Digital mammography and breast tomosynthesis for breast cancer screening.
A digital mammography system is a dedicated low-energy X-ray unit built around a single anatomy. Everything in it — the tube spectrum, the compression paddle, the detector pitch — exists to separate soft tissue that differs in density by only a few percent, and to find calcifications measured in fractions of a millimetre.
In full-field digital mammography (FFDM), a flat-panel detector replaces the film cassette. The exposure is no longer the finished image: it is data that can be windowed, magnified, sent to PACS and compared against the same patient's prior years. For systems configured with digital breast tomosynthesis, the acquisition adds a controlled series of low-dose projection images that can be reconstructed into thin slices, helping radiologists review overlapping breast tissue with more spatial separation than a single 2D view.