BI-RADS, C-RADS, GI-RADS, LI-RADS, Lu-RADS, TI-RADS, PI-RADS. The long and winding road of standardization

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2014

Poster Number:

C-1928

Type:

Educational Exhibit

Keywords:

Management, Oncology, CT, MR, Ultrasound, Screening, Cancer

Authors:

S. Huicochea Castellanos, A. Gonzalez-Aguirre, M. Chapa Ibargüengoitia, S. E. Vazquez , J. Vazquez Lamadrid; Mexico, DF/MX

DOI:

10.1594/ecr2014/C-1928

DOI-Link:

https://dx.doi.org/10.1594/ecr2014/C-1928

Table 1: Breast Imaging and Data Report System (BI-RADS)

Fig. 1: BI-RADS

Table 2: CT Colonography Reporting and Data System (C-RADS)

Fig. 2: C-RADS

Learning objectives

The purpose of this exhibit is: 1.- Review the different classifications created to standardize reporting and data collection; 2.- Ilustrate the imaging findings of the proposed reporting systems; 3.- Discuss the advantages of standardize reports.

Background

The Breast Imaging Reporting and Data System (BI-RADS) is the only validated scoring system that is currently in use in clinical practice. Its utility has been demostrated in research, education, and in quality improvement [1]. In recent years there has been developed multiple, disease oriented systems based in BI-RADS, however their utility has to be proved, effort is being done to validate this score systems and apply them to daily clinical practice. The potential benefits of standardization are to improve communication between radiologist and clinicians,...

Findings and procedure details

1.- BI-RADS (Table 1, Figure 1) The Breast Imaging Reporting and Data System(BI-RADS)was developed by the American College of Radiology to serve as a guide providing standarized breast imaging terminology, a recommended reporting structure including final assessment categories with accompanying management recommendations, and a framework for data collection and auditing. Subsequent validation showed that implementation of BI-RADS reduces inter and intraobserver variability [2]. The first edition was released in 1993 for mammography findings, since then more editions have been released. In 2003 the first edition...

Conclusion

These systems provide an organized approach to image interpretation and reporting, also a framework for data collection and analysis, including quality assurance. The standardize imaging reports facilitate patient management and communication between clinicians and radiologists.

Personal information

S. Huicochea Castellanos, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan 14000, Mexico, DF. A. Gonzalez-Aguirre, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan 14000, Mexico, DF. M. Chapa Ibargüengoitia, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan 14000, Mexico City, DF. S. E. Vazquez, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan 14000, Mexico, DF. J. Vazquez Lamadrid, Department of Radiology, INCMNSZ, Vasco de Quiroga 15, Tlalpan 14000, Mexico, DF.

References

1. Burnside ES, Sickles EA, Bassett LW, et al. The ACR BI-RADS experience: learning from history. J Am Coll Radiol 2009;6(12):851-60 2. Baker JA, Kornguth PJ, Floyd CE Jr. Breast imaging reporting and data system standardized mammography lexicon: observer variability in lesion description. AJR Am J Roentgenol 1996;166: 773–778. 3. D'Orsi CJ, Mendelson, EB, Ikeda DM, et al: Breast Imaging Reporting and Data System: ACR BI-RADS – Breast Imaging Atlas, Reston, VA, American College of Radiology, 2003 4. Zalis ME, Barish MA, Choi JR,et al;...