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Automatic exposure control (AEC) is an important feature in mammography. It enables consistently optimal image exposure despite variations in tissue density and thickness, and user skill level. Full field digital mammography systems cannot employ conventional AEC methods because digital receptors fully absorb the x-ray beam. In this paper we describe an AEC procedure for slot scanning mammography. With slot scanning detectors, our approach uses a fast low-resolution and low-exposure prescan to acquire an image of the breast. Tube potential depends on breast thickness, and the prescan histogram provides the necessary information to calculate the required tube current. We validate our approach with simulated prescan images and phantom measurements. We achieve accurate exposure tracking with thickness and density, and expect this method of AEC to reduce retakes and improve workflow.

The FDA has approved the SenoScan slot-scanning Full-Field Digital Mammography (FFDM) system. A high power Tungsten-target x-ray tube enables breast imaging with 0.22 s effective exposure time. A 21-cm x 29-cm area is scanned in less than 6 seconds, at a typical clinical technique of 30 kVp, 170 mA. The detector comprises a Thalium-doped Cesium Iodide scintillator coupled to a combination of four CCDs abutted along their narrow dimension to form a 10-mm by 210-mm slot. With the CCDs operated in time-delay-and-integration mode along the narrow dimension, the system functions in a continuous scanning (and x-ray illumination) mode. The MTF in the standard and high-resolution modes extend to 10-cycles/mm and beyond 14 cycles/mm respectively. The Detective Quantum Efficiency (DQE) curve starts at 50% at DC and extends to 10 cycles/mm in Standard mode. Accordingly the SenoScan system enables screening and diagnostic breast imaging with a limiting resolution approaching that of film-based systems. The overall system design and intrinsic scatter rejection efficiency directly translate in high DQE characteristics that enable screening at a significantly reduced (more than 60% reduction) patient dose.

The physical characteristics of charge-coupled device (CCD) mammography detector with 16-bit dynamic range and 27 microm detector element size were investigated. The detector, with an active area of 1 cm x 20 cm is suitable for slot-scanning systems. We evaluated the detector resolution by measuring the modulation transfer function (MTF) using a tilted edge. We also measured the noise power spectra (NPS) and detective quantum efficiency (DQE) using tungsten spectra filtered with 3 mm Al. We carried out measurements in two modes of operation: the frame mode where the detector is stationary and the scan mode where the detector operates in a slot-scanning configuration. The specific beam qualities and exposure ranges employed were 30 kVp, HVL 1.4 mm Al, 1.24 microC kg(-1) to 12.44 microC kg(-1), and 40 kVp, HVL 2.1 mm Al and 3.26 microC kg(-1) to 16.64 microC kg(-1). The product of the normalized noise power spectrum and exposure was also computed to evaluate the quantum limited characteristic of the detector. The detector MTF was 12% at 15 lp mm(-1). The product of the noise power spectra and exposure was independent of exposure level, indicating a quantum limited detector. The DQE in the scan and frame modes near zero frequency was 40% and 60%, respectively. Our results show that the slot-scanning configuration was less efficient than the performance capabilities of the detector. This detector is comparable to other digital mammography sensors evaluated in the literature.

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