• slider1.jpg
  • slider2.jpg
  • slider3.jpg
  • slider25.jpg

European Protocol (phys.-techn.)

The European Protocol for the Quality Control of the Physical and Technical Aspects of Mammography Screening is included in the 4th edition of the "European Guidelines for Quality Assurance in Breast Cancer Screening and Diagnosis (European Communities, 2006).

This dedicated chapter in PDF-format which covers protocols for both screen-film mammography and digital mammography can be downloaded here:

End 2013, the official supplement (or update) regarding this European Protocol for the Quality Control of the Physical and Technical Aspects of Mammography Screening of the 4th edition of the European Guidelines has been published and released by the European Commission. This supplement can be downloaded at www.bookshop.eu (Search topic: breast cancer), or by using the following link:

The latest corrections/updates on the European protocol for the quality control of the physical and technical aspects of mammography screening chapter, 2b digital mammography can be found in the document below.

Additional software and documents to this protocol can be found in the download section of this website.


Breast Tomosynthesis Quality Control Protocol (phys.-techn.) version 1.01

Since 2011 the European physico-technical steering group has been working on a quality control protocol for breast tomosynthesis systems. Several feedback sessions have been organized with individual physicists, representatives of the industry and international regulatory organizations. As a result the protocol has been adapted and texts have been written and rewritten for clarification. We thank everybody for their feedback and cooperation.

We are pleased to announce that version 1.01 of this protocol has been made available. We believe that this facilitates and will harmonize QC measurements on breast tomosynthesis systems. However, in this version an overall image quality measurement is still lacking. Currently no methods to quantify this overall image quality exist, therefore image quality measurements using readily available phantoms and measurements in projection images are proposed to cover important aspects of image quality. We are still working on methods to quantify overall image quality, but due to the large number of breast tomosynthesis systems already installed in Europe we decided to publish the protocol via the internet as it is. We believe that guidance is highly required.

The breast tomosynthesis QC protocol version 1.01 can be downloaded here:

Latest news

Updated version of European breast tomosynthesis QC protocol (version 1.01)

Due to the rapid developments the European breast tomosynthesis protocol (version 1.01) has been updated and released.


Changes compared to version 1.0:

  • Table 1 has been updated.
  • For scanning geometry DBT systems inherently without projection images it has been mentioned in the description of several measurements that the simple backprojection mode should be used.
  • In the terms of definition the reference ROI in simple backprojection images has been added.
  • In the dosimetry section the s-factor for Rh/Ag has been added.
  • Some small errors has been corrected.


Download the updated version here (bottom of the page).

Workshop on quality control in breast tomosynthesis in Vienna on September 11th, 2015

In this workshop the physic-technical steering group will give an overview on breast tomosynthesis systems, provide insights of the why’s of measurements, will give practical tips for QC measurements and explain the software which is made available by the centres who participated in drafting the protocol.


More information can be found here.

© 2017 EUREF  |  Terms and Conditions EUREF  |  webdesign by Joomla webdesign