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BI-RADS assessment categories

BI-RADS assessment categories
Assessment Management Likelihood of cancer
Category 0: Incomplete – Need additional imaging evaluation and/or prior mammograms for comparison Recall for additional imaging and/or comparison with prior examination(s) N/A
Category 1: Negative Routine mammography screening Essentially 0% likelihood of malignancy
Category 2: Benign Routine mammography screening Essentially 0% likelihood of malignancy
Category 3: Probably benign Short-interval (6-month) follow-up or continued surveillance mammography >0 but ≤2% likelihood of malignancy
Category 4: Suspicious Tissue diagnosis* >2 but <95% likelihood of malignancy
Category 4A: Low suspicion for malignancy >2 to ≤10% likelihood of malignancy
Category 4B: Moderate suspicion for malignancy >10 to ≤50% likelihood of malignancy
Category 4C: High suspicion for malignancy >50 to <95% likelihood of malignancy
Category 5: Highly suggestive of malignancy Tissue diagnosis* ≥95% likelihood of malignancy
Category 6: Known biopsy-proven malignancy Surgical excision when clinically appropriate N/A
BI-RADS: Breast Imaging-Reporting and Data System.
* Practice guidelines recommend biopsy for all BI-RADS 4 and 5 lesions. If there are clinical factors (eg, age, comorbidities, etc) for which the patient, in consultation with the clinician, chooses to defer biopsy, the reasoning should be documented in the medical record.
Reprinted with permission of the American College of Radiology (ACR). No other representation of this material is authorized without expressed, written permission from the ACR. Refer to the ACR website at www.acr.org/Quality-Safety/Resources/BIRADS for the most current and complete version of the BI-RADS® Atlas.
Graphic 100197 Version 10.0

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