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

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

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SourceACR BI-RADS Atlas, 5th ed. 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

Most abnormal finding wins.

When to use

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

How it works

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

Key points

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

References

  • [Guideline / primary source]ACR BI-RADS Atlas, 5th ed. 2013
  • [Guideline / primary source]ACR BI-RADS CEM Supplement 2022

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：—
Verification & sources · governance
FAQ

Frequently asked questions

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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