Department of Radiology, University of California San Diego Health System, 9400 Campus Point Dr, La Jolla, CA 92037.
AJR Am J Roentgenol. 2021 Apr;216(4):860-873. doi: 10.2214/AJR.20.24894. Epub 2021 Feb 24.
BI-RADS is a communication and data tracking system that has evolved since its inception as a brief mammography lexicon and reporting guide into a robust structured reporting platform and comprehensive quality assurance tool for mammography, ultrasound, and MRI. Consistent and appropriate use of the BI-RADS lexicon terminology and assessment categories effectively communicates findings, estimates the risk of malignancy, and provides management recommendations to patients and referring clinicians. The impact of BI-RADS currently extends internationally through six language translations. A condensed version has been proposed to facilitate a phased implementation of BI-RADS in resource-constrained regions. The primary advance of the 5th edition of BI-RADS is harmonization of the lexicon terms across mammography, ultrasound, and MRI. Harmonization has also been achieved across these modalities for the reporting structure, assessment categories, management recommendations, and data tracking system. Areas for improvement relate to certain common findings that lack lexicon descriptors and a need for further clarification of proper use of category 3. BI-RADS is anticipated to continue to evolve for application to a range of emerging breast imaging modalities.
BI-RADS 是一种沟通和数据跟踪系统，自其诞生以来，已经从一个简短的乳腺摄影词汇和报告指南发展成为一个强大的结构化报告平台和全面的乳腺摄影、超声和 MRI 质量保证工具。BI-RADS 词汇术语和评估类别被一致和适当地使用，可以有效地传达发现结果、估计恶性肿瘤风险，并为患者和转诊临床医生提供管理建议。BI-RADS 的影响目前通过六种语言翻译在国际上扩展。已经提出了一个精简版，以促进 BI-RADS 在资源有限地区的分阶段实施。BI-RADS 第 5 版的主要进展是在乳腺摄影、超声和 MRI 之间实现了词汇术语的协调统一。在这些模式之间还实现了报告结构、评估类别、管理建议和数据跟踪系统的协调统一。需要改进的领域涉及某些缺乏词汇描述符的常见发现，以及需要进一步澄清类别 3 的正确使用。BI-RADS 预计将继续发展，以应用于一系列新兴的乳腺成像方式。
