Since 1993, Reporting and Data Systems (RADS), firstly proposed by the American College of Radiology, have proliferated as a standardized methodology for reporting on imaging findings. Among others, RADS apply to findings in MRI and are meant to reduce the variability in diagnostic reports, to facilitate communication in radiology and to provide a framework for clinical decision and patient management.

Despite the effort that has been done, only few have been implemented into clinical practice while the most are not yet generally used or their impact have been underestimated without any documented evidence on efficacy and efficiency in the MRI workflow.
The implementation of RADS requires standard terminology, probability-based diagnostic approach, image assessment finalized to categorization, structured reporting.
In addition, the fast evolving world of MRI and its nature as a multiparametric modality require constant monitoring of RADS and eventually adaptations for accuracy improvement.