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Table 6 Criteria scoring for mediolateral projection using 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

Criteria

1st round n (%)

2nd round n (%)

Need to have

Nice to have

Not appropriated

Do not know

Need to have

Nice to have

Not appropriated

Do not know

Breast centrally placed

4 (80)

1 (20)

  

5 (56)

4 (44)

  

1st round: Pectoral muscle (PM) visible down to the pectoral muscle

2nd round: PM visible until the upper edge of the implant

3 ((60)

2 (40)

  

2 (22)

3 (33)

2 (22)

2 (22)

Visualisation of retroglandular adipose tissue

2 (40)

3 (60)

  

4 (44)

5 (56)

  

Superior breast edge included

3 (60)

2 (40)

  

6 (67)

3 (33)

  

Full visualisation of inferior breast tissue

3 (60)

2 (40)

  

6 (67)

3 (33)

  

Inframammary angle clearly demonstrated

1 (20)

3 (60)

1 (20)

 

6 (67)

3 (33)

  

Nipple in profile or transected by skin

3 (60)

1 (20)

  

4 (44)

5 (56)

  

No skin folds

3 (60)

2 (40)

  

3 (33)

6 (67)

  

Skin edges visualised

  

3 (60)

2 (40)

    

Spread of breast tissue to differentiate adipose for fibroglandular tissue

3 (60)

2 (40)

  

4 (44)

5 (56)

  

Sharpness of vascular structures

1 (20)

 

3 (60)

1 (20)

    

Sharpness of glandular tissue

4 (80)

1 (20)

  

6 (67)

3 (33)

  

Visually sharp reproduction of skin structures (rosettes from pores)

 

2 (40)

3 (60)

     

Visibility of implant edge in the image

1 (20)

4 (80)

      

Maximum “retropulsion” of the implant

3 ((60)

2 (22)

      

No artefacts

4 (80)

1 (20)

  

5 (56)

3 (33)

1 (11)

 

Symmetrical mirror images

3 ((60)

2 (40)

  

1 (11)

7 (78)

 

1 (11)

Appropriate contrast

    

7 (78)

2 (22)