Methods of Assessing Ovarian Masses: International Ovarian Tumor Analysis Approach

Obstet Gynecol Clin North Am. 2019 Dec;46(4):625-641. doi: 10.1016/j.ogc.2019.07.003. Epub 2019 Sep 25.

Abstract

There are many diagnostic methods to assist clinicians in assessing adnexal masses on ultrasound. After suggesting a standardized terminology and measurement technique to evaluate adnexal masses, the International Ovarian Tumor Analysis (IOTA) group has developed different strategies such as the Simple Rules and Assessment of Different Neoplasias in the adneXa (ADNEX) model, which have been shown to outperform other available methods. Besides differentiating between benign neoplasms and malignancies, the ADNEX model can also give the predicted risk for different subtypes of malignant adnexal masses, which is clinically very relevant for guiding patient management.

Keywords: Adnexa; Diagnosis; International Ovarian Tumor Analysis; Ovarian cancer; Ovarian neoplasms; Preoperative evaluation; Risk assessment; Ultrasonography.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Ovarian Diseases / diagnosis
  • Ovarian Diseases / diagnostic imaging*
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / diagnostic imaging
  • Ultrasonography / methods*
  • Ultrasonography / standards*