Practical Tips for Reporting Adnexal Lesions Using O-RADS MRI.

Area of Science:

• Radiology
• Oncology
• Gynecology

Background:

• Adnexal lesions require accurate risk stratification for optimal management.
• Current reporting methods for adnexal lesions can lack standardization and lead to communication variability.
• The Ovarian-Adnexal Reporting and Data System (O-RADS) MRI was developed to address these challenges.

Purpose of the Study:

• To present a standardized lexicon and evidence-based risk score for adnexal lesion evaluation using MRI.
• To improve the quality of radiology reports and communication between radiologists and clinicians.
• To optimize the clinical management of patients with adnexal lesions.

Main Methods:

• Utilizing the Ovarian-Adnexal Reporting and Data System (O-RADS) MRI risk stratification system.
• Assessing specific imaging features such as lipid content, enhancing solid tissue, number of loculi, and fluid type.
• Applying an algorithmic approach to the O-RADS MRI risk stratification.

Main Results:

• The O-RADS MRI risk score ranges from <0.5% probability of malignancy for benign features to ~90% for high-risk solid tissue.
• The system provides a standardized lexicon to reduce reporting variability.
• The risk score aids in optimizing patient management decisions.

Conclusions:

• The O-RADS MRI system offers a standardized and evidence-based approach to evaluating adnexal lesions.
• This system enhances communication and improves the accuracy of malignancy risk assessment.
• Implementation of O-RADS MRI facilitates more effective management strategies for adnexal lesions.