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Radiation Protection Dosimetry 2005 114(1-3):389-394; doi:10.1093/rpd/nch573
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© The Author 2005. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Clinical evaluation of a new set of image quality criteria for mammography

A. Grahn1,*, B. Hemdal1, I. Andersson2, M. Ruschin1, A. Thilander-Klang3, S. Börjesson3, A. Tingberg1, S. Mattsson1, M. Håkansson3, M. Båth3, L. G. Månsson3, J. Medin1, F. Wanninger4 and W. Panzer4

1 Department of Medical Radiation Physics, Lund University, Malmö University Hospital, 205 02 Malmö, Sweden
2 Department of Diagnostic Radiology, Lund University, Malmö University Hospital, 205 02 Malmö, Sweden
3 Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, 413 45 Göteborg, Sweden
4 Institute of Radiation Protection, GSF—National Research Center for Environment and Health, Ingolstädter Landstrasse 1, 85764 Neuherberg, Germany

* Corresponding author: anna.grahn{at}rfa.mas.lu.se

The European Commission (EC) quality criteria for screen-film mammography are used as a tool to assess image quality. A new set of criteria was developed and initially tested in a previous study. In the present study, these criteria are further evaluated using screen-film mammograms that have been digitised, manipulated to simulate different image quality levels and reprinted on film. Expert radiologists have evaluated these manipulated images using both the original (EC) and the new criteria. A comparison of three different simulated dose levels reveals that the new criteria yield a larger separation of image criteria scores than the old ones. These results indicate that the new set of image quality criteria has a higher discriminative power than the old set and thus seems to be more suitable for evaluation of image quality in mammography.


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