Breast Imaging Reporting and Data System v2025: Key Updates in US.

Area of Science:

• Radiology
• Medical Imaging
• Breast Imaging

Background:

• The Breast Imaging Reporting and Data System (BI-RADS) US lexicon is a critical tool for standardized breast ultrasound.
• Continuous updates are necessary to reflect advancements in imaging technology and clinical practice.

Purpose of the Study:

• To provide an overview of the significant updates introduced in the BI-RADS US lexicon v2025.
• To highlight changes that improve the accuracy and comprehensiveness of breast ultrasound reporting.

Main Methods:

• Review and analysis of the changes implemented in the BI-RADS US lexicon v2025.
• Comparison with previous versions to identify key modifications in terminology and categories.

Main Results:

• The BI-RADS US lexicon v2025 incorporates an assessment of glandular tissue composition.
• A new category for non-mass lesions has been added for improved characterization of subtle findings.
• The section on lymph nodes has been expanded in scope and detail.

Conclusions:

• The BI-RADS US lexicon v2025 represents a significant evolution in breast ultrasound reporting standards.
• These updates aim to enhance lesion characterization, reporting consistency, and diagnostic accuracy in breast imaging.