Difference between revisions of "Breast imaging reporting and data system"

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! Typical management
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| come back for more imaging
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| BIRADS1
| negative
| negative
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| BIRADS2
| benign finding(s)
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| probably benign  
| often short follow-up
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| suspicious abnormality  
| suspicious abnormality  
| needs biopsy
| needs biopsy
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| highly suggestive of malignancy
| highly suggestive of malignancy
| biopsy to confirm impression
| biopsy to confirm impression
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| [[pathologist]] says there is a malignancy
| [[pathologist]] says there is a malignancy
| excision
| excision

Revision as of 13:29, 15 September 2017

Mammograms - left: non-cancerous; right: cancerous. (WC/NIH)

Breast imaging reporting and data system, commonly known by the abbreviation BI-RADS, a standardized system for reporting breast radiology.

Score and management

It is characterized by:[1]

Score Meaning Typical management
BIRADS0 incomplete come back for more imaging
BIRADS1 negative
BIRADS2 benign finding(s)
BIRADS3 probably benign often short follow-up
BIRADS4 suspicious abnormality needs biopsy
BIRADS5 highly suggestive of malignancy biopsy to confirm impression
BIRADS6 pathologist says there is a malignancy excision

Subdivision of BIRADS4

BIRADS4 is can be subdivided into:[2]

Score Meaning Risk - based on Sanders et al.[3]
BIRADS4A suspicious abnormality - low risk 10% DCIS
BIRADS4B suspicious abnormality - intermediate risk 21% DCIS
BIRADS4C suspicious abnormality - high risk 70% DCIS

See also

References

  1. URL: http://breastcancer.about.com/od/diagnosis/a/birads.htm. Accessed on: 16 March 2011.
  2. URL: https://radiopaedia.org/articles/breast-imaging-reporting-and-data-system-birads. Accessed on: 15 September 2017.
  3. Sanders, MA.; Roland, L.; Sahoo, S.. "Clinical implications of subcategorizing BI-RADS 4 breast lesions associated with microcalcification: a radiology-pathology correlation study.". Breast J 16 (1): 28-31. doi:10.1111/j.1524-4741.2009.00863.x. PMID 19929890.