IMPAX 6.5.1 Client Knowledge Base: Extended > Reading studies > Interpreting breast images > Configuring breast imaging workflow
IMPAX automatically displays mammography studies in the configured Comparative Review Mode:
If the modality type equals MG
If the body part equals BREAST
If a Comparative Review Mode is configured
If an image is present that matches the Comparative Review Mode view
One CC or MLO image must be present for a Current Only or Prior Only view to be enabled. One current and one prior CC or MLO image must be present for a Current/Prior Compare view to be enabled.
The radiologist can then step through the rest of the modes in a comparative review sequence or select a specific mode from the sequence. These modes are designed for optimal reviewing of breast images. Determine how the radiologists who screen mammography studies want studies displayed, and in what order, then create a comparative review sequence that best meets these needs.
You can define two Comparative Review Mode sequences (Screening and Diagnostic) and switch between the sequences depending on which type of study you are reading.
To configure review sequences for breast images
If setting preferences for other users, impersonate the user or role.
From the Image area top toolbar, right-click Comparative Review Sequence. ![]()
From the CRM Review Sequence list, select the review sequence you want to define.
Screening—provides a Comparative Review Mode sequence for screening purposes.
Diagnostic—provides a Comparative Review Mode sequence for diagnostic purposes.

Press F12 or, from the Image area top toolbar, click Customize. ![]()
In the Customize dialog, switch to the Comparative Review tab.
Switch to the Review Modes tab.
The current comparative review sequence is displayed
to the left of the Customize dialog. If a sequence is not defined,
only a very small black box appears into which you can drag the modes. ![]()
Arrange the sequence with the required Comparative Review Modes, in the required order.
To add a mode to the sequence, drag a Comparative Review Mode button from the dialog onto the box. To remove a mode from the sequence, drag its button out of the box. You can include up to 20 modes in the menu. To reorder the modes, drag the buttons to a new position in the box.
To add a mode to the sequence, drag a Comparative Review Mode button from the dialog onto the box.
To remove a mode from the sequence, drag its button off the box. You can include up to 20 modes in the menu.
To reorder the modes, drag the buttons to a new position in the box.
Click Apply.
To help the radiologists quickly move through the mammography studies, apply the comparative review navigation to a keyboard shortcut. Switch to the Keyboard tab and assign a keyboard shortcut to each Comparative Review Mode in the sequence, as well as to the Next Comparative Review Mode and Previous Comparative Review Mode tools.
To save the changes and close the Customize dialog, click OK.
Repeat steps 1 to 10 to configure the other Comparative Review Mode sequence, if required for the second type of study (screening or diagnostic).
See also
Comparative Review Mode options
Selecting a specific Comparative Review Mode
Troubleshooting: No comparative review palette appears when customizing sequence
Topic number: 8582 Applies to: IMPAX 6.5.1 Client Knowledge Base |