Guideline decision tool · Radiology
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Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) — free guideline decision tool

Combine BI-RADS categories from mammography/DBT, US, MRI, CEM and CEUS into one overall assessment by the ACR abnormality hierarchy, with discordance alerts. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Mammography / DBT4A
Ultrasound4A
MRI4A
Contrast-enhanced mammography (CEM)4A
Contrast-enhanced US (not an ACR category; supplementary)4A

→Overall BI-RADS4A

  • Modalities:Mammo/DBT 4A · US 4A · MRI 4A · CEM 4A · CEUS 4A
  • Driving modality:Mammo/DBT (BI-RADS 4A)
  • Likelihood of malignancy:>2–≤10%
Mammography / DBT0 — Incomplete
Ultrasound0 — Incomplete
MRI0 — Incomplete
Contrast-enhanced mammography (CEM)0 — Incomplete
Contrast-enhanced US (not an ACR category; supplementary)0 — Incomplete

→Overall BI-RADS0

  • Modalities:Mammo/DBT 0 · US 0 · MRI 0 · CEM 0 · CEUS 0
  • Driving modality:Mammo/DBT (BI-RADS 0)
  • Likelihood of malignancy:—

Common questions

What is Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS)?

Combine BI-RADS categories from mammography/DBT, US, MRI, CEM and CEUS into one overall assessment by the ACR abnormality hierarchy, with discordance alerts. Instant, browser-side.

How is Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) calculated? What is the core formula?

Overall = most abnormal ACR modality; hierarchy 1<2<3<6<0<4A<4B<4C<5. CEUS is advisory only.

When is Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) used?

When one patient has several breast imaging modalities and needs a single overall assessment.

What are the key clinical points for Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS)?

Most abnormal finding wins. Hierarchy 1<2<3<6<0<4<5. Suspicious only on MRI/CEM → second-look US. CEUS is supplementary.

What are the limits and cautions when using Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) calculated in practice? Can you show a worked example?

Inputs: Mammography / DBT 4A, Ultrasound 4A, MRI 4A, Contrast-enhanced mammography (CEM) 4A, Contrast-enhanced US (not an ACR category; supplementary) 4A → Result: Overall BI-RADS 4A(Modalities: Mammo/DBT 4A · US 4A · MRI 4A · CEM 4A · CEUS 4A, Driving modality: Mammo/DBT (BI-RADS 4A), Likelihood of malignancy: >2–≤10%) Inputs: Mammography / DBT 0 — Incomplete, Ultrasound 0 — Incomplete, MRI 0 — Incomplete, Contrast-enhanced mammography (CEM) 0 — Incomplete, Contrast-enhanced US (not an ACR category; supplementary) 0 — Incomplete → Result: Overall BI-RADS 0(Modalities: Mammo/DBT 0 · US 0 · MRI 0 · CEM 0 · CEUS 0, Driving modality: Mammo/DBT (BI-RADS 0), Likelihood of malignancy: —)

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Run Breast Multimodality BI-RADS Synthesis (Mammo / DBT / US / MRI / CEM / CEUS) now

Combine BI-RADS categories from mammography/DBT, US, MRI, CEM and CEUS into one overall assessment by the ACR abnormality hierarchy, with discordance alerts. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.

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