Universidade Federal de São Paul São PauloSP Brazil Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Hospital BP - A Beneficência Portuguesa de São Paulo São PauloSP Brazil Hospital BP - A Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil.
Rev Bras Ginecol Obstet. 2024 Mar 15;46. doi: 10.61622/rbgo/2024AR06. eCollection 2024.
BI-RADS® is a standardization system for breast imaging reports and results created by the American College of Radiology to initially address the lack of uniformity in mammography reporting. The system consists of a lexicon of descriptors, a reporting structure with final categories and recommended management, and a structure for data collection and auditing. It is accepted worldwide by all specialties involved in the care of breast diseases. Its implementation is related to the Mammography Quality Standards Act initiative in the United States (1992) and breast cancer screening. After its initial creation in 1993, four additional editions were published in 1995, 1998, 2003 and 2013. It is adopted in several countries around the world and has been translated into 6 languages. Successful breast cancer screening programs in high-income countries can be attributed in part to the widespread use of BI-RADS®. This success led to the development of similar classification systems for other organs (e.g., lung, liver, thyroid, ovaries, colon). In 1998, the structured report model was adopted in Brazil. This article highlights the pioneering and successful role of BI-RADS®, created by ACR 30 years ago, on the eve of publishing its sixth edition, which has evolved into a comprehensive quality assurance tool for multiple imaging modalities. And, especially, it contextualizes the importance of recognizing how we are using BI-RADS® in Brazil, from its implementation to the present day, with a focus on breast cancer screening.
BI-RADS® 是由美国放射学院创建的一种乳房影像学报告和结果的标准化系统，旨在解决乳腺摄影报告缺乏一致性的问题。该系统由描述符词汇表、具有最终类别和推荐管理的报告结构以及数据收集和审核结构组成。它被涉及乳房疾病护理的所有专业在全球范围内接受。它的实施与美国的乳房 X 线照相质量标准法案倡议（1992 年）和乳腺癌筛查有关。该系统于 1993 年首次创建，随后在 1995 年、1998 年、2003 年和 2013 年又发布了四个版本。它在世界上几个国家得到采用，并已被翻译成 6 种语言。高收入国家成功的乳腺癌筛查计划部分归因于 BI-RADS® 的广泛使用。这一成功促使为其他器官（如肺、肝、甲状腺、卵巢、结肠）开发了类似的分类系统。1998 年，巴西采用了结构化报告模型。本文强调了 BI-RADS® 的开创性和成功作用，该系统由 ACR 于 30 年前创建，恰逢其第六版发布之际，该系统已发展成为多种成像方式的全面质量保证工具。特别是，它从实施到现在，特别是从实施到现在，特别强调了认识我们在巴西如何使用 BI-RADS®的重要性，重点是乳腺癌筛查。
