48. Beyond Density: BI-RADS v2025, Advocacy, and the Road Ahead *CME*

BI-RADS isn't just getting an update -it's setting up a new foundation for the future of breast imaging.

The first major BI-RADS update in more than a decade has arrived - and it's much more than a terminology refresh. BI-RADS v2025 reflects how breast imaging has evolved, bringing greater consistency across modalities while supporting a future for more personalized breast cancer screening and care.

In this episode, Maddi and Fatima Elahi, DO sit down with Stamatia Destounis, MD, FACR, Chair of the ACR Commission on Breast Imaging, and Georgia Spear, MD, Chair of Government Relations for the ACR Breast Commission, to unpack the biggest changes in BI-RADS v2025, the spirited debates behind the new lexicon, and what these updates mean for radiologists in everyday practice.

But the conversation goes far beyond reporting terminology, exploring the shift toward personalized, risk-based screening, the growing role of breast density, and why advocacy efforts like the Find It Early Act may shape the future of breast cancer detection just as much as the imaging itself.

Link for claiming CME: (further instructions below)

https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/31901

Accreditation Information

Contributors

Madison Wulfeck, MD, MBA, CIIP

Fatima Elahi, DO

Georgia Spear, MD

Stamatia Destounis, MD, FACR, FSBI, FAIUM

Reviewers

Madison Wulfeck, MD, MBA

Fatima Elahi, DO

Release Date

July 2026

Expiration Date

July 2029

Disclosure Statement

The planners and contributors have no financial relationships with ineligible companies to disclose.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Macon and Joan Brock Virginia Health Science at Old Dominion University and Contrast & Clarity Podcast. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Macon and Joan Brock Virginia Health Sciences at Old Dominion University designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you have any questions regarding CME, please email ⁠CME@ODU.edu⁠ or call 757-446-6140.

Instructions for claiming CME:

1. Click on the link above and then "Sign in to Generate Certificate."

2. To create an account, an email address and password will need to be entered into the respective fields before the system will allow you to proceed.

3. After creating an account and signing in, the "Activity Code" will be prepopulated for you, so just click on the red "Submit" button.

4. A brief survey will pop up for you to complete. Once you have completed the survey, enter the credits you are seeking and click "Submit." Do not hit the back button on your computer.

5. Your certificate will pop up and then you can select the print certificate button.

6. For assistance with any of these steps, please contact the CME office via email cme@odu.edu with screenshots of the specific problem you are facing for the quickest assistance or you may also call the CME office at (757)446-6140.