Lung Cancer Screening Improvement Collaborative
Mammography Positioning Improvement Collaborative
Prostate MR Image Quality Improvement Collaborative
Recommendations Follow-Up Improvement Collaborative

Mammography Positioning Review Guidelines Table

Instructions:

  • Review only 2D/2D synthetic images (not tomosynthesis images)
  • If a view is repeated (e.g., 2 RCC views), review best image
  • Denominator Exceptions/Exclusions: breast implants, exams with tiled/mosaic images
  • Criteria are assessed bi-laterally


NOTE: The follow criteria are used for quality improvement within the Mammography Positioning improvement collaborative. They are not to be used for Mammography Accreditation.


Major criteria:

7 criteria assessed bilaterally (14 assessments total).  To pass, an examination must meet all 14 major criteria assessments.


Criteria

Meets

Does Not Meet

Notes

Motion

 

No motion

Motion

 

Breast cut off

No portion of breast cut off

Cut off (e.g., axillary tail cut off, medial or lateral tissue cut off on CC)

Note: If IMF cut off, that should be assessed as part of the IMF criterion (see below)

Other body parts projected over breast

 

No other body part obscuring breast tissue

Other body part obscuring breast being imaged (e.g., contralateral breast, hand, shoulder, chin)

 

Nipple in profile

 

Nipple in profile on at least 1 view of each breast (CC or MLO)

Nipple not in profile on at least 1 view of each breast (CC or MLO)

 

 

Posterior Nipple Line (PNL)

 

PNL on CC is within 1 cm of PNL on MLO

PNL on CC is not within 1 cm of PNL on MLO

 

Note: PNL to be measured from the base of the nipple to the pectoralis muscle at 90 degrees. If the nipple is rolled, measure from the skin line.

MLO: Visualization of posterior tissue

 

Posterior tissue on image

Poor visualization; no posterior tissue on image

Note: Posterior tissue typically entails the retroglandular fat plane. In patients with minimal retroglandular fat, consider the posterior depth of the fibroglandular tissue in reference to prior exams if available. 

CC: Visualization of posterior tissue

 

Posterior tissue on image (pectoralis muscle can be seen in 30% of women)

Poor visualization; no posterior tissue on image

Note: Posterior tissue typically entails the retroglandular fat plane. In patients with minimal retroglandular fat, consider the posterior depth of the fibroglandular tissue in reference to prior exams if available. 


Minor Criteria:

6 criteria assessed bilaterally (12 assessments total). To pass, an examination must meet at least 9 of the 12 minor criteria assessments.


Criteria


Meets

Partially Meets

Does Not Meet

CC: Exaggeration

No exaggeration. Nipple is midline/centered on image

Nipple is slightly lateral or medial to midline with no loss of lateral or medial posterior tissue   

Excessive exaggeration; nipple is lateral or medial to midline with loss of lateral or medial posterior tissue

MLO: Inframammary fold (IMF)  

Open IMF without folds

Slightly open IMF and/or small folds

Inadequate IMF; IMF closed or not included and/or large folds obscuring underlying breast tissue 

Skin Folds

 

No folds

Small folds not obscuring breast tissue

Note: If the skin folds are in the IMF, assess as part of the IMF criterion (see above). 

Large folds or folds that obscure breast tissue

Note: If the skin folds are in the IMF, assess as part of the IMF criterion (see above). 

MLO: Sagging breast

Breast is lifted and not sagging

Slight sagging that does not interfere with image interpretation

No lift to breast, severe sagging

 

MLO: Amount of pectoralis major muscle

Pectoralis is down to PNL or below, muscle is wider superiorly and gradually narrows inferiorly

Pectoralis is close to PNL (within 1 cm)

Inadequate pectoralis; pectoralis is not close to PNL (>1 cm), little to no muscle visualized (muscle is narrow/thin), anterior border of muscle is concave

MLO: Breast positioning on image receptor/detector 

Breast is centered and imaged entirely on detector

 

Breast is positioned slightly too high on detector; breast is slightly off center. 

Breast is positioned too high on detector; breast is not centered - includes too much abdomen and not enough axilla. 


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