BI-RADS is a scale or system for categorizing mammogram results. Like the Richter scale measures earthquakes, and the Fahrenheit scale measures temperature, BI-RADS is a way of classifying mammogram results so that communication between health care providers is easier.
A BIRADS 0 rating indicates that the mammogram is incomplete and requires further assessment.
BIRADS 4 means suspicious for cancer. A biopsy is usually recommended in this case.
BIRADS 5 means an abnormality is highly suggestive of cancer. The suspicious area should be biopsied.
Many mammograms are considered borderline or indeterminate in their findings. BIRADS 3 means an abnormality is present and probably (but not definitely) benign.
Some kinds of calcification, lymph nodes, or implants in the breast might generate a BIRADS 2 rating.
A normal mammogram may also be rated as BIRADS 2 or benign findings. This means that one or more abnormalities were found but are clearly benign (not cancerous), or variations of normal.
A normal mammogram may be rated as BIRADS 1 or negative, which means no abnormalities were seen.
A follow-up mammogram within a short interval of six months is suggested.
This helps to ensure that the abnormality is not changing, or is "stable." This stability in the abnormality indicates that a cancer is probably not present.
Some women are uncomfortable or anxious about waiting and may want to consult with their doctor about having a biopsy.
It also rates the mammogram according to standardized categories, as part of the Breast Imaging Reporting and Data System (BIRADS) created by the American College of Radiology (ACR).
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