Lesion localization using the scroll bar on tomosynthesis: Why doesn't it always work?


      • The scroll bar predicts the location of the lesion on the true lateral view.
      • Lesion location relative to the nipple on the scroll bar defines true location.
      • Additional slices on the compression side are added to include the entire breast.
      • The scroll bar reflects the thickest portion of the breast not thinner portions.
      • Rolling of the breast on the orthogonal view can change apparent lesion location.


      The scroll bar on digital breast tomosynthesis (DBT) is an important tool that facilitates localization of lesions on the orthogonal view. While this works well most of the time, occasionally the location of the lesion as directed by the scroll bar is seemingly inaccurate. There are five important reasons why the scroll bar indicator may suggest a contradictory lesion location. Understanding specific scenarios when this may occur will aid the reader in reconciling these differences.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • American College of Radiology
        ACR practice parameter for the performance of screening and diagnostic mammography.
        (Available at) (Accessed March 15, 2017)
        • Park J.M.
        • Franken Jr., E.A.
        Triangulation of breast lesions: review and clinical applications.
        Curr Probl Diagn Radiol. 2008; 37: 1-14
        • Park J.M.
        • et al.
        Breast tomosynthesis: present considerations and future applications.
        Radiographics. 2007; 27: S231-40
        • Rafferty E.A.
        • et al.
        Diagnostic accuracy and recall rates for digital mammography and digital mammography combined with one-view and two-view tomosynthesis: results of an enriched reader study.
        AJR Am J Roentgenol. 2014; 202: 273-281
        • Cardenosa G.
        Breast imaging core curriculum.
        Lippincott Williams & Wilkins, 2004: 83-90
        • Berns E.A.
        • B. J.
        • Barke L.D.
        • et al.
        Digital mammography quality control manual.
        American College of Radiology, Reston Va2016: 45