• About Us
    • Contact Us
    • Login
    • ObGFirst
  • COVID-19
  • Alerts
  • OB
  • 2T US Atlas
  • The Genome
  • GYN
    • GYN
    • Sexual Health
  • Primary Care
  • Your Practice
  • GrandRounds
  • My Bookshelf
  • Now@ObG
  • Media
About Us Contact Us Login ObGFirst
  • COVID-19
  • Alerts
  • OB
  • 2T US Atlas
  • The Genome
  • GYN
    • GYN
    • Sexual Health
  • Primary Care
  • Your Practice
  • GrandRounds
  • My Bookshelf
  • Now@ObG
  • Media
GYN
CMECNE

BI-RADS: Standardizing Breast Imaging and Reporting 

image_pdfFavoriteLoadingFavorite

Learning Objectives and CME/Disclosure Information

This activity is intended for healthcare providers delivering care to women and their families.

After completing this activity, the participant should be better able to:

1. List the elements in a standard mammogram report
2. Recall the BI-RADs categories that require a tissue diagnosis

Estimated time to complete activity: 0.25 hours

Faculty:

Susan J. Gross, MD, FRCSC, FACOG, FACMG President and CEO, The ObG Project

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.


The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.

Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.

Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.

Method of Participation and Request for Credit

Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Jan 25 2023, participants must read the learning objectives and faculty disclosures and study the educational activity.

If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.

For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education

Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education

The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.

Read Disclaimer & Fine Print

WHAT IS IT?

BI-RADS: Breast Imaging Reporting and Data System, was developed by the American College of Radiology (ACR) to standardize mammogram reporting, as well as breast ultrasound and MRI reporting.

The standard mammogram report includes the following

  • Indication and type of mammogram (screening/diagnostic)
  • Statement regarding breast density
  • Description of pertinent findings including size and location, oriented by quadrant and clock position
  • Summary of important findings and BI-RADS category

KEY POINTS:

BI-RADS Classification Standardizes Findings and Recommendations for Further Management

BI-RADS 0 : Incomplete

  • Recall for additional imaging/comparison with prior examinations, or both

BI-RADS 1: Negative  (Essentially 0% chance of malignancy)

  • Routine screening

BI-RADS 2: Benign (Essentially 0% likelihood of malignancy)

  • Routine screening

BI-RADS 3: Probably benign (> 0% but ≤ 2% likelihood of malignancy)

  • 6 month follow-up or continued surveillance

BI-RADS 4: Suspicious (> 2% but < 95% likelihood of malignancy)

  • 4A: Low suspicion for malignancy (> 2% to ≤ 10% likelihood)
  • 4B: Moderate suspicion for malignancy (> 10% to ≤ 50% likelihood)
  • 4C: High suspicion for malignancy (> 50% to < 95% likelihood)
  • Tissue diagnosis needed for all BI-RADS 4  categories

BI-RADS 5: Highly suggestive of malignancy (95% likelihood of malignancy)

  • Tissue diagnosis needed

BI-RADS 6: Known, biopsy proven malignancy

  • Surgical excision when appropriate

Density Categories

  • Category a: Breasts are almost entirely fatty
    • Prevalence: 10% of the population
    • Mammography considered highly sensitive in this setting (88%)
  • Category b: There are scattered areas of fibroglandular density
    • Prevalence: 43% of the population
    • Still sensitive but decreased from category a (82%)
  • Category c: Breasts are heterogeneously dense
    • Prevalence: 39%
    • Small masses may be obscured
    • Sensitivity drops to 69%
    • Note: Breast cancer risk is 1.2 relative risk compared to average breast density
  • Category d: Breasts are extremely dense
    • Breasts are extremely dense
    • Significantly lowers sensitivity of mammography (62%)
    • Note: Breast cancer risk is 2.1 relative risk compared to average breast density

Learn More – Primary Sources:

ACOG Practice Bulletin No 164. Diagnosis and Management of Benign Breast Disorders 

ACR BI-RADS® Atlas, Breast Imaging Reporting and Data System

ACOG Committee Opinion 625: Management of with Dense Breasts Diagnosed with Mammography

 

Take a post-test and get CME credits

TAKE THE POST TEST

Get Guideline Notifications Direct to Your Phone

ObGFirst® – Try It Free! >>

image_pdfFavoriteLoadingFavorite
< Previous
All GYN Posts
Next >

Related ObG Topics:

Mammography Guidelines for Average-Risk Women
Office Evaluation of Breast Disorders
ACOG Reaffirms Breast Density Guidance – FDA Proposes New Notification Rule
Practice management info for your women's healthcare practice
Who Regulates Mammography?

Sections

  • COVID-19
  • Alerts
  • OB
  • GYN
    • GYN
    • Sexual Health
  • 2T US Atlas
  • The Genome
  • Primary Care
  • Your Practice
  • Grand Rounds
  • My Bookshelf
  • Now@ObG
  • Media

Are you an
ObG Insider?

Get specially curated clinical summaries delivered to your inbox every week for free

  • Site Map/
  • © ObG Project/
  • Terms and Conditions/
  • Privacy/
  • Contact Us/
© ObG Project
SSL Certificate


  • Already an ObGFirst Member?
    Welcome back

    Log In

    Want to sign up?
    Get guideline notifications
    CME Included

    Sign Up

Get Guideline Alerts Direct to Your Phone
Try ObGFirst Free!

Sign In

Lost your password?

Sign Up for ObGFirst and Stay Ahead

  • - Professional guideline notifications
  • - Daily summary of a clinically relevant
    research paper
  • - Includes 1 hour of CME every month

ObGFirst Free Trial

Already a Member of ObGFirst®?

Please log in to ObGFirst to access the 2T US Atlas

Password Trouble?

Not an ObGFirst® Member Yet?

  • - Access 2T US Atlas
  • - Guideline notifications
  • - Daily research paper summaries
  • - And lots more!
ObGFirst Free Trial

Media - Internet

Computer System Requirements

OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Jointly provided by

NOT ENOUGH CME HOURS

It appears you don't have enough CME Hours to take this Post-Test. Feel free to buy additional CME hours or upgrade your current CME subscription plan

Subscribe

JOIN OBGFIRST AND GET CME/CE CREDITS

One of the benefits of an ObGFirst subscription is the ability to earn CME/CE credits from the ObG entries you read. Tap the button to learn more about ObGFirst

Learn More
Leaving ObG Website

You are now leaving the ObG website and on your way to PRIORITY at UCSF, an independent website. Therefore, we are not responsible for the content or availability of this site