Interpretation of Breast MRI Utilizing the BI-RADS 5th Edition Lexicon: How Are We Doing and Where Are we Headed?

Publication date: Available online 15 December 2015
Source:Current Problems in Diagnostic Radiology
Author(s): Kyungmin Shin, Kanchan Phalak, Anthony Hamame, Gary J Whitman
The Breast Imaging Reporting and Data System (BI-RADS) was first initiated in the late 1980s in order to standardize reporting, improve report organization, and to monitor outcomes for more clear, concise and uniform communication of breast imaging findings. In the BI-RADS 5th edition, several changes and new additions have been made to the MRI lexicon, reflecting increased utilization and availability of breast MRI in clinical practice. Understanding the role and appropriate utilization of breast MRI and the BI-RADS lexicon could help with interpretation and effective communication of MRI findings as well as preparing for incorporation of more advanced imaging techniques. In this comprehensive review of the changes and new descriptors in the MRI section of 5th edition of BI-RADS with pictorial examples, the reader will be able to achieve improved understanding of the MRI BI-RADS lexicon and its appropriate applications.

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