Optimizing optical density of a Kodak mammography film-screen combination with standard-cycle processing

The optimization of optical density in film-screen mammography is crucial in attaining good image quality. While a target range for film optical density of 1.4-1.8 has been recommended for centres participating in the National Health Service Breast Screening Programme (NHSBSP), past investigations have shown that combinations of mammography film and screen and processor conditions can have various optimum densities, some of which are outside this recommended range. The optimum optical density of the film/screen/processor conditions combination used at our institution (the Kodak MIN-RM/MIN-R combination designed for standard-cycle processing) was evaluated using a breast detail phantom study. It was found that the optimum optical density was 1.25 OD. We recommend that an individual institution determines the optimum optical density for the film-screen combination it uses and the processing conditions specific to it.