title: Is full-field digital mammography more accurate than screen-film mammography in overall population screening? A systematic review and meta-analysis.
abstract: OBJECTIVE
  To compare the accuracy of screen-film mammography (SFM) and full-field digital mammography (FFDM) for population-based breast cancer screening.
  
  
  METHODS
  A quantitative systematic review was performed including randomized controlled trials and cohort studies.
  
  
  RESULTS
  Ten studies (comprising 667,649 women, 82,573 of whom underwent SFM and FFDM) were included. The area under the summary receiver operating characteristic (SROC) curve was 0.92 (SE ± 0.06) for SFM and 0.91 (SE ± 0.11) for FFDM. The results in the random-effects model were 0.95 (95% CI, 0.72-1.24) and 0.52 (95% CI, 0.28-0.95) for SFM versus FFDM in all age and younger groups, respectively.
  
  
  CONCLUSIONS
  FFDM is more accurate than SFM only in women less than 50 years old.
authors.affiliation: Graduate Studies Program in Epidemiology, School of Medicine, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. hahnfabiano@hotmail.com
authors.forename: Fabiano H
authors.initials: FH
authors.lastname: Souza
authors.forename: Eliana M
authors.initials: EM
authors.lastname: Wendland
authors.forename: Maria I
authors.initials: MI
authors.lastname: Rosa
authors.forename: Carisi A
authors.initials: CA
authors.lastname: Polanczyk
mesh_terms: D019540:Area Under Curve; D001943:Breast Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008327:Mammography / Q000295:instrumentation*; D008403:Mass Screening / Q000295:instrumentation; D012372:ROC Curve; D011856:Radiographic Image Enhancement; D014962:X-Ray Film