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Radiology, Vol 186, 99-102, Copyright © 1993 by Radiological Society of North America

ARTICLES

Impact of patient-controlled compression on the mammography experience

PJ Kornguth, BK Rimer, MR Conaway, DC Sullivan, KE Catoe, AL Stout and JS Brackett
Department of Radiology, Duke University Medical Center, Durham, NC 27710.

The authors tested the hypothesis that giving women control over the compression portion of the mammography examination results in a less painful experience, greater overall patient satisfaction, and a radiographic image as good as that produced by means of technologist- controlled compression. One hundred nine women undergoing screening mammography at a hospital-based outpatient clinic were studied. Each underwent two-view, screen-film mammography performed in routine fashion except that, by random assignment, one breast was compressed by the technologist and the other breast, by the patient. Patient- controlled compression was significantly (P = .003) less painful than technologist-controlled compression. Overall patient satisfaction (96% [105 of 109]) and willingness to repeat the experience were extremely high. The majority of images (93.5% [202 of 216]) were rated as having good to excellent compression. With minimal patient education, self- compression resulted in an image at least as good as that produced with technologist-applied compression. Further study of this technique is warranted.




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