Evidence map›Paper›PMID 25504427›Full record

Trial reportEuropean radiology2015

Comparison of a flexible versus a rigid breast compression paddle: pain experience, projected breast area, radiation dose and technical image quality.

Mireille J M Broeders, Marloes Ten Voorde, Wouter J H Veldkamp, Ruben E van Engen, Cary van Landsveld-Verhoeven, Machteld N L 't Jong-Gunneman, Jos de Win, Kitty Droogh-de Greve, Ellen Paap, Gerard J den Heeten

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Mireille J M BroedersDutch Reference Centre for Screening, PO Box 6873, 6503 GJ, Nijmegen, The Netherlands, m.broeders@lrcb.nl.
Marloes Ten Voorde
Wouter J H Veldkamp
Ruben E van Engen
Cary van Landsveld-Verhoeven
Machteld N L 't Jong-Gunneman
Jos de Win
Kitty Droogh-de Greve
Ellen Paap
Gerard J den Heeten
Dutch Expert Centre for Screening · NLGelre Hospitals · NLAcademic Medical Center · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare pain, projected breast area, radiation dose and image quality between flexible (FP) and rigid (RP) breast compression paddles.

methodsThe study was conducted in a Dutch mammographic screening unit (288 women). To compare both paddles one additional image with RP was made, consisting of either a mediolateral-oblique (MLO) or craniocaudal-view (CC). Pain experience was scored using the Numeric Rating Scale (NRS). Projected breast area was estimated using computer software. Radiation dose was estimated using the model by Dance. Image quality was reviewed by three radiologists and three radiographers.

resultsThere was no difference in pain experience between both paddles (mean difference NRS: 0.08 ± 0.08, p = 0.32). Mean radiation dose was 4.5 % lower with FP (0.09 ± 0.01 p = 0.00). On MLO-images, the projected breast area was 0.79 % larger with FP. Paired evaluation of image quality indicated that FP removed fibroglandular tissue from the image area and reduced contrast in the clinically relevant retroglandular area at chest wall side.

conclusionsAlthough FP performed slightly better in the projected breast area, it moved breast tissue from the image area at chest wall side. RP showed better contrast, especially in the retroglandular area. We therefore recommend the use of RP for standard MLO and CC views.

Indexed as

AgedBreastBreast NeoplasmsFemaleHumansMammographyMiddle AgedObserver VariationPainRadiation DosageRadiologySoftware

Identifiers

PMID25504427
PMCPMC4328113
OpenAlexW2156243474

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.