BI-RADS Next Edition Update: Mammography, Breast Ultrasound and Breast MRI (2022)-W1-CBR05-2022

Video Transcription

Video Summary

The video discusses a comprehensive update on the BI-RADS mammography lexicon, set for release at the end of 2023. Led by Dr. Mimi Newell and her team, including specialists for ultrasound, MRI, and audit, the update is in its preliminary stages. The key focus is on streamlining the lexicon to make search functions easier and the content clearer. The update strives to introduce modality-neutral structured clinical indications across mammography, MRI, and ultrasound, facilitating easier integration with research and reporting systems. Significant enhancements include improved descriptors for mammography, adjustments in ultrasound categories, and better lymph node imaging categorization. For instance, mammography updates focus on using digital images and simplifying breast density descriptors, while introducing "layering" as a term replaces "milk of calcium." The ultrasound section explores new categories such as non-mass findings and emphasizes location-based descriptors. MRI updates extend to acquisition parameters and reporting systems, removing the term "focus" to discourage excessive attention on clinically insignificant findings. Finally, the outcomes monitoring section has been renamed to "audit and outcomes monitoring," providing updated benchmarks and emphasizing the need for complete data collection and patient care optimization through audits.

Keywords

BI-RADS

mammography

lexicon update

Dr. Mimi Newell

ultrasound

MRI

clinical indications

descriptors

audit and outcomes