Provide radiologists with an essential update on 5th edition BI-RADS® lexicon Illustrate changes in BI-RADS® lexicon with practical examples Provide an interactive case review for self-assessment

BI-RADS® is the widely accepted and used system of communication between breast radiologists and other specialists around the world It is important for radiologists to fully understand BI-RADS lexicon in order to communicate findings in a clear manner and ensure consistency [1]

History of BI-RADS First edition of BI-RADS® (Breast Imaging Reporting and Data System) released by ACR in 1993 Aims: Standardize and improve mammography interpretation, simplify monitoring of outcomes, assess radiologists’ performance, facilitate research and improve patients’ management and treatment BI-RADS® contains: 1) Lexicon of descriptors, 2) Recommended reporting structure including final assessment categories along with management recommendations, and 3) Framework for data collection and auditing BI-RADS Ultrasound and BI-RADS MRI were released in the 4th Edition in 2003 [3] Multiple studies have shown that training...

BI-RADS is a unique tool that provides a lexicon of imaging features of breast lesions 5th Edition eliminates some rarely used descriptors andadds a few new, consolidates other descriptors, provides improved uniformity of terminology across imaging modalities Proper and knowledgeable use of BI-RADS 5th Edition ensures clear multidisciplinary communication

1. Eberl MM, Fox CH, Edge SB et al. BI-RADS Classification for management of abnormal mammograms. J Am Board Fam Med (2006) 19: 161-164 2. Burnside ES, Sickles EA, Bassett LW et al. The ACR BI-RADS® Experience: Learning From History. J Am Coll Radiol. (2009) 6(12): 851-860 3. American College of Radiology. Breast imaging reporting and data system: ACR BIRADS– breast imaging atlas. Reston (VA): American College of Radiology; 2003 4. Lazarus E, Mainiero MB, Schepps B. et al. BI-RADS lexicon for US and mammography:...