ABR key terms
ABR · Get comfortable with the vocabulary.
- BI-RADS
- Related: Architectural distortion, Digital breast tomosynthesis
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.
- Architectural distortion
- Related: BI-RADS, Digital breast tomosynthesis
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.
- Digital breast tomosynthesis
- Related: BI-RADS, Architectural distortion
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.
- Agatston score
- Related: Effective dose
A CT-derived number quantifying coronary artery calcium, calculated from calcified plaque area and density, used to refine cardiovascular risk assessment in selected patients.
- 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
- Related: Portal venous phase
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.
- Pneumatosis intestinalis
- Related: Necrotizing enterocolitis, Portal venous phase
Gas within the bowel wall, seen as linear or bubbly lucencies, which may indicate ischemia, infection, or a benign process depending on clinical context.
- Portal venous phase
- Related: LI-RADS, Pneumatosis intestinalis
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.
- 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
- Related: Hydronephrosis
A CT and MRI categorization of cystic renal masses from I to IV based on wall thickness, septations, calcification, and enhancement, estimating malignancy risk.
- Hydronephrosis
- Related: Bosniak classification
Dilatation of the renal collecting system and ureter, usually from obstruction, visualized as fluid-filled branching structures within the kidney on ultrasound or CT.
- Seldinger technique
- Related: Transjugular intrahepatic portosystemic shunt, Radioembolization
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.
- Transjugular intrahepatic portosystemic shunt
- Related: Seldinger technique
A percutaneously created connection between the hepatic vein and portal vein through the liver, reducing portal pressure in variceal bleeding or refractory ascites.
- Radioembolization
- Related: Seldinger technique
Catheter-directed delivery of yttrium-90 microspheres into hepatic arteries supplying tumor, producing localized radiation while sparing most normal liver tissue.
- Bone marrow edema
- Related: Sequestrum, Salter-Harris classification
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.
- Salter-Harris classification
- Related: Bone marrow edema
A classification of pediatric physeal fractures based on which bone and physeal layers are involved, predicting the risk of growth disturbance.
- Sequestrum
- Related: Bone marrow edema
A piece of dead bone separated from surrounding viable bone, often seen in osteomyelitis as a dense fragment on CT or MRI.
- ASPECTS
- Related: ADC map
A 10-point CT scoring system for middle cerebral artery territory ischemia, subtracting one point for each affected region; lower scores predict worse outcome.
- ADC map
- Related: ASPECTS
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.
- 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
- Related: Peer review
A radiation quantity in sieverts that estimates stochastic risk to the whole body from a partial or nonuniform exposure, used for comparing imaging studies.
- Peer review
- Related: Effective dose
A quality assurance process in which radiologists review a sample of colleagues' reports and images, classifying discrepancies to identify learning and system improvement opportunities.
- 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
- Related: Necrotizing enterocolitis
A radiographic appearance of two gas-filled structures in the upper abdomen from a distended stomach and duodenum, classic for duodenal atresia.
- Necrotizing enterocolitis
- Related: Pneumatosis intestinalis, Germinal matrix hemorrhage
An acquired intestinal inflammatory disease of premature infants, with pneumatosis, portal venous gas, and perforation on radiographs; severity guides management.
- Germinal matrix hemorrhage
- Related: Necrotizing enterocolitis
Bleeding in the subependymal germinal matrix of premature infants, detected by cranial ultrasound and graded by extent of ventricular involvement and parenchymal injury.
- Tree-in-bud
- Related: Honeycombing
Small centrilobular nodules connected to branching linear opacities on CT, reflecting bronchiolar impaction with mucus, pus, or tumor, often from infection.
- Honeycombing
- Related: Tree-in-bud
Clustered subpleural cystic spaces with thick walls on CT, a hallmark of usual interstitial pneumonia and a key feature of idiopathic pulmonary fibrosis.
- 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
- Related: Acoustic shadowing
A Doppler-derived value calculated as peak systolic velocity minus end-diastolic velocity, divided by peak systolic velocity, reflecting downstream vascular resistance.
- Acoustic shadowing
- Related: Twinkling artifact, Resistive index
Reduced sound transmission deep to a strongly reflecting or absorbing structure, producing a dark band that helps identify calcifications, stones, or bone.
- Twinkling artifact
- Related: Acoustic shadowing
A rapidly alternating color Doppler signal behind a rough calcification, useful for detecting small stones although it does not represent true flow.