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February 24, 1993

Mammography After Augmentation Mammoplasty-Reply

JAMA. 1993;269(8):988. doi:10.1001/jama.1993.03500080035019

In Reply.  —Dr Leibman correctly points out that displacement (Eklund) mammography images anterior breast tissue better, while compression mammography may image posterior and lateral areas better. While our measurement studies indicated that only slightly more (about 5%) of the breast is visualized with the displacement technique, it is probable that the regions visualized with the two techniques do not completely coincide. Both techniques may be necessary to maximally visualize the augmented breast, but of course this exposes patients to double the radiation dose. The decision about whether both techniques are necessary in screening the augmented breast is best left to the mammographer supervising the examination.Dr Leibman comments on the fact that the mammograms in Fig 2 "are of poor technical quality because of underpenetrated technique." Actually, this appearance is an artifact of photo reproduction; images appearing in print are fourth generation, and as such have lost a great deal