Volumetric breast density affects performance of digital screening mammography

To determine to what extent automatically measured volumetric mammographic density influences screening performance when using digital mammography (DM). We collected a consecutive series of 111,898 DM examinations (2003–2011) from one screening unit of the Dutch biennial screening program (age 50–75 years). Volumetric mammographic density was automatically assessed using Volpara. We determined screening performance measures for four density...