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BI-RADS guidelines recommend an assessment of breast composition to be included in the analysis of the mammogram [8].
Depending on the breast composition and thickness, this causes an extra radiation dose of approximately 20 %, but both images together still imply an x-ray dose below the recommended dose for mammography [30, 31, 32, 33].
This review showed variations in the conversion factors used in the estimation of breast dose (to account for X-ray spectrum characteristics and breast composition) amongst the guidance documents.
Following the Dance approach, AGD can be calculated by the equation [9]: AG D={k_{a,i}cdot gcdot ccdot s (1)where g is the conversion factor from k a,i to AGD for a standard breast of 50% glandularity; c takes into account the differences of breast composition from the standard 50% glandularity (varying in the range 0.885–1.306), and s depends on the x-ray spectrum used.
Since breast composition is an inherent property of the breast, we chose to use the breast composition based on RP for dose calculation for both RP and FP.
It represents a cost-effective, empowering, noninvasive technique to increase awareness of breast composition in these high-risk women.
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Results of spectral fat saturation strongly depend on breast tissue composition (worse in fatty breasts) and B0 field homogeneity (lower in higher field strengths and older MRI systems).
However, no recommendations are provided to promote the optimisation of compression force according to individual characteristics of the breast (compressibility, composition and thickness) [31, 32].
There are four categories of breast tissue composition.
I was denied crucial information about my breast tissue composition that might have exchanged my advanced stage cancer for an earlier one.
We also advocate for screening mammography beginning at 40, for the average risk woman, with the disclosure of her breast tissue composition with associated discussions of the causal and masking risk of dense breast tissue.
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