Adnexal Mass Imaging: Contemporary Guidelines for Clinical Practice

Area of Science:

• Radiology
• Gynecologic Imaging

Background:

• Adnexal mass interpretation requires consistent and accurate methods.
• Recent advancements aim to standardize the approach to adnexal masses.

Purpose of the Study:

• To summarize recent guidelines for adnexal mass imaging.
• To highlight tools for improving diagnostic accuracy and management consistency.

Main Methods:

• Review of guidelines from the American College of Radiology (ACR).
• Focus on ACR Appropriateness Criteria for imaging modalities and follow-up.
• Emphasis on the ACR Ovarian-Adnexal Reporting Data System (O-RADS) for classification.

Main Results:

• ACR Appropriateness Criteria offer preferred imaging and follow-up strategies.
• O-RADS provides a unified, evidence-based system for classifying adnexal masses.
• O-RADS integrates ultrasound and MR imaging data to assess malignancy risk.

Conclusions:

• Published guidelines improve adnexal mass imaging accuracy and consistency.
• ACR criteria and O-RADS standardize interpretation and risk stratification.
• These tools guide clinical management decisions for adnexal masses.