please evaluate them using PGMI guideline and answer them as inthe table below
(PGMI is a methodical assessment of quality of mammogram images;in which it is an acronym where P stands for a perfectmammogram, G is for a good mammogram, M is for a moderate mammogramand I is for an inadequate mammogram)
NO.
R
CC
VIEWS
L
MLO
OVERALL
RATING
L CC
R MLO
1
2
3
4
5
- The Image Below Are Mammography Images Please Evaluate Them Using Pgmi Guideline And Answer Them As In The Table Below 1 (203.84 KiB) Viewed 46 times
- The Image Below Are Mammography Images Please Evaluate Them Using Pgmi Guideline And Answer Them As In The Table Below 2 (195.17 KiB) Viewed 46 times
guidlines
- The Image Below Are Mammography Images Please Evaluate Them Using Pgmi Guideline And Answer Them As In The Table Below 3 (73.75 KiB) Viewed 46 times
1 R-MLO L-MLO C L-CC
2 R-MLO L-MLO C
3 R-MLO L-MLO
B) CLASSIFICATION OF IMAGES (MEDIO-LATERAL OBLIQUE VIEW) Category P (Perfect) G (Good) M (Moderate) I (Inadequate) Criteria Both images meet all listed criteria • All breast tissue imaged Pectoral muscle well demonstrated . • Nipple in profile • Infra-mammary fold well demonstrated • Both images meet all criteria listed from 2 to 6 as above. • A minor degree of variation in items 7 to 9 as listed above will be accepted. • Most breast tissue imaged Pectoral muscle not to nipple level but posterior breast tissue adequately shown Nipple not in profile but clearly distinguishable from retro-areolar tissue (however the nipple should be well demonstrated in CC view). Infra-mammary fold not clearly demonstrated but breast tissue adequately shown Correct film identification Correct exposure Adequate compression • Absence of movement Correct processing • Artefacts which do not obscure the image • Skin folds which do not obscure the breast tissue Asymmetrical images Part of the breast not imaged Incomplete or incorrect identification Incorrect or inadequate exposure • Inadequate compression which hinders diagnosis • Blurred image • Incorrect processing Overlying artifacts Skin folds which obscure the image
A) CLASSIFICATION OF IMAGES (CRANIO-CAUDAL VIEW) Category P (Perfect) G (Good) M(Moderate) I (Inadequate) Criteria Both images meet all listed criteria • All postero-medial tissue visualized (axillary portion of breast not to be included at expense of medial portion) • Nipple in profile • Nipple in midline of imaged breast • Both images meet all criteria listed from 2 to 6 as listed above. • A minor degree of variation in items 7 to 9 as listed above will be accepted. Most breast tissue imaged (however all breast tissue must be imaged on MLO view) Nipple not in profile but clearly distinguishable from surrounding breast tissue (however nipple must be in profile on MLO view) • Nipple not in midline of the imaged breast • Correct film/image identification Correct exposure • Adequate compression • Absence of movement • Correct processing • Artefacts which do not obscure the image • Skin folds which do not obscure the breast tissue . • Asymmetrical images Significant part of the breast tissue not imaged • Incomplete or incorrect identification • Incorrect exposure • Inadequate compression which hinders diagnosis • Blurred image • Incorrect processing Overlying artifacts Skin folds which obscure the image .
Form : LAMPIRAN 8 The acceptable quality standards are as follow: i. Images with P, G, M categories shall be > 97% x 100% Total number of cases in P,G and M categories Total number of randomly selected 50 mammogram cases x 4 ii. Images with P and G categories shall be > 50% (75% desirable) Total number of cases in P, and G categories Total number of randomly selected 50 mammogram cases x 4 x 100% iii. Images with I (Inadequate) category shall be < 3% Total number of cases in I categories Total number of randomly selected 50 mammogram cases x 4 Lampiran 8 Form: PGMI Classification Form For Mammography x 100%