Evaluation of the quality of mammographic breast positioning: a quality improvement study

Rouette, Julie; Elfassy, Noémie; Bouganim, Nathaniel; Yin, Hui; Lasry, Nathaniel; Azoulay, Laurent

doi:10.9778/cmajo.20200211

Cited by 6 publications

(2 citation statements)

References 13 publications

(21 reference statements)

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“…Quality assurance programs have also been shown to identify issues and provide solutions for the Canadian National Breast Screening Study [ 155 ]. Before these practices were established, the quality of mammography was often not controlled at screening facilities [ 153 , 156 , 157 ]. Low accuracy may lead to lower cancer detection rates and higher false positive rates, both of which may undermine the value of mammography screening.…”

Section: Findings and Interpretationsmentioning

confidence: 99%

Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives

Lim

et al. 2022

Cancers

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Close to half (45.4%) of the 2.3 million breast cancers (BC) diagnosed in 2020 were from Asia. While the burden of breast cancer has been examined at the level of broad geographic regions, literature on more in-depth coverage of the individual countries and subregions of the Asian continent is lacking. This narrative review examines the breast cancer burden in 47 Asian countries. Breast cancer screening guidelines and risk-based screening initiatives are discussed.

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Section: Findings and Interpretationsmentioning

confidence: 99%

Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives

Lim

et al. 2022

Cancers

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“…In recent years, automatic software tools have been developed to evaluate the correctness of breast positioning and compression during mammography or tomosynthesis [ 5 , 17 – 21 ]. Systematic collection of positioning and compression data can be used as a quality assurance tool, which is much more powerful than other visual methods that require manual completion of a form and inevitably rely on small image samples [ 15 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Using automated software evaluation to improve the performance of breast radiographers in tomosynthesis screening

Gennaro,

Povolo,

Del Genio

et al. 2023

Eur Radiol

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Objective To improve breast radiographers’ individual performance by using automated software to assess the correctness of breast positioning and compression in tomosynthesis screening. Materials and methods In this retrospective longitudinal analysis of prospective cohorts, six breast radiographers with varying experience in the field were asked to use automated software to improve their performance in breast compression and positioning. The software tool automatically analyzes craniocaudal (CC) and mediolateral oblique (MLO) views for their positioning quality by scoring them according to PGMI classifications (perfect, good, moderate, inadequate) and checking whether the compression pressure is within the target range. The positioning and compression data from the studies acquired before the start of the project were used as individual baselines, while the data obtained after the training were used to test whether conscious use of the software could help the radiographers improve their performance. The percentage of views rated perfect or good and the percentage of views in target compression were used as overall metrics to assess changes in performance. Results Following the use of the software, all radiographers significantly increased the percentage of images rated as perfect or good in both CCs and MLOs. Individual improvements ranged from 7 to 14% for CC and 10 to 16% for MLO views. Moreover, most radiographers exhibited improved compression performance in CCs, with improvements up to 16%. Conclusion Active use of a software tool to automatically assess the correctness of breast compression and positioning in breast cancer screening can improve the performance of radiographers. Clinical relevance statement This study suggests that the use of a software tool for automatically evaluating correctness of breast compression and positioning in breast cancer screening can improve the performance of radiographers on these metrics, which may ultimately lead to improved screening outcomes. Key Points • Proper breast positioning and compression are critical in breast cancer screening to ensure accurate diagnosis. • Active use of the software increased the quality of craniocaudal and mediolateral oblique views acquired by all radiographers. • Improved performance of radiographers is expected to improve screening outcomes.

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Automated Assessment of Breast Positioning in Mammography Screening

Chan¹,

Howes²,

Hill

et al. 2022

Digital Mammography

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Evaluation of the quality of mammographic breast positioning: a quality improvement study

Cited by 6 publications

References 13 publications

Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives

Breast Cancer in Asia: Incidence, Mortality, Early Detection, Mammography Programs, and Risk-Based Screening Initiatives

Using automated software evaluation to improve the performance of breast radiographers in tomosynthesis screening

Automated Assessment of Breast Positioning in Mammography Screening

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