Siti Aishah Abdullah Suhaimi1, Afifah Mohamed1, Mahadir Ahmad2, Kanaga Kumari Chelliah1. 1. Diagnostic Imaging and Radiotherapy Programme, Health Sciences Faculty, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia. 2. Health Psychology Programme, Health Sciences Faculty, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Abstract
BACKGROUND: Most women are reluctant to undergo breast cancer screenings due to the pain and anxiety they experience. Sectional three-dimensional (3-D) breasttomosynthesis was introduced to improve cancer detection, but breast compression is still used for the acquisition of images. This study was conducted to investigate the effects of reduced compression force on pain, anxiety and image quality in digital breast tomosynthesis (DBT). METHODS: A total of 130 women underwent screening mammography using convenience sampling with standard and reduced compression force at the breast clinic. A validated questionnaire of 20 items on the state anxiety level and a 4-point verbal rating scale on the pain level were conducted after the mammography. Craniocaudal (CC) and mediolateral oblique (MLO) projections were performed with standard compression, but only the CC view was performed with reduced compression. Two independent radiologists evaluated the images using image criteria scores (ICS) and the Breast Imaging-Reporting and Data System (BI-RADS). RESULTS: Standard compression exhibited significantly increased scores for pain and anxiety levels compared with reduced compression (P < 0.001). Both radiologists scored the standard and reduced compression images as equal, with scores of 87.5% and 92.5% for ICS and BI-RADS scoring, respectively. CONCLUSIONS: Reduced compression force in DBT reduces anxiety and pain levels without compromising image quality.
BACKGROUND: Most women are reluctant to undergo breast cancer screenings due to the pain and anxiety they experience. Sectional three-dimensional (3-D) breasttomosynthesis was introduced to improve cancer detection, but breast compression is still used for the acquisition of images. This study was conducted to investigate the effects of reduced compression force on pain, anxiety and image quality in digital breast tomosynthesis (DBT). METHODS: A total of 130 women underwent screening mammography using convenience sampling with standard and reduced compression force at the breast clinic. A validated questionnaire of 20 items on the state anxiety level and a 4-point verbal rating scale on the pain level were conducted after the mammography. Craniocaudal (CC) and mediolateral oblique (MLO) projections were performed with standard compression, but only the CC view was performed with reduced compression. Two independent radiologists evaluated the images using image criteria scores (ICS) and the Breast Imaging-Reporting and Data System (BI-RADS). RESULTS: Standard compression exhibited significantly increased scores for pain and anxiety levels compared with reduced compression (P < 0.001). Both radiologists scored the standard and reduced compression images as equal, with scores of 87.5% and 92.5% for ICS and BI-RADS scoring, respectively. CONCLUSIONS: Reduced compression force in DBT reduces anxiety and pain levels without compromising image quality.
Authors: M E Keemers-Gels; R P Groenendijk; J H van den Heuvel; C Boetes; P G Peer; T H Wobbes Journal: Breast Cancer Res Treat Date: 2000-04 Impact factor: 4.872
Authors: Penny C Sharp; Robert Michielutte; Rita Freimanis; Louise Cunningham; John Spangler; Virginia Burnette Journal: Arch Intern Med Date: 2003-04-14
Authors: Sarina Wan; Benedicta D Arhatari; Yakov I Nesterets; Sheridan C Mayo; Darren Thompson; Jane Fox; Beena Kumar; Zdenka Prodanovic; Daniel Hausermann; Anton Maksimenko; Christopher Hall; Matthew Dimmock; Konstantin M Pavlov; Darren Lockie; Mary Rickard; Ziba Gadomkar; Alaleh Aminzadeh; Elham Vafa; Andrew Peele; Harry M Quiney; Sarah Lewis; Timur E Gureyev; Patrick C Brennan; Seyedamir Tavakoli Taba Journal: J Med Imaging (Bellingham) Date: 2021-07-12