Original article
Clinical practice management
Ovarian-Adnexal Reporting Lexicon for Ultrasound: A White Paper of the ACR Ovarian-Adnexal Reporting and Data System Committee

https://doi.org/10.1016/j.jacr.2018.07.004Get rights and content

Abstract

Ultrasound is the most commonly used imaging technique for the evaluation of ovarian and other adnexal lesions. The interpretation of sonographic findings is variable because of inconsistency in descriptor terminology used among reporting clinicians. The use of vague terms that are inconsistently applied can lead to significant differences in interpretation and subsequent management strategies. A committee was formed under the direction of the ACR initially to create a standardized lexicon for ovarian lesions with the goal of improving the quality and communication of imaging reports between ultrasound examiners and referring clinicians. The ultimate objective will be to apply the lexicon to a risk stratification classification for consistent follow-up and management in clinical practice. This white paper describes the consensus process in the creation of a standardized lexicon for ovarian and adnexal lesions and the resultant lexicon.

Key Words

Ovarian mass
ovarian cancer
ultrasound
structured reporting
pelvic imaging

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Professor Tom Bourne, PhD, reports grants, personal fees, and nonfinancial support from Samsung Medison, personal fees and nonfinancial support from GE Healthcare, nonfinancial support from Roche Diagnostics, during the conduct of the study. Steven R. Goldstein, MD, reports other from GE, outside the submitted work. Mindy M. Horrow, MD, reports lecture honorarium from World Class CME (1-19-2018); spouse is an employee of Merck & Co. Phyllis Glanc, MD, reports other from GE, Women's Health, Ultrasound division, outside the submitted work. The other authors have no conflicts of interest related to the material discussed in this article.

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