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SonoAtlas BreastSim™BI-RADS Edition

An interactive ACR BI-RADS US categorization tool. Pick lexicon descriptors for a breast lesion and see the resulting BI-RADS category, likelihood of malignancy, and management recommendation update in real time — with the rationale for every verdict.

Select features to see BI-RADS category

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Awaiting input

Pick descriptors from the six BI-RADS lexicon groups. The category, risk, and management recommendation will compute live.

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Why this category?

Rationale will appear here once you begin selecting features.

📋 Auto-Generated Report Snippet

Finding and impression will appear here once you begin selecting descriptors.

BI-RADS US category reference

Incomplete — Need additional imaging or prior studies

n/a

Negative — No lesion. Routine screening

Benign — Simple cyst, classic fibroadenoma, post-surgical change. Routine screening

Probably benign — Short-interval (6-mo) US follow-up

≤2%

Low suspicion — Tissue diagnosis (biopsy)

>2–≤10%

Moderate suspicion — Tissue diagnosis

>10–≤50%

High suspicion — Tissue diagnosis

>50–<95%

Highly suggestive of malignancy — Tissue diagnosis + appropriate action

≥95%

Known biopsy-proven malignancy — Surgical excision when clinically appropriate

n/a

BI-RADS Ultrasound Lexicon

Single-select unless noted. Click the ⓘ on any descriptor for teaching pearls. Click Reference beside a group to see a real-world US example.

1 · Shape

2 · Orientation

3 · Margin

Non-circumscribed — subtype (multi-select):

4 · Echo pattern

5 · Posterior features

6 · Associated features (multi-select)

Self-check question

Question 1/8 Streak: 0 🔥 Score: 0/0

Clinical case library

Click a case to load its BI-RADS descriptors into the tool and see how the category computes. Cases span benign → highly suggestive.

Scoring references: American College of Radiology, ACR BI-RADS Atlas — Breast Ultrasound, 5th ed. (2013, reaffirmed). Mercado CL, Radiol Clin North Am 2014;52(3):461–487. Berg WA et al, Radiology 2012;262:435–449. This tool is an educational aid — clinical decisions require the complete sonographic exam, patient history, mammographic correlation, and radiologist judgment. Categories 0 and 6 are contextual and not derivable from feature descriptors alone.

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