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Radiology

Breast Imaging Reporting and Data System

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Breast Imaging Reporting and Data System
The first 25 slides, exactly as they appear. The full deck has 119 content slides.

What’s inside

6 sections · 119 slides

  1. 01

    Overview

    • What this chapter covers
    • The BI-RADS atlas

    2 slides

  2. 02

    What BI-RADS Is

    Why the system exists, what the atlas contains, and how it improves breast imaging

    • Why BI-RADS was created
    • What the atlas contains
    • Sections of the BI-RADS atlas
    • How the lexicon guides risk

    4 slides

  3. 03

    Mammography Lexicon

    Breast composition, masses, calcifications, architectural distortion, asymmetries, and associated features

    • Breast composition basics
    • Breast composition categories
    • Breast density categories
    • The four density categories
    • What counts as a breast mass
    • Mass descriptors on mammography
    • Three features of a mass
    • Mass shape
    • Oval mass shape
    • Round mass shape
    • Irregular mass shape
    • Mass margin: the five choices
    • Reading the margin
    • Circumscribed mass margin
    • Obscured mass margin
    • Indistinct mass margin
    • Microlobulated mass margin
    • Spiculated mass margin
    • Spiculated mass versus distortion
    • Spiculated mass versus architectural distortion
    • Choose the worst margin feature
    • Margin with mixed features
    • Mass density
    • Fat-containing mass
    • Cancer engulfing fat
    • Low-density mass
    • Equal-density mass
    • High-density mass
    • Fat in a mass: benign or not
    • Putting mass features together
    • How DCIS makes calcifications
    • Why calcifications matter
    • Calcification morphology descriptors
    • Malignant calcification morphologies
    • Amorphous and coarse heterogeneous
    • Amorphous calcifications
    • Coarse heterogeneous calcifications
    • Fine pleomorphic and fine linear
    • Fine pleomorphic calcifications
    • Fine linear branching calcifications
    • Calcification distribution descriptors
    • Calcification distribution
    • Diffuse, regional, and grouped
    • Diffuse calcifications
    • Regional calcifications
    • Grouped calcifications
    • Linear and segmental
    • Linear calcifications
    • Segmental calcifications
    • Typically benign calcifications
    • Benign calcifications
    • Skin and vascular calcifications
    • Skin calcifications
    • Vascular calcifications
    • Popcorn, rod-like, and round
    • Popcorn calcifications
    • Large rod-like calcifications
    • Round calcifications
    • Milk of calcium, rim, and dystrophic
    • Milk of calcium
    • Rim calcifications
    • Dystrophic calcifications
    • Architectural distortion basics
    • Architectural distortion
    • Causes of architectural distortion
    • Architectural distortion: benign or not
    • Asymmetries
    • Asymmetries overview
    • Asymmetry and global asymmetry
    • Asymmetry on one view
    • Global asymmetry
    • Focal and developing asymmetry
    • Focal asymmetry
    • Developing asymmetry
    • Associated features
    • Associated features
    • Associated features of malignancy

    77 slides

  4. 04

    Ultrasound Lexicon

    Shape, margin, echo pattern, orientation, posterior features, and cystic masses

    • Ultrasound lexicon overview
    • Mass descriptors on ultrasound
    • Ultrasound shape and margin
    • Ultrasound mass shape
    • Ultrasound mass margin
    • Ultrasound echo pattern
    • Ultrasound echo pattern
    • Orientation and posterior features
    • Lesion orientation on ultrasound
    • Posterior features on ultrasound
    • Cystic masses on ultrasound
    • Cystic breast masses on ultrasound
    • Cystic breast masses on ultrasound
    • Ultrasound associated features

    14 slides

  5. 05

    Reporting and Assessment

    The structured report, lesion location, and assessment categories 0 through 6

    • The structured report
    • Location of a lesion
    • Pinpointing lesion location
    • Assessment categories 0 through 3
    • Assessment categories 4 through 6
    • The seven assessment categories
    • Assessment categories

    7 slides

  6. 06

    Follow-Up and Outcome Monitoring

    Statistical terms, sensitivity and specificity, positive predictive value, and the medical audit

    • Data to collect under MQSA
    • Screening versus diagnostic
    • Classifying results
    • Sensitivity, specificity, and detection
    • Positive predictive value
    • Three positive predictive values
    • ≥2.5
    • Where benchmarks come from
    • Running a medical audit
    • Key takeaways
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    15 slides