Due to the extremely high image quality requirements in mammography, there
has for a long time been no adequate digital alternative to conventional fi
lm-screen mammography. The longest experience so far exists with digital ma
mmography on the basis of storage phosphor (CR) systems. However, at normal
dose this technique has a relatively poor signal-to-noise ratio and has no
t found general acceptance. Recently three novel systems for digital mammog
raphy by the companies Fischer (slot-scan detector), Trex (CCD-array), and
GE (amorphous silicon detector) have been introduced and are currently unde
r clinical investigation. The main advantage of digital mammography is the
linear relationship between dose and detector signal with the possibility o
f a tailored optimization of image contrast. Other advantages include digit
al image storage, telemammography, and computer-assisted diagnosis.