C-View™ and Intelligent 2D™ are two types of synthesized 2D mammography images derived from digital breast tomosynthesis (DBT) data. They are both products of Hologic, a company specializing in women's health solutions. The main difference between C-View™ and Intelligent 2D™ is the image resolution and quality. C-View™ is an older technology, offering a lower fidelity than Intelligent 2D.

The Differences Between C-View And Intelligent 2D

C-view 2D images from 3D captures are at 100 microns – about the thickness of regular paper. Intelligent 2D pixels are 70 microns, offering a higher resolution for pictures of the same physical size. This upgrade means that Intelligent 2D™ can produce sharper and clearer images than C-View™, letting clinicians detect more subtle lesions and calcifications.

The FDA approved C-view for breast cancer screening in the U.S. in 2011. The software delivers superior clinical performance compared to 2D mammography alone for all breast types while reducing false positives and recall rates and finding invasive cancer earlier. Conveniently, the technology is compatible with standard 3D tomosynthesis imaging. Using it requires an older-generation Selenia Dimensions system with 1.8.3 software or higher. Output is viewable on SecurView DX diagnostic workstation and PACS.

Intelligent 2D works in a similar way by enhancing the quality and clarity of 2D mammography images by using advanced algorithms to synthesize 2D images from 3D tomosynthesis data. Hologic’s goal with the technology was to reduce the need for additional exposures and radiation doses while improving the detection of breast cancer and reducing false positives.

However, newer technology comes with additional benefits. For instance, Hologic Intelligent 2D also provides more consistent and uniform images across different breast densities and sizes, which can facilitate the interpretation and diagnosis by radiologists. Plus, it works with Hologic 3Dimensions systems and with Clarity HD high-resolution imaging technology for enhanced image quality and performance.

Both technologies have been shown in clinical studies to improve performance. Hologic C-View, for instance, is superior to conventional 2D mammography, offering radiologists sharper insights. Intelligent 2D is similar, offering a better screening experience for clinicians and patients alike.

Hologic I-view is a software solution that enables the simultaneous acquisition of 2D and 3D images in mammography. It is compatible with Hologic's Selenia Dimensions and 3Dimensions mammography systems and related technologies, including the ability to create 2D images from 3D input data.


C-View™ and Intelligent 2D™ are technologies that use input data from various mammography scanning techniques to produce two-dimensional images for radiologists to examine. However, Intelligent 2D offers a higher resolution for sharper image quality. Radiologists can more accurately scan breast tissue, identify lesions, and provide patients with accurate diagnoses. Compared to FFDM and standard analysis, Intelligent 2D reduces the risk of false positives and negatives, reducing stress and enhancing the patient experience.

At Mammo.com we offer many Hologic Mammography systems that have C-View and Intelligent 2D features enabled. If you are looking for more information about this software please give us a call or reach out on the inquiry request below.