The Breast Imaging-Reporting and Data System (BI-RADS) Made Easy

Abstract

: The main advantage of the BI-RADS system is that when correctly applied, the ACR and BI-RADS classifications are the only necessary tools for a practical and scientific communication between radiologists and clinicians regarding the breast findings. The BI-RADS provides a common standardized language of communication by minimizing subjective interpretations. A non-specialist clinician, without an in-depth knowledge of breast imaging, should be assisted on how to manage or refer patients based on standard algorithms. Dedicated breast clinicians, despite their high level of knowledge and experience regarding breast disease and management, are not radiologists; therefore, the BI-RADS can help them organize a follow-up and perform further diagnostic examinations. Besides, radiologists who are specialized in using different modalities communicate better with each other about breast images if the BI-RADS terminology and management guidelines are applied. In this study, we present a concise and simplified description for all sections of the BI-RADS to facilitate its understanding and practical use for all practitioners, not only breast radiologists.

Comparison of the diagnostic efficacy of mathematical models in distinguishing ultrasound imaging of breast nodules

“…Ultrasound features included background echotexture, nodular size, shape, margin, internal echo, echo intensity, calcification, alder grade, resistance index and axillary lymph node. These ultrasound features for each nodule were graded according to the BI-RADS lexicon 9 . Background echotexture can be classified as either homogeneous or heterogeneous.…”

“…The Breast Imaging Reporting and Data System (BI-RADS) lexicon was established to ensure standardization and objectivity in ultrasound diagnosis 9 . However, this grading partially depends on the sonographer's experience 10 .…”

Frecuencia de pacientes con BIRADS 0 por mastografía con resultado histopatológico de cáncer de mama

“…La clasificación de hallazgos de imagen de mama y la estrategia de manejo en la clasificación BIRADS sigue una escala establecida para mastograf ía, ultrasonido y resonancia magnética. 12 Este sistema incluye siete categorías de 0 a 6, la categoría 4 se subdivide en a, b o c. CATEGORÍA 0: La valoración mamográfica es incompleta, estudio incompleto, requiere una nueva evaluación por imagen, son imágenes que no pueden dar un diagnóstico, por hallazgos mínimos o errores técnicos, el paso a seguir es realizar nuevamente el estudio, o bien complementar con otras pruebas de imagen. El radiólogo al encontrar lesiones sospechosas, puede solicitar estudios previos para comparación.…”

“…El radiólogo al encontrar lesiones sospechosas, puede solicitar estudios previos para comparación. [10][11][12] CATEGORÍA 1: Negativo, los resultados de las imágenes son completamente normales. Sin hallazgos patológicos, no hay masas, distorsión de la arquitectura o calcificaciones.…”

Long‑term remission under Disitamab Vedotin (RC48) in HR‑positive/HER2‑positive metastatic breast cancer with brain meningeal, and bone marrow involvement: A case report

“…Analysis of blood samples indicated markedly low hemoglobin level (48 g/l; normal range: 110–150 g/l) and platelet count (39×10 9 /l; normal range: 100–300×10 9 /l) with high levels of carcinoembryonic antigen (CEA; 203.70 ng/ml; normal range: 0–5 ng/ml), carbohydrate antigen 125 (CA125; 2,267 U/ml; normal range: 0–35 U/ml) and CA15-3 (4,754 U/ml; normal range: 0–25 U/ml). Contrast-enhanced breast magnetic resonance imaging (MRI) and computed tomography (CT) revealed right-sided breast malignant tumor with breast imaging-reporting and data system score of 5 ( 15 ) and the possibility of multiple axillary lymph nodes and multiple systemic bone metastases ( Fig. 1 ).…”