SU-D-204-03: A Study On the Impact of Decreased Breast Compression During Mammography On Perceived Pain, Breast Thickness and Tissue Coverage

2015 ◽  
Vol 42 (6) ◽  
pp. 3217-3217
Author(s):  
G Agasthya ◽  
C D'Orsi ◽  
E D'Orsi ◽  
I Sechopoulos
Keyword(s):  
Breast Compression ◽  
Perceived Pain ◽  
The Impact ◽  
Breast Thickness

Distribution of pressure on the breast in mammography using flexible and rigid compression plates: implications on patient handling

2020 ◽  
pp. 028418512097692
Author(s):  
Magnus Dustler ◽  
Daniel Förnvik ◽  
Pontus Timberg ◽  
Sophia Zackrisson ◽  
Serge Muller
Keyword(s):  
Mammography Screening ◽  
Pressure Sensors ◽  
Applied Force ◽  
Flexible Plate ◽  
Thoracic Region ◽  
Patient Handling ◽  
Breast Compression ◽  
Compression Plate ◽  
Perceived Pain ◽  
Breast Thickness

Background Breast compression in mammography is important but is a source of discomfort and has been linked to screening non-attendance. Reducing compression has little effect on breast thickness, and likely little effect on image quality, due to force being absorbed in the stiff juxta thoracic area instead of in the central breast. Purpose To investigate whether a flexible compression plate can redistribute force to the central breast and whether this affects perceived pain. Material and Methods Twenty-eight women recalled from mammography screening were compressed with flexible and rigid plates while retaining force and positioning, 15 in the craniocaudal (CC) view and 13 in the mediolateral oblique (MLO) view. Pressure distribution was continuously measured using pressure sensors. Results The flexible plate showed greater mean breast pressure in both views: 2.8 versus 2.3 kPa for CC (confidence interval [CI] = 0.2–0.8) and 1.0 versus 0.5 kPa for MLO (CI = 0.2–0.6). The percentage of applied force distributed to the breast was significantly higher with the flexible plate, both on CC (36% vs. 22%, CI = 1–11) and MLO (30% vs. 14%, CI = 4–13). Conclusion The flexible plate redistributes pressure to the central breast, achieving a better compression, particularly in the MLO view, though much applied force is still applied to the juxta thoracic region.

The Impact of Intrauterine Lidocaine on Perceived Pain During Intrauterine Device Insertion [2S]

2019 ◽  
Vol 133 (1) ◽  
pp. 202S-202S
Author(s):  
Alison Grajkowski ◽  
Alicia Nicole Scribner ◽  
Carol Jasaitis ◽  
Daniel Szekely
Keyword(s):  
Intrauterine Device ◽  
Perceived Pain ◽  
The Impact

scholarly journals Impact of window views on recovery—an example of post-cesarean section women

2019 ◽  
Vol 31 (10) ◽  
pp. 798-803
Author(s):  
Chia-Hui Wang ◽  
Nai-Wen Kuo ◽  
Kathryn Anthony
Keyword(s):  
Cesarean Section ◽  
Urban Landscape ◽  
Brief Pain Inventory ◽  
Well Being ◽  
Taipei City ◽  
Perceived Pain ◽  
Tertiary Hospitals ◽  
Visual Impacts ◽  
Daylight Exposure ◽  
The Impact

Abstract Objective The objective of this study was to examine the impact of urban landscape from window views on quality of care for women who underwent Cesarean Section (C-section) in Taiwan. Design The participants were randomly assigned into 46 different hospital rooms to see the effects of various window views and daylight exposure on women’s recovery from post C-section care. Setting We carried out this study in the obstetrics departments of three tertiary hospitals located in two major cities of Taiwan: Taipei City and New Taipei City. Participants A total of 296 women who underwent C-sections and used patient-controlled analgesic (PCA) for pain control after their surgery during the 10-month data collection period were recruited for this study. Intervention The 46 different patient rooms provided diverse window views and different daylight exposure for the participants. Main Outcome Measures Recovery for the women who underwent C-sections in this study was defined as PCA usage and perceived pain measured by Brief Pain Inventory (BFI). Results Higher satisfaction of window view significantly decreased analgesic usage (P = 0.057), reduced the scores of overall perceived pain (P = 0.046), pain severity (P = 0.004), and ‘pain’s interference with relations with others, enjoyment of life, and mood (REM).’ (P = 0.095). Conclusions To maximize benefit and well-being of patients recovering from surgery, health care architects should design patient rooms to create maximum satisfaction with visual impacts and optimize window views. By doing so, it may decrease the use of pain medication and substantially reduce healthcare costs.

scholarly journals PB.10: Breast compression, compressed breast thickness and volumetric breast density

2013 ◽  
Vol 15 (S1) ◽  
Author(s):  
J Khan-Perez ◽  
C Mercer ◽  
M Bydder ◽  
J Sergeant ◽  
J Morris ◽  
...  
Keyword(s):  
Breast Density ◽  
Breast Compression ◽  
Breast Thickness

scholarly journals The Relationship Between Dysmenorrhoea and Student Learning Activities at High School 3 Palembang

2021 ◽  
Vol 1 (1) ◽  
pp. 34-43
Author(s):  
Ali Ar Ridha Molahella ◽  
Hartati
Keyword(s):  
Total Sample ◽  
Learning Activities ◽  
Cross Sectional ◽  
Exact Test ◽  
Study Activity ◽  
Perceived Pain ◽  
Cross Sectional Design ◽  
The Impact ◽  
The Relationship

Dysmenorrhea is a menstrual disorder often faced by adolescent girls. In some people with dysmenorrhoea, perceived pain  can interfere with daily physical activity giving the impact on quality of life and productivity of students in the school. This study aims to determine the relationship between dysmenorrhea and learning activities at SMA Negeri 3 Palembang. This study was an analytic observational study with cross sectional design conducted in November-Desember 2015. The population in this study were all students of SMA Negeri  3 Palembang. The samples were obtained by total sampling with total sample of 631 female student. Data were obtained through a questionnaire given to respondents. The results were analyzed by using Fisher's Exact Test. From this study, the prevalence of students who suffer from dysmenorrhea was 91.3%. Number of respondent with dysmenorrhea and disturbed study activity was 56.4%. Results of bivariat analysis showed a highly significant relationship between dysmenorrhea and study activity (p=0.000).

Effect of Compression Force and Target or Target/Filter Combination on Mean Glandular Dose for Japanese Women in Full-Field Digital Mammography System

2021 ◽  
Vol 11 (10) ◽  
pp. 2695-2700
Author(s):  
Mie Ishii ◽  
Mai Nakamura ◽  
Rie Ishii ◽  
Keiichi Shida ◽  
Toshikazu Hatada ◽  
...  
Keyword(s):  
Digital Mammography ◽  
Japanese Women ◽  
Compression Pressure ◽  
Full Field ◽  
Breast Compression ◽  
Mean Glandular Dose ◽  
Full Field Digital Mammography ◽  
The Mean ◽  
The Difference ◽  
Breast Thickness

We constructed a mammography database of 807 Japanese women and 2,772 images obtained using five commercial full-field digital mammography (FFDM) devices at four different facilities. Five types of mammography devices fabricated by four manufacturers were used: one with a Mo target (AMULET F), one with Mo and Rh targets (Senographe DS), one with Mo and W targets (AMULET), and two with a W target (MAMMOMAT Fusion and Selenia Dimensions). The purpose of this study was to focus on the mean glandular dose (MGD) in the database and analyze the difference in the MGD of Japanese women radiographed by mammographic devices with different targets or target/filter combinations. Furthermore, we clarify the difference between the displayed and measured MGDs for the three types of mammography devices. The average compression pressure and compression breast thickness of the Japanese women in the mammography in this study were 90.9±21.7 N and 43.3±12.9 mm, respectively. The breast compression pressure slightly varied depending on the facility or FFDM device, while the compression breast thickness decreased with the increase in the compression pressure for all FFDM devices. Differences in breast compression thickness existed depending on the mammography devices. The MGDs of the two types of mammography devices using the W target were smallest (1.335±0.358, 1.218±0.464 mGy). The displayed and measured MGDs of the three types of FFDM devices had a good correlation. However, the difference between the displayed and measured MGDs of the two devices increased with the MGD.

scholarly journals Pressure-based Compression Guidance of the Breast in Digital Breast Tomosynthesis Using Flexible Paddles Compared to Conventional Compression

2020 ◽  
Vol 2 (6) ◽  
pp. 541-551
Author(s):  
Monique G J T B van Lier ◽  
Jerry E de Groot ◽  
Serge Muller ◽  
Gerard J den Heeten ◽  
Kathy J Schilling
Keyword(s):  
Digital Breast Tomosynthesis ◽  
Control Device ◽  
Institutional Review Board ◽  
Target Range ◽  
Compression Pressure ◽  
Breast Tomosynthesis ◽  
Breast Compression ◽  
Institutional Review Board Approval ◽  
Institutional Review ◽  
Breast Thickness

Abstract Objective We investigated the effect of introducing a pressure-based flexible paddle on compression parameters and user and patient experience of digital breast tomosynthesis (DBT) combined with patient-assisted compression or technologist compression. Methods After institutional review board approval, women with a DBT appointment who gave informed consent received pressure-based flexible paddle breast compression. Eight lights on the paddle were illuminated (1.9 kPa per light) as pressure was applied, aiming for an 8–13.9 kPa target range. The compression level was applied by the technologist or the participant utilizing a remote control device. The participant’s and technologist’s experiences were assessed by a questionnaire. Compression parameters were compared to previous examinations. Comparative statistics were performed using t-tests. Results Pressure-based compression (PBC) was judged to be similar or more comfortable compared with previous traditional exams (80%, 83/103), and 87% (90/103) of participants would recommend PBC to friends. Pressure variability decreased for craniocaudal (CC) views (-55%, P < 0.001) and mediolateral oblique (MLO) views (-34%, P < 0.0001). Subgroup analysis showed a similar glandular dose for CC views, while breast thickness was reduced (-3.74 mm, P < 0.0001). For MLO views, both glandular dose (-0.13 mGy, P < 0.0001) and breast thickness were reduced (-6.70 mm, P < 0.0001). Mean compression parameters were similar for technologist compression and patient-assisted examinations. Conclusion Use of the pressure-based flexible paddle in DBT, with or without patient-assisted compression, improved participant and technologist experience and reduced compression pressure variability, mean breast thickness, and glandular dose.

scholarly journals Improving the Pediatric Procedural Experience: An Analysis of Pain, Anxiety, and Satisfaction

2019 ◽  
Vol 7 (2) ◽  
pp. 232-237
Author(s):  
Caitlin E Crumm ◽  
Elizabeth A Camp ◽  
Maha Khalil ◽  
Corrie E Chumpitazi
Keyword(s):  
Wound Repair ◽  
Prospective Observational Study ◽  
Age Groups ◽  
Age Group ◽  
P Values ◽  
Pain Anxiety ◽  
Patient Reports ◽  
Line Placement ◽  
Perceived Pain ◽  
The Impact

Objective: The purpose of this investigation was to compare self-reported and perceived pain and anxiety among patients, caregivers, and providers before, during, and after common emergency department (ED) procedures while evaluating the impact of commonly used adjuncts on overall satisfaction. Methods: A prospective observational study of children undergoing painful procedures in an ED was conducted from January 2015 to March 2017. Before, during, and after the procedure, patients older than 3 years of age rated their pain and anxiety. At the same time points, the provider and caregiver rated their impression of the patient’s pain, and the caregiver also rated the patient’s anxiety. After the procedure, satisfaction was elicited from the caregiver and the provider. Results: A total of 257 children were enrolled: 150 for intravenous line placement, 53 for wound repair, and 44 for a variety of other procedures. Caregivers rated pain higher than providers before, during, and after the procedure ( P values <0.001, <0.001, and 0.003, respectively). Caregivers rated anxiety higher than patients before, during and after the procedure ( P values <0.001, 0.03, and 0.002, respectively). Providers were less satisfied with the 1- to 2-year age-group compared to the 8+ years age groups ( P values 0.01 and 0.002). Conclusions: Caregiver perception of pain and anxiety of the patient exceeds provider and sometimes patient reports. The youngest children present a challenge for caregivers and providers and have lower satisfaction compared to older groups.

Breast compression parameters among women screened with standard digital mammography and digital breast tomosynthesis in a randomized controlled trial

2019 ◽  
Vol 61 (3) ◽  
pp. 321-330 ◽  
Author(s):  
Gunvor Gipling Waade ◽  
Åsne Holen ◽  
Sofie Sebuødegård ◽  
Hildegunn Aase ◽  
Kristin Pedersen ◽  
...  
Keyword(s):  
Digital Mammography ◽  
Controlled Trial ◽  
Digital Breast Tomosynthesis ◽  
Compression Pressure ◽  
Breast Tomosynthesis ◽  
Breast Compression ◽  
Randomized Controlled ◽  
Mean Glandular Dose ◽  
Evidence Based Guidelines ◽  
Breast Thickness

Background No evidence-based guidelines regarding optimal breast compression in mammography exist, neither for standard digital mammography nor for digital breast tomosynthesis. Purpose To compare breast compression parameters and mean glandular dose in a randomized controlled trial with digital mammography versus digital breast tomosynthesis. Material and Methods We used information from 21,729 women aged 50–69 years, who participated in the To-Be trial, as part of BreastScreen Norway, 2016–2017. Information was obtained from the DICOM header and by assessing the images in an automated software for density estimation (VolparaDensity). Using linear regression, we investigated the effect of screening technique on breast compression parameters; compression force (N), compression pressure (kPa), and compressed breast thickness (mm), and mean glandular dose (mGy), by view (craniocaudal [CC] and mediolateral oblique [MLO]). We adjusted for age, breast volume and fibroglandular volume. Results A total of 11,056 (50.9%) women were screened with digital mammography and 10,673 (49.1%) with digital breast tomosynthesis. Adjusted regression analysis showed that women undergoing digital mammography received higher compression forces than women undergoing digital breast tomosynthesis (CC: –4.7 N; MLO: –1.1 N, P < 0.001 for both), higher compression pressure (CC: –1.0 k Pa; MLO: –0.1 kPa, P < 0.001 for both), and higher values of compressed breast thickness in the MLO view (–0.3 mm, P = 0.02). The women undergoing digital mammography received a lower mean glandular dose than women undergoing digital breast tomosynthesis ([+]0.06 mGy, P < 0.001). Conclusion Women undergoing digital breast tomosynthesis received lower compression force, compression pressure, and compressed breast thickness in MLO view, compared to women undergoing digital mammography. Further studies should investigate the impact of breast compression on image quality, screening outcome, and radiation dose for digital mammography and digital breast tomosynthesis in order to establish evidence-based guidelines for breast compression.

Sign in / Sign up

Export Citation Format

Share Document