Breast Imaging Reporting and Data System (BI-RADS®) v2025 Manual

By American College of Radiology® (ACR®)

The illustrated BI-RADS® v2025 Manual is an extension of the 5th Edition of the BI-RADS Atlas. The BI-RADS manual provides standardized breast imaging terminology, report organization, assessment structure and a classification system for mammography, ultrasound and MRI of the breast. BI-RADS reporting enables radiologists to communicate results to the referring physician clearly and consistently, with a final assessment and specific management recommendations.

Through a medical audit and outcome monitoring, the system provides important mechanisms for peer review and quality assurance data to improve the quality of patient care. Standardized results permit maintenance and analysis of demographic and outcome data.

The BI-RADS manual includes:

Over 900 clinical images

Auditing and outcomes monitoring includes mammography, ultrasound and MRI

Updated breast composition descriptors

Guidance with FAQ for each section

New elasticity assessment descriptors for ultrasound

New breast implant descriptors for MRI

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