Lorell Ruiz-Flores MD, Presenter: Nothing to Disclose

Karla A. Sepulveda MD, Abstract Co-Author: Nothing to Disclose

Tamara Ortiz-Perez MD, Abstract Co-Author: Nothing to Disclose

Alfred Beresford Watson MD, MPH, Abstract Co-Author: Stockholder, General Electric Company

Studies have shown that focused teaching about the BI-RADS lexicon leads to improved appropriate use of the lexicon. Mammographic images demonstrating the BI-RADS mammography lexicon characteristics will be displayed with the corresponding BI-RADS descriptor to promote appropriate use of the lexicon. This exhibit will: 1. Review the fifth edition of the ACR Breast Imaging Reporting and Data System for mammography via a pictorial essay. 2. Highlight the differences in the lexicon from prior editions. 3. Explain the new subdivision of BI-RADS category 4 according to percentage of likelihood of malignancy. 4. Discuss the different scenarios for which the new assessment-management uncoupling applies. 5. Consider the impact of eliminating BI-RADS category 3 from screening mammography.

Pictorial review of the updated BI-RADS lexicon for mammography with emphasis on differences from prior editions Breast composition Masses  Calcifications Architectural distortion Asymmetries Location BI-RADS category 4 sub-divisions with pictorial examples Assessment -management uncoupling clinical scenarios Discussion of impact of eliminating BI-RADS category 3 in screening mammography Sample cases for self-evaluation

http://abstract.rsna.org/uploads/2014/14005159/14005159_6jl3.pdf

Ruiz-Flores, L, Sepulveda, K, Ortiz-Perez, T, Watson, A, The New BI-RADS for Mammography: A Pictorial Essay.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14005159.html