s ), Di g i t a l Mammog r aphy , Me an G l andul a r Dos e C or r e sponding Author : ami rudde enpa khe ruddin@uni s z a . edu.my 1 2 5 INTERNATIONAL CONFERENCE ON RADIATION SAFETY AND SECURITY IN HEALTHCARE SERVICES (IC RSS HS 2023) th O i
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STRENGTHENING RADIATION PROTECTION AND NUCLEAR SECURITY IN HEALTHCARE 5 INTERNATIONAL CONFERENCE ON RADIATION SAFETY AND SECURITY IN HEALTHCARE SERVICES (IC RSS HS 2023) th O i "Trynot tobecomea manofsuccess. Ratherbecomea manof value." -Albert Einstein-