Evaluation of a New Design of Contrast-Detail Phantom for Mammography: CDMAM Model 4.0

  • Celia J. Strudley
  • Kenneth C. Young
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8539)


The standard test object used to assess the imaging performance of digital mammography systems in Europe is the CDMAM model 3.4. The recently released CDMAM model 4.0 differs from the model 3.4 in the layout, number and range of thicknesses of gold contrast details used to assess threshold contrast detail detection. In order to evaluate CDMAM 4.0 we compared its performance with that of the CDMAM 3.4 using several digital mammography systems at various dose levels. We also assessed the reproducibility of the results compared to that of the previous model. CDMAM 4.0 results were comparable to results for CDMAM 3.4 for detail diameters in the range 0.1 to 0.5mm and for the larger detail diameters there were increased differences as would be expected due to the design differences of the CDMAM 4.0. The reproducibility of CDMAM 4.0 results was found to be better than that of CDMAM 3.4 results.


CDMAM 3.4 CDMAM 4.0 CDMAM Analysis threshold contrast detail detection image quality digital mammography 


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  1. 1.
    Floor-Westerdijk, M.J., Colier, W.N.J.M., van der Burght, R.J.M.: CDMAM Phantom Optimized for Digital Mammography Quality Control by Automatic Image Readout. In: Roa Romero, L.M. (ed.) XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013. IFMBE Proceedings, vol. 41, pp. 467–470. Springer, Heidelberg (2014)CrossRefGoogle Scholar
  2. 2.
    European Commission (EC) 2006 European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis, 4th edn. Office for Official Publications of the European Communities, Luxembourg (2006)Google Scholar
  3. 3.
    Young, K.C., Cook, J.J.H., Oduko, J.M., Bosmans, H.: Comparison of software and human observers in reading images of the CDMAM test object to assess digital mammography systems. In: Flynn, M.J., Hsieh, J. (eds.) Proceedings of SPIE Medical Imaging 2006, 614206, pp. 1–13 (2006)Google Scholar
  4. 4.
    Young, K.C., Alsager, A., Oduko, J.M., Bosmans, H., Verbrugge, B., Geertse, T., van Engen, R.: Evaluation of software for reading images of the CDMAM test object to assess digital mammography systems. In: Proceedings of SPIE Medical Imaging 2008, 69131C, pp. 1–11 (2008)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Celia J. Strudley
    • 1
  • Kenneth C. Young
    • 1
  1. 1.National Coordinating Centre for the Physics of Mammography (NCCPM)GuildfordUK

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