Current Status and Future of BI-RADS in Multimodality Imaging, From theAJRSpecial Series on Radiology Reporting and Data Systems
- 1 April 2021
- journal article
- review article
- Published by American Roentgen Ray Society in American Journal of Roentgenology
- Vol. 216 (4), 860-873
- https://doi.org/10.2214/ajr.20.24894
Abstract
The American College of Radiology (ACR) BI-RADS is a communication and data tracking system that has evolved since its inception as a brief mammography lexicon and reporting guide to become a robust structured reporting platform and comprehensive quality assurance tool for mammography, ultrasound, and MRI. Consistent and appropriate use of the BI-RADS lexicon terminology and assessment categories effectively communicates findings, estimates the risk of malignancy, and provides management recommendations to patients and referring clinicians. The impact of BI-RADS currently extends internationally through six language translations. A condensed version has been proposed to facilitate a phased implementation of BI-RADS in resource-constrained regions. The primary advance of the 5th edition of BI-RADS is harmonization of the lexicon terms across mammography, US, and MRI. Harmonization has also been achieved across these three modalities for the reporting structure, assessment categories, management recommendations, and data tracking system. Areas for improvement relate to certain common findings that lack lexicon descriptors and a need for further clarification of proper use of category 3. It is anticipated that BI-RADS will continue to evolve for application to a range of emerging breast imaging modalities.Keywords
This publication has 49 references indexed in Scilit:
- Gamma Camera Breast Imaging LexiconAmerican Journal of Roentgenology, 2012
- Training the ACRIN 6666 Investigators and Effects of Feedback on Breast Ultrasound Interpretive Performance and Agreement in BI-RADS Ultrasound Feature AnalysisAmerican Journal of Roentgenology, 2012
- Quantification of the UK 5-point breast imaging classification and mapping to BI-RADS to facilitate comparison with international literatureThe British Journal of Radiology, 2011
- Background Parenchymal Enhancement at Breast MR Imaging and Breast Cancer RiskRadiology, 2011
- Interpretation of Positron Emission Mammography and MRI by Experienced Breast Imaging Radiologists: Performance and Observer ReproducibilityAmerican Journal of Roentgenology, 2011
- Interpretation of Positron Emission Mammography: Feature Analysis and Rates of MalignancyAmerican Journal of Roentgenology, 2011
- Structured Reporting: Patient Care Enhancement or Productivity Nightmare?Radiology, 2008
- Breast Density and Parenchymal Patterns as Markers of Breast Cancer Risk: A Meta-analysisCancer Epidemiology, Biomarkers & Prevention, 2006
- BI-RADS Categorization As a Predictor of MalignancyRadiology, 1999
- The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories.American Journal of Roentgenology, 1998