Node Reporting and Data System in Focus: Advancing Precision in Axillary Staging for Breast Cancer

HomeRadiologyVol. 316, No. 3 PreviousNext Reviews and CommentaryEditorialNode Reporting and Data System in Focus: Advancing Precision in Axillary Staging for Breast CancerVivianne Freitas1 Vivianne Freitas1 Author Affiliations1Joint Department of Medical Imaging, University of Toronto, University Health Network, Sinai Health System, Women's College Hospital, 610 University Ave, Toronto, ON, Canada M5G 2M9Address correspondence to: the author (email: [email protected]).Vivianne Freitas1 Published Online:Sep 2 2025https://doi.org/10.1148/radiol.252033See also the article by Kim et al in this issue.MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In References1. Chang JM, Leung JWT, Moy L, Ha SM, Moon WK. Axillary nodal evaluation in breast cancer: state of the art. Radiology 2020;295(3):500–515. Google Scholar2. Giuliano AE, Ballman KV, McCall L, et al. Effect of axillary dissection vs no axillary dissection on 10-year overall survival among women with invasive breast cancer and sentinel node metastasis: the ACOSOG Z0011 (Alliance) randomized clinical trial. JAMA 2017;318(10):918–926. Medline Google Scholar3. Reimer T, Stachs A, Veselinovic K, et al. Axillary surgery in breast cancer—primary results of the INSEMA trial. N Engl J Med 2025;392(11):1051–1064. Medline Google Scholar4. Agresti R, Sandri M, Capri G, et al. Axillary surgery versus no-axillary staging in T1N0 breast cancer: 20-year follow-up of the INT 09/98 randomized clinical trial. Br J Surg 2025;112(3):znae311. Medline Google Scholar5. Diepstraten SCE, Sever AR, Buckens CFM, et al. Value of preoperative ultrasound-guided axillary lymph node biopsy for preventing completion axillary lymph node dissection in breast cancer: a systematic review and meta-analysis. Ann Surg Oncol 2014;21(1):51–59. Medline Google Scholar6. Li L, Zhao J, Li F, Pan Z. Comparison of MRI and ultrasound for evaluation of axillary lymph node status in early breast cancer. Cancer Manag Res 2024;16:1685–1692. Medline Google Scholar7. Elsholtz FHJ, Asbach P, Haas M, et al. Introducing the Node Reporting and Data System 1.0 (Node-RADS): a concept for standardized assessment of lymph nodes in cancer. Eur Radiol 2021;31(8):6116–6124. Medline Google Scholar8. Kim HJ, Chae EY, Eom HJ, et al. Node Reporting and Data System evaluation of axillary nodes in invasive ductal and lobular carcinoma. Radiology 2025;316(3):e243823. Google Scholar9. Lopez JK, Bassett LW. Invasive lobular carcinoma of the breast: spectrum of mammographic, US, and MR imaging findings. RadioGraphics 2009;29(1):165–176. Google Scholar10. Pediconi F, Maroncelli R, Pasculli M, et al. Performance of MRI for standardized lymph nodes assessment in breast cancer: are we ready for Node-RADS? Eur Radiol 2024;34(12):7734–7745. Medline Google ScholarArticle HistoryReceived: July 3 2025Revision requested: July 24 2025Revision received: July 24 2025Accepted: July 25 2025Published online: Sept 02 2025 FiguresReferencesRelatedDetailsAccompanying This ArticleNode Reporting and Data System Evaluation of Axillary Nodes in Invasive Ductal and Lobular CarcinomaSep 2 2025Radiology Vol. 316, No. 3 Metrics Altmetric Score PDF download