AAPM Medical Physics Practice Guideline MPPG 17.a: Quality management for mammography review workstation displays

Abstract

The Mammography Quality Standards Act (MQSA) sets quality standards for displays used to interpret mammography images. With the shift to digital mammography and the widespread use of remote reading workstations (RWS), updated quality management (QM) programs are needed to ensure consistent image presentation and accurate interpretation. This document recommends a QM framework for mammography RWS displays, addressing challenges such as remote environments, regulatory compliance, and evolving technology. The QM model highlights the central role of medical physicists in program design, oversight, and data review. It emphasizes periodic quality assurance (QA) and quality control (QC) procedures and training for interpreting physicians and staff. A structure for QM for remote RWS, including guidance on environmental conditions, hands-on testing, and remote monitoring solutions, is included. The proposed program balances scientific rigor, cost-effectiveness, and practical implementation, maintaining image quality and safety. By providing a structured approach to RWS display management, this framework supports regulators, accreditation bodies, and healthcare facilities in adapting to advancements in mammography technology while addressing logistical and operational challenges.