Difference between revisions of "Breast imaging reporting and data system"
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[[Image:Mammo breast cancer.jpg|thumb|right|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. | '''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''.<ref name=pmid28887010>{{Cite journal | last1 = Dong | first1 = H. | last2 = Huang | first2 = Y. | last3 = Song | first3 = F. | last4 = Dai | first4 = H. | last5 = Liu | first5 = P. | last6 = Zhu | first6 = Y. | last7 = Wang | first7 = P. | last8 = Han | first8 = J. | last9 = Hao | first9 = X. | title = Improved Performance of Adjunctive Ultrasonography After Mammography Screening for Breast Cancer Among Chinese Females. | journal = Clin Breast Cancer | volume = | issue = | pages = | month = Aug | year = 2017 | doi = 10.1016/j.clbc.2017.07.014 | PMID = 28887010 }}</ref> | |||
==Score and management== | |||
It is characterized by:<ref>URL: [http://breastcancer.about.com/od/diagnosis/a/birads.htm http://breastcancer.about.com/od/diagnosis/a/birads.htm]. Accessed on: 16 March 2011.</ref> | It is characterized by:<ref>URL: [http://breastcancer.about.com/od/diagnosis/a/birads.htm http://breastcancer.about.com/od/diagnosis/a/birads.htm]. Accessed on: 16 March 2011.</ref> | ||
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! Typical management | ! Typical management | ||
|- | |- | ||
| | | BIRADS0 | ||
| incomplete | | incomplete | ||
| come back for more imaging | | come back for more imaging | ||
|- | |- | ||
| | | BIRADS1 | ||
| negative | | negative | ||
| | | | ||
|- | |- | ||
| | | BIRADS2 | ||
| benign finding(s) | | benign finding(s) | ||
| | | | ||
|- | |- | ||
| | | BIRADS3 | ||
| probably benign | | probably benign | ||
| often short follow-up | | often short follow-up | ||
|- | |- | ||
| | | BIRADS4 | ||
| suspicious abnormality | | suspicious abnormality | ||
| needs biopsy | | needs biopsy | ||
|- | |- | ||
| | | BIRADS5 | ||
| highly suggestive of malignancy | | highly suggestive of malignancy | ||
| biopsy to confirm impression | | biopsy to confirm impression | ||
|- | |- | ||
| | | BIRADS6 | ||
| [[pathologist]] says there is a malignancy | | [[pathologist]] says there is a malignancy | ||
| | | excision | ||
|} | |||
===Subdivision of BIRADS4=== | |||
BIRADS4 is can be subdivided into:<reF>URL: [https://radiopaedia.org/articles/breast-imaging-reporting-and-data-system-birads https://radiopaedia.org/articles/breast-imaging-reporting-and-data-system-birads]. Accessed on: 15 September 2017.</ref> | |||
{| class="wikitable sortable" | |||
! Score | |||
! 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> | |||
! [[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 | |||
| 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== | ==See also== | ||
*[[Breast pathology]]. | *[[Breast pathology]]. | ||
*[[PI-RADS]] - similar system for prostate imaging. | |||
*[[TIRADS]]. | |||
==References== | ==References== | ||
Latest revision as of 14:11, 15 September 2017
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.