Radiopaedia Helpers

breast-imaging-reporting-and-data-system-bi-rads-2

Acronyms

warning

"Breast Imaging Reporting and Data System (BI-RADS) is a risk assessment and quality assurance tool developed by American College of Radiology that provides a widely accepted lexicon and reporting schema for imaging of the breast. It applies to mammography, ultrasound, and MRI. This article reflects the 5th edition, published in 2013 ¹."

Line 1:54 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"The current BI-RADS is the v2025 version. There are many differences between the 5th Edition and the v2025. We are in the process of updating our articles⁸."

Line 3:16 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 0: incomplete"

Line 8:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 1: negative"

Line 15:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 2: benign"

Line 19:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 3: probably benign"

Line 23:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 4: suspicious for malignancy"

Line 30:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 4A: low suspicion for malignancy (>2 to ≤10%)"

Line 36:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 4B: moderate suspicion for malignancy (>10 to ≤50%)"

Line 37:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 4C: high suspicion for malignancy (>50 to"

Line 38:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 5: highly suggestive of malignancy"

Line 45:7 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 6: known biopsy-proven malignancy"

Line 51:11 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"When there are multiple findings, the BI-RADS category for the exam is assigned the highest category in the following hierarchy, from lowest to highest: 1, 2, 3, 6, 0, 4, 5."

Line 53:42 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"The vast majority of screening mammograms fall into BI-RADS 1 or 2 ⁴. Screening mammograms with suspicious findings should generally be assigned BI-RADS 0 to indicate a callback for diagnostic evaluation, meaning additional views to confirm and further evaluate the finding."

Line 54:56 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

Line 54:160 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS provides standardised terminology to describe breast imaging findings."

Line 56:4 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"When used appropriately, the BI-RADS assessment categories accurately reflect their positive predictive value for cancer, which are on average, as follows for mammographically identified lesions that underwent biopsy ^1,6,7:"

Line 487:33 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 2: 0%"

Line 489:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 3: ≤2%"

Line 490:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 4: >2% to"

Line 492:4 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"BI-RADS 5: ≥95%"

Line 502:8 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"ACR 5-tier grading system, a precursor to BI-RADS"

Line 508:11 · 'ACR' has no definition. Spell it out if it's unfamiliar to the audience.

"ACR 5-tier grading system, a precursor to BI-RADS"

Line 508:57 · 'BI-RADS' has no definition. Spell it out if it's unfamiliar to the audience.

"RADS (Reporting and Data Systems)"

Line 509:11 · 'RADS' has no definition. Spell it out if it's unfamiliar to the audience.

List Caps

warning

"Note: 4A, 4B, 4C subcategory rates vary considerably between series"

Line 498:12 · In general, we don't start a list item with a capital letter. Exceptions are proper nouns.

"Tabar 5-tier grading system"

Line 507:11 · In general, we don't start a list item with a capital letter. Exceptions are proper nouns.

Headings Valid

warning

Expected headings

H1 Terminology
H1 Usage
H1 Epidemiology
H2 Risk factors
H2 Associations
H1 Clinical presentation
H2 Complications
H1 Diagnosis
H2 Diagnostic criteria
H2 Diagnostic clues
H1 Pathology
H2 Aetiology
H2 Location
H2 Classification
H2 Macroscopic appearance
H2 Microscopic appearance
H2 Immunophenotype
H2 Markers
H2 Genetics
H1 Radiographic features
H2 Plain radiograph
H2 Mammography
H2 Antenatal ultrasound
H2 Transoesophageal echocardiography
H2 Ultrasound
H2 CT
H3 Dual-energy CT
H2 Angiography (DSA)
H2 MRI
H2 CT/MRI
H2 Nuclear medicine
H3 PET-CT
H3 PET-MRI
H1 Radiology report
H1 Treatment and prognosis
H2 Complications
H1 History and etymology
H1 Differential diagnosis
H2 Clinical differential diagnosis
H1 Practical points
H1 See also

"Important"

Line 2:1 · "Important" is not a recognised heading for this article type.

"Classification"

Line 4:1 · "Classification" should be H2, not H1.

"Radiographic appearance"

Line 55:1 · "Radiographic appearance" is not a recognised heading for this article type.

"Ultrasound"

Line 57:1 · "Ultrasound" is under the wrong parent heading (found under "Radiographic appearance").

"Tissue composition"

Line 58:1 · "Tissue composition" is not a recognised heading for this article type.

"Masses"

Line 66:1 · "Masses" is not a recognised heading for this article type.

"Calcifications"

Line 115:1 · "Calcifications" is not a recognised heading for this article type.

"Associated features"

Line 121:1 · "Associated features" is not a recognised heading for this article type.

"Special cases"

Line 150:1 · "Special cases" is not a recognised heading for this article type.

"Mammography"

Line 169:1 · "Mammography" is under the wrong parent heading (found under "Radiographic appearance").

"Breast composition"

Line 170:1 · "Breast composition" is not a recognised heading for this article type.

"Masses"

Line 178:1 · "Masses" is not a recognised heading for this article type.

"Calcifications"

Line 209:1 · "Calcifications" is not a recognised heading for this article type.

"Other findings"

Line 246:1 · "Other findings" is not a recognised heading for this article type.

"Associated features"

Line 262:1 · "Associated features" is not a recognised heading for this article type.

"Location of lesion"

Line 272:1 · "Location of lesion" is not a recognised heading for this article type.

"MRI"

Line 279:1 · "MRI" is under the wrong parent heading (found under "Radiographic appearance").

"Amount of fibroglandular tissue"

Line 280:1 · "Amount of fibroglandular tissue" is not a recognised heading for this article type.

"Background parenchymal enhancement"

Line 288:1 · "Background parenchymal enhancement" is not a recognised heading for this article type.

"Masses"

Line 308:1 · "Masses" is not a recognised heading for this article type.

"Non-mass enhancement"

Line 337:1 · "Non-mass enhancement" is not a recognised heading for this article type.

"Other findings"

Line 361:1 · "Other findings" is not a recognised heading for this article type.

"Associated features"

Line 374:1 · "Associated features" is not a recognised heading for this article type.

"Fat-containing lesions"

Line 392:1 · "Fat-containing lesions" is not a recognised heading for this article type.

"Location of lesion"

Line 405:1 · "Location of lesion" is not a recognised heading for this article type.

"Kinetic curve assessment/signal intensity/time curve description"

Line 410:1 · "Kinetic curve assessment/signal intensity/time curve description" is not a recognised heading for this article type.

"Implants"

Line 430:1 · "Implants" is not a recognised heading for this article type.

There Is

suggestion

"The current BI-RADS is the v2025 version. There are many differences between the 5th Edition and the v2025. We are in the process of updating our articles⁸."

Line 3:46 · Don't start a sentence with 'There are'.

"There are other systems for classifying breast lesions:"

Line 505:4 · Don't start a sentence with 'There are'.

Commas

suggestion

"When there are multiple findings, the BI-RADS category for the exam is assigned the highest category in the following hierarchy, from lowest to highest: 1, 2, 3, 6, 0, 4, 5."

Line 53:36 · More than 5 commas in a single sentence might make it more difficult to read.

Links

american-college-of-radiology