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

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[[Image:Mammo breast cancer.jpg|thumb|right|Mammogram. (WC/NIH)]]
[[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==
==Score and management==
Line 11: Line 12:
! Typical management
! Typical management
|-
|-
| 0
| BIRADS0
| incomplete  
| incomplete  
| come back for more imaging
| come back for more imaging
|-
|-
| 1
| BIRADS1
| negative
| negative
|
|
|-
|-
| 2
| BIRADS2
| benign finding(s)
| benign finding(s)
|
|
|-
|-
| 3
| BIRADS3
| probably benign  
| probably benign  
| often short follow-up
| often short follow-up
|-
|-
| 4
| BIRADS4
| suspicious abnormality  
| suspicious abnormality  
| needs biopsy
| needs biopsy
|-
|-
| 5
| BIRADS5
| highly suggestive of malignancy
| highly suggestive of malignancy
| biopsy to confirm impression
| biopsy to confirm impression
|-
|-
| 6
| BIRADS6
| [[pathologist]] says there is a malignancy
| [[pathologist]] says there is a malignancy
| excision
| 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)
|}
|}


Latest revision as of 14:11, 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.
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