Digital and Film Mammography

Abstract

Pisano et al. (Oct. 27 issue)¹ report that digital mammography is more accurate in women under the age of 50 years, women with radiographically dense breast tissue, and premenopausal or perimenopausal women. They showed that digital and film mammography are similar with respect to the overall diagnostic accuracy. The latter finding is consistent with previous reports.^2-4 We are disturbed that the authors did not provide a stratified analysis for the remainder of women, who make up more than half the study population (women 50 years of age or older, women with nondense breast tissue, and postmenopausal women).