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

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! Meaning
! Meaning
! Risk - based on Sanders ''et al.''<ref name=pmid19929890>{{Cite journal  | last1 = Sanders | first1 = MA. | last2 = Roland | first2 = L. | last3 = Sahoo | first3 = S. | title = Clinical implications of subcategorizing BI-RADS 4 breast lesions associated with microcalcification: a radiology-pathology correlation study. | journal = Breast J | volume = 16 | issue = 1 | pages = 28-31 | month =  | year =  | doi = 10.1111/j.1524-4741.2009.00863.x | PMID = 19929890 }}</ref>
! Risk - based on Sanders ''et al.''<ref name=pmid19929890>{{Cite journal  | last1 = Sanders | first1 = MA. | last2 = Roland | first2 = L. | last3 = Sahoo | first3 = S. | title = Clinical implications of subcategorizing BI-RADS 4 breast lesions associated with microcalcification: a radiology-pathology correlation study. | journal = Breast J | volume = 16 | issue = 1 | pages = 28-31 | month =  | year =  | doi = 10.1111/j.1524-4741.2009.00863.x | PMID = 19929890 }}</ref>
! PPV - based on Elverici ''et al.''<ref>{{Cite journal  | last1 = Elverici | first1 = E. | last2 = Barça | first2 = AN. | last3 = Aktaş | first3 = H. | last4 = Özsoy | first4 = A. | last5 = Zengin | first5 = B. | last6 = Çavuşoğlu | first6 = M. | last7 = Araz | first7 = L. | title = Nonpalpable BI-RADS 4 breast lesions: sonographic findings and pathology correlation. | journal = Diagn Interv Radiol | volume = 21 | issue = 3 | pages = 189-94 | month =  | year =  | doi = 10.5152/dir.2014.14103 | PMID = 25835079 }}</ref>
|-
|-
| BIRADS4A
| BIRADS4A
| suspicious abnormality - low risk
| suspicious abnormality - low risk
| 10% DCIS
| 10% DCIS
| 19.5% (malignant)
|-
|-
| BIRADS4B  
| BIRADS4B  
| suspicious abnormality - intermediate risk
| suspicious abnormality - intermediate risk
| 21% DCIS
| 21% DCIS
| 41.5% (malignant)
|-
|-
| BIRADS4C
| BIRADS4C
| suspicious abnormality - high risk
| suspicious abnormality - high risk
| 70% DCIS
| 70% DCIS
| 74.3% (malignant)
|}
|}



Revision as of 13:42, 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.

The abbreviation BI-RADS may also be written BIRADS.[1]

Score and management

It is characterized by:[2]

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:[3]

Score Meaning Risk - based on Sanders et al.[4] PPV - based on Elverici et al.[5]
BIRADS4A suspicious abnormality - low risk 10% DCIS 19.5% (malignant)
BIRADS4B suspicious abnormality - intermediate risk 21% DCIS 41.5% (malignant)
BIRADS4C suspicious abnormality - high risk 70% DCIS 74.3% (malignant)

See also

References

  1. Dong, H.; Huang, Y.; Song, F.; Dai, H.; Liu, P.; Zhu, Y.; Wang, P.; Han, J. et al. (Aug 2017). "Improved Performance of Adjunctive Ultrasonography After Mammography Screening for Breast Cancer Among Chinese Females.". Clin Breast Cancer. doi:10.1016/j.clbc.2017.07.014. PMID 28887010.
  2. URL: http://breastcancer.about.com/od/diagnosis/a/birads.htm. Accessed on: 16 March 2011.
  3. URL: https://radiopaedia.org/articles/breast-imaging-reporting-and-data-system-birads. Accessed on: 15 September 2017.
  4. 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.
  5. Elverici, E.; Barça, AN.; Aktaş, H.; Özsoy, A.; Zengin, B.; Çavuşoğlu, M.; Araz, L.. "Nonpalpable BI-RADS 4 breast lesions: sonographic findings and pathology correlation.". Diagn Interv Radiol 21 (3): 189-94. doi:10.5152/dir.2014.14103. PMID 25835079.