The BIRADS acronym stands for Breast Imaging-Reporting and Data System which is a widely accepted risk assessment and quality assurance tool in mammography, ultrasound or MRI.
| BI-RADS Category | Assessment | Clinical Management Recommendation(s) |
| 0 | Assessment incomplete | Need to review prior studies and/or complete additional imaging |
| 1 | Negative | Continue routine screening |
| 2 | Benign finding | Continue routine screening |
| 3 | Probably benign finding | Short-term follow-up mammogram at 6 months, then every 6 to 12 months for 1 to 2 years |
| 4 | Suspicious abnormality | Perform biopsy, preferably needle biopsy |
| 5 | Highly suspicious of malignancy; appropriate action should be taken. | Biopsy and treatment, as necessary. |
| 6 | Known biopsy-proven malignancy, treatment pending | Assure that treatment is completed |
References:
- Liberman L, Menell JH. Breast imaging reporting and data system (BI-RADS). Radiol Clin North Am May 2002; 40: 409-30. [Medline]
- Eberl MM, Fox CH, Edge SB, Carter CA, Mahoney MC.BI-RADS classification for management of abnormal mammograms. J Am Board Fam Med. 2006 Mar-Apr;19(2):161-4. [Medline]
Created: Jul 23, 2008
