The purpose of this project was to quantify reciprocity law failure (RLF) f
or mammography screen-film systems. Three widely used screen-film systems w
ere evaluated: the Kodak MinR 2000 system, Fuji UM Mammo Fine screen and Fu
ji UM MA HC film, and Agfa MR Detail screen and Agfa Mammoray MR5 film. The
legit algorithm that Linearizes logistic curve shapes was utilized to char
acterize film sensitometric response. Different values of mammographic phan
tom thickness, tube current, and kVp were used to vary screen-film exposure
rates. RLF was quantified by examining the dependence of legit parameters
(maximum and minimum film density, curve shift, and slope) on exposure rate
. The shift of the legit curve was found to be a good indicator of the scre
en-film system speed, while the slope of the legit curve is affected by the
RLF. RLF leads to changes in film contrast as well as speed. For the range
of exposure rates measured (50-fold), screen-film contrast and speed varie
d by factors of 2 and 3.5, respectively. Film contrast decreased as exposur
e rate increased. The greatest changes were observed with the Kodak MinR 20
00 screen-film system. (C) 1999 American Association of Physicists in Medic
ine. [S0094-2405(99)01905-7].