RadteraDiagnostic Mammography
MammoNo contrastBreast
Indications
- Evaluation of a screening abnormality (BI-RADS 0 recall)
- Palpable lump, focal pain, nipple discharge, skin/nipple changes
- Short-interval follow-up of probably benign (BI-RADS 3) findings
- Evaluation of treated breast cancer / post-surgical or post-radiation change
Patient prep
- No deodorant/powder/lotion
- Place radiopaque skin marker over palpable lump, scar, mole, or nipple as indicated
- Obtain priors and the prompting screening study
- Real-time radiologist supervision so additional views can be tailored
Contrast
None / non-contrast
Technique
- Tailored problem-solving exam directed by the radiologist
- Begins with standard CC/MLO (often DBT), then targeted supplemental views
- Common added views: spot compression, spot-magnification, true lateral (ML/LM), XCCL, rolled CC, cleavage, tangential
- Often combined with targeted ultrasound for masses, asymmetries, or palpable findings
Series / Sequences
| # | Series / Sequence | Plane | Notes |
|---|---|---|---|
| 1 | Standard CC/MLO | Craniocaudal / MLO | Baseline of affected breast (often bilateral) |
| 2 | Spot compression +/- magnification | As needed | Characterize a focal mass, asymmetry, or calcifications |
| 3 | True lateral (ML or LM) | 90-degree lateral | Triangulation, milk-of-calcium layering, lesion localization |
| 4 | Additional projections | Variable | XCCL, rolled, cleavage, tangential per problem |
Key points
- Goal is a definitive BI-RADS 1-5 (avoid leaving as 0)
- BI-RADS 3 (probably benign, <2% malignancy) typically managed with 6-month short-interval follow-up
- Add targeted US for masses and to evaluate palpable abnormalities, especially in dense tissue
- Triangulate one-view findings with ML/LM and rolled views before recommending biopsy
References
• ACR Practice Parameter for the Performance of Screening and Diagnostic Mammography
• ACR BI-RADS Atlas, 5th ed.
• Radiopaedia: Diagnostic mammography / mammographic views ( link
• ACR BI-RADS Atlas, 5th ed.
• Radiopaedia: Diagnostic mammography / mammographic views ( link
Source: Researched — verify against your institution
Reference template — verify and adapt to your scanner, vendor and institution before clinical use. Not a substitute for clinical judgment.