BT-Rads 4
Score | Title | Subscore | Description | Associated management recommendation | |
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0 | Not scored | New baseline, incomplete study, or otherwise unable to categorize | Continued follow-up, no change | ||
1 | Imaging improvement | 1a – Improvement | Improvement in imaging findings suspected to reflect decreasing tumor burden and/or improving treatment effect | Continued follow-up, no change | |
1b – Medication effect | Improvement in imaging findings potentially due to effect from medications such as increasing steroids or initiating avastin | Continued follow-up, no change | |||
2 | No change | No appreciable change from the prior | Continued follow-up, no change | ||
3 | Imaging worsening | 3a – Favor treatment effect | Worsening imaging findings favored to represent treatment effects, including radiation therapy and medications | Decreased time interval of follow-up | |
3b – Indeterminate | Worsening imaging findings favored to represent an indeterminate mix of treatment effect and tumor worsening | Decreased time interval of follow-up | |||
3c – Favor tumor progression | Worsening imaging findings favored to represent increasing burden of tumor | Consider change in management vs. Decreased time interval of follow-up |
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4 | Imaging worsening | Worsening of imaging findings highly suspicious for tumor progression | Consider change in management |