Dalah, Entesar Z2025-09-012025-09-012025-03-072313-433Xhttps://repository.mbru.ac.ae/handle/1/1711The aim of this patient dose review is to establish a thorough diagnostic reference level (DRL) system. This entails calculating a DRL value for each possible image technique/view considered to perform a diagnostic mammogram in our practice. Diagnostic mammographies from a total of 1191 patients who underwent a diagnostic mammogram study in our designated diagnostic mammography center were collected and retrospectively analyzed. The DRL representing our health sector was set as the median of the mean glandular dose (MGD) for each possible image technique/view, including the 2D standard bilateral craniocaudal (LCC/RCC) and mediolateral oblique (LMLO/RMLO), the 2D bilateral spot compression CC and MLO (RSCC/LSCC and RSMLO/LSMLO), the 2D bilateral spot compression with magnification (RMSCC/LMSCC and RMSMLO/LMSMLO), the 3D AcademicEditor: ManuelCurado Received: 30January2025 Revised: 20February2025 Accepted: 4March2025 Published: 7 March2025 Citation: Dalah,E.Z.; Alkaabi, M.K.; Antony,N.A.;Al-Awadhi,H.M. Establishing Diagnostic Reference Levels for MammographyDigital Breast Tomosynthesis, Contrast Enhance, Implants, SpotCompression, MagnificationandStereotactic Biopsy in DubaiHealthSector. J. Imaging 2025, 11, 79. https://doi.org/10.3390/ jimaging11030079 Copyright: ©2025bytheauthors. Licensee MDPI,Basel,Switzerland. This article is an open access article distributed under the termsand conditions of the Creative Commons Attribution (CC BY)license (https://creativecommons.org/ licenses/by/4.0/). digital breast tomosynthesis CC and MLO (RCC/LCC and RMLO/LMLO), the 2D bilateral implant CC and MLO(RIMCC/LIMCCandRIMMLO/LIMMLO),the2Dbilateralcontrast enhanced CC and MLO(RCECC/LCECCandRCEMLO/LCEMLO)andthe2Dbilateral stereotactic biopsy guided CC (SBRCC/SBLCC). This patient dose review revealed that the highest MGD wasassociated with the 2D bilateral spot compression with magnification (MSCC/MSMLO)imageview. Forthecompressedbreastthickness (CBT) group 60–69 mm, the median and 75th percentile of the MGD values obtained were MSCC: 3.35 and 3.96, MSMLO:4.14 and 5.25 mGy respectively. Obvious MGD variations were witnessed across the different possible views even for the same CBT group. Our results are in line with the published DRLs when using same statistical quantity and CBT group.contrast-enhanced mammogramstereotactic biopsy-guided mammogramdigital breast tomosynthesisspot compression with magnificationimplant mammogramdiagnostic reference levels (DRLs)United Arab Emirates (UAE)journal-article10.3390/jimaging11030079