The Breast Imaging-Reporting and Data System (BI-RADS) Made Easy

Abstract

: The main advantage of the Breast Imaging-Reporting and Data System (BI-RADS) system is that when correctly applied, the American College of Radiology (ACR) and BI-RADS classifications are the only necessary tools for a practical and scientific communication between radiologists and clinicians regarding the breast findings. The BI-RADS provides a common standardized language of communication by minimizing subjective interpretations. A non-specialist clinician, without an in-depth knowledge of breast imaging, should be assisted on how to manage or refer patients based on standard algorithms. Dedicated breast clinicians, despite their high level of knowledge and experience regarding breast disease and management, are not radiologists; therefore, the BI-RADS can help them organize a follow-up and perform further diagnostic examinations. Besides, radiologists who are specialized in using different modalities communicate better with each other about breast images if the BI-RADS terminology and management guidelines are applied. In this study, we present a concise and simplified description for all sections of the BI-RADS to facilitate its understanding and practical use for all practitioners, not only breast radiologists.