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In mammography it is essential to combine aspects of image quality with compliance with glandular dose levels. The objective of this study was to combine the assessment of the contrast-detail threshold and the mean glandular dose for different target/filter combinations in digital mammography and to indicate the optimal combination through a figure of merit (FOM). In a direct digital mammograph, performance and image quality standards were evaluated using a solid-state multidetector capable of measuring various parameters including kerm