[Implementation of BIRADSTM together with an organization of percutaneous breast biopsies: experiences, reactions].

Purpose: To record the acceptance and reactions of radiologists and physicians who recommend patients for mammography after simultaneous establishment of BIRADS TM and a registration of the results of percutaneous breast biopsies.

Materials And Methods: To improve clarity of mammographic reports and to provide guidance concerning any necessary percutaneous breast biopsies the Breast Imaging Data And Reporting System (BIRADS TM) has been introduced regionally together with a registration of percutaneous breast biopsies. Using a questionnaire, 25 radiologists and 230 referring physicians were asked on acceptance and reactions concerning the established system.

Results: Of the 15 answering radiologists, 93 % considered BIRADS TM a worthwhile effort and 87 % found the biopsy guidelines to be useful. They regarded the acceptance of the referring physicians and patients as high (80 %). Up to 69 % of the 52 participating physicians stated a better understanding of the mammographic reports, an easier comprehension of the dignity classification of a mammographic lesion and the feeling of an improvement in their work. Preoperative assessment of histology was found to be valuable by 94 % of the referring physicians. They believe that more than half of the patients benefit from the biopsy guidelines and that the majority of patients accept this approach.

Conclusion: BIRADS TM is useful to standardize and improve mammographic reports. It is advantageous to link BIRADS TM with guidelines for percutaneous breast biopsies.