BI-RADS 3: Current and Future Use of Probably Benign

Karen A. Lee, Nishi Talati, Rebecca Oudsema, Sharon Steinberger, Laurie R. Margolies

Research output: Contribution to journalReview articlepeer-review

45 Scopus citations

Abstract

Purpose of Review: Probably benign (BI-RADS 3) causes confusion for interpreting physicians and referring physicians and can induce significant patient anxiety. The best uses and evidence for using this assessment category in mammography, breast ultrasound, and breast MRI will be reviewed; the reader will have a better understanding of how and when to use BI-RADS 3. Recent Findings: Interobserver variability in the use of BI-RADS 3 has been documented. The 5th edition of the BI-RADS atlas details the appropriate use of BI-RADS 3 for diagnostic mammography, ultrasound, and MRI, and discourages its use in screening mammography. Data mining, elastography, and diffusion weighted MRI have been evaluated to maximize the accuracy of BI-RADS 3. Summary: BI-RADS 3 is an evolving assessment category. When used properly, it reduces the number of benign biopsies while allowing the breast imager to maintain a high sensitivity for the detection of early stage breast cancer.

Original languageEnglish
Article number5
JournalCurrent Radiology Reports
Volume6
Issue number2
DOIs
StatePublished - 1 Feb 2018

Keywords

  • BI-RADS 3
  • Breast cancer screening
  • Breast imaging reporting and data system
  • Breast ultrasound
  • MRI
  • Mammography
  • Probably benign

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