Abstract
There has been a great advancement in the technique and practice of mammography since the 80's. Briefly reviewed are recent development of mammography technique and brast cancer screening in Europe and North America, including American College of Radiology (ACR) Mammography Accredition Program, and Mammography Quality Standard Act (MQSA), as well as activities in this area in Japan such as publication of Mammography Quality Control Guideline by Japan Radiological Society. Importance of quality control and a team work aproach in establishing high quality mammography is stressed with cooperation of medical physicists, radiologists and other health professionals.