BI – RADS (breast imaging reporting and data system)
description
Transcript of BI – RADS (breast imaging reporting and data system)
![Page 1: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/1.jpg)
BI – RADS(breast imaging reporting and data system)
영상의학과 전민정
![Page 2: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/2.jpg)
판독의 표준화 영상의학과 의사와 임상 의사간의 오해의 소지를 없애고 , 의사소통을 원활하게 하기 위해 다소 정형화된 용어를 사용
BI – RADS 장점
![Page 3: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/3.jpg)
Indication for examination Breast composition• The breast is almost entirely fat• There are scattered fibroflandular densities• The breast tissue is heterogeneously dense• The breast tissue is extremely dense
Findings Comparison to previous studies Overall impression(classification category)
판독 Tool
![Page 4: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/4.jpg)
Mass Calcification Special cases
유방촬영 findings
![Page 5: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/5.jpg)
Shape Margin Density
A. Mass
![Page 6: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/6.jpg)
A. Mass
![Page 7: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/7.jpg)
A. Mass
![Page 8: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/8.jpg)
A. Mass
![Page 9: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/9.jpg)
Typical benign Intermediate concern calcification• Amorphous or Indistinct calcifications
Higher probability malignancy• Pleomorphic calcification• Linear branching (Casting) calcification• Fine linear or fine pleomorphic micro-
calcification
B. Calcification
![Page 10: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/10.jpg)
Solitary dilated duct Intramammary lymph node Focal asymmetric density
C. Special cases
![Page 11: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/11.jpg)
낭종과 고형 종괴의 구분 유방 촬영술상 치밀 유방에서 보이지 않지만 만져지는 병변의 검사 병변의 위치로 인해 유방 촬영술에서 충분이 검사할 수 없는 종괴 유방 촬영술상 유방암의 위험도가 높고 치밀유방인 환자에서 숨은 병변을 찾기 위해 젊은 여성에서 만져지는 유방 종괴의 검사 임산부나 수유부의 일차 검사 국소적 유방 통증 및 압통 등의 증상이 있는 환자에서 정확한 원인 규명
US Indications
![Page 12: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/12.jpg)
Mass Calcifications Special cases Vascularity
유방 초음파 findings
![Page 13: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/13.jpg)
Shape Orientation Margin Echo pattern Posterior acoustic features
A. Mass
![Page 14: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/14.jpg)
A. Mass-Shape
![Page 15: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/15.jpg)
A. Mass-Margin
![Page 16: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/16.jpg)
A. Mass-Echo Pattern
![Page 17: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/17.jpg)
A. Mass-Orientation
![Page 18: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/18.jpg)
A. Mass-Posterior Acoustic Features
![Page 19: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/19.jpg)
Macrocalcifications Microcalcifications• Microcalcifications Out of a Mass• Microcalcifications In a Mass
B. Calcifications
![Page 20: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/20.jpg)
Clustered microcysts Complicated cysts Mass in or on skin Foreign body Lymph node-intramammary Lymph node-axillary
C. Special Cases : Unique diagnosis or finding
![Page 21: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/21.jpg)
D. Vascularity
Present or not presentPresent immediately adjacent to lesionDiffusely increased vascularity in sur-rounding tissue
![Page 22: BI – RADS (breast imaging reporting and data system)](https://reader035.fdocuments.net/reader035/viewer/2022081502/56816403550346895dd5a687/html5/thumbnails/22.jpg)
Assessment is Incomplete• Category 0 : Need Additional Imaging Evalua-
tion Assessment is Complete – Final Categories• Category 1 : Negative• Category 2 : Benign Finding• Category 3 : Probably Benign Finding• Category 4 : Suspicious Abnormality• Category 5 : Highly Suggestive of Malignancy• Category 6 : Known Biopsy-Proven Malignancy
BIRADS-Assessment Categories