How I Do It-How to Report the "Complex" Ovarian Mass on US.

IF 2.2 4区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Imaging and Radiation Oncology Pub Date : 2025-03-03 DOI:10.1111/1754-9485.13846

Susanne Johnson

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引用次数: 0

Abstract

Background: Transvaginal ultrasound (TV-US) of the pelvis is now a standard component of the diagnostic armamentarium in gynaecology. After undergoing specialised training, healthcare professionals (sonographers, gynaecologists, and radiologists) performing such scans can diagnose pelvic pathology accurately. TV-US is fast to perform and cheaper than cross-sectional imaging. Many gynaecology services now offer ultrasound as a well-established part of one-stop clinics, where a diagnosis can be made at the first visit and the patient pathway expedited.

Purpose: Predicting the risk of malignancy in adnexal masses is so important. This review describes my systematic approach to reporting a "complex ovarian mass" on TV-US, as a subspecialist gynaecologist-sonologist.

Conclusion: Using International Ovarian Tumour Analysis (IOTA) language and IOTA risk of malignancy algorithms allows us to describe and categorise adnexal masses on ultrasound and to predict the risk and stage of malignancy. With experience, experts can also predict the histopathological subtype. This level of diagnostic performance allows us to streamline the patient journey and to reach a diagnosis and management plan faster. You will never call an ovarian mass 'complex' again!

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如何做-如何报告美国的“复杂”卵巢肿块。

背景：骨盆经阴道超声（TV-US）现在是妇科诊断设备的标准组成部分。经过专门培训后，进行此类扫描的医疗保健专业人员（超声医师、妇科医生和放射科医生）可以准确地诊断盆腔病理。TV-US成像速度快，比横断面成像便宜。许多妇科服务现在提供超声作为一个完善的一站式诊所的一部分，在那里诊断可以在第一次就诊，加快了病人的路径。目的：预测附件肿物发生恶性肿瘤的危险性具有重要意义。这篇综述描述了我作为妇科超声专科医生在TV-US上报告“复杂卵巢肿块”的系统方法。结论：使用国际卵巢肿瘤分析（IOTA）语言和IOTA恶性肿瘤风险算法可以在超声上描述和分类附件肿块，并预测恶性肿瘤的风险和分期。根据经验，专家还可以预测组织病理学亚型。这种水平的诊断性能使我们能够简化患者的旅程，并更快地达成诊断和管理计划。你再也不能称卵巢肿块为“复合体”了！

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Imaging and Radiation Oncology 医学-核医学

CiteScore

3.30

自引率

6.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Medical Imaging and Radiation Oncology (formerly Australasian Radiology) is the official journal of The Royal Australian and New Zealand College of Radiologists, publishing articles of scientific excellence in radiology and radiation oncology. Manuscripts are judged on the basis of their contribution of original data and ideas or interpretation. All articles are peer reviewed.