
In-depth resources on patient tracking, follow-up workflow management, and preventing patients from falling through the cracks.
MAMMOTRACK
Resources
A growing library of practical insights, guides, and operational resources to help imaging centers improve follow-up, strengthen compliance, and make smarter decisions with confidence.

In-depth resources on patient tracking, follow-up workflow management, and preventing patients from falling through the cracks.
MAMMOTRACK

Guides on lay communication letters, patient notification workflows, MQSA communication requirements, and outreach best practices.
MAMMOCOMMUNICATE

Resources for breast imaging navigators — follow-up coordination, 30-60-90 day models, patient support, and closing care gaps.
MAMMONAVIGATE

Practical guidance on MQSA compliance, accreditation-related reporting, audit preparation, and documentation that stands up to review.
MAMMOCOMPLY

A curated archive of white papers, manuals, guidance documents, and research references for breast imaging professionals. Browse in-browser.
MAMMOLIBRARY

Your central hub for mammography calculators, compliance resources, policy tools, and practice guides.
MAMMOTOOLBOX

A central resource for insights, guidance, and practical breast imaging support.
KNOWLEDGE HUB

Real-world stories from breast imaging facilities — anonymized accounts of how tracking, follow-up, communication, and compliance challenges unfold in practice.
BEYOND THE MAMMOGRAM

Home of BINA Voices: Bridging Care, Knowledge & Support in Breast Imaging — the podcast from the Breast Imaging Navigation Alliance, supported by Mammologix.
MAMMOSTUDIO

Short video resources on breast imaging workflow, MQSA compliance, patient follow-up, and Mammologix operational support in action.
VIDEO LIBRARY
Knowledge Base
In 1992, the Mammography Quality Standards Act became the only federal law mandating quality oversight for a single diagnostic imaging modality. This is how Betty Ford's candor, failed voluntary accreditation, and congressional urgency combined to create the regulatory framework that still governs every mammography facility in the country.
Breast density describes the relative proportion of fibroglandular to fatty tissue visible on a mammogram. It simultaneously lowers mammographic sensitivity through a masking effect and functions as an independent risk factor for breast cancer. As of September 10, 2024, the MQSA Final Rule requires every facility to report density using a standardized four-category lexicon and include prescribed notification language in every patient lay letter.
The Mammography Quality Standards Act requires every certified facility to send each patient a plain-language results letter within 30 calendar days -- or within 7 days when findings are Suspicious or Highly Suggestive of Malignancy. The 2023 Final Rule, effective September 10, 2024, added mandatory breast density classification and exact FDA-prescribed notification language that facilities may not alter. This article covers what the letter must contain, how it differs from the technical report, and the evidence-based design principles that determine whether patients act on their results.
Lost to follow-up (LTFU) is the operational state in which a patient with an unresolved positive mammogram assessment can no longer be reached after documented outreach has been exhausted. This article defines LTFU, distinguishes it from the earlier overdue state, quantifies its audit impact under MQSA, and outlines the closed-loop tracking architecture required to minimize its occurrence.
Ductal carcinoma in situ (DCIS) is a stage 0, noninvasive proliferation of abnormal cells confined within breast ducts. It is both a clinical entity with a non-obligate progression pathway to invasive cancer and a high-stakes audit outcome under MQSA. This article covers definition, epidemiology, diagnosis, treatment, and the operational closed-loop tracking requirements every facility must meet.
PPV in mammography is measured at three distinct clinical stopping points. Learn how PPV1, PPV2, and PPV3 expose different operational failures in the breast imaging audit pathway under FDA-MQSA and ACR BI-RADS requirements.
A complete, reproducible documentation of the Downstream Revenue Estimator's arithmetic: the three-tier revenue formulas, two-population detection logic, treatment blending, largest-remainder display rounding, a worked year-1 example, and the full 420-configuration validation matrix.
Breast imaging is a core structural element of NAPBC accreditation, not a downstream service. Standards 3.3, 3.4, 5.1, 5.2, 5.4, 5.6, 2.4, and 7.2 require specific record-keeping, monitoring, auditing, and reporting functions that convert imaging output into verifiable, auditable patient pathways.
Tracking is not compliance paperwork -- it is the closed-loop feedback mechanism that measures interpretive accuracy, identifies care gaps, and creates the conditions under which early-stage cancers are found before they progress. Here is what the MQSA floor requires and what robust surveillance adds.
Overdue and lost to follow-up are not interchangeable labels -- they are distinct operational states with different intervention capacity, audit implications, and navigation consequences. Keeping them separate is the foundation of any MQSA-compliant tracking system.
A screening mammogram begins a pathway, not ends one. The Downstream Revenue Estimator by Mammologix models the full revenue picture of a mammography program across a multi-year horizon -- from base screening through diagnostic workup, biopsy, detection, and treatment -- with cited defaults and every assumption adjustable.
A structured 30-60-90 day written outreach sequence moves more patients to follow-up imaging after an abnormal mammogram -- even without telephone contact. Each successive letter grows more specific through technology, and adding human interaction raises compliance still further.
Our team has supported breast imaging centers since 1995. If it's not here, we probably know the answer.