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Expressiveness of the Breast Imaging Reporting and Database System (BI-RADS)
1Department of Medical Informatics, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.
Abstract:
The Breast Imaging Reporting and Database System (BI-RADS) was developed by the American College of Radiology and is used by a number of computerized mammography tracking systems. The ability of BI-RADS to encode the data contained in 300 mammography reports at the Columbia-Presbyterian Medical Center was examined. BI-RADS was able to encode normal reports and "special masses" (such as lymph nodes) without difficulty. However, none of the general masses and only 17% of the calcifications could be encoded in BI-RADS. The implications of this for the design of mammography databases are discussed.