ABR study materials
ABR study resources

ABR key terms

ABR · Get comfortable with the vocabulary.

BI-RADS

A standardized reporting system for breast imaging that assigns a final category from 0 to 6, conveying the likelihood of malignancy and the recommended next step in management.

Related: Architectural distortion, Digital breast tomosynthesis
Architectural distortion

A breast imaging finding in which normal tissue planes are retracted or spiculated without a central mass, often representing an invasive cancer or a radial scar.

Related: BI-RADS, Digital breast tomosynthesis
Digital breast tomosynthesis

Three-dimensional mammography that acquires multiple low-dose projections through the breast and reconstructs thin slices, reducing tissue overlap that can hide or mimic lesions.

Related: BI-RADS, Architectural distortion
Agatston score

A CT-derived number quantifying coronary artery calcium, calculated from calcified plaque area and density, used to refine cardiovascular risk assessment in selected patients.

Related: Effective dose
Late gadolinium enhancement

A cardiac MRI technique using inversion-recovery sequences after gadolinium to depict myocardial scar or fibrosis as bright signal, helping distinguish ischemic from nonischemic disease.

Stanford classification

A system for aortic dissection: type A involves the ascending aorta regardless of entry tear location, while type B spares the ascending aorta.

LI-RADS

A standardized CT and MRI reporting system for liver observations in patients at risk for hepatocellular carcinoma, assigning categories that estimate malignancy risk and guide management.

Related: Portal venous phase
Pneumatosis intestinalis

Gas within the bowel wall, seen as linear or bubbly lucencies, which may indicate ischemia, infection, or a benign process depending on clinical context.

Related: Necrotizing enterocolitis, Portal venous phase
Portal venous phase

A contrast-enhanced CT phase acquired about 60 to 80 seconds after injection, when hepatic portal veins and liver parenchyma enhance, improving detection of liver lesions.

Related: LI-RADS, Pneumatosis intestinalis
PI-RADS

A standardized scoring system for prostate MRI that grades lesions from 1 to 5 based on likelihood of clinically significant cancer, guiding biopsy decisions.

Bosniak classification

A CT and MRI categorization of cystic renal masses from I to IV based on wall thickness, septations, calcification, and enhancement, estimating malignancy risk.

Related: Hydronephrosis
Hydronephrosis

Dilatation of the renal collecting system and ureter, usually from obstruction, visualized as fluid-filled branching structures within the kidney on ultrasound or CT.

Related: Bosniak classification
Seldinger technique

A method of obtaining vascular access by puncturing a vessel with a needle, passing a guidewire, removing the needle, and then advancing a catheter over the wire.

Related: Transjugular intrahepatic portosystemic shunt, Radioembolization
Transjugular intrahepatic portosystemic shunt

A percutaneously created connection between the hepatic vein and portal vein through the liver, reducing portal pressure in variceal bleeding or refractory ascites.

Related: Seldinger technique
Radioembolization

Catheter-directed delivery of yttrium-90 microspheres into hepatic arteries supplying tumor, producing localized radiation while sparing most normal liver tissue.

Related: Seldinger technique
Bone marrow edema

Increased water content in marrow, appearing dark on T1-weighted and bright on fluid-sensitive MRI sequences, caused by trauma, infection, tumor, or stress reaction.

Related: Sequestrum, Salter-Harris classification
Salter-Harris classification

A classification of pediatric physeal fractures based on which bone and physeal layers are involved, predicting the risk of growth disturbance.

Related: Bone marrow edema
Sequestrum

A piece of dead bone separated from surrounding viable bone, often seen in osteomyelitis as a dense fragment on CT or MRI.

Related: Bone marrow edema
ASPECTS

A 10-point CT scoring system for middle cerebral artery territory ischemia, subtracting one point for each affected region; lower scores predict worse outcome.

Related: ADC map
ADC map

An MRI map calculated from diffusion-weighted images that quantifies water diffusion; low values indicate restricted diffusion in acute infarction, abscess, or highly cellular tumor.

Related: ASPECTS
Dural tail sign

Thickening and enhancement of dura adjacent to an extra-axial mass, most often a meningioma but also seen with other tumors or inflammation.

Nephrogenic systemic fibrosis

A fibrosing disorder of skin and organs associated with gadolinium-based contrast in patients with severe renal impairment; risk varies by agent and dose.

Effective dose

A radiation quantity in sieverts that estimates stochastic risk to the whole body from a partial or nonuniform exposure, used for comparing imaging studies.

Related: Peer review
Peer review

A quality assurance process in which radiologists review a sample of colleagues' reports and images, classifying discrepancies to identify learning and system improvement opportunities.

Related: Effective dose
Standardized uptake value

A semiquantitative PET measure of radiotracer accumulation in tissue normalized to body size and injected dose, used to characterize lesions and assess response.

Ventilation-perfusion scan

A nuclear study comparing inhaled radioactive gas distribution with intravenous radiotracer perfusion in the lungs, used to diagnose pulmonary embolism.

Sentinel lymph node

The first lymph node draining a tumor, identified with radiotracer or dye, whose biopsy stages regional nodal involvement in breast cancer and melanoma.

Double bubble sign

A radiographic appearance of two gas-filled structures in the upper abdomen from a distended stomach and duodenum, classic for duodenal atresia.

Related: Necrotizing enterocolitis
Necrotizing enterocolitis

An acquired intestinal inflammatory disease of premature infants, with pneumatosis, portal venous gas, and perforation on radiographs; severity guides management.

Related: Pneumatosis intestinalis, Germinal matrix hemorrhage
Germinal matrix hemorrhage

Bleeding in the subependymal germinal matrix of premature infants, detected by cranial ultrasound and graded by extent of ventricular involvement and parenchymal injury.

Related: Necrotizing enterocolitis
Tree-in-bud

Small centrilobular nodules connected to branching linear opacities on CT, reflecting bronchiolar impaction with mucus, pus, or tumor, often from infection.

Related: Honeycombing
Honeycombing

Clustered subpleural cystic spaces with thick walls on CT, a hallmark of usual interstitial pneumonia and a key feature of idiopathic pulmonary fibrosis.

Related: Tree-in-bud
Fleischner criteria

Guidelines for follow-up and management of incidentally detected pulmonary nodules on CT, based on nodule size, morphology, and patient risk.

Resistive index

A Doppler-derived value calculated as peak systolic velocity minus end-diastolic velocity, divided by peak systolic velocity, reflecting downstream vascular resistance.

Related: Acoustic shadowing
Acoustic shadowing

Reduced sound transmission deep to a strongly reflecting or absorbing structure, producing a dark band that helps identify calcifications, stones, or bone.

Related: Twinkling artifact, Resistive index
Twinkling artifact

A rapidly alternating color Doppler signal behind a rough calcification, useful for detecting small stones although it does not represent true flow.

Related: Acoustic shadowing