The ACR BI-RADS® Experience: Learning From History

Elizabeth S. Burnside*, Edward A. Sickles, Lawrence W. Bassett, Daniel L. Rubin, Carol H. Lee, Debra M. Ikeda, Ellen B. Mendelson, Pamela A. Wilcox, Priscilla F. Butler, Carl J. D'Orsi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

183 Scopus citations


The Breast Imaging Reporting and Data System® (BI-RADS®) initiative, instituted by the ACR, was begun in the late 1980s to address a lack of standardization and uniformity in mammography practice reporting. An important component of the BI-RADS initiative is the lexicon, a dictionary of descriptors of specific imaging features. The BI-RADS lexicon has always been data driven, using descriptors that previously had been shown in the literature to be predictive of benign and malignant disease. Once established, the BI-RADS lexicon provided new opportunities for quality assurance, communication, research, and improved patient care. The history of this lexicon illustrates a series of challenges and instructive successes that provide a valuable guide for other groups that aspire to develop similar lexicons in the future.

Original languageEnglish (US)
Pages (from-to)851-860
Number of pages10
JournalJournal of the American College of Radiology
Issue number12
StatePublished - Dec 2009


  • breast cancer
  • breast imaging
  • diagnosis
  • informatics lexicon
  • mammography
  • screening
  • structured reporting

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'The ACR BI-RADS<sup>®</sup> Experience: Learning From History'. Together they form a unique fingerprint.

Cite this