In June 1998 the Fourth International Workshop on Digital Mammography
was held in Nijmegen, The Netherlands, where it was hosted by the
department of Radiology of the University Hospital Nijmegen. This series
of meetings was initiated at the 1993 SPIE Biomedical Image Processing
Conference in San Jose, USA, where a number of sessions were entirely
devoted to mammographic image analysis. At very successful subsequent
workshops held in York, UK (1994) and Chicago, USA (1996), the scope of
the conference was broadened, establishing a platform for presentation
and discussion of new developments in digital mammog- raphy. Topics that
are addressed at these meetings are computer-aided diagnosis, image
processing, detector development, system design, observer performance
and clinical evaluation. The goal is to bring researchers from
universities, breast cancer experts, and engineers together, to exchange
information and present new scientific developments in this rapidly
evolving field. This book contains all the scientific papers and posters
presented at the work- shop in Nijmegen. Contributions came from as many
as 20 different countries and 190 participants attended the meeting. At
a technical exhibit companies demon- strated new products and work in
progress. Abstracts of all papers were reviewed by members of the
scientific committee. Many of the accepted papers had excellent quality,
but due to limited space not all of them could be included as full
papers in these proceedings. Papers that were rated high by the
reviewers are included as long or short papers, others appear as
extended abstracts in the last chapter.