title: Diagnostic reference levels in digital mammography: a systematic review.
abstract: This study aims to review the literature on existing diagnostic reference levels (DRLs) in digital mammography and methodologies for establishing them. To this end, a systematic search through Medline, Cinahl, Web of Science, Scopus and Google scholar was conducted using search terms extracted from three terms: DRLs, digital mammography and breast screen. The search resulted in 1539 articles of which 22 were included after a screening process. Relevant data from the included studies were summarised and analysed. Differences were found in the methods utilised to establish DRLs including test subjects types, protocols followed, conversion factors employed, breast compressed thicknesses and percentile values adopted. These differences complicate comparison of DRLs among countries; hence, an internationally accepted protocol would be valuable so that international comparisons can be made.
authors.affiliation: Faculty of Health Sciences, The University of Sydney, M205, Cumberland Campus, 75 East St, Lidcombe, Sydney, NSW 2141, Australia msul1801@uni.sydney.edu.au.
authors.forename: Moayyad E
authors.initials: ME
authors.lastname: Suleiman
authors.affiliation: Faculty of Health Sciences, The University of Sydney, M205, Cumberland Campus, 75 East St, Lidcombe, Sydney, NSW 2141, Australia.
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Brennan
authors.affiliation: Faculty of Health Sciences, The University of Sydney, M205, Cumberland Campus, 75 East St, Lidcombe, Sydney, NSW 2141, Australia.
authors.forename: Mark F
authors.initials: MF
authors.lastname: McEntee
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods; D011829:Radiation Dosage; D012016:Reference Values