How to improve your breast cancer program: Standardized reporting using the new American College of Radiology Breast Imaging-Reporting and Data System.
Ojeda-Fournier H, Nguyen JQ -The Indian journal of radiology & imaging(2009 Oct-Dec)
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F0008:Mammography (A) in a 65-year-old woman shows architectural distortion. USG (B) demonstrates a hypoechoic mass with spiculated margins and posterior shadowing (arrow), classified as BI-RADS 5. Pathology showed invasive ductal carcinoma
View Article:PubMed Central - PubMed
Affiliation:Department of Radiology, Moores Cancer Center, University of California, San Diego La Jolla, CA, USA.
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Bottom Line:In the USA, the use of the American College of Radiology Breast Imaging-Reporting and Data System (ACR BI-RADS) has served not only as a quality assurance tool and guide to standardizing breast imaging reports but has also improved communication between referring physicians, researchers, and patients.In fact, in the USA, the Mammography Quality Standards Act of 1997 requires that all mammograms be assigned a BI-RADS category based on the finding of most concern.In this manuscript, we aim to review the recommendations provided in the 4 th edition of the ACR BI-RADS for mammography, USG, and MRI.
Abstract
In the USA, the use of the American College of Radiology Breast Imaging-Reporting and Data System (ACR BI-RADS) has served not only as a quality assurance tool and guide to standardizing breast imaging reports but has also improved communication between referring physicians, researchers, and patients. In fact, in the USA, the Mammography Quality Standards Act of 1997 requires that all mammograms be assigned a BI-RADS category based on the finding of most concern. In this manuscript, we aim to review the recommendations provided in the 4 th edition of the ACR BI-RADS for mammography, USG, and MRI. We also review the major controversies surrounding the use of ACR BI-RADS .
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Architectural distortion is considered an associated finding and the term is used when the normal breast tissue architecture is distorted but there is no definite mass. It is visualized in the form of spiculations radiating from a point or as focal retraction or distortion of the edges of the parenchyma [Figure 8].
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