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Table 1 Criteria to assess mammography examinations grouped by type (positioning, artefacts, sharpness, parameters) in craniocaudal, mediolateral oblique and mediolateral mammograms

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

CriteriaReferencesType1234
Breast centrally placed[13, 43,44,45]Positioning (13)    
Presence of pectoral muscle (PM)[11, 13, 45]    
Pectoral muscle visualised down to the level of PNL[11, 13, 45, 46]    
Visualisation of retroglandular adipose tissue[11, 13, 45]    
Medial border of the breast included on the image[11, 13, 45, 46]    
Axillary tail demonstrated[11, 13, 45, 46]    
Superior breast edge included[13]    
Inferior breast edge included[45]    
Full visualisation of inferior breast tissue[45]    
Inframammary angle clearly demonstrated[11, 13, 45, 46]    
Nipple in profile or transected by skin[11, 13, 45, 46]    
Nipple in the midline (+/− 10°)[11, 45]    
Symmetrical mirror images R/L images[11, 13, 45, 46]    
No skin folds[13, 45, 46]Artefacts (3)    
No artefacts[45, 46]    
Skin edges visualised[13]    
Spread of breast tissue to differentiate adipose from fibroglandular tissue[43, 44]Sharpness/compression (4)    
Sharpness of glandular tissue[13, 45, 46]    
Sharpness of vascular structures[13, 44]    
Visually sharp reproduction of skin structure (rosettes from pores)[13]    
Good penetration of thicker areas without over penetration of thin areas[45, 46]Parameters (2)    
Appropriate contrast[44,45,46]    
  1. 1, need to have; 2, nice to have; 3, not pertinent/appropriate; 4, I do not know