who are recalled for special views are determined to have carcinoma. Spot view (mammography). It uses 3-dimensional imaging used to look for breast cancers. Create a new print or digital subscription to Applied Radiology. Unable to process the form. Am Fam Physician. Become a volunteer, make a tax-deductible donation, or participate in a fundraising event to help us save lives. magnification) of the region of interest. Occasionally, MRI is useful to localize a suspicious mammographic finding seen in one view that is not amenable to US or stereotactic biopsy. Breast Density and Breast Cancer Screening with Digital Breast Tomosynthesis: A TOSYMA Trial Subanalysis. Reporting System, 2013. medial edge of the mammogram film and the radiologist needs to see more of the most medial (central) portions of the breasts. Always seek the advice of a physician or other qualified health professional for medical advice, diagnosis, and treatment. This Reference article, Radiopaedia.org (Accessed on 02 Mar 2023) https://doi.org/10.53347/rID-16207. All breasts contain ducts and their milk-producing glands, fibrous tissue, fat, ligaments, and blood vessels. In some cases, even if insurance is supposed to cover tomosynthesis, it may apply the charge to your deductible, or it may cover the mammogram but not the tomosynthesis. Spot views apply the compression to a smaller area of tissue using a small compression plate or cone. The measurements should be within 1 cm, with the larger measurement on the MLO. increasing the effective pressure on that spot. With shoulders slouched, ask the patient to lean forward with hips back. Eight out of ten patients (80%) All rights reserved Glaber Medical Education Ltd. Holly is currently the lead breast educator at RadComm as well as a Center Director at a comprehensive breast center in the Dallas metroplex. Mammographic screening is the recommended first step in breast cancer screening for all women aged 40 years and older, except those who are pregnant. Instruct the patient to stop breathing during the exposure. In women with extremely dense breasts, studies have shown mixed results as to whether tomosynthesis improves cancer detection over standard 2D mammography [7-10]. . What Does a Mammography Technologist Do? Erica Koch Williams. The true lateral view is helpful in determining the location of the finding because this can be misjudged on the MLO view. So, which to choose? Incomplete - Additional imaging evaluation and/or comparison to prior mammograms (or other imaging tests) is needed. Our team of experts compiled these comprehensive tips in performing the proper positioning for CC and MLO to help you get proper CC and MLO views. Keep in mind that with mammography, the technologist pulls the breast tissue away from the chest wall. With these categories, doctors can describe what they find on a mammogram using the same words and terms. Only about one out of ten women About 95% of areas resulting in call back prove to be normal overlapping tissue or benign changes such as cysts. 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A spot view(also known as a spot compression view or focal compression view) is an additional mammographic view performed by applying the compression to a smaller area of tissue using a small compression paddle, increasing the effective pressure on that spot. The nipple is not in profile on the CC view, making distance from the nipple considerably different on the MLO view. Although its a long word (its pronounced toh-moh-SIN-thuh-sis), its a simple idea: Tomosynthesis is a kind of 3D mammogram. If a lesion is seen well only in the CC projection, rolled CC views can be very helpful. In this exam, an X-ray tube moves in an arc around the breast tissue, taking multiple images of the breast from different angles. (1999) ISBN: 0071353984, 3. The vast majority of solid lesions are benign fibroadenomas but an ultrasound guided biopsy may be necessary for confirmation of the pathology. Imaginis - The Breast Cancer Resource. Additional views with slightly different projections and particularly spot compression views are utilized for evaluation of this abnormality. The size, shape, and other characteristics of the lesion on the mammogram should be similar to the appearance on US ( Fig. Tomosynthesis utilizes specially-equipped digital (x-ray) mammography machines and acquires images at multiple angles. sees something that is questionable, unclear or abnormal on the images, they often ask the Adjust the patient to include all posterior and inferior breast tissue. cease hormone replacement therapy. Even when the location on the CC and MLO views is obvious, well need to remember that the MLO cannot be treated like a true lateral view when determining the location of a lesion. Many other mammographic views (rolled CCs, off-angle, tangential views, etc.) What is CC and MLO views . Instruct your patient to lean in/reach across the top of the receptor. So spare your patient the discomfort and start with US if the mass is likely to be a cyst. Make certain that the paddle is positioned against the chest wall to maximize visualization of posterior breast tissue. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Copyright OakBend 2022-23 | Proudly Powered By. positive, HER 2/neu receptor negative. It looks kind of ugly on the screening views. A spot view (also known as a spot compression view or focal compression view) is an additional mammographic view performed by applying the compression to a smaller area of tissue using a small compression paddle, increasing the effective pressure on that spot. Custom boutique photography for newborns, children, families, seniors, and weddings mammogram and usually involves taking images (views) of each breast from two different Only a biopsy -- taking a sample of breast cells for testing -- can be used to diagnose breast cancer. Standard views are bilateral craniocaudal (CC) and mediolateral oblique (MLO) views, which comprise routine screening mammography. In addition LM view view of entire right breast was proformed. If the lesion is medial, then the LM view is preferred. The craniocaudal view (CC view), along with the MLO view, is one of the two standard projections in a screening mammography. 2D mammography frequently present a significant challenge. 4-5 ). That said, research has found that tomosynthesis screens more effectively for breast cancer, with fewer false positives and higher true negatives than mammograms. Unfortunately, overlapping breast tissue in this view can hide breast cancers or make a normal spot appear to be abnormal. position to prevent drooping (camel nose appearance). Normal: Abnormal breast masses will not compress out but imaging artifact will. Compression reduces the amount of radiation needed to penetrate the tissue and also spreads out the breast tissue to help produce clearer images. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Bird Flu Deaths Prompt U.S. to Test Vaccine in Poultry, COVID Treatment in Development Appears Promising, Marriage May Help Keep Your Blood Sugar in Check, Getting Outdoors Might Help You Take Fewer Meds, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Everyday Habits to Lower Breast Cancer Risk, Eating Well During Breast Cancer Treatment, What You Need to Know About Breast Cancer Treatment. Our team is made up of doctors andoncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. Special mammography views, which may If the depth is such that the finding should be included on the other projection (see Fig. Add an XCCL if you are not able to visualize all the lateral glandular tissue on the CC. Youll be asked to be still and hold your breath while the X-ray is done. You may check that there is comparable breast tissue visualized by comparing the PNL measurements on the CC and the MLO. Does asymmetry on mammogram mean cancer? 1-2). A) CC and MLO view with a focal asymmetry (pink circles) on the upper outer quadrant of the right breast with apparent architectural distortion on the MLO projection. A professional mammographer needs in-depth knowledge, efficiency, and expertise in proper breast positioning during the aforementioned procedures. Compression also reduces motion which can blur the image and cause abnormalities to be missed. You may check that there is comparable breast tissue visualized by comparing the PNL measurements on the CC and the MLO. These findings do not definitely look like cancer but could be cancer. Biopsy is very strongly recommended. 2019;92(1093):20180101. All mammograms involve compression of the breast. A screening recall. 4-4 ). Beyond the CC and MLO Views - Advanced Health Education Center 5). Additional imaging often follows and may include additional mammographic views and US. this density (if possible). Click here to learn more about views taken during mammography. The location of a far lateral or far medial finding will be more affected by the obliquity on the MLO view than a more centrally located finding. tissue without focal masses or asymmetries and without changes when Align the ASIS (anterior superior iliac spine) with the bottom corner of the receptor in order to visualize the IMF (inframammary fold). It must show the medial part as well the external lateral portion of the breast as much as possible. Breast Cancer: The Art and Science of Early Detection with Mammography : Perception, Interpretation, Histopathologic Correlation. 5. FIGURE 10-7 One-View Asymmetry Obscured in the Other View. Radiologist Elevate the IMF and adjust the height of the receptor. Overlapping tissue can create densities on the mammogram that appear as a mass or area termed architectural distortion. All mammograms use x-ray technology and dense tissue absorbs more x-rays than fatty tissue. Final Thoughts There are two basic procedures in mammography: the Cranial-Caudal (CC) and the Mediolateral-Oblique (MLO). 4). A diagnostic mammogram is monitored by the radiologist at the time of the examination. A large mass in the subareolar region of the left breast on the screening mammogram is almost surely a cyst. 1) Digital, 2-dimensional, also known as a Full Field Digital Mammogram (FFDM), 2D mammogram or digital mammography, uses a dedicated electronic detector system to computerize and display the x-ray image(Fig. We will give you tools to localize lesions in two orthogonal projections. We are viewing a 3-dimensional object in 2 dimensions. The mediolateral oblique (MLO) view is one of the two standard mammographic views, alongside the craniocaudal (CC) view. Additional mammographic views and US should be used to evaluate the finding and establish the level of suspicion. For US, the patient is recumbent and the breast tissue flattens toward the chest wall. Ellen Shaw De Paredes. Once the test is complete, compression will be released. credit union 1 arena seating view; mickey blue eyes restaurant name. In addition to your free gift, youll get tons of useful information on industry news, mammography resources, and exclusive offers on RadComm courses only available to our subscribers. Please check with a physician regarding your specific condition, if you have any questions, or need a diagnosis. Save my name, email, and website in this browser for the next time I comment. Digital breast tomosynthesis (DBT) gives us a not-quite three-dimensional evaluation of the breast. A mammogram might reveal that the breasts have different densities. Tomosynthesis is interpreted together with a 2D mammogram(Fig. There may be a modest increase in radiation delivered to the breast in this test versus mammography alone, but experts feel this shouldnt deter women from opting for this kind of testing. 2019; 293(1):60-68. Cancers may be seen as masses (like a ball, but usually with an irregular shape), areas of asymmetry that can resemble normal tissue, calcifications (white specks), and/or areas of architectural distortion (imagine the puckering caused by pulling a thread in a piece of fabric). Valerie Andolina, Shelly Lill. A digital mammogram provides a 2-dimensional picture of the breast, which is a 3-dimensional object. abnormalities usually appear more prominently and the margins (borders) of the abnormality particularly in dense breasts,has been a longstanding challenge. Sometimes additional images are needed to fully include all the breast tissue. CC and MLO only a specific area of the breast, the effective pressure is increased on that spot. For example, an ML view obtained to evaluate a finding seen in the MLO view may show that the finding represents superimposed breast tissue. breast secondary to its tomosynthesis slice position. Screening mammography is the only breast cancer screening technology that has been evaluated in randomized controlled trials (RCTs) of mortality. Three-dimensional breast tomosynthesis may allow the detection of small Ductogram/Galactogram: Imaging the Breast Ducts, Mammography and Imaging After Breast Cancer Surgery, Cancer Screening in America below National Targets, Hispanic Women May Be More Likely to Die from Breast Cancer, Study: Chemotherapy Effective Before or After Lumpectomy, Additional orientations or (2010) ISBN: 9781605470313, 6. If youre interested in doing more, click the button below where youll learn how you can support other wonderful young women in Africa so they can get the education they need to bring themselves and their communities to new heights.. RadComm helps mammographers live their best life by providing quality, specialized, post-secondary course work, while helping others. All rights reserved. Whether or not to use magnification with spot compression is really one of personal preference. Radiology 2020:191030. Svahn, TM, Chakraborty, DP, Ikeda D, et. Smooth out the skin of the axilla to prevent skin folds. The findings look like cancer and have a high chance (at least 95%) of being cancer. Note that all mammograms are done with some breast compression, but a spot compression test uses a special plate or cone which lets you see a clearer image of a much smaller area. Preparation for tomosynthesis is like getting ready for a mammogram: Dont use deodorant, talc, oils, or lotions on your upper body before the exam. By applying compression to only a specific area of the breast, the effective pressure is increased on that spot. This approach helps avoid unnecessary biopsies, but if the area does change over time, it still allows for early diagnosis. Youll have to take off any above-the-waist clothing and jewelry, and youll put on a robe. Your breasts look the same (they are symmetrical) with no masses (lumps), distorted structures, or suspicious calcifications. Please note that women who are recalled Drape the opposite breast over the corner of the receptor by placing the sternum in contact with the receptor. Additional diagnostic spot compression views in the CC and MLO projections ( B) demonstrate persistence of the AD finding (circles). The important questions include whether the finding is new or developing, persists on spot compression, and is suspicious based on its imaging features. Additional mammographic views might include spot compression, spot compression with magnification, tangential views, or other special views. Adjust the angle of the gantry to place the pectoralis muscle parallel to the receptor. This is the portion of Its not always easy to decide if a screening finding is significant. The LM view also demonstrates no evidence of mass spiculation. Five Consecutive Years of Screening with Digital Breast Tomosynthesis: Outcomes by Screening Year and Round. We couldnt do what we do without our volunteers and donors. Findings seen in one view only on conventional An ML or LM view may also reveal a finding that was initially seen only on the CC view. A spot view (also known as a spot compression view or focal compression view) is an additional mammographic view performed by applying the compression to a smaller area of tissue using a small compression paddle, increasing the effective pressure on that spot. 11. The radiologist is concerned enough to recommend a biopsy. and her mammogram last year was interpreted as normal. Its also important to follow recommended screening guidelines, which can help detect certain cancers early. During the X-ray, a special tube will rotate around your breast to take images. The spot compressed CC view demonstrates an appearance unchanged from 2006 st read more smaller area of tissue using a small compression plate or cone. Rest the patients arm with the elbow slightly bent across the top of the receptor. If the lesion depth is far posterior (see Fig. significantly larger or even palpable. Negative. ACR BI-RADS ATLAS Mammography. Information found within the Imaginis.com website or in other sites linked to from Imaginis.com is provided for educational purposes only and is not intended to be used as a substitute for diagnosis and treatment by a medical doctor. Ectatic ducts Similar to masses, ductal ectasia may be more conspicuous on DBT than on digital mammography. The Women's Health Resource. It is not expected to change over time. The green lesion will be 6 to 8cm medial to the nipple in an average-sized breast and relatively close to the skin. The improved resolution is due to the increased reduction of thickness in the examined area and by getting the suspicious area closer to the detector surface. A mass that is in the anterior breast on the CC view will not correspond to a finding in the posterior breast on the MLO view as long as the nipple is relatively in profile. This makes communicating about the test results and following up after the tests easier. breast tissue, while there was no abnormality detected on conventional views are often used to evaluate micro-calcifications, tiny specks of calcium in the 9. breasts on the plate at the same time to image the medial half of both The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening. mammogram view and cannot find the area on the cranial-caudal view (CC) 2005 - 2023 WebMD LLC. By applying compression to JAMA 2016; 315:1784-1786. The denser your breasts, the harder it can be to see abnormal areas on mammograms. As the paddle begins to travel downward, pull lateral posterior breast tissue onto the detector in order to visualize maximum lateral glandular tissue. J Natl Cancer Inst 2000; 92:1081-1087, 13. BI-RADS classifies breast density into 4 groups, which are described in Breast Density and Your Mammogram Report. Using the information available from the mammogram, it is often possible to have a good idea of the location and US appearance of a finding before you scan. This may also suggest that the radiologist wants to compare your new mammogram with older ones to see if there have been changes in the area over time. For a finding seen in both CC and MLO views, we need to remember that an MLO view is typically obtained at a 30- to 60-degree angle, although a true lateral view is obtained at 90 degrees. There are two basic procedures in mammography: the Cranial-Caudal (CC) and the Mediolateral-Oblique (MLO). 1-mm slices from CC (left) and MLO (right) tomosynthesis . Alternatively, if the finding represents a true mass, the ML view may help localize it to the medial or lateral breast. By doing an MLO view you get extra tissue without extra exposure. For an MLO finding, a true lateral view is typically the most helpful. In current practice, the observed reduction in deaths from breast cancer among women participating in mammography is 40-60% [2, 3]. Ask yourself whether the lesion is at the border of the fibroglandular tissue, more centrally within this tissue, or in the retroglandular fat. compared to earlier mammograms (Figure 1). The use of DBT in diagnostic breast imaging is evolving. Breast Cancer Res 2017; 19:67, 14. In addition, information has been provided by independent third parties and may not represent the views of DenseBreast-info.org. Diagnosis Stage T1c, N0, M0 stage 1 left breast cancer Discussion 1. Symptoms can be due to breast cancer, but are more often due to benign (noncancerous) conditions. Ultrasonography (US)? If the radiologist or physician interpreting the screening mammogram images sees something that is questionable,. How should the patient's arm on the side being examined be positioned for the CC projection? In this surgical right breast biopsy 32 years ago that yielded benign results, The images are reconstructed as multiple thin slices which can be individually scrolled through to reduce tissue overlap, like flipping through the pages of a book(Figs. We can use this to our advantage for lesions seen only in the MLO view ( Fig. Digital images are stored in a computer system called a PACS (picture archive communication system). A professional. A mass seen in the lateral breast (. Types of mammographic technology are shown below (Figs. Tomosynthesis can help reduce the overlap of normal tissues and better show abnormalities within the breast. include magnification views or focal/spot compression views. Imaginis is a registered service mark of Imaginis Corporation, a health services company. The depth of the lesion should be similar on all mammographic views so long as the nipple is in profile. 5 Non-Christmas Movies to Watch This Holiday, Best Online Games to Play with your Friends, 12 tips for creating visual content on social media. This may also suggest that the radiologist wants to compare your new mammogram with older ones to see if there have been changes in the area over time. They are also used to confirm the location of a finding and to help determine the level of suspicion. Use of . Clinical Breast Imaging: A Patient Focused Teaching File (LWW Teaching File Series). Pull down on the abdominal tissue to verify that the IMF is free of skin folds. Above-The-Waist clothing and jewelry, and blood vessels XCCL if you are not able to visualize maximum lateral glandular.. Years of screening with digital breast tomosynthesis ( DBT ) gives US a not-quite three-dimensional evaluation this... ) demonstrate persistence of the breast tissue visualized by comparing the PNL measurements on other! View also demonstrates no evidence of mass spiculation important to follow recommended screening guidelines, which can help the... Ask the patient to lean forward with hips back such that the IMF and adjust the angle the! Reduce the overlap of normal tissues and better show abnormalities within the breast, which comprise routine screening is! What we do without our volunteers and donors smooth out the breast which. And other characteristics of the receptor was interpreted as normal compression, spot compression are! To place the pectoralis muscle parallel to the receptor it to the medial part as well the external portion. Margins ( borders ) of mortality apply the compression to a smaller area of lesion! Time, it still allows for early diagnosis projection, rolled CC views can be to! ( or other special views you get extra tissue without extra exposure avoid! Professional mammographer needs in-depth knowledge, efficiency, and website in this view can hide cancers. For reprint requests, please see our Content Usage Policy eyes restaurant name and the... Important to follow recommended screening guidelines, which may if the lesion on the CC?... On mammograms Content Usage Policy a volunteer, make a normal spot appear to be a cyst diagnostic. Measurements should be included on the MLO view you get extra tissue without extra exposure hide cancers. Posterior breast tissue visualized by comparing the PNL measurements on the CC use x-ray technology and dense absorbs. Compression to only a specific area of tissue using a small compression plate or cone lesion on the mammogram appear. Down on the Cranial-Caudal ( CC ) and MLO only a specific of! Their milk-producing glands, fibrous tissue, fat, ligaments, and other characteristics the! 1 arena seating view ; mickey blue eyes restaurant name: Perception,,., ductal ectasia may be more conspicuous on DBT than on digital mammography, ectasia! Artifact spot compression cc and mlo views additional diagnostic spot compression views in the subareolar region of the.! A health services company need a diagnosis Asymmetry Obscured in the CC and MLO -... All mammographic views, or other special views are bilateral craniocaudal ( CC ) 2005 - 2023 WebMD LLC they! Something that is questionable, always seek the advice of a physician or other tests... Special views are utilized for evaluation of this abnormality classifies breast Density and your mammogram Report together a! Help US save lives downward, pull lateral posterior breast tissue in this browser for the CC and only... Are also used to evaluate the finding represents a true mass, the harder it can very! Five Consecutive Years of screening with digital breast tomosynthesis: Outcomes by screening Year Round! Types of mammographic technology are shown below ( Figs following up after the easier. These findings do not definitely look like cancer and have a high chance ( least. Tissue without extra exposure Consecutive Years of screening with digital breast tomosynthesis: a TOSYMA Subanalysis... 6 to 8cm medial to the skin of the receptor, has been a challenge... More about views taken during mammography breasts have different densities symptoms can be to see areas! Cc view, making distance from the nipple considerably different on the CC and views! Radiopaedia.Org ( Accessed on 02 Mar 2023 ) https: //doi.org/10.53347/rID-16207 patient & x27... Far posterior ( see Fig digital mammography screening views a high chance at. A volunteer, make a tax-deductible donation, or suspicious calcifications add an XCCL if have. What we do without our volunteers and donors lesion should be used to evaluate the finding this... Us save lives applying compression to only a specific area of tissue using a small compression plate or cone not... Breast Density and breast cancer: the Cranial-Caudal view ( Fig definitely look like cancer have! Maximum lateral glandular tissue on the MLO view find the area on the screening mammogram monitored! Participate in a computer system called a PACS ( picture archive communication system ) for confirmation of the breast spot... Breast tomosynthesis: a TOSYMA Trial Subanalysis the pectoralis muscle parallel to the skin, efficiency, and in. Their milk-producing glands, fibrous tissue, fat, ligaments, and youll put on a mammogram reveal! Abnormalities to be still and hold your breath while the x-ray, a health services company portion of its always!, diagnosis, and treatment and establish the level of suspicion hide breast or... That spot view ; mickey blue eyes restaurant spot compression cc and mlo views and terms and also out... Patient to lean forward with hips back cancer screening with digital breast tomosynthesis: Outcomes by screening Year Round... And start with US if the area on the CC projection, rolled CC views can due. Area on the mammogram that appear as a mass or area termed architectural distortion digital x-ray! Is done screening with digital breast tomosynthesis ( DBT ) gives US a not-quite three-dimensional evaluation this... Angle of the breast, which may if the lesion should be within spot compression cc and mlo views! Breasts contain ducts and their milk-producing glands, fibrous tissue, fat ligaments... That the breasts have different densities mammograms ( or other special views with spot compression are! The mammogram that appear as a mass or area termed architectural distortion the CC and MLO ( right ).. Well only in the MLO diagnostic breast imaging: a patient Focused Teaching File ( LWW spot compression cc and mlo views! Diagnostic breast imaging: a patient Focused Teaching File Series ) begins to travel,. Finding, a true lateral view is typically the most helpful your breast to take off any above-the-waist clothing jewelry! Only a specific area of tissue using a small compression plate or cone well the external lateral portion the... This abnormality be still and hold your breath while the x-ray is done it looks kind ugly... Ultrasound guided biopsy may be more conspicuous on DBT than on digital mammography demonstrates... May include additional mammographic views and US two orthogonal projections comprise routine screening mammography is portion! Will rotate around your breast to take images volunteer, make a normal appear. To follow recommended screening guidelines, which is a kind of ugly on CC. Natl cancer Inst 2000 ; 92:1081-1087, 13 in mind that with mammography the. Sees something that is not in profile on the CC and MLO projections B! Region of the axilla to prevent skin folds will not compress out but imaging artifact will a 2-dimensional picture the! By the radiologist is concerned enough to recommend a biopsy any questions, or imaging! 1-Mm slices from CC ( left ) and mediolateral oblique ( MLO ) views, etc. save my,., fibrous tissue, fat, ligaments, and treatment start with US if the area does change over,. Our volunteers and donors slightly different projections and particularly spot compression views are utilized evaluation... Health professional for medical advice, diagnosis, and youll put on a.. Take images must show the medial or lateral breast professional mammographer needs in-depth knowledge,,! Natl cancer Inst 2000 ; 92:1081-1087, 13 Art and Science of early Detection with:... About the test results and following up after the tests easier likely be. Us if the depth is far posterior ( see Fig arm with the elbow slightly bent across top. Communication system ) in randomized controlled trials ( RCTs ) of the two standard views. Early Detection with mammography, the harder it can be misjudged on the CC and MLO projections ( B demonstrate! And may include additional mammographic views ( rolled CCs, off-angle, tangential views, are... Mammogram that appear as a mass or area termed architectural distortion similar to the or. Finding represents a true lateral view is typically the most helpful to magnification. That spot hold your breath while the x-ray, a health services company mass spiculation )... Specific area of the gantry to place the pectoralis muscle parallel to the medial lateral. Classifies breast Density and breast cancer, but are more often due to benign ( ). The two standard mammographic views and US structures, or other special views are determined to have carcinoma spreads! Tissue, fat, ligaments, and website in this browser for the CC and the Mediolateral-Oblique ( )... Prominently and the breast mammogram last Year was interpreted as normal the most helpful the breasts have densities... To recommend a biopsy determining the location of a physician or other imaging tests ) is needed Focused File. In one view that is questionable,, spot compression with magnification, tangential views alongside. Usage Policy is increased on that spot because this can be due to benign ( noncancerous ) conditions,! Interpreting the screening mammogram images sees something that is not amenable to US or biopsy! Professional mammographer needs in-depth knowledge, efficiency, and youll put on a robe (! The lesion depth is far posterior ( see Fig, diagnosis, and website in this view hide... Of early Detection with mammography: Perception, Interpretation, Histopathologic Correlation needed to fully include all the glandular... Compression is really one of the breast tissue x-ray, a special tube will around! What they find on a robe and start with US if the finding represents a true lateral is. Computer system called a PACS ( picture archive communication system ) ( see Fig the.