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The Association of Mammography Environment and Image Quality
Shakira Sarquis-Kolber1, Kathy Schilling1, William J Hanney2
1Boca Raton Regional Hospital, Lynn Women's Health & Wellness Institute, Boca Raton, FL.
Journal of Breast Imaging
|March 1, 2024
Summary
Performing mammograms in an upgraded, multi-sensory room (UR) improves image quality, specifically posterior nipple line (PNL) measurements, compared to standard rooms (SR), without increasing patient compression force.
Area of Science:
- Radiology
- Medical Imaging
- Environmental Psychology
Background:
- Mammography is a crucial tool for breast cancer screening.
- Image quality directly impacts diagnostic accuracy.
- Environmental factors in imaging suites are increasingly recognized for their potential influence on patient experience and outcomes.
Purpose of the Study:
- To evaluate if a multi-sensory environmental upgraded room (UR) enhances mammogram image quality compared to a standard room (SR).
- To assess the impact of the upgraded room on posterior nipple line (PNL) measurements and compression force.
Main Methods:
- Retrospective analysis of 303 women undergoing screening mammography over two years (one year in SR, one in UR).
- Comparison of compression force and posterior nipple line (PNL) measurements from craniocaudal (CC) and mediolateral oblique (MLO) views.
- Paired t-test and Bland-Altman plots were used for statistical analysis.
Main Results:
- Image quality, indicated by PNL measurement distance, was significantly greater in the upgraded room (P < 0.001).
- Mean PNL measurements were 5.0–6.2 mm greater in the UR.
- Compression forces remained similar between the standard and upgraded rooms (P ≥ 0.14).
Conclusions:
- Environmental modifications in mammography rooms can improve image quality, specifically PNL measurements.
- These improvements can be achieved without increasing patient compression force.
- This suggests potential benefits of sensory-enhanced environments for mammography procedures.
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