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Table 3 Criteria scoring for craniocaudal projection applying Eklund manoeuvre combining the opinions of both groups (radiologists and radiographers) and respective percentage (%)

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

 1st round n (%)2nd round n (%)
CriteriaNeed to haveNice to haveNot appropriatedDo not knowNeed to haveNice to haveNot appropriatedDo not know
Breast centrally placed6 (60)4 (40)  5 (56)4 (44)  
1st round: Presence of pectoral muscle
2nd round: Visualisation of retroglandular adipose tissue
3 (30)6 (60)1 (10) 5 (56)4 (44)  
Medial border of the breast included on the image5 (50)4 (40)1 (10) 6 (67)3 (33)  
Axillary tail demonstrated3 (30)3 (30)4 (40) 2 (22)2 (22)5 (56) 
Nipple in the midline (+/− 10°)2 (20))7 (70)1 (10)     
Nipple in profile or transected by skin6 (60)4 (40)  3 (33)6 (67)  
No skin folds5 (50)4 (40)1 (10) 4 (44)5 (56)  
Skin edges visualised2 (20)4 (40)1 (10)3 (30)    
Spread of breast tissue to differentiate adipose for fibroglandular tissue7 (70)3 (30)  4 (44)5 (56)  
Sharpness of vascular structures2 (20)3 (30)3 (60)2 (40)    
Sharpness of glandular tissue8 (80)2 (20)  7 (78)2 (22)  
Visually sharp reproduction of skin structures (rosettes from pores) 4 (40)5 (50)1 (20)    
No artefacts8 (80)2 (20)  5 (56)3 (33)1 (11) 
Symmetrical mirror images2 (20)7 (70)1 (10) 1 (11)7 (78)1 (11) 
Appropriate contrast    6 (67)3 (33)  
Correct exposure    6 (67)3 (33)  
Visibility of implant edge in the image5 (50)3 (30)1 (10)1 (20)3 (33)5 (56) 1 (11)
Maximum “retropulsion” of the implant6 (60)4 (40)  7 (78)1 (11)1 (11)