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Reduced compression mammography to reduce breast pain
Koichi Chida1, Yuka Komatsu, Masahiro Sai
1Department of Radiological Technology, Faculty of Medicine, Tohoku University School of Health Sciences, Sendai, Japan. chida@mail.tains.tohoku.ac.jp
Clinical Imaging
|January 13, 2009
Summary
Reduced compression mammography is feasible for easing breast tenderness. Lowering compression force to 90 N maintains image quality, making mammograms more tolerable for sensitive patients.
Area of Science:
- Radiology
- Medical Imaging
- Breast Health
Background:
- Mammography is a crucial tool for breast cancer screening.
- Breast tenderness during mammography is a common patient complaint, often associated with standard compression forces (e.g., 120 N).
- Patient comfort is essential for adherence to screening protocols.
Purpose of the Study:
- To assess the feasibility of reduced compression mammography for alleviating breast tenderness.
- To determine if lower compression forces impact mammographic image quality and radiation dose.
- To evaluate patient tolerance of reduced compression forces.
Main Methods:
- A comparative study evaluating mammography with reduced compression force (approximately 90 N) versus standard compression force (approximately 120 N).
- Measurement of breast thickness, radiation dose, and assessment of image quality.
- Evaluation of patient-reported tolerance and pain levels.
Main Results:
- Women tolerated a compression force of approximately 90 N better than standard forces.
- Reducing compression to 90 N increased breast thickness by approximately 3 mm.
- Image quality remained identical to standard compression, despite a 20% increase in radiation dose.
Conclusions:
- Reduced compression mammography (90 N) is feasible and acceptable for patients experiencing breast tenderness.
- This approach offers improved patient comfort without compromising diagnostic image quality.
- Mammography with reduced compression may enhance patient compliance, particularly for those with sensitive breasts.
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