The average glandular tissue dose in mammography is generally determined from published tables with knowledge of the breast entrance skin exposure, x-ray tube target material, beam quality (half-value layer [HVL]), breast thickness, and breast composition. Using a carefully designed and experimentally validated Monte Carlo simulation, the authors found that average glandular dose also depends on x-ray tube voltage and, to a lesser extent, on x-ray tube voltage waveform. For currently employed molybdenum target-molybdenum filter source assemblies, a difference in dose of 10% or more is possible in estimating the average glandular dose obtained with different x-ray tube voltages but with the same HVL. Presented are normalized average glandular tissue doses in units of radiation absorbed dose per unit entrance skin exposure for different tube voltages and tube voltage waveforms as well as for different breast thicknesses and compositions and beam filtrations.

A semiempirical model for generating tungsten target x-ray spectra is presented. This model extends earlier work in two significant areas. First, both bremsstrahlung and characteristic x-ray production are assumed to occur at varying depths within the target. Second, optimal parameters for the model were determined from experimental spectra utilizing nonlinear least-squares techniques. As a result, good agreement is obtained between calculated and measured x-ray tube spectra and output for different target angles and a wide range of x-ray tube potentials. Such is not the case with previously published models.

DgN values presented permit practical evaluations of average glandular doses for Mo-Rh and Rh-Rh mammography. At a given potential, dose savings are realized with Mo-Rh and Rh-Rh source assemblies.

A semiempirical model for generating molybdenum target x-ray spectra is presented. The model is an extension of a previous model developed by the authors for tungsten and takes into account the depth of production for both bremsstrahlung and characteristic x-ray photons. As in the previous work, the optimal model parameters were determined using nonlinear least-squares fits to experimental data. Good agreement between the two was obtained. By varying target angle, off-axis angle, and filtration in the model in accordance with the x-ray tube and geometry of interest, results consistent with tabulated spectra for different conditions have been obtained.

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