During the past twenty years many significant technological improvemen
ts in mammographic X-ray equipment and screen-film-processing systems
have occurred. Today it is possible to obtain mammograms with higher i
mage quality at a significantly lower radiation dose compared to mammo
grams dating back about 20 years. In this review article, X-ray spectr
a, limiting geometric resolution, characteristic (H & D) curves, modul
ation transfer function (MTF) and noise power spectra (NPS) are used t
o demonstrate technological improvements in mammographic screen-film i
mage quality.