Reporting and Data Systems (disambiguation)

Last revised by Rohit Sharma on 14 Mar 2023

In recent years there has been a proliferation of Reporting and Data Systems (RADS), which have been proposed - and in many cases widely adopted - as standardized systems for the reporting of imaging of various body organs, often, but certainly not always, with a focus on oncological disease 2. These systems also help departments introduce structured reporting 4.

Although many RADS have been developed by the American College of Radiology (ACR), most notably BI-RADS, others, for example, COVID-RADS, were developed by other groups 2,17.

In addition, is a coronary artery calcification scoring system, which strangely has been called the CAC-DRS: Coronary Artery Calcium Data and Reporting System, and not CAC-RADS: Coronary Artery Calcium-Reporting and Data System.

Under development

Several RADS are under active development by the American College of Radiology 17:

  • HI-RADS: Head Injury Imaging Reporting and Data System 3

A standardized system for the reporting of head injury cases is being developed by the American College of Radiology. Specific details of the proposed HI-RADS: Head Injury Imaging Reporting and Data System have not been published as yet 3. A system provisionally named the Traumatic Brain Imaging Reporting and Data System (TBI-RADS) has also been discussed. It is likely that HI-RADS and TBI-RADS are synonymous as the same organizations are involved in both 8

  • PE-RADS: Pulmonary Embolism Reporting and Data System 17

  • MSK-RADS (bone): MusculoSKeletal Reporting and Data System (osteolytic bone lesions) 17

Several RADS are under active consideration by the American College of Radiology 17:

  • KI-RADS: Kidney Masses Reporting and Data System 17

  • MI-RADS: Molecular Imaging Reporting and Data System 17

  • MSK-RADS (soft tissue): MusculoSKeletal Reporting and Data System (soft tissue lesions) 17

  • NCAD-RADS: Nuclear Cardiology Reporting and Data System 21

  • Stroke-RADS: Stroke Reporting and Data System 17

The American College of Radiology invite interested parties to submit proposals for new RADS through their website 17.

History and etymology

In 1993 the American College of Radiology proposed the BI-RADS: Breast Imaging Reporting and Data System, a standardized lexicon for the reporting of mammography, which was developed on the back of the established 5-tier ACR system. The aim of BI-RADS was to improve distinction between benign and malignant disease, to remove ambiguity from radiology reports, permit automated auditing of data and improve clinical discourse with the referrers 1

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