The American College of Radiology's mammography lexicon: barking up the wrong tree?

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Abstract
Mammography reports are often wordy and inconclusive. To solve this problem, the American College of Radiology (ACR) created the Breast Imaging Reporting and Data System (BI-RADS) with a lexicon of specifically defined words, designed to be used, exclusive of any other terminology, to describe all significant breast imaging findings. The premise for developing BI-RADS was that strict verbal uniformity is a prerequisite for a national mammography data base and will also result in concise, directive reporting. Although this approach seems reasonable at first glance, BI-RADS, in my opinion, has several fundamental flaws.

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