Specialized mammographic technique
Spot compression
Spot compression images are valuable when improved compression
is desired over a small area and overlapping structures need to be
separated. Since scattered radiation is reduced with this technique,
it is possible to obtain high contrast and detailed images.
Set the tube at the angle desired. Choose the correct marker.
1
Mount the spot plate and corresponding aperture. Sometimes the
spot view can be obtained without an external aperture, or with
a larger aperture (axilla) if you want to visualize the surrounding
area.
Measure accurately (use a ruler) on the X-ray image where the
2
lesion is to be found. Measure from the nipple straight in and then
at right angles to the area of interest. Transfer the measurement
to the breast and make a small crossmark.
Inform the patient that it may feel more unpleasant with the
3
spot plate. Compress thoroughly and ensure that the cross lands
right under the plate. Make sure that no folds in the skin are formed.
Tell the patient to stand absolutely still and leave her to make
4
the exposure.
Note: Opcomp shall be neglected when spot-compression plates
are used.
SPECIALIZED MAMMOGRAPHIC TECHNIQUES
25