Scientific Calendar Event



Description
An ICTP-IAEA Meeting

The workshop is designed for medical physicists having interest in expanding their knowledge and skills in quality assurance in X ray breast imaging modalities. It will provide to medical physicists a contemporary overview of the X ray breast imaging technologies and theoretical and practical aspects of quality assurance, fundamental for quality and safety in X ray breast imaging.
 
X ray breast imaging, including digital mammography, digital breast tomosynthesis and related modalities as breast biopsy and contrast enhanced mammography is widely used for timely detection and management of the breast cancer. Either as screening or diagnostic tool, it is very demanding due to requirements for visualization of fine details, high contrast, appropriate viewing conditions and lowest dose compatible with adequate image quality. Therefore, X ray breast imaging requires highest quality standards. The optimization of image quality versus radiation dose and quality assurance are the key tasks for medical physicists in X ray breast imaging. An effective quality assurance programme has positive impact on improving image quality and reducing patient exposure in X ray breast imaging. Training of medical physicists to adequately support breast imaging is crucial, considering that this  professional lead quality and dosimetry activities. Over the past few decades, technology advancements in X ray breast imaging have transformed the field, requiring more systematic and comprehensive approach for quality to ensure safe and effective services, emphasizing even more a need for adequate medical physics support. Aligned with the need for continuous education and training, the workshop will introduce to  medical physicists the knowledge and skills necessary to implement quality assurance in X ray breast imaging.
 
 
The workshop will provide to  medical physicist working in diagnostic radiology and more specifically in X ray breast imaging modalities the insight in the following topics:
 
  • Current technologies used in X ray breast imaging;
  • Framework of quality assurance  for X ray  breast imaging and related roles and responsibilities of clinically qualified medical physicists;
  • Philosophy of the quality assurance protocol, image quality metrics, dosimetry, performance standards and optimization strategies;
  • Dosimetry in X ray breast imaging;
  • Quality control for digital mammography, digital breast tomosynthesis, contrast enhanced mammography, display systems and biopsy units;
  • Instrumentation, equipment and tools needed for dosimetry and  quality control  in X ray breast imaging. 
     
 
Prerequisites:
 
The target audience are clinically qualified medical physicists (CQMPs, as per IAEA Publication Human Health Series No. 25) specialized in diagnostic radiology  from United Nations, UNESCO or IAEA Member States holding a postgraduate-level university degree in medical physics and working in hospitals or  X ray breast imaging facilities.
 
 
 
Grants: A limited number of grants are available to support the attendance of selected participants, with priority given to participants from developing countries. There is no registration fee.
Go to day
  • Monday, 26 May 2025
    • 08:45 - 09:30 Registration
    • 09:30 - 20:30
      • 09:30 Welcome and introduction 30'
        Speaker: Marco Esposito (ICTP, Italy), Olivera Ciraj Bjelac (IAEA, Austria)
      • 10:00 Pre-course test 30'
      • 10:30 Coffee break 30'
      • 11:00 Participants’ presentations 1h30'
        2’ each
      • 12:30 Lunch break 1h30'
      • 14:00 Participants’ presentations 1h0'
        2’ each
      • 15:00 IAEA resources in diagnostic radiology medical physics
        Principles of Quality Management and roles of medical physicist in the process
        45'
        Speaker: Olivera Ciraj Bjelac (IAEA, Austria)
      • 15:45 Coffee break 30'
      • 16:15 Overview of the technology in X ray breast imaging: Digital mammography 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 17:00 Overview of the technology in X ray breast imaging: Digital breast tomosynthesis 45'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
      • 19:00 Welcome reception 1h30' ( Cafeteria of the Adriatico Guesthouse )
  • Tuesday, 27 May 2025
    • 09:00 - 17:00
      • 09:00 Overview of the technology in X ray breast imaging: Contrast enhanced mammography
        Overview of the technology in X ray breast imaging: Breast biopsy
        45'
        Speaker: Daniel Long (Memorial Sloan Kettering Cancer Center, USA)
      • 09:45 Overview of the technology in X ray breast imaging: Image processing, storage and communication
        Overview of the technology in X ray breast imaging: Image viewing and interpretation
        45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands), Daniel Long (Memorial Sloan Kettering Cancer Center, USA)
      • 10:30 Coffee break 30'
      • 11:00 Philosophy of quality assurance protocols 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 11:45 Dosimetry for X ray breast imaging 45'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
      • 12:30 Lunch break 1h0'
      • 13:30 Quality control for digital mammography, DBT, CEM: X ray tube and generator 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 14:15 Quality control for digital mammography, DBT, CEM: Detector performance assessment 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 15:00 Coffee break 30'
      • 15:30 Quality control for digital mammography, DBT, CEM: AEC 45'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
      • 16:15 Quality control for digital mammography, DBT, CEM: Dosimetry 45'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
  • Wednesday, 28 May 2025
    • 09:00 - 17:00
      • 09:00 Image quality assessment 30'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 09:30 Quality control for digital mammography: Image quality 30'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 10:00 Quality control for digital breast tomosynthesis: Image quality 30'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
      • 10:30 Coffee break 30'
      • 11:00 Quality control for contrast enhanced mammography: Image quality 30'
        Speaker: Daniel Long (Memorial Sloan Kettering Cancer Center, USA)
      • 11:30 Clinical image quality 30'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 12:00 Quality control for image display systems 30'
        Speaker: Daniel Long (Memorial Sloan Kettering Cancer Center, USA)
      • 12:30 Lunch break 1h0'
      • 13:30 Practical session/problem solving 1h30'
        in 3 groups:
        - Digital mammography, AEC test (Ruben van Engen)
        - DBT image quality test, dose calculation: comparison of old and new dosimetry methods (Valentina Ravaglia)
        - Monitor QC, CEM, breast biopsy (Daniel Long)
      • 15:00 Coffee break 30'
      • 15:30 Practical session/problem solving 1h30'
        in 3 groups:
        - Digital mammography, AEC test (Ruben van Engen)
        - DBT image quality test, dose calculation: comparison of old and new dosimetry methods (Valentina Ravaglia)
        - Monitor QC, CEM, breast biopsy (Daniel Long)
  • Thursday, 29 May 2025
    • 09:00 - 17:00
      • 09:00 New developments in X ray beast imaging (AI and CAD) 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 09:45 Breast density assessment (BIRADS classification) 45'
        Speaker: Valentina Ravaglia (U.O. Fisica Sanitaria e Ingegneria Clinica AUSL, Italy)
      • 10:30 Group photo & Coffee break 30'
      • 11:00 Breast CT 45'
        Speaker: Renata Longo (University of Trieste, INFN, Italy)
      • 11:45 Dose management solutions in X ray breast imaging 45'
        Speaker: Paola Bregant (Maggiore Hospital Cancer Center, Italy)
      • 12:30 Lunch break 1h0'
      • 13:30 Synchrotron radiation in medical imaging. Phase contrast mammography. 45'
        Speaker: Renata Longo (University of Trieste, INFN, Italy)
      • 14:15 Quality control for biopsy units
        Specimen cabinets
        45'
        Speaker: Daniel Long (Memorial Sloan Kettering Cancer Center, USA)
      • 15:00 Coffee break 30'
      • 15:30 Practical session/problem solving 1h30'
        in 3 groups:
        - Digital mammography, AEC test (Ruben van Engen)
        - DBT image quality test, dose calculation: comparison of old and new dosimetry methods (Valentina Ravaglia)
        - Monitor QC, CEM, breast biopsy (Daniel Long)
  • Friday, 30 May 2025
    • 09:00 - 14:30
      • 09:00 Quality control equipment, software and tools
        Dosimetry instrumentation and elements of ionizing radiation metrology
        45'
        Speaker: Olivera Ciraj Bjelac (IAEA, Austria)
      • 09:45 How to resolve problems in mammography? 45'
        Speaker: Ruben van Engen (Dutch Expert Centre for Screening (LRCB), Netherlands)
      • 10:30 Coffee break 30'
      • 11:00 Discussion and Q&A 1h30'
      • 12:30 Lunch break 1h0'
      • 13:30 Post-course test 30'
      • 14:00 Closing 30'