Die Röntgenmammografie stellt ein wichtiges Untersuchungsverfahren im
Rahmen der Früherkennung von Brustkrebs bei asymptomatischen Frauen, in
der Abklärung auf Brustkrebs verdächtiger Befunde und im
Follow-up nach der Behandlung des Mammakarzinoms dar. In diesem Beitrag werden
die wichtigsten einstelltechnischen Fehler dargestellt und Lösungen zur
Verhinderung entsprechender Mängel beschrieben.
Abstract
Mammography is an important diagnostic tool in the early detection of breast
cancer in asymptomatic women, in assessment of suspicious clinical or ultrasound
findings, and in follow-up of patients with treated breast cancer. In this
context, the MLO (medio-lateral-oblique) and CC (cranio-caudal) views are the
so-called standard projections, while all other views are additional
examinations. Quality assurance of mammography was first defined by the British
National Health System Breast Screening Programme in the so-called PGMI
classification. This categorization was assumed from the German Government
Health Care system in a modified form (class 1–3). In this publication
the most relevant mistakes in mammographic positioning are described and tips
and tricks are presented to avoid them.
Schlüsselwörter
Mammografie - Einstelltechnik - PGMI - Fehlererkennung - Fehlervermeidung
Key word
Mammography - positioning - PGMI - detection of mistakes - avoidance of mistakes