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BIRADS XR and US

BIRADS for USG and Mammography 2013 updated version

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IRIA2022 BLR
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13 views50 pages

BIRADS XR and US

BIRADS for USG and Mammography 2013 updated version

Uploaded by

IRIA2022 BLR
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Dr.

Mohit Goel
JRIII
27/2/15
BI-RADS® is designed to standardize breast imaging reporting and to
reduce confusion in breast imaging interpretations.

It also facilitates outcome monitoring and quality assessment.

It contains a lexicon for standardized terminology (descriptors) for


mammography, breast US and MRI.

All mammographic, ultrasound, and breast MRI findings and reports


should closely adhere to the BI-RADS lexicon and assessment
categories.
BIRADS
In BI-RADS 2013 the use of percentages is discouraged, because in individual cases it is more
important to take into account the chance that a mass can be obscured by fibroglandular tissue
than the percentage of breast density as an indicator for breast cancer risk.
The composition is c - heterogeneously dense, although the volume of fibroglandular tissue is
less than 50%.
The fibroglandular tissue in the upper part is sufficiently dense to obscure small masses.
So it is called c, because small masses can be obscured.
Historically this would have been called an ACR 2: 25-50% density.
Dense fibroglandular tissue have an increased risk of developing
breast cancer, and detection of early cancer can be obscured by the
fibroglandular tissue.

Bilateral interval increase in fibroglandular density is usually benign


and may be caused either by hormonal effects or breast edema.

A unilateral increase in fibroglandular density is worrisome for


lymphatic obstruction, which may be malignant.

Hormone therapy may cause an increase in fibroglandular density.

Pregnancy, lactation, and weight loss may all cause an interval


increase in fibroglandular density.
A mammographic mass is a space-occupying lesion with convex borders seen in
two different projections. In contrast, an asymmetry is seen in one view only.
Architectural distortionrepresents radiating linear densities emanating from a central
point, without a definite mass visible.
Asymmetry as an area of fibroglandulair tissue visible on only one mammographic
projection, mostly caused by superimposition of normal breast tissue
In the 2003 atlas calcifications were
classified by morphology and distribution
either as benign, intermediate concern or
high probability of malignancy.

In the 2013 version the approach has


changed.

Since calcifications of intermediate


concern and of high probability of
malignancy all are being treated the
same way, which usually means biopsy, it
is logic to group them together.

Calcifications are now either typically


benign or of suspicious morphology
Skin calcifications are associated with sweat glands, are usually punctate or lucent-centered,
and are most common medially, where the concentration of sweat glands is higher.
Arterial vascular calcifications are present in the upper portion of the image (yellow arrow),
while large rod-like calcifications are present in the inferior portion of the image (red arrows).

Arterial vascular calcifications within the breast have a distinctive morphology and are
typically not mentioned in the body of the report unless they are very extensive or the
patient is very young
highly suspicious for malignancy. The branching distribution suggests filling of the lumen of a
duct system involved by DCIS.
THANK YOU

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