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🎀 Mammography BI-RADS Structured Read

Enter mammography findings and get a suggested BI-RADS v2025 (6th edition) category by 'most suspicious feature decides the category'. Instant, browser-side.

Mammography BI-RADS Structured Read

Mass margin
Mass shape/density
Calcification morphology
Calcification distribution
Asymmetry
Architectural distortion
Suspicious associated features (skin/nipple retraction, skin thickening, axillary adenopathy)

When to use

Structured assistance in assigning a mammography BI-RADS category from descriptors.

How it works

Most suspicious feature drives the level: spiculated mass or fine-linear branching calcifications (segmental/linear) or suspicious feature + retraction → 4C–5; suspicious calcifications, microlobulated/indistinct margin, irregular/high-density mass, developing asymmetry, distortion → 4; circumscribed mass / focal asymmetry → 3; benign calcifications / fat-containing mass → 2.

Key points

  • BI-RADS has no official scoring — the category is set by the most suspicious feature.
  • Associated features (skin/nipple retraction) can upgrade a suspicious finding to 5.
  • v2025 splits category 0 into 'needs additional imaging' and 'needs prior comparison'.
  • The final category must integrate bilateral comparison, prior films and clinical context.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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