The manual consists of 3 sections: Radiologist, Radiologic Technologist, and Medical Physicist. The latter 2 sections contain detailed instructions and procedures for quality control tests without being too rigid, allowing for differences among digital manufacturers (Table 1). Action limits are given for each test. This release includes new tests and QC implementation methods that reflect the evolution of digital mammography including digital breast tomosynthesis. Every QC test in the manual has been adapted for digital mammography. The concept of a QC team including the radiologist in a formal QC review test is is presented for the first time in this manual.