Breast imaging reporting and data system
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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
- Breast pathology.
- PI-RADS - similar system for prostate imaging.
- TIRADS.
References
- ↑ 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.
- ↑ URL: http://breastcancer.about.com/od/diagnosis/a/birads.htm. Accessed on: 16 March 2011.
- ↑ URL: https://radiopaedia.org/articles/breast-imaging-reporting-and-data-system-birads. Accessed on: 15 September 2017.
- ↑ 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.
- ↑ 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.