Effects of reduced compression in digital breast tomosynthesis on pain, anxiety, and image quality

Siti Aishah Abdullah Suhaimi, Afifah Mohamed, Mahadir Ahmad, Kanaga Kumari Chelliah

Research output: Contribution to journalArticle

1 Citation (Scopus)

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.

Original languageEnglish
Pages (from-to)40-46
Number of pages7
JournalMalaysian Journal of Medical Sciences
Volume22
Issue number6
Publication statusPublished - 1 Nov 2015

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Mammography
Anxiety
Pain
Breast
Information Systems
Data Compression
Breast Neoplasms
Early Detection of Cancer
Radiologists

Keywords

  • Anxiety
  • Breast
  • Compression
  • Pain
  • Reduction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effects of reduced compression in digital breast tomosynthesis on pain, anxiety, and image quality. / Abdullah Suhaimi, Siti Aishah; Mohamed, Afifah; Ahmad, Mahadir; Chelliah, Kanaga Kumari.

In: Malaysian Journal of Medical Sciences, Vol. 22, No. 6, 01.11.2015, p. 40-46.

Research output: Contribution to journalArticle

Abdullah Suhaimi, Siti Aishah ; Mohamed, Afifah ; Ahmad, Mahadir ; Chelliah, Kanaga Kumari. / Effects of reduced compression in digital breast tomosynthesis on pain, anxiety, and image quality. In: Malaysian Journal of Medical Sciences. 2015 ; Vol. 22, No. 6. pp. 40-46.
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