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🎀 Breast Imaging BI-RADS Category & Management

UseTranslate an assigned BI-RADS category into the correct management pathway.

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SourceACR BI-RADS Atlas, 5th edition. American College of Radiology 2013

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Scene next step
📋imaging radsOpen scene pack →
Related scores
Matching pathway
🧭orads_usOpen pathway →
Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Only categories 0/1/2 are used for screening; 3/4/5/6 follow a diagnostic work-up.

When to use

Translate an assigned BI-RADS category into the correct management pathway.

How it works

0 incomplete → additional imaging; 1/2 → routine screening; 3 (< 2%) → short-interval follow-up; 4A/4B/4C (2–95%) and 5 (≥ 95%) → biopsy; 6 → definitive treatment.

Key points

  • Only categories 0/1/2 are used for screening; 3/4/5/6 follow a diagnostic work-up.
  • Category 3 (probably benign) means malignancy < 2% and short-interval follow-up.
  • A benign biopsy discordant with imaging in category 4C/5 needs further action.
  • Category 4 is sub-divided 4A/4B/4C by the physician's malignancy estimate.

References

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.

BI-RADS category4A — Low suspicion

→ManagementBiopsy

  • Category：BI-RADS 4A: Low suspicion (malignancy 2–10%)
  • Management：Image-guided needle biopsy; a benign result concordant with imaging is acceptable with no further action
  • Note：BI-RADS management falls into four groups: additional imaging, routine screening, short-interval follow-up, biopsy; only 0/1/2 are used for screening, 3/4/5/6 after a diagnostic work-up
BI-RADS category0 — Incomplete

→ManagementAdditional imaging / prior comparison

  • Category：BI-RADS 0: Incomplete assessment
  • Management：Additional imaging (spot/magnification views, ultrasound) or comparison with priors, then assign a final category
  • Note：BI-RADS management falls into four groups: additional imaging, routine screening, short-interval follow-up, biopsy; only 0/1/2 are used for screening, 3/4/5/6 after a diagnostic work-up
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using Breast Imaging BI-RADS Category & Management?
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 Imaging BI-RADS Category & Management 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 Imaging BI-RADS Category & Management calculated in practice? Can you show a worked example?
Inputs: BI-RADS category 4A — Low suspicion → Result: Management Biopsy（Category: BI-RADS 4A: Low suspicion (malignancy 2–10%), Management: Image-guided needle biopsy; a benign result concordant with imaging is acceptable with no further action, Note: BI-RADS management falls into four groups: additional imaging, routine screening, short-interval follow-up, biopsy; only 0/1/2 are used for screening, 3/4/5/6 after a diagnostic work-up） Inputs: BI-RADS category 0 — Incomplete → Result: Management Additional imaging / prior comparison（Category: BI-RADS 0: Incomplete assessment, Management: Additional imaging (spot/magnification views, ultrasound) or comparison with priors, then assign a final category, Note: BI-RADS management falls into four groups: additional imaging, routine screening, short-interval follow-up, biopsy; only 0/1/2 are used for screening, 3/4/5/6 after a diagnostic work-up）
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