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Table 7 Criteria rakings (mean values based on Kendall’s W) comparison between first and second Delphi rounds regarding mediolateral image manoeuvre combining the opinions of both groups (radiologists and radiographers)

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

Criteria for mediolateral projection of breast implants mammograms with Eklund manoeuvre
Criteria1st round (average)Criteria2nd round (average)
Sharpness of breast tissue5.2Sharpness of breast tissue6.0
Absence of artefacts5.4Visualisation of inferior breast tissue6.8
Breast aligned in the detector’s centre5.5Maximum retropulsion of implant6.8
Visualisation of superior breast tissue6.4Superior edge 2 cm7.4
Visualisation of inferior breast tissue6.4Adequate image contrast7.4
Spread of breast tissue6.4Adequate image penetration7.4
Maximum retropulsion of implant6.6Visualisation of superior breast tissue8.3
Absence of skin folders6.9Breast aligned in the detector’s centre8.3
Images in mirror6.9Nipple in profile8.4
Visualisation of retroglandular adipose tissue7.6Absence of artefacts9.0
Visualisation of implant’s anterior edge9.3Absence of skin folders9.6
Inframammary angle open and visible10.0Spread of breast tissue9.9
Visualisation of pectoral muscle anterior edge12.4Inframammary angle open and visible10.0
Visualisation of vascular anatomy12.7Visualisation of retroglandular adipose tissue10.8
Visualisation of pores along the skin13.3Images in mirror12.1
Skin line visible15.0Visualisation of pectoral muscle anterior edge12.2
Nipple in profileLeft outVisualisation of implant’s anterior edge12.7
Superior edge 2 cmLeft outVisualisation of vascular anatomyLeft out
Adequate image contrastLeft outVisualisation of pores along the skinLeft out
Adequate image penetrationLeft outSkin line visibleLeft out