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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

Criteria1st round n (%)2nd round n (%)
Need to haveNice to haveNot appropriatedDo not knowNeed to haveNice to haveNot appropriatedDo not know
Breast centrally placed4 (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 tissue2 (40)3 (60)  4 (44)5 (56)  
Superior breast edge included3 (60)2 (40)  6 (67)3 (33)  
Full visualisation of inferior breast tissue3 (60)2 (40)  6 (67)3 (33)  
Inframammary angle clearly demonstrated1 (20)3 (60)1 (20) 6 (67)3 (33)  
Nipple in profile or transected by skin3 (60)1 (20)  4 (44)5 (56)  
No skin folds3 (60)2 (40)  3 (33)6 (67)  
Skin edges visualised  3 (60)2 (40)    
Spread of breast tissue to differentiate adipose for fibroglandular tissue3 (60)2 (40)  4 (44)5 (56)  
Sharpness of vascular structures1 (20) 3 (60)1 (20)    
Sharpness of glandular tissue4 (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 image1 (20)4 (80)      
Maximum “retropulsion” of the implant3 ((60)2 (22)      
No artefacts4 (80)1 (20)  5 (56)3 (33)1 (11) 
Symmetrical mirror images3 ((60)2 (40)  1 (11)7 (78) 1 (11)
Appropriate contrast    7 (78)2 (22)