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ACR (American College of Radiology) classification was developed in 1990, due to the need of systematizing reports in order to harmonize practices. We find 5 stages which correspond to the more or less certainty of having to deal with a cancer in front of a mammographic image.
Current guidelines from the American College of Radiology (ACR) and the National Comprehensive Cancer Network (NCCN) recommend screening mammography every year for women, beginning at age 40.
ACR category a: The are almost entirely fatty. ACR category b: There are scattered areas of fibroglandular density. ACR category c: The are heterogeneously dense, which may obscure small masses. ACR category d: The are extremely dense, which lowers the sensitivity of mammography.
In ACR BI-RADS, density is classified into four subcategories: A (almost entirely fatty), B (scattered areas of fibroglandular density), C (heterogeneously dense , which may obscure small masses), and D (extremely dense , which lowers the sensitivity of mammography).
Approximately 10% of screening mammograms result in a recall for additional imaging, although
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Dive into the Basics of Radiology. Download the American College of Radiology (ACR) e-book, Medical Student Guide to the Radiology Profession, to learn more about the field of radiology and what is involved in becoming a radiologist.
ACR Recommends You Talk to your doctor by age 25 about your risk. Ask if you should get a mammogram before age 40. Ask If you need other tests - like an MRI - with your mammogram. Get a mammogram each year starting at age 40.

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