{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T16:33:30Z","timestamp":1787589210440,"version":"build-2736575974"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013362","name":"Swiss Cancer Research","doi-asserted-by":"publisher","award":["KFS-5524-02-2022"],"award-info":[{"award-number":["KFS-5524-02-2022"]}],"id":[{"id":"10.13039\/501100013362","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejropen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Radiology Open"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.ejro.2026.100806","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:23:26Z","timestamp":1785835406000},"page":"100806","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Radiation dose comparison of photon-counting breast CT and mammography: A phantom study"],"prefix":"10.1016","volume":"17","author":[{"given":"D.","family":"Cester","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Piol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Paverd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Saenger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Bos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Shim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Boss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejro.2026.100806_bib1","first-page":"394","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"68","author":"Bray","year":"2018","journal-title":"Ca. Cancer J. Clin."},{"key":"10.1016\/j.ejro.2026.100806_bib2","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1016\/S0140-6736(03)13143-1","article-title":"Mammography service screening and mortality in breast cancer patients: 20-year follow-up before and after introduction of screening","volume":"361","author":"Tabar","year":"2003","journal-title":"Lancet"},{"key":"10.1016\/j.ejro.2026.100806_bib3","doi-asserted-by":"crossref","first-page":"244","DOI":"10.7326\/M15-0969","article-title":"Effectiveness of Breast Cancer Screening: Systematic Review and Meta-analysis to Update the 2009 U.S. Preventive Services Task Force Recommendation","volume":"164","author":"Nelson","year":"2016","journal-title":"Ann. Intern. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib4","doi-asserted-by":"crossref","DOI":"10.1093\/jncics\/pkae103","article-title":"Clinical guidelines for the management of mammographic density: a systematic review of breast screening guidelines worldwide","volume":"8","author":"Isautier","year":"2024","journal-title":"JNCI Cancer Spectr."},{"key":"10.1016\/j.ejro.2026.100806_bib5","first-page":"112","article-title":"Advances in breast cancer screening modalities and status of global screening programs","volume":"8","author":"Luo","year":"2022","journal-title":"Chronic Dis. Transl. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib6","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1046\/j.0004-8461.2003.01139.x","article-title":"Breast compression in mammography: How much is enough?","volume":"47","author":"Poulos","year":"2003","journal-title":"Australas. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib7","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1186\/s13058-017-0917-3","article-title":"Influence of breast compression pressure on the performance of population-based mammography screening","volume":"19","author":"Holland","year":"2017","journal-title":"Breast Cancer Res."},{"key":"10.1016\/j.ejro.2026.100806_bib8","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1093\/jbi\/wbae052","article-title":"Patient- vs Technologist-Controlled Mammography Compression: A Prospective Comparative Study of Patient Discomfort and Breast Compression Thickness","volume":"7","author":"Gaudette","year":"2025","journal-title":"J. Breast Imaging"},{"key":"10.1016\/j.ejro.2026.100806_bib9","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.breast.2013.03.003","article-title":"The effect of mammography pain on repeat participation in breast cancer screening: A systematic review","volume":"22","author":"Whelehan","year":"2013","journal-title":"Breast"},{"key":"10.1016\/j.ejro.2026.100806_bib10","doi-asserted-by":"crossref","first-page":"226","DOI":"10.7326\/M15-0971","article-title":"Factors Associated With Rates of False-Positive and False-Negative Results From Digital Mammography Screening: An Analysis of Registry Data","volume":"164","author":"Nelson","year":"2016","journal-title":"Ann. Intern. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib11","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s13244-019-0816-5","article-title":"Study of breast implants mammography examinations for identification of suitable image quality criteria","volume":"11","author":"S\u00e1 dos Reis","year":"2020","journal-title":"Insights Imaging"},{"key":"10.1016\/j.ejro.2026.100806_bib12","doi-asserted-by":"crossref","DOI":"10.1148\/radiol.232841","article-title":"Breast Cancers Detected during a Decade of Screening with Digital Breast Tomosynthesis: Comparison with Digital Mammography","volume":"312","author":"Philpotts","year":"2024","journal-title":"Radiology"},{"key":"10.1016\/j.ejro.2026.100806_bib13","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s10238-025-01789-7","article-title":"Performance of digital breast tomosynthesis with digital mammography for detecting breast cancer in the diagnostic setting: a meta-analysis","volume":"25","author":"Liu","year":"2025","journal-title":"Clin. Exp. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib14","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.acra.2016.09.017","article-title":"Performance of Photon-Counting Breast Computed Tomography, Digital Mammography, and Digital Breast Tomosynthesis in Evaluating Breast Specimens","volume":"24","author":"R\u00f6\u00dfler","year":"2017","journal-title":"Acad. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib15","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1016\/S1470-2045(18)30521-7","article-title":"One-view breast tomosynthesis versus two-view mammography in the Malm\u00f6 Breast Tomosynthesis Screening Trial (MBTST): a prospective, population-based, diagnostic accuracy study","volume":"19","author":"Zackrisson","year":"2018","journal-title":"Lancet Oncol."},{"key":"10.1016\/j.ejro.2026.100806_bib16","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejmp.2016.12.004","article-title":"Digital breast tomosynthesis: Dose and image quality assessment","volume":"33","author":"Maldera","year":"2017","journal-title":"Phys. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib17","unstructured":"R. Klausz, Dose Efficiency in Digital Breast Tomosynthesis: The Next Step Forward, (2020). https:\/\/www.gehealthcare.com\/-\/jssmedia\/global\/products\/images\/mammography\/senographe-pristina\/20-09-25-pristina-dose-white-paper---jb73643xx.pdf."},{"key":"10.1016\/j.ejro.2026.100806_bib18","doi-asserted-by":"crossref","DOI":"10.1088\/1361-6498\/ad37c8","article-title":"Proposed DRLs for mammography in Switzerland","volume":"44","author":"Dupont","year":"2024","journal-title":"J. Radiol. Prot."},{"key":"10.1016\/j.ejro.2026.100806_bib19","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1007\/s00330-021-08178-0","article-title":"Dedicated breast CT: state of the art\u2014Part II. Clinical application and future outlook","volume":"32","author":"Zhu","year":"2022","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib20","doi-asserted-by":"crossref","first-page":"1716","DOI":"10.3390\/tomography10110126","article-title":"Micro-CT Microcalcification Analysis: A Scoping Review of Current Applications and Future Potential in Breast Cancer Research","volume":"10","author":"Brahimetaj","year":"2024","journal-title":"Tomography"},{"key":"10.1016\/j.ejro.2026.100806_bib21","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20170441","article-title":"Abbreviated breast MRI for screening women with dense breast: the EA1141 trial","volume":"91","author":"Kuhl","year":"2018","journal-title":"Br. J. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00330-011-2169-4","article-title":"High-resolution spiral CT of the breast at very low dose: concept and feasibility considerations","volume":"22","author":"Kalender","year":"2012","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib23","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1007\/s00330-016-4459-3","article-title":"Technical feasibility proof for high-resolution low-dose photon-counting CT of the breast","volume":"27","author":"Kalender","year":"2017","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib24","doi-asserted-by":"crossref","first-page":"2417","DOI":"10.1002\/mp.16211","article-title":"Radiation dose estimates based on Monte Carlo simulation for spiral breast computed tomography imaging in a large cohort of patients","volume":"50","author":"Shim","year":"2023","journal-title":"Med. Phys."},{"key":"10.1016\/j.ejro.2026.100806_bib25","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1093\/annonc\/mdm481","article-title":"European guidelines for quality assurance in breast cancer screening and diagnosis. Fourth edition\u2014summary document","volume":"19","author":"Perry","year":"2008","journal-title":"Ann. Oncol."},{"key":"10.1016\/j.ejro.2026.100806_bib26","series-title":"Breast Cancer Screen","article-title":"IARC Working Group on the Evaluation of Cancer-Preventive Interventions, 2. Screening Techniques","year":"2016"},{"key":"10.1016\/j.ejro.2026.100806_bib27","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics15101185","article-title":"The Impact of Automatic Exposure Control Technology on the In Vivo Radiation Dose in Digital Mammography: A Comparison Between Different Systems and Target\/Filter Combinations","volume":"15","author":"Alhulail","year":"2025","journal-title":"Diagnostics"},{"key":"10.1016\/j.ejro.2026.100806_bib28","doi-asserted-by":"crossref","first-page":"3693","DOI":"10.1007\/s00330-020-07549-3","article-title":"Spiral breast computed tomography (CT): signal-to-noise and dose optimization using 3D-printed phantoms","volume":"31","author":"Germann","year":"2021","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib29","doi-asserted-by":"crossref","DOI":"10.1186\/s41205-026-00335-9","article-title":"Design and measurement of 3D printed variable- morphology and variable-density breast phantoms for mammography and breast CT dose assessment","author":"Paverd","year":"2026","journal-title":"3D Print. Med."},{"key":"10.1016\/j.ejro.2026.100806_bib30","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2018.5474","article-title":"Evaluation of Digital Breast Tomosynthesis as Replacement of Full-Field Digital Mammography Using an In Silico Imaging Trial","volume":"1","author":"Badano","year":"2018","journal-title":"JAMA Netw. Open."},{"key":"10.1016\/j.ejro.2026.100806_bib31","unstructured":"Breast Imaging Reporting & Data System, (n.d.). https:\/\/www.acr.org\/Clinical-Resources\/Reporting-and-Data-Systems\/Bi-Rads (accessed July 17, 2022)."},{"key":"10.1016\/j.ejro.2026.100806_bib32","doi-asserted-by":"crossref","first-page":"3225","DOI":"10.1088\/0031-9155\/45\/11\/308","article-title":"Additional factors for the estimation of mean glandular breast dose using the UK mammography dosimetry protocol","volume":"45","author":"Dance","year":"2000","journal-title":"Phys. Med. Biol."},{"key":"10.1016\/j.ejro.2026.100806_bib33","unstructured":"Best Medical Canada Products - MobileMOSFET, (n.d.). http:\/\/www.bestmedicalcanada.com\/product_mobilemos.html (accessed July 10, 2022)."},{"key":"10.1016\/j.ejro.2026.100806_bib34","article-title":"Dedicated Breast CT: Radiation Dose and Image Quality Evaluation","volume":"1","author":"Boone","year":"2001","journal-title":"Radiology"},{"key":"10.1016\/j.ejro.2026.100806_bib35","doi-asserted-by":"crossref","first-page":"3767","DOI":"10.1118\/1.2128126","article-title":"Technique factors and their relationship to radiation dose in pendant geometry breast CT","volume":"32","author":"Boone","year":"2005","journal-title":"Med. Phys."},{"key":"10.1016\/j.ejro.2026.100806_bib36","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1148\/rg.285075075","article-title":"Radiation Dose Modulation Techniques in the Multidetector CT Era: From Basics to Practice","volume":"28","author":"Lee","year":"2008","journal-title":"RadioGraphics"},{"key":"10.1016\/j.ejro.2026.100806_bib37","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s003300050674","article-title":"Dose reduction in CT by on-line tube current control: principles and validation on phantoms and cadavers","volume":"9","author":"Kalender","year":"1999","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib38","doi-asserted-by":"crossref","DOI":"10.1016\/j.clinsp.2025.100743","article-title":"Dense breasts and women\u2019s health: which screenings are essential?","volume":"80","author":"Mota","year":"2025","journal-title":"Clinics"},{"key":"10.1016\/j.ejro.2026.100806_bib39","doi-asserted-by":"crossref","unstructured":"N.A. Moda, M.E. Suleiman, S. Hooshmand, W.M. Reed, Radiation Risk in 2D Mammography Screening: A Scoping Review of Modelling Strategies and Emerging AI Applications, J. Med. Radiat. Sci. n\/a (n.d.). https:\/\/doi.org\/10.1002\/jmrs.70022.","DOI":"10.1002\/jmrs.70022"},{"key":"10.1016\/j.ejro.2026.100806_bib40","doi-asserted-by":"crossref","first-page":"4036","DOI":"10.1007\/s00330-022-08617-6","article-title":"Breast cancer screening in women with extremely dense breasts recommendations of the European Society of Breast Imaging (EUSOBI)","volume":"32","author":"Mann","year":"2022","journal-title":"Eur. Radiol."},{"key":"10.1016\/j.ejro.2026.100806_bib41","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1158\/1055-9965.EPI-06-0034","article-title":"Breast Density and Parenchymal Patterns as Markers of Breast Cancer Risk: A Meta-analysis","volume":"15","author":"McCormack","year":"2006","journal-title":"Cancer Epidemiol. Biomark. Prev."},{"key":"10.1016\/j.ejro.2026.100806_bib42","doi-asserted-by":"crossref","first-page":"1758","DOI":"10.3390\/healthcare9121758","article-title":"Comparison of Mean Glandular Dose between Full-Field Digital Mammography and Digital Breast Tomosynthesis","volume":"9","author":"Teoh","year":"2021","journal-title":"Healthcare"}],"container-title":["European Journal of Radiology Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352047726000833?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352047726000833?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:58:43Z","timestamp":1787587123000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2352047726000833"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":42,"alternative-id":["S2352047726000833"],"URL":"https:\/\/doi.org\/10.1016\/j.ejro.2026.100806","relation":{},"ISSN":["2352-0477"],"issn-type":[{"value":"2352-0477","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Radiation dose comparison of photon-counting breast CT and mammography: A phantom study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Radiology Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejro.2026.100806","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100806"}}