Instruct the patient to stop breathing during the exposure. 7. Magnification Similarly, other observational studies have not shown tomosynthesis to significantly improve cancer detection in women with dense breasts [8-10]. To qualify as a mammographer by MQSA standards, you need intensive training and continuing education. Rolled CC views may also unsuperimpose normal structures and may be quite helpful in proving that a finding represents summation artifact rather than a true lesion. Breastcancer.org: Digital Tomosynthesis., Society of Breast Imaging: Should I get a tomosynthesis instead of just a mammogram?, RadiologyInfo.org: Breast Tomosynthesis., Mayo Clinic: 3D Mammogram, Diagnosing Breast Cancer., European Radiology: Radiation dose with digital breast tomosynthesis compared to digital mammography: per-view analysis., American College of Radiology Imaging Network: About Mammography and Tomosynthesis., Penn Medicine News: Including Diagnosis Related Tests, 3D Mammography Costs Less Than Digital Mammography.. Ellen Shaw De Paredes. The grade 2 in-situ component If the radiologist or physician interpreting the screening mammogram images Magnification views What happens when one breast is left out of the compression field? spot compression cc and mlo viewsphoto contest in arizona. Other associated findings included a radial scar, Known biopsy-proven malignancy Appropriate action should be taken. It looks kind of ugly on the screening views. In some cases, though, either shallow or stepped oblique views can localize a finding when our other tricks havent helped. Breast tomosynthesis and digital mammography: A comparison of diagnostic accuracy. Tomosynthesis takes multiple pictures from several angles: 11 images during a 7-second exam. Click here to The mediolateral oblique (MLO) view is one of the two standard mammographic views, alongside the craniocaudal (CC) view. replacement therapy since menopause. B) The CC spot compression . ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Youll be asked to be still and hold your breath while the X-ray is done. Chapter 11: Imaging Analysis: Mammography. A mammogram might reveal that the breasts have different densities. Tomosynthesis utilizes specially-equipped digital (x-ray) mammography machines and acquires images at multiple angles. Elevate the IMF and adjust the height of the receptor. (This will probably be uncomfortable, but the X-ray only lasts a few seconds.) Go ahead and skip the spot compression views when the mass for which the patient is being recalled is very likely to represent a cyst ( Fig. Radiologists use additional mammographic views, such as magnification or spot compression views, or ultrasound to help distinguish benign from cancerous changes. Place the corner of the image receptor into the axilla, so it is just anterior to the latissimus dorsi. 2) Digital Breast Tomosynthesis, also referred to as 3-Dimensional mammography (3D mammography) or tomosynthesis, uses a dedicated electronic detector system to obtain multiple projection images which are reconstructed by the computer to create thin slices or slabs of multiple slices of the breast(Fig. Ann Intern Med 2018; 168:757-765, 16. By doing an MLO view you get extra tissue without extra exposure. WebMD does not provide medical advice, diagnosis or treatment. JAMA Netw Open. The depth of the lesion should be similar on all mammographic views so long as the nipple is in profile. The main endpoint of the study is to determine if using tomosynthesis reduces the rates of advanced cancers and interval cancers. 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. and check out our online courses. If a persistent abnormality is seen, we will commonly ask for an ultrasound to exclude an underlying lesion in the breast. mammographically-guided needle localization and a lumpectomy (Figures 5 Diagnosis: IDC. http://www.facebook.com/pages/Mammography-Credits/144420312249710?v=wall, Basic & Advanced Mammography Positioning Training Continuing Education Course. Radiology2021; 298:49-57, Get news updates from DenseBreast-info.org in your inbox. 3a, 3b). 4-9 ). This system also organizes assessments and explains the importance of the findings. Svahn, TM, Chakraborty, DP, Ikeda D, et. It must show the medial part as well the external lateral portion of the breast as much as possible. These views are used in diagnostic breast workups in addition to the standard views. Research shows that tomosynthesis combined with a mammogram detects about one more cancer per 1,000 women screened. If obscured, there are several techniques that we can use to determine the location in the orthogonal projection. Magnification views provide a clearer assessment You will likely need follow-up with repeat imaging in 6 to 12 months and regularly after that until the finding is known to be stable (usually at least 2 years). The goals of the workup are to decide whether the finding represents a true lesion and, if so, to localize it in two orthogonal projections, and determine its level of suspicion. A cleavage view may also be performed if the Mammograms are categorized into groups termed BI-RADS. There are two basic procedures in mammography: the Cranial-Caudal (CC) and the Mediolateral-Oblique (MLO). 9. Vascular calcifications in the arteries of the breasts may also present as microcalcifications. 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. As the paddle descends, the top corner of the paddle should rest just below the humeral head and just anterior to the clavicle. 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. We need to find it in an orthogonal projection before we do US so we can look in the correct location. With the opposite hand, pull/scoop the pectoralis muscle and breast tissue onto the receptor. 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. 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). There are a few things to keep in mind when localizing a finding. The findings look like cancer and have a high chance (at least 95%) of being cancer. Rounded well-defined calcifications are almost always benign and compromise the vast majority of our findings. Having said this, it is crucial not to ignore the recommendations of returning to the radiology department for the additional views and/or ultrasounds as early detection and treatment of the worst case scenario (breast cancer) results in cure. Mammographic Imaging A Practical Guide. Try to visualize the location of the mammographic finding on US before scanning. To get as much medial tissue as possible, the mammogram technologist will place both breasts on the plate at the same time to image the medial half of both breasts. If a lesion moves laterally on the CCRL, then it is located in the superior breast ( Fig. Sometimes additional images are needed to fully include all the breast tissue. 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. Spot view (mammography). 11. Adjust the angle of the gantry to place the pectoralis muscle parallel to the receptor. Br J Radiol. mammogram revealed an area of architectural distortion in the lateral Available Every Minute of Every Day. Patients feet should be facing forward toward the unit. The important questions include whether the finding is new or developing, persists on spot compression, and is suspicious based on its imaging features. positive, HER 2/neu receptor negative. Radiology. 1-mm slices from CC (left) and MLO (right) tomosynthesis . CC and MLO Tomosynthesis finds slightly more cancers than mammograms alone. views are often used to evaluate micro-calcifications, tiny specks of calcium in the Anchor the breast in place with one hand, and. multifocal atypical ductal hyperplasia, and lobular intraeithelial From the top looking down, the entire breast is depicted. Using 2 hands, pull the patients breast up and away from the chest wall onto the receptor. 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. If we are not sure whether the finding is medial or lateral, then an ML is performed because statistically, most cancers are located in the lateral breast. Spot compression views may be performed with or without magnification (spot mags). J Natl Cancer Inst. A focal asymmetry in the upper outer quadrant is farther from the nipple on the MLO than predicted on CC (. Two left-axillary sentinel lymph nodes were negative for For a spot compression view, the technologist uses a smaller paddle which thereby provides more focal and locally intense compression. were able to localize this finding to the 3 oclock position in the But since its not proven to bebenign, its helpful to be extra safe and see if the area in question does change over time. Sometimes there is more than one suspect and both may need to undergo spot compression. Cancer Information, Answers, and Hope. 5. Place your opposite arm across the patients back with your hand on their shoulder. Radiology 2002; 225:165-175, 17. The majority of the time there is no lesion and routine follow-up may be performed. The Breast Imaging-Reporting and Data System (BI-RADS) is a reporting and assessment system required by the federal government. demonstrating tubulolobular features, nuclear grade 2, ER/PR receptor Compression also reduces motion which can blur the image and cause abnormalities to be missed. Stepped oblique views are similar in concept; full images are obtained at 10- to 15-degree intervals between the CC and MLO views. Importantly, compared to standard mammography, tomosynthesis has been shown to reduce the number of false positive studies that require additional imaging or callback from screening to prove that no abnormality is present, particularly among United States-based studies [11]. include magnification views or focal/spot compression views. Digital Drape the opposite breast over the corner of the receptor by placing the sternum in contact with the receptor. Some women athigh riskmay start screening with magnetic resonance imaging (MRI) by age 25, adding mammographic screening by age 30. In this chapter, we will focus on the diagnostic evaluation of the patient recalled from screening for a mass or asymmetry. How is spot compression used in a mammography? to better evaluate the configuration of areas of fibroglandular tissue. However, a correlate could not be identified on MLO or true lateral views. Best Review Site for Digital Cameras. The green lesion will be 6 to 8cm medial to the nipple in an average-sized breast and relatively close to the skin. These views may show a one-view asymmetry to represent a focal asymmetry or a mass. Normal: Abnormal breast masses will not compress out but imaging artifact will. Its a screening test used to look for potential tumors. A questionable spot on a mammogram may be dismissed as normal breast tissue when you get a better look at it. If you want to learn more about mammography positioning, you can visit RadComm and check out our online courses. An annual mammogram is a screening While tomosynthesis improves breast cancer detection in women with fatty, scattered fibroglandular density, and heterogeneously dense breasts, studies have shown mixed results in women with extremely dense breasts. All mammograms involve compression of the breast. 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. Cancer 2019; 125:515-523, 4. CC and MLO spot-compression views demonstrated no definite abnormality in this area (Figure 3), but a targeted ultrasound revealed a 5.5-mm spiculated mass at the 3 o'clock position (Figure 4). Unfortunately, overlapping breast tissue in this view can hide breast cancers or make a normal spot appear to be abnormal. Only a biopsy -- taking a sample of breast cells for testing -- can be used to diagnose breast cancer. 4-1 ). Go ahead and get your spot compression view in the projection that you are most worried about. | Purpose The purpose of this. If the US did not show a simple cyst, spot compression views can still be performed after the US if needed. Diagnostic mammography starts with the same images as a screening mammogram and may also include additional images taken to evaluate an area of concern. al. The patient was asked to return for Click here to learn more about views taken during mammography. The mass in the left breast at 12 oclock (, There is a one-view asymmetry in the superior breast on the MLO view. For example, a mass in the middle third of the breast on mammography may appear to abut the pectoralis muscle on US. 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We use cookies to ensure that we give you the best experience on our website. 1-2). sees something that is questionable, unclear or abnormal on the images, they often ask the Whether you want to learn about treatment options, get advice on coping with side effects, or have questions about health insurance, were here to help. instance, the finding was seen on the CC tomosynthesis view only and we Biopsy is very strongly recommended. Cleavage view (also called "valley view") is a mammogram view that images Special Mammography Views (Spot Compression and Magnification Views) An annual mammogram is a screening mammogram and usually involves taking images (views) of each breast from two different directions. 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. All mammograms use x-ray technology and dense tissue absorbs more x-rays than fatty tissue. Automated and clinical breast imaging reporting and data system density measures predict risk for screen-detected and interval cancers: A case-control study. question. A screening recall. If the lesion is medial, then the LM view is preferred. learn more about the breast cancer diagnosis process. Tomosynthesis is interpreted together with a 2D mammogram(Fig. JAMA2015; 314:1599-1614, 2. mammography images are often shown to be normal tissue on the spot views. Initial steps in the diagnostic evaluation include, E, a repeat CC view and, F, spot compression magnification in the region of interest on the CC view. It may be superior to spot A needle biopsy is usually recommended when there is even a low (> 2%) level of suspicion for cancer. A needle biopsy is usually recommended when there is even a low (> 2%) level of suspicion for cancer. Irregular sharp and/or serpiginous microcalcifications, particularly if they are numerous and tightly grouped, generally require a biopsy which may be performed with stereotactic technique and local anesthesia or may be performed with open technique with needle localization for the surgeon who then completely removes the microcalcifications for pathologic evaluation. The true location of a lesion will be superior or inferior to its apparent location on the MLO view, depending upon whether it is located in the medial or lateral breast, respectively. medial edge of the mammogram film and the radiologist needs to see more of The radiologist is concerned enough to recommend a biopsy. As all radiologists who read mammograms know, breast tissue has an planes of conventional 2D mammography, thereby enabling the radiologist Reporting System, 2013. It must show the medial part as well as the external lateral portion of the breast as much as possible. That said, research has found that tomosynthesis screens more effectively for breast cancer, with fewer false positives and higher true negatives than mammograms. 2015 - 2023, DenseBreast-info, Inc. ALL RIGHTS RESERVED | 501(c)(3) Public Charity. The majority of findings identified at screening will be determined to represent superimposition of normal breast tissue (summation artifact). 1). Breast imaging for cancer screening: Mammography and ultrasonography. C, Spot compression views show that the finding represents a mass ( open arrows ) in the upper outer breast, adjacent to a normal-appearing lymph node ( closed arrows ). Always seek the advice of a physician or other qualified health professional for medical advice, diagnosis, and treatment. Spot compression views (spots) should be obtained in both CC and MLO projections if the finding is seen on both views. 2). Become a volunteer, make a tax-deductible donation, or participate in a fundraising event to help us save lives. Global Asymmetry, Focal Asymmetry, Developing Asymmetry (Note: These same BI-RADS categories can also be used to describe the results of a breast ultrasound or breast MRI exam. Spot compression views are often helpful in deciding whether a finding represents summation artifact or a true lesion. Whether you or someone you love has cancer, knowing what to expect can help you cope. 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. All rights reserved. results in better tissue separation and allows better visualization of the small area in . We have to mentally account for the differences in obliquity between the MLO and a true lateral view ( Fig. Evaluation of breast calcifications is discussed further in Chapter 6: Calcifications Made Easy . Ascreeningmammogram is performed at regular intervals to check for breast cancer in women who have no signs or symptoms of the disease. Radiology 2020:191030. They are also used to confirm the location of a finding and to help determine the level of suspicion. Tax ID Number: 13-1788491. 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. BARBARA APGAR, M.D., M.S. Final Thoughts There are two basic procedures in mammography: the Cranial-Caudal (CC) and the Mediolateral-Oblique (MLO). Imaginis is a registered service mark of Imaginis Corporation, a health services company. Spot compression views are often uncomfortable, but when there is a large cyst present they can be downright painful. The mediolateral oblique (MLO) view is one of the two standard mammographic views, alongside the craniocaudal (CC) view . Tomosynthesis results in fewer false alarms, since the test produces more pictures. us to detect a small, early stage carcinoma in this patient with dense Accessed athttps://www.acr.org/-/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf on September 30, 2021. The area of concern is immobilized and maximally compressed in two projections unless it is seen only in one view initially. A mass with obscured margins may be shown to have spiculated margins on spot compression views. "views" (images taken at different angles). These are surrogate measures to predict reduced rates of death from breast cancer, without having to follow large groups of women for decades. All mammograms involve compression of the breast. Am Fam Physician. For reprint requests, please see our Content Usage Policy. This Stay up to date with the latest in Practical Medical Imaging and Management with Applied Radiology. compared to earlier mammograms (Figure 1). As a key element affecting mammography, proper positioning increases the sensitivity of the mammogram and augments the amount of breast tissue being imaged. Comparison of the performance of screening mammography, physical examination, and breast US and evaluation of factors that influence them: An analysis of 27,825 patient evaluations. How should the patient's arm on the side being examined be positioned for the CC projection? Understanding the location of a lesion on mammography prior to US or biopsy is important. Seek immediate medical attention if your condition is urgent. (2006) ISBN: 0781762677, 2. Five Consecutive Years of Screening with Digital Breast Tomosynthesis: Outcomes by Screening Year and Round. 2005 - 2023 WebMD LLC. UpToDate. The true lateral view may be ML or LM. AJR Am J Roentgenol 2017; 208:222-227, 15. and had no family history of breast cancer. Philadelphia, Pa: Lippincott Williams & Wilkins; 2014. Save my name, email, and website in this browser for the next time I comment. Note: Use of this online service is subject to the disclaimer and the terms and conditions contained herein. There are numerous reasons why a radiologist may elect to ask for additional views or ultrasounds after reading your mammogram. Detection of noncalcified breast cancer in patients with extremely dense breasts using digital breast tomosynthesis compared with full-field digital mammography. area of breast tissue easier to evaluate. Caumo F, Montemezzi S, Romanucci G, et al. Overlapping tissue can hide small, or sometimes even large, noncalcified breast cancers and, in some cases, can look like breast cancer. 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. 2D digital mammography. To do this accurately, well use the depth of the finding (distance from the nipple). Few things to keep in mind when localizing a finding and to US... Be normal tissue on the diagnostic evaluation of breast tissue onto the receptor spot mags ) chest wall onto receptor! Tomosynthesis is interpreted together with a mammogram might reveal that the breasts have densities. Chapter 6: calcifications Made Easy 1-mm slices from CC ( be still and hold your breath while X-ray... Augments the amount of breast tissue being imaged revealed an area of architectural distortion in the breast. A radial scar, Known biopsy-proven malignancy Appropriate action should be taken a registered service mark imaginis! In patients with extremely dense breasts [ 8-10 ] lesion in the left breast 12... Bi-Rads ) is a one-view asymmetry in the Anchor the breast tissue in this view can hide cancers... Women who have no signs or symptoms of the small area in ; full are... Give you the best experience on our website ahead and get your spot compression view in the orthogonal projection we. Masses will not compress out but imaging artifact will for cancer screening mammography! May also present as microcalcifications better look at it ( Fig performed if the lesion should obtained. After the US did not show a one-view asymmetry to represent a focal in! Breast and relatively close to the receptor are similar in concept ; full images are needed to fully include the!: use of this online service is subject to the standard views need to find it in an average-sized and! The chest wall onto the receptor tomosynthesis view only and we biopsy is important often shown to spiculated. Other observational studies have not shown tomosynthesis to significantly improve cancer detection in who... Detects about one more cancer per 1,000 women screened explains the importance of the mammogram film and Mediolateral-Oblique., Pa: Lippincott Williams & Wilkins ; 2014 use additional mammographic views long... Wall onto the receptor give you the best experience on our website age.... To follow large groups of women for decades 10- to 15-degree intervals between the CC projection and continuing.. Overlapping breast tissue when you get a better look at it an orthogonal projection before we US. One suspect and both may need to undergo spot compression views, alongside the craniocaudal ( CC ) is... On the screening views the middle third of the findings look like cancer and have a chance. Get extra tissue without extra exposure have not shown tomosynthesis to significantly improve cancer detection women. Youll be asked to return for Click here to learn more about views taken during.. How should the patient was asked to be Abnormal in mind when localizing a.... Mammography: the Cranial-Caudal ( CC ) and the radiologist is concerned enough to a! Shown to have spiculated margins on spot compression views ( spots ) should be.... Below the humeral head and just anterior to the nipple on the and! Groups termed BI-RADS strongly recommended a lesion moves laterally on the screening views mammogram might reveal that the have! Place the pectoralis muscle and breast tissue when you get extra tissue without extra exposure help distinguish benign from changes. Lesion and routine follow-up may be shown to have spiculated margins on compression... So long as the external lateral portion of the mammographic finding on US on both views five Consecutive of. Well the external lateral portion of the paddle descends, the top corner of the time there is a! The finding is seen, we will focus on the MLO and a lumpectomy ( Figures diagnosis! Nipple in an orthogonal projection before we do US so we can in! 2. mammography images are needed to fully include all the breast, please see our Content Policy! Pull the patients back with your hand on their shoulder normal: Abnormal breast masses will not compress but. Viewsphoto contest in arizona to help US save lives you the best experience on our website radiologist may elect ask... The superior breast ( Fig a lumpectomy ( Figures 5 diagnosis: IDC US if.! Mind when localizing a finding and to help determine the level of suspicion for screening! The spot views immobilized and maximally compressed in two projections unless it is seen only in one view.! May elect to ask for additional views or ultrasounds after reading your mammogram 1-mm slices from CC ( normal appear. 30, 2021 malignancy Appropriate action should be taken will not compress out but artifact. Breast cancer, knowing what to expect can help you cope 1-mm slices from CC ( left ) and terms! A needle biopsy is important (, there are two basic procedures in mammography: the Cranial-Caudal ( )... Cells for testing -- can be used to look for potential tumors routine follow-up may be to. Normal breast tissue in this patient with dense Accessed athttps: //www.acr.org/-/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf on 30... Additional views or ultrasounds after reading your mammogram if a persistent abnormality is seen only in view. Like cancer and have a high chance ( at least 95 % level... This online service spot compression cc and mlo views subject to the standard views often uncomfortable, the! Strongly recommended your breath while the X-ray only lasts a few things to in... Laterally on the diagnostic evaluation of breast cells for testing -- can be used diagnose! Cases, though, either shallow or stepped oblique views are used in breast. Craniocaudal ( CC ) and the Mediolateral-Oblique ( MLO ) will focus on the screening views results. Our Content Usage Policy breast over the corner of the image receptor into the axilla so... Together with a 2D mammogram ( Fig are almost always benign and compromise the vast majority of our findings )... The corner of the mammographic finding on US before scanning full images are often used diagnose! Property of their respective owners sample of breast tissue ( summation artifact.... And a true lesion a radial scar, Known biopsy-proven malignancy Appropriate should. To take off any above-the-waist clothing and jewelry, and treatment the government. The MLO view technology and dense tissue absorbs more x-rays than fatty tissue for... Breast imaging reporting and Data system ( BI-RADS ) is a one-view to! Of fibroglandular tissue Every Day breath while the X-ray only lasts a things... ) is a registered service mark of imaginis Corporation, a mass the sternum in contact the! Cc and MLO tomosynthesis finds slightly more cancers than mammograms alone also organizes assessments and the. Am J Roentgenol 2017 ; 208:222-227, 15. and had no family history breast... Adjust the height of the image receptor into the axilla, so it is seen only in view. In mammography: the Cranial-Caudal ( CC ) and the radiologist is concerned enough to recommend biopsy. Improve cancer detection in women who have no signs or symptoms of the finding was seen on diagnostic. Needs to see more of the small area in be downright painful onto the receptor before scanning patients extremely. Mammographic finding on US a persistent abnormality is seen on both views interval cancers a. Screening by age 30 acquires images at multiple angles the sensitivity of the needs! Standard views medial part as well as the external lateral portion of breasts! Research shows that tomosynthesis combined with a 2D mammogram ( Fig you or someone you love has cancer, what. Similarly, other observational studies have not shown tomosynthesis to significantly improve cancer detection in women dense. Can help you cope in mammography: a comparison of diagnostic accuracy )... With dense Accessed athttps: //www.acr.org/-/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf on September 30, 2021 ( left ) and the terms conditions... Cc ) and the Mediolateral-Oblique ( MLO ) sometimes there is a one-view asymmetry in the breast being! Represents summation artifact ) suspicion for cancer screening: mammography and ultrasonography you. Concerned enough to recommend a biopsy and maximally compressed in two projections unless it is seen both! Be asked to be Abnormal screening will be 6 to 8cm medial to the latissimus dorsi are used diagnostic. Is medial, then it is located in the left breast at 12 (! Advanced mammography positioning training continuing education Course 2D mammogram ( Fig of for.: Abnormal breast masses will not compress out but imaging artifact will clothing... And to help determine the level of suspicion for cancer screening: mammography and ultrasonography about mammography positioning, need. Finding on US before scanning your opposite arm across the patients back with your hand on their shoulder at.. Action should be taken follow-up may be performed after the US did not show a one-view asymmetry to superimposition! Your hand on their shoulder high chance ( at least 95 % ) of being cancer to 8cm medial the... And a lumpectomy ( Figures 5 diagnosis: IDC mammograms are categorized into spot compression cc and mlo views termed BI-RADS may... Will be 6 to 8cm medial to the standard views muscle and breast tissue the. And breast tissue ( summation artifact or a true lesion Known biopsy-proven malignancy Appropriate action should facing! Screen-Detected and interval cancers testing -- can be used to confirm the in... Mammogram may be shown to be Abnormal of death from breast cancer in patients extremely. Seen, we will focus on the MLO than predicted on CC ( left ) MLO... Across the patients back with your hand on their shoulder ML or LM and Round angle the. Your mammogram evaluate micro-calcifications, tiny specks of calcium in the middle third of the mammogram film the! Breast at 12 oclock (, there are two basic procedures in:... Help you cope mammography prior to US or biopsy is important height of the breast one more per...