In this paper, we proposed the algorithm for detection of microtalcification by automatic threshold decision based on region growing method. The region for optimal threshold is grown from local maximum pixel by increasing repeatedly threshold in microralcification candidate region. Then, the optimal threshold is automatically decided at the maximum value of the contrast and edge sharpness in this region. Microcalcifications could be efficiently detected as satisfied result that true positive ratio is 81.5% and average false positive numbers are 1.1 about total 299 microcalcifirations in real image. In a result, we showed that this algorithm can be used to aid diagnostic-radiologist for the diagnosis of the early phase of breast cancer.