Comparison of average glandular dose in mammography for patients with breast implants when using automatic or manual exposure technique

AEC leads to lower AGD in implant displacement projections, but increases AGD in standard projections. Manual exposure settings resulted in better image quality for CC, MLO and MLOID projections, while IQ was at an acceptable level even when using AEC. The results emphasize that standard projection mammography in patients with breast implants should be performed with manual exposure settings, while ID projections should be performed with AEC while maintaining sufficient IQ.