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

Area of Science:

• Gynaecological imaging
• Medical diagnostics
• Oncology

Background:

• Transvaginal ultrasound (TV-US) is a standard gynaecological diagnostic tool.
• Specialized training enables accurate pelvic pathology diagnosis via TV-US.
• TV-US is a fast, cost-effective imaging modality, integral to one-stop clinics for expedited patient pathways.

Purpose of the Study:

• To describe a systematic approach for reporting complex ovarian masses using TV-US.
• To predict malignancy risk in adnexal masses.

Main Methods:

• Systematic review and reporting of adnexal masses.
• Application of International Ovarian Tumour Analysis (IOTA) terminology.
• Utilisation of IOTA risk of malignancy algorithms.

Main Results:

• IOTA language and algorithms enable precise description and categorization of adnexal masses.
• Accurate prediction of malignancy risk and stage is achievable.
• With expertise, histopathological subtypes can be predicted.

Conclusions:

• The IOTA approach standardizes adnexal mass reporting and risk assessment.
• This diagnostic performance streamlines patient management and accelerates diagnosis.
• The term 'complex ovarian mass' can be replaced with precise IOTA-based descriptions.