BI-RADS v2025 Introduces Key Auditing Updates for Breast Imaging

BI-RADS v2025 now recommends routine audits of category 3 assessments (malignancy likelihood ≤2%), a new auditing framework for staging breast MRI, and prospective recording of initial cancer detection method to link outcomes to screening.

• Review article describes three methodological updates in the BI-RADS v2025 auditing chapter.
• New framework for auditing preoperative breast MRI uses both examination-level and finding-level metrics.
• No current established benchmarks exist for these new audit metrics; they aim to drive future standardization.

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