Radiographer mammographers' attitudes towards implementing new techniques for imaging the augmented breast, after viewing a training DVD or receiving cascade training: A survey

Moneme, N.C.; Curtis, James Elbridge

doi:10.1016/j.radi.2018.07.006

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…Even being recommended, Eklund technique was not always performed by the participants of this study and the literature presents several reasons for that, namely local protocols that not require it, the location of implant (with subpectoral location the superimposition of the implant is lower), or because the implant was encapsulated not allowing the Manoeuvre [36]. The lack of confidence performing the Manoeuvre and the short training received by radiographers were other reasons noted [10,45]. It is suggested that the development of a training phantom would be beneficial to acquire the practical skills that are necessary to perform this Manoeuvre.…”

Section: Discussionmentioning

confidence: 95%

“…When performed, mammography brings also challenges in compression and in performing the Eklund Manoeuvre (implant is pushed back to reduce its superimposition on breast tissue). According to the literature, radiographers are afraid of causing ruptures due to lack of guidance about when to stop compression and also due to the type and/or the lack of training for this specific situation [10,45].…”

Section: Literature Reviewmentioning

confidence: 99%

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Study of breast implants mammography examinations for identification of suitable image quality criteria

2020

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Purpose: To characterise the mammography technique used in breast cancer screening programmes for breast implants (BI) and to identify if the image quality (IQ) criteria available in literature are applicable to BI imaging. Methods: The study was conducted in two phases: literature review to find IQ criteria used in mammography combining keywords in several sources; and assessment of 1207 BI mammograms using the criteria that was identified previously to see if they were achieved or not. An observation grid was used to collect information about positioning, beam energy, compression force, and exposure mode. Descriptive statistics and Student's t test and χ 2 test were performed according to the nature of the variables. Results: Forty-seven out of 2188 documents were included in the analysis, with 13 items identified to assess the quality of positioning, 4 for sharpness, 3 for artefacts, and 2 for exposure parameters. After applying the criteria to BI mammograms, retroglandular fat was not included in 37.3% of the images. The "Pectoral-Nipple-Line" criterion was achieved in 35% of MLO/ML images. The placement of the implant (subpectoral/subglandular) or performing the Eklund had significant influence on the visible anatomy (p = < 0.005), alongside whether the breast was aligned to the detector's centre. Conclusions: Some of the criteria used to assess standard mammograms were not applicable to BI due to implant overlap. The alignment of the image with the detector's centre seems to have an impact on the amount of visible tissue. Further studies are necessary to define the appropriate protocol, technique, and suitable quality criteria to assess BI mammograms.

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Section: Discussionmentioning

confidence: 95%

Section: Literature Reviewmentioning

confidence: 99%

Study of breast implants mammography examinations for identification of suitable image quality criteria

2020

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“…With the implementation of digital mammography and breast tomosynthesis in BCSP across Europe, it is important to establish what are the best approaches for imaging the breast, including those with implants, namely protocols and techniques, but also how to evaluate and interpret the images. Considering there is limited evidence in published literature about IQ criteria for BI mammography assessment [7,9,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33], this study aimed to identify image quality criteria that can be applied to assess breast implant mammograms according to both radiologists' and radiographers' perspectives. It also aimed to explore the level of agreement regarding the priority of each criterion to distinguish between those that must be verified and those that are not a priority to determine when an examination needs to be rejected and/or repeated.…”

Section: Introductionmentioning

confidence: 99%

Consensus about image quality assessment criteria of breast implants mammography using Delphi method with radiographers and radiologists

2020

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Aims:To identify image quality criteria that can be applied to assess breast implant (BI) mammograms according to radiologists and radiographers' perspectives and to explore the level of agreement about criteria priority. Methods: A two-round Delphi method using a questionnaire was applied to identify the level of agreement between experts, asking them to rank each image criteria available for mammography according to 4 possible answers (1 = need to have, 2 = nice to have, 3 = not pertinent/appropriate, 4 = do not know). Criteria for craniocaudal (CC), mediolateral-oblique (MLO) and lateral (ML), with and without Eklund manoeuvre, were included. This process was repeated after removing the less relevant criteria. Results: Between first and second rounds, different results were obtained regarding the criteria to assess CC and MLO images. Details for anatomic areas were considered the most relevant by radiographers during the first round, while general criteria were prioritised during the second round. Radiologists focused more on analysis of the spread of the breast tissue, if the breast was aligned with detector's centre and level of contrast. The analysis of implant flow, the BI anterior edge and the maximum retropulsion of BI when Eklund manoeuvre is performed were the specific aspects of BI imaging considered as relevant for assessment. Conclusions: The importance of each criterion used to assess BI mammograms was not the same between radiographers and radiologists, suggesting the two groups of experts are looking for different requirements from the image. Further education and training is necessary to align strategies for assessing BI mammograms, and some criteria need to be adapted to reduce subjectivity.

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Radiographer mammographers' attitudes towards implementing new techniques for imaging the augmented breast, after viewing a training DVD or receiving cascade training: A survey

Cited by 2 publications

References 19 publications

Study of breast implants mammography examinations for identification of suitable image quality criteria

Study of breast implants mammography examinations for identification of suitable image quality criteria

Consensus about image quality assessment criteria of breast implants mammography using Delphi method with radiographers and radiologists

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