IMPAX 6.5.1 Client Knowledge Base: Extended > Reading studies > Interpreting breast images > Breast imaging: Concepts

Comparative Review Modes: Clinical applications

Comparative Review Modes automate the application of screen formats, study view modes, and hanging protocols to the craniocaudal (CC), mediolateral oblique (MLO), latero-medial (LM), medio-lateral (ML), and cranio-caudal exaggerated laterally (XCCL) images from current and prior studies. Current and prior studies are identified by their timestamps. The most recent study is identified by having the most current acquisition time. All older studies are considered as prior studies.

IMPAX automatically displays mammography studies in the configured Comparative Review Mode:

You can step through the sequence of comparative review modes or select a specific mode from the sequence. Each mode is represented by a button such as Standard Compare MLO. The table below explains how to interpret the buttons.

Element of Comparative Review Mode Meaning Options
Craniocaudal image Left craniocaudal Mammography View

L = left craniocaudal

R = right craniocaudal

Mediolateral oblique image Mediolateral oblique Mammography View

L = left mediolateral oblique

R = right mediolateral oblique

Image line color Current or prior study

Left cc light gray = current

Right prior cc dark gray = prior

Left and right rectangles Standard Compare MLO The monitor the Mammography View is displayed on

Left rectangle = first monitor

Right rectangle = second monitor

Tooltip

Name of the Comparative Review Mode Mammography View

Each Mammography View has a different tooltip. Abbreviation key:

L = left

R = right

CC = craniocaudal

MLO = mediolateral oblique

LM = latero-medial

ML = medio lateral

XCCL = cranio-caudal exaggerated laterally

Comparative Review Mode options

Example

The following examples show the effect of using various Comparative Review Modes when the Image area is displayed on two monitors.

Mode selected Display Applied formatting
Standard Compare CCCompare CC

Right on Left

Monitor 1: current RCC, LCC; Monitor 2: Prior RCC, LCC

Study view mode: Span two monitors Spans two monitors

Screen format Select screen format: Study:1x1, Series:1x2, Image:1x1

Compare CC

Left on Left

Study view mode: Span two monitors

Screen format: Study:1x1, Series:1x2, Image:1x1

Standard Compare MLOCompare MLO Monitor 1: Current RMLO, LMLO; Monitor 2: Prior RMLO, LMLO

Study view mode: Span two monitors

Screen format: Study:1x1, Series:1x2, Image:1x1

IMPAX Standard MLO/CCCompare MLO/CC Monitor 1: Current RMLO, LMLO, RCC, LCC; Monitor 2: Prior RMLO, LMLO, RCC, LCC

Study view mode: Span two monitors

Screen format: Study:1x1, Series:2x2, Image:1x1

The orientation of the Mammography View selected for display is determined by the Left and Right Breast Comparison and Same View settings in the Comparative Review tab of the Customize dialog. This setting determines if the right breast or the left breast is presented on the left sides of the displays and whether or not compare views are chest wall aligned or presented with the nipples pointing in the same direction.


Topic number: 8804

Applies to: IMPAX 6.5.1 Client Knowledge Base