We show that digitized mammograms can be considered as evolving from a simp
le process. A given image results from passing a random input field through
a linear filtering operation, where the filter transfer function has a sel
f-similar characteristic. By estimating the functional form of the filter a
nd solving the corresponding filtering equation, the analysis shows that th
e input field gray value distribution and spectral content can be approxima
ted with parametric methods. The work gives a simple explanation for the va
riegated image appearance and multimodal character of the gray value distri
bution common to mammograms. Using the image analysis as a guide, a simulat
ed mammogram is generated that has many statistical characteristics of real
mammograms. Additional benefits may follow from understanding the function
al form of the filter in conjunction with the input field characteristics t
hat include the approximate parametric description of mammograms, showing t
he distinction between homogeneously dense and nondense images, and the dev
elopment of mass analysis methods. (C) 1999 American Association of Physici
sts in Medicine. [S0099-2405(99)00311-9].