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Fig. 1B. —Sponge used to simulate breast with patient in prone position on Fischer table (Fischer Imaging, Denver, CO) being maximally compressed by front compression paddle (FCP) in two different ways. Photograph shows maximal sponge thickness (3.8 cm) achieved by combination of air-gap technique (with reversed back compression paddle [BCP]) and hand pressure around periphery of sponge (between FCP and BCP) to maximize sponge protrusion through apertures in FCP and BCP. With this air-gap technique, back of sponge is compressed against BCP rather than DIR.

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