The primary focus of every TruPGMI image evaluation (of both standard views) is to assess whether all breast tissue is imaged. As a rule, irrespective of the view, all breast tissue must be imaged, inferring that fat tissue should be visualized posterior to glandular tissue. Obviously, the same rules cannot apply precisely to partial views, magnified views, and views with special view modifiers.
The TruPGMI method first identifies positioning deficiencies and then categorizes each image as Perfect ( P ), Good ( G ), Moderate ( M ), or Inadequate ( I ), resulting in an overall assessment of its quality from a positioning perspective.
This automated approach is built on established best practices from around the world (including the UK PGMI standard) and helps breast imaging centers consistently achieve high mammographic image quality. It also supports objective technologist training and simplifies preparation for external quality audits such as the U.S. Food and Drug Administration’s (FDA) Enhancing Quality Using the Inspection Program (EQUIP) initiative.
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