April 30, 2026 · Radiographics : a review publication of the Radiological Society of North America, Inc · DOI: 10.1148/rg.250188

Multimodality Evaluation of Regional Breast Lymph Nodes: Impact of Expected Changes in the Upcoming BI-RADS Sixth Edition

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The authors aim to evaluate the anticipated changes in the upcoming sixth edition of the Breast Imaging Reporting and Data System (BI-RADS) regarding the assessment of regional breast lymph nodes, which is crucial for breast cancer staging and treatment. They discuss the introduction of a dedicated lymph node category and expanded guidance on lymph node characteristics across various imaging modalities, emphasizing the importance of accurate identification and intervention in lymph node evaluation. The paper also outlines a systematic approach to multimodality imaging and the role of histologic confirmation in the context of nodal staging.

Tara A Retson, Bradley C Phillips, Soudabeh Fazeli, Azideh Elmi, Nathan Spengler, James E Stepenosky, Haydee Ojeda-Fournier

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