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BI-RADS Categories
07, Jun, 2025

BI-RADS Categories (0 to 6)

BI-RADS 0 – Incomplete

Meaning: Need additional imaging.

Next Step: More views, ultrasound, or compare with older images.

Risk: Unknown (needs clarification).

BI-RADS 1 – Negative

Meaning: No abnormal findings.

Next Step: Routine annual screening.

Risk: Very low (0%).

BI-RADS 2 – Benign

Meaning: Clearly non-cancerous (like cysts or fibroadenomas).

Next Step: Routine screening.

Risk: 0% (no cancer).

BI-RADS 3 – Probably Benign

Meaning: Likely non-cancerous.
Examples: Complicated cysts, stable nodules.

Next Step: Short-term follow-up (6-monthly).

Risk: Less than 2%.

BI-RADS 4 – Suspicious

Meaning: May be cancerous. Needs biopsy.

Subcategories:

  • 4A – Low suspicion (2–10%)
  • 4B – Moderate (10–50%)
  • 4C – High (50–95%)

Next Step: Biopsy recommended.

BI-RADS 5 – Highly Suggestive of Malignancy

Meaning: Very likely cancer.

Next Step: Immediate biopsy and treatment planning.

Risk: >95% chance of malignancy.

BI-RADS 6 – Known Biopsy-Proven Malignancy

Meaning: Already confirmed cancer by biopsy.

Next Step: Continue with treatment and staging.

Risk: 100% (confirmed malignancy).

Summary Table

BI-RADS Meaning Cancer Risk Action
0 Incomplete Unknown More imaging needed
1 Negative ~0% Routine screening
2 Benign ~0% Routine screening
3 Probably Benign <2% Short-term follow-up
4A/4B/4C Suspicious 2–95% Biopsy recommended
5 Highly Suggestive of Malignancy >95% Biopsy and treatment
6 Known Malignancy 100% Treatment in progress
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