Guidelines for assessing the quality of mammographic images

X-ray mammography (X-RM) is an no alternative technology for radiation diagnostics, which makes it possible to identify all known variants of non-palpable breast cancer (BC). Many years ofHigh-quality X-RM experience use during a screening procedure has proven a reduction in BC mortality during a screening procedure. The clinical effectiveness of X-ray mammography depends on the quality of the mammographic image. Objective of the recommendations. To analyze domestic and international experience in assessing the quality of X-ray mammographic images in diagnosing breast cancer and to present standards for criteria for assessing the quality of X-ray mammographic images for the use in domestic practical healthcare. Recommendations. Based on the domestic and author’s experience in BC screening, the foreign recommendations published over the past 20 years, standards for assessing breast cancer quality X-RM methods, including illustrative materials and comments to them have been agreed and proposed. Conclusion. The use of standard methods for assessing the quality of X-RM studies in the Russian practical healthcare will allow timely detection of BC and its treatment, which can prevent progression, complications of the disease as well as: progression and premature death. © 2025 Elsevier B.V., All rights reserved.