What should be the approach when applying the last degree of compression during a mammogram?

The correct approach when applying the last degree of compression during a mammogram is to do so as gently as possible. This practice is essential for several reasons.

First, gentle compression helps to minimize discomfort for the patient. While some degree of compression is necessary for optimal image acquisition and to reduce motion artifact, applying excessive pressure can cause unnecessary pain and anxiety, which may impact the patient's willingness to return for future screenings.

Additionally, appropriate compression improves image quality by spreading out the breast tissue, leading to better visualization of lesions and abnormalities. However, it's critical to apply that final degree of compression in a controlled manner to avoid any adverse effects, such as tissue distortion or discomfort, which can lead to suboptimal imaging results.

Furthermore, utilizing a gentle approach aligns with the principles of patient care, where a balance is sought between ensuring high-quality imaging and prioritizing patient comfort and safety.

In contrast, applying compression as firmly as possible could lead to an adverse patient experience and potentially distort the breast tissue. Relying solely on a mechanical device or automatic compression mode may not always account for individual patient comfort and variability in breast tissue composition, making gentle manual adjustment important for optimal outcomes.