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OBJECTIVE: To compare the accuracy of screen-film mammography (SFM) and full-field digital mammography (FFDM) for population-based breast cancer screening. STUDY DESIGN AND SETTING: 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. CONCLUSION: FFDM is more accurate than SFM only in women less than 50 years old.
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Souza et al. (2013) studied this question.
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