BI-RADS Classification for Management of Abnormal Mammograms

Margaret M. Eberl, MD, MPH; Chester H. Fox, MD; Stephen B. Edge, MD; Cathleen A. Carter, PhD; Martin C. Mahoney, MD, PhD, FAAFP


J Am Board Fam Med. 2006;19(2):161-164. 

In This Article


Given that BI-RADS can impact on patient care by minimizing both over-utilization and under-utilization of follow-up tests/procedures, it is critical that family physicians, and other clinicians providing care to women, be familiar with the interpretation of and management strategy for each category.

Primary care physicians would benefit from developing mechanisms, in partnership with their collaborating radiologists, to assure that all women needing further imaging (BI-RADS codes 0 and 3) as well as women with suspicious mammograms (BI-RADS codes 4 and 5) undergo appropriate follow-up. This might include the creation of an office registry to assure optimal management, as well as necessary educational and emotional support.


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