A number of tests to evaluate the image transfer characteristics of laser film digitizers have been developed and these tests have been used to evaluate the performance of a Konica KFDR-S laser film digitizer. These tests were designed to be simple in nature and to use materials readily available in clinical departments. The tests examined (i) the geometric accuracy of the laser film digitizer; (ii) the linearity of the digitizer's characteristic curve; (iii) the temporal/spatial response of the digitizer to abrupt changes in optical density; and (iv) the noise added by the digitizer to the digitized images. The tests were easy to use and could be performed in a short period of time. Results of the tests for the Konica laser film digitizer revealed several problems including minor geometric inaccuracies, structural noise added by a shading correction circuit in the digitizer, and spread of the laser beam before reaching the film plane, possibly caused by the f-theta lens of the digitizer. The light spread made the optical density of small, high density structures measured by the digitizer dependent upon the optical density of the surrounding regions. Therefore, under some circumstances, film digitization with the Konica laser film digitizer could lead to erroneous results. In addition, our measurements suggest that these problems are not unique to the Konica digitizer. Thus, the testing of laser film digitizers is recommended, especially if the digitizer is to be used for quantitative measurements.