Abstract
Some breast abnormalities are located in the extreme medial or lateral aspects of the breast. The techniques described in the Practical Mammography chapter for the standard craniocaudal (CC) and mediolateral-oblique (MLO) projections do not image all the breast tissue in its entirety since these extreme aspects are usually not routinely included. In such cases supplementary projections are necessary to ensure significant abnormalities are not overlooked or misinterpreted in any assessment process. Examples include clinical presentation of a mass within which is not seen on the standard projections or a partially demonstrated perceived abnormality in an asymptomatic woman seen on one standard projection, but not seen on the corresponding projection [1]. Furthermore a factitious appearance may be created by overlapping breast tissue, simulating the appearance of a mass or architectural distortion [2]. Occasionally a perceived mammographic abnormality lies within the superficial skin layers or on the skin surface and projections utilising correlative radiopaque skin markers are required for confirmation of their location.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Feig S. The importance of supplementary mammographic views to diagnostic accuracy. Am J Roentgenol. 1988;151(1):40–1. doi:10.2214/ajr.151.1.31.
Barbarkoff D, Gatewood MD, Brem RF. Supplemental views for equivocal mammographic findings: a pictorial essay. Breast J. 2000;6(1):34–43.
Sickles EA. Practical solutions to common mammographic problems: tailoring the examination. Am J Roentgenol. 1988;151(1):31–9. doi:10.2214/ajr.151.1.31.
Alimoglu E, Ceken K, Kabaalioglu A, Cassano E, Sindel T. An effective way to solve equivocal mammography findings: the rolled views. Breast Care (Basel). 2010;5(4):241–5. doi:10.1159/000313904.
Bibliography and Further Reading
Caseldine J, Blamey R, Roebuck E, Elston C. Breast disease for radiographers. London: Wright; 1988.
Hashimoto B. Practical digital mammography. New York: Thieme; 2008.
Lee L, Strickland V, Wilson R, Evans A. Fundamentals of mammography. 2nd ed. London: Churchill Livingstone; 2003.
Pisano ED, Yaffe MJ, Kuzmiak CM. Digital mammography. Philadelphia: Lippincott Williams & Wilkins; 2004.
Shaw De Paredes E. Atlas of mammography. Philadelphia: Lippincott Williams & Wilkins; 2007. ISBN 0781741424, 9780781741422.
Tucker A, Ng YY. Textbook of mammography. 2nd ed. London: Churchill Livingstone; 2001.
Whitman GJ, Haygood TM, editors. Digital mammography. A practical approach. Cambridge: Cambridge University Press; 2012.
Acknowledgements
The author is most grateful to the professional photographer Gill Brett for her photographic skills and Claire Mercer and her team from the Nightingale Centre, University Hospital of South Manchester for directing and arranging the production of the photographs in this chapter.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kelly, J. (2015). Supplementary Mammographic Projections. In: Hogg, P., Kelly, J., Mercer, C. (eds) Digital Mammography. Springer, Cham. https://doi.org/10.1007/978-3-319-04831-4_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-04831-4_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-04830-7
Online ISBN: 978-3-319-04831-4
eBook Packages: MedicineMedicine (R0)