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. 2010 Mar 1;10(3):1–55.
Studies Included Comments Conclusions
37 relevant articles on technical review, 7 on clinical review, 17 on economic analysis.
  • A significant benefit is shorter examination times; Potential for reduced radiation dose, but the significance of this is unclear.

  • Advantages include removal of procedural burdens of dealing with FM, e.g., archiving, computer-assisted diagnosis. However, DM systems also require technical improvements to achieve full benefit.

  • Economic: DM has significantly higher annualized costs than FM.

  • Technical: Potential benefits (improved diagnostic accuracy, shorter examination time, lower radiation dose) for patients, institutions and payers not demonstrated in clinical setting. Clinical: Ability to detect cancer comparable for both procedures.

  • Assuming clinical equivalence, minimum-cost system is preferred; therefore, FM preferable to DM at this time.