Digital mammography versus film-screen mammography: technical, clinical and economic assessments

Ho C, Hailey D, Warburton R, MacGregor J, Pisano E, Joyce J
Record ID 32003000020
English, French
Authors' objectives:

The aim of this report is to compare the technical, clinical and potential costs of digital mammography (DM) and film-screen mammography (FSM) within the context of the Canadian health care system based on a systematic review of published and unpublished studies.

Authors' recommendations: DR-M has significantly higher annualized costs than either FSM or CR-M. Potential clinical benefits (improved diagnostic accuracy, shorter examination time, lower radiation dose) for patients, institutions and payers have not been demonstrated in a clinical setting. The ability to detect cancer is comparable for DR-M and FSM. (There is not sufficient data on clinical effectiveness of CR-M). Assuming that DR-M and CR-M are, at best, clinically equivalent to FSM, the minimum-cost system is preferred; therefore, conventional FSM is preferable to DM at this time.
Authors' methods: Systematic review
Project Status: Completed
URL for project:
Year Published: 2002
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Costs and Cost Analysis
  • Breast Neoplasms
  • Mammography
Organisation Name: Canadian Coordinating Office for Health Technology Assessment
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name:
Contact Email:
Copyright: Canadian Coordinating Office for Health Technology Assessment (CCOHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.