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Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review

INTRODUCTION: As an efficient, effective and moderately inexpensive modality, mammography has been implemented as a cancer screening tool and in diagnostic management. However, appropriate breast compression is necessary for optimal outcomes. Current key measures of compression force are subjective...

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Autores principales: Serwan, Elizabeth, Matthews, Donna, Davies, Josephine, Chau, Minh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476195/
https://www.ncbi.nlm.nih.gov/pubmed/32420700
http://dx.doi.org/10.1002/jmrs.400
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author Serwan, Elizabeth
Matthews, Donna
Davies, Josephine
Chau, Minh
author_facet Serwan, Elizabeth
Matthews, Donna
Davies, Josephine
Chau, Minh
author_sort Serwan, Elizabeth
collection PubMed
description INTRODUCTION: As an efficient, effective and moderately inexpensive modality, mammography has been implemented as a cancer screening tool and in diagnostic management. However, appropriate breast compression is necessary for optimal outcomes. Current key measures of compression force are subjective and variable, giving rise to the concept of a ‘personalised’ pressure‐standardisation protocol. METHODS: A scoping review of the literature was performed using the Arksey and O’Malley framework to explore the existing force‐ and pressure‐standardisation protocols in clinical application. A comprehensive search strategy and standardised study selection and evaluation were completed. This synthesis of existing knowledge can lead to the implementation of mechanically standardised mammographic compression pressure as a feasible tailored approach to clinical practice. Four databases (PubMed, MEDLINE, Embase and Scopus) were searched from the databases’ inception to 13 December 2019 for relevant information, and eighteen articles were selected for analysis. RESULTS: In addition to current protocol comparison, emerging key concepts include the reasoning behind standardisation, the benefits of improved diagnostic outcomes/decreased pain with negligible change in image quality and average glandular dose (AGD), and the recommendation of a 10kPa (approximate) pressure‐standardisation protocol. Research to date is largely based abroad (Netherlands), with a strong focus on screening practices. Consequently, several gaps in the current literature were identified as potential directions for future investigation. CONCLUSIONS: As a suggested mammographic guideline, compression pressures of approximately 10kPa aid in image acquisition reproducibility both within and between women; pain levels decrease, with minimal variations to breast thickness, AGD and image quality.
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spelling pubmed-74761952020-09-11 Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review Serwan, Elizabeth Matthews, Donna Davies, Josephine Chau, Minh J Med Radiat Sci Review Article INTRODUCTION: As an efficient, effective and moderately inexpensive modality, mammography has been implemented as a cancer screening tool and in diagnostic management. However, appropriate breast compression is necessary for optimal outcomes. Current key measures of compression force are subjective and variable, giving rise to the concept of a ‘personalised’ pressure‐standardisation protocol. METHODS: A scoping review of the literature was performed using the Arksey and O’Malley framework to explore the existing force‐ and pressure‐standardisation protocols in clinical application. A comprehensive search strategy and standardised study selection and evaluation were completed. This synthesis of existing knowledge can lead to the implementation of mechanically standardised mammographic compression pressure as a feasible tailored approach to clinical practice. Four databases (PubMed, MEDLINE, Embase and Scopus) were searched from the databases’ inception to 13 December 2019 for relevant information, and eighteen articles were selected for analysis. RESULTS: In addition to current protocol comparison, emerging key concepts include the reasoning behind standardisation, the benefits of improved diagnostic outcomes/decreased pain with negligible change in image quality and average glandular dose (AGD), and the recommendation of a 10kPa (approximate) pressure‐standardisation protocol. Research to date is largely based abroad (Netherlands), with a strong focus on screening practices. Consequently, several gaps in the current literature were identified as potential directions for future investigation. CONCLUSIONS: As a suggested mammographic guideline, compression pressures of approximately 10kPa aid in image acquisition reproducibility both within and between women; pain levels decrease, with minimal variations to breast thickness, AGD and image quality. John Wiley and Sons Inc. 2020-05-18 2020-09 /pmc/articles/PMC7476195/ /pubmed/32420700 http://dx.doi.org/10.1002/jmrs.400 Text en © 2020 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Serwan, Elizabeth
Matthews, Donna
Davies, Josephine
Chau, Minh
Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title_full Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title_fullStr Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title_full_unstemmed Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title_short Mammographic compression practices of force‐ and pressure‐standardisation protocol: A scoping review
title_sort mammographic compression practices of force‐ and pressure‐standardisation protocol: a scoping review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476195/
https://www.ncbi.nlm.nih.gov/pubmed/32420700
http://dx.doi.org/10.1002/jmrs.400
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