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Table 1 Criteria to assess mammography examinations to be used by radiographers before sending the examination to radiologists for CC, craniocaudal; MLO, mediolateral oblique; and ML, mediolateral images

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

CriteriaReferencesCCMLOMLType
Breast centrally placed[4, 5, 13, 14]XXXPositioning (13)
Presence of pectoral muscle (PM)[8, 13, 14]X  
Pectoral muscle visualised down to the level of PNL[6, 8, 13,14,15] XX
Visualisation of retroglandular adipose tissue[8, 13, 14]XXX
Medial border of the breast included on the image[6, 8, 13, 14]X  
Axillary tail demonstrated[6, 8, 13,14,15]X  
Superior breast edge included[13] XX
Inferior breast edge included[14] XX
Full visualisation of inferior breast tissue[14] XX
Inframammary angle clearly demonstrated[6, 8, 13,14,15,16] XX
Nipple in profile or transected by skin[6, 8, 13, 14, 16]XXX
Nipple in the midline (+/− 10°)[8, 14, 16]X  
Symmetrical mirror images R/L images[6, 8, 13,14,15]XXX
No skin folds[6, 13,14,15]XXXArtefacts (3)
No artefacts[6, 14, 15]XXX
Skin edges visualised[13]XXX
Spread of breast tissue to differentiate adipose from fibroglandular tissue[4, 5] [16]XXXSharpness (4)
Sharpness of glandular tissue[6, 13, 14, 16]XXX
Sharpness of vascular structures[5, 13, 16]XXX
Visually sharp reproduction of skin structure (rosettes from pores)[13]XXX
Good penetration of thicker areas without over penetration of thin areas[6, 14, 16]XXXParameters (2)
Appropriate contrast[5, 6, 14, 16]XXX