title: BI-RADS®fifth edition: A summary of changes.
abstract: The Breast Imaging Reporting and Data System (BI-RADS®) is a standardized system of reporting breast pathology as seen on mammogram, ultrasound, and magnetic resonance imaging. It encourages consistency between reports and facilitates clear communication between the radiologist and other physicians by providing a lexicon of descriptors, a reporting structure that relates assessment categories to management recommendations, and a framework for data collection and auditing. This article highlights the changes made to the BI-RADS®atlas 5th edition by comparison with its predecessor, provide a useful resource for a radiologist attempting to review the recent changes to the new edition, and serve as a quick reference to those who have previously become familiar with the material.
authors.affiliation: McGovern Medical School, Department of Diagnostic and Interventional Radiology, MSB 2.130B, 6431 Fannin Street, Houston, TX 77030, USA. Electronic address: david.a.spak@uth.tmc.edu.
authors.forename: D A
authors.initials: DA
authors.lastname: Spak
authors.affiliation: The University of Texas MD Anderson Cancer Center, Division of Diagnostic Imaging, 1515 Holcombe Blvd., Unit 1350, Houston, TX 77030, USA; Radiology of Huntsville, 2006 Franklin Street, Suite 200, Huntsville, AL 35801, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Plaxco
authors.affiliation: The University of Texas MD Anderson Cancer Center, Division of Diagnostic Imaging, 1515 Holcombe Blvd., Unit 1350, Houston, TX 77030, USA.
authors.forename: L
authors.initials: L
authors.lastname: Santiago
authors.affiliation: The University of Texas MD Anderson Cancer Center, Division of Diagnostic Imaging, 1515 Holcombe Blvd., Unit 1350, Houston, TX 77030, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Dryden
authors.affiliation: The University of Texas MD Anderson Cancer Center, Division of Diagnostic Imaging, 1515 Holcombe Blvd., Unit 1350, Houston, TX 77030, USA; University of Texas Southwestern Medical Center, Department of Radiology, 2201 Inwood Drive, Dallas, TX 75390, USA.
authors.forename: B E
authors.initials: BE
authors.lastname: Dogan
mesh_terms: D001940:Breast / Q000000981:diagnostic imaging*; D000071060:Breast Density; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D002114:Calcinosis / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D011873:Radiology Information Systems; D009626:Terminology as Topic; D016217:Ultrasonography, Mammary; D018875:Vocabulary, Controlled
keywords: BI-RADS; Breast imaging; Lexicon; Magnetic resonance imaging (MRI); Mammography