Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
18 results found
Article
Classification of ductal carcinoma in situ (DCIS)
The new pathological classification of DCIS (ductal carcinoma in situ) is based on cytonuclear atypia, degree of necrosis, size, and distance from margin/architecture. Low and intermediate grades DCIS require cytologic, architectural and size criteria to be met but high-grade DCIS requires only ...
Article
Nottingham classification
The Nottingham classification is used at the end of work up of a breast lesion to help guide management.
A = malignant
lesion needs surgical excision regardless of biopsy result
B = indeterminate
will accept a benign biopsy result, but only if it is congruent with imaging, i.e. a well circum...
Article
Breast imaging-reporting and data system (BI-RADS)
BI-RADS (Breast Imaging-Reporting and Data System) 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 refle...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 4
A BI-RADS 4 lesion under the breast imaging-reporting and data system refers to a suspicious abnormality. BI-RADS 4 lesions may not have the characteristic morphology of breast cancer but have a definite probability of being malignant. A biopsy is recommended for these lesions. If possible, the ...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 0
BI-RADS 0 is one of seven categories from the breast imaging-reporting and data system and is used when imaging is incomplete such as:
when further imaging or information is required, e.g. compression, magnification, special mammographic views, ultrasound
when requesting previous images not av...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 2
BI-RADS 2 is a benign category in breast imaging reporting and data system. A finding placed in this category should have a 100% chance of being benign.
Examples of such lesions or findings include:
calcified fibroadenomas
multiple secretory calcifications
fat-containing lesions such as:
o...
Article
Tabar 5-tier grading system
The Tabar 5-tier grading system is used to classify mammographic lesions. This should not be confused with the Tabar classification of parenchymal patterns in breast imaging. It is a separate but translatable system to the BI-RADS classification system (please note that Tabar grade 3 ≠ BI-RADS 3...
Article
BSBR breast imaging classification
The British Society of Breast Radiologists (BSBR) publish with the Royal College of Radiologists a standardized classification for breast imaging in the United Kingdom. The first edition in 2009 was based on findings from the RCR Breast Group (RCRBG) 1 with the current fourth edition published i...
Article
WHO classification of tumors of the breast
The World Health Organizatiοn classification of tumors of the breast is the most widely used pathologic classification system for such disorders. The current revision, part of the 4th edition of the WHO series, was published in 2012 and is reflected in the article below 1.
Classification
Epith...
Article
PGMI evaluation system
PGMI (Perfect, Good, Moderate, Inadequate) is a method of evaluation of clinical image quality in mammography developed by the United Kingdom Mammography Trainers Group with the support of the Royal College of Radiographers, aimed to ensure the maintenance of a high standard of mammography in Br...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 6
BI-RADS 6 is one of seven categories of the ACR (American College of Radiology) BI-RADS system and is defined as known biopsy-proven malignancy. This category is used when:
imaging is performed post percutaneous biopsy that demonstrated a malignancy but prior to definitive therapy1
imaging dem...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 3
BI-RADS 3 is an intermediate category in the breast imaging reporting and data system. A finding placed in this category is considered probably benign, with a risk of malignancy of > 0% and ≤ 2%4.
Terminology
BI-RADS 3 should not be utilized in the screening setting. It should be reserved for ...
Article
Parenchymal patterns in breast imaging
Parenchymal patterns in breast imaging influence mammographic screening sensitivity and is related to the risk of breast cancer. This article describes the historical classifications of breast density. See the main article on breast density for the currently accepted BI-RADS descriptors.
Classi...
Article
Kaiser score: breast MRI classification flowchart
The Kaiser score is an evidence-based clinical decision rule to distinguish benign from malignant lesions in breast MRI. It incorporates five BI-RADS descriptors:
spiculations
suspicious protrusion from the lesion surface that has concave lateral aspects
this includes classical spicu...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 1
BI-RADS 1 is one of seven categories from the breast imaging reporting and data system. It is defined as negative and is used when imaging demonstrates:
no finding is present in an imaging modality (not even a benign finding)
there is nothing to comment on
a normal examination
The ...
Article
Breast imaging-reporting and data system (BI-RADS) assessment category 5
BI-RADS 5 lesions under the BI-RADS (breast imaging reporting and data system) refer to breast lesions that are highly suspicious for malignancy, requiring appropriate action to be taken (i.e. biopsy and management as appropriate). BI-RADS 5 lesions have the characteristic morphology of breast c...
Article
5-tier ACR system of radiologic breast findings (historical)
The 5-tier ACR system was a previously used system for the classification of radiologic breast findings, proposed by the American College of Radiology (ACR) ref. It is no longer in use having been superseded by the 6-tier BI-RADS classification system first published in 1992 1.
Classification
...
Article
Aberrations in the normal development and involution of the breast
Aberrations in the Normal Development and Involution (ANDI) of the breast is an overarching term used to describe a wide spectrum of benign breast disease. As the name suggests, it is based on the theory that most of the encountered benign breast disorders are aberrations in the normal developme...
Unable to process the form. Check for errors and try again.