O-RADS US Risk Stratification and Management System: Case-based Learning Approach for Daily Practice

HomeRadioGraphicsVol. 43, No. 3 PreviousNext UltrasoundRadioGraphics FundamentalsO-RADS US Risk Stratification and Management System: Case-based Learning Approach for Daily PracticeKalesha Hack, Lori Strachowski, Rochelle F. Andreotti, Hournaz Ghandehari, Priyanka Jha, Christopher Lim, Chirag Patel, Phyllis Glanc Kalesha Hack, Lori Strachowski, Rochelle F. Andreotti, Hournaz Ghandehari, Priyanka Jha, Christopher Lim, Chirag Patel, Phyllis Glanc Author AffiliationsFrom the Department of Medical Imaging, University of Toronto, Sunnybrook Health Sciences Centre, MG160, 2075 Bayview Ave, Toronto, ON, Canada M4N 3M5 (K.H., H.G., C.L., C.P., P.G.); Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, Calif (L.S., P.J.); and Department of Radiology, Vanderbilt University, Nashville, Tenn (R.F.A.).Address correspondence to P.G. (email: [email protected]).Kalesha HackLori StrachowskiRochelle F. AndreottiHournaz GhandehariPriyanka JhaChristopher LimChirag PatelPhyllis Glanc Published Online:Feb 23 2023https://doi.org/10.1148/rg.220079MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractUnderstanding the O-RADS US lexicon and how to apply it accurately can improve care in daily practice by decreasing unnecessary follow-up and surgery and promoting rapid referral to a gynecologic oncologist.Suggested ReadingsAndreotti RF, Timmerman D, Benacerraf BR, et al. Ovarian-Adnexal Reporting Lexicon for Ultrasound: A White Paper of the ACR Ovarian-Adnexal Reporting and Data System Committee. J Am Coll Radiol 2018;15(10):1415–1429 [Published correction appears in J Am Coll Radiol 2019;16(3):403–406.]. Crossref, Medline, Google ScholarAndreotti RF, Timmerman D, Strachowski LM, et al. O-RADS US risk stratification and management system: a consensus guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology 2020;294(1):168–185. Link, Google ScholarBasha MAA, Metwally MI, Gamil SA, et al. Comparison of O-RADS, GI-RADS, and IOTA simple rules regarding malignancy rate, validity, and reliability for diagnosis of adnexal masses. Eur Radiol 2021;31(2):674–684. Crossref, Medline, Google ScholarCao L, Wei M, Liu Y, et al. Validation of American College of Radiology Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS US): Analysis on 1054 adnexal masses. Gynecol Oncol 2021;162(1):107–112. Crossref, Medline, Google ScholarGiede KC, Kieser K, Dodge J, Rosen B. Who should operate on patients with ovarian cancer? An evidence-based review. Gynecol Oncol 2005;99(2):447–461. Crossref, Medline, Google ScholarGlanc P, Benacerraf B, Bourne T, et al. First international consensus report on adnexal masses: management recommendations. J Ultrasound Med 2017;36(5):849–863. Crossref, Medline, Google ScholarHack K, Gandhi N, Kahn D, Glanc P. OC03.05: External validation O-RADS ultrasound risk stratification and management system. Ultrasound Obstet Gynecol 2021;58(S1):8–9. Crossref, Google ScholarHack K, Glanc P. The Abnormal Ovary: Evolving Concepts in Diagnosis and Management. Obstet Gynecol Clin North Am 2019;46(4):607–624. Crossref, Medline, Google ScholarLevine D, Patel MD, Suh-Burgmann EJ, et al. Simple adnexal cysts: SRU consensus conference update on follow-up and reporting. Radiology 2019;293(2):359–371. Link, Google ScholarPi Y, Wilson MP, Katlariwala P, et al. Diagnostic accuracy and inter-observer reliability of the O-RADS scoring system among staff radiologists in a North American academic clinical setting. Abdom Radiol (NY) 2021;46(10):4967–4973. Crossref, Medline, Google ScholarSadowski, EA, et al. O-RADS MRI Risk Stratification System: Guide for Assessing Adnexal Lesions from the ACR O-RADS Committee. Radiology 2022;303:35–47. Link, Google ScholarStrachowski LM, Jha P, Chawla TP, et al. O-RADS for Ultrasound: A User's Guide, From the AJR Special Series on Radiology Reporting and Data Systems. AJR Am J Roentgenol 2021;216(5):1150–1165. Crossref, Medline, Google ScholarTimmerman D. Lack of standardization in gynecological ultrasonography. Ultrasound Obstet Gynecol 2000;16(5):395–398. Crossref, Medline, Google ScholarArticle HistoryReceived: Apr 8 2022Revision requested: May 16 2022Revision received: June 3 2022Accepted: June 8 2022Published online: Feb 23 2023 FiguresReferencesRelatedDetailsAccompanying This ArticleO-RADS US Risk Stratification and Management System: Case-based Learning Approach for Daily PracticeFeb 23 2023Default Digital Object SeriesRecommended Articles O-RADS US Risk Stratification and Management System: A Consensus Guideline from the ACR Ovarian-Adnexal Reporting and Data System CommitteeRadiology2019Volume: 294Issue: 1pp. 168-185Physiologic Ovarian Cysts versus Other Ovarian and Adnexal Pathologic Changes in the Preadolescent and Adolescent Population: US and Surgical Follow-upRadiology2019Volume: 292Issue: 1pp. 172-178Ovarian Cancer Detection in Average-Risk Women: Classic- versus Nonclassic-appearing Adnexal Lesions at USRadiology2022Volume: 303Issue: 3pp. 603-610Benign-appearing Incidental Adnexal Cysts at US, CT, and MRI: Putting the ACR, O-RADS, and SRU Guidelines All TogetherRadioGraphics2022Volume: 42Issue: 2pp. 609-624MRI of Borderline Epithelial Ovarian Tumors: Pathologic Correlation and Diagnostic ChallengesRadioGraphics2022Volume: 42Issue: 7pp. 2095-2111See More RSNA Education Exhibits O-RADS: Case Based LearningDigital Posters2021Update on Ovarian Neoplasm: What Radiologists Need to Know on Clinical, Laboratory, and an Algorithmic Imaging Approach to Benign versus Malignant Neoplasms Digital Posters2019Multifaceted Pancreatic Serous Cystadenoma and Its Differential Diagnosis at MRIDigital Posters2019 RSNA Case Collection Endometrioma RSNA Case Collection2022Pancreatic serous cystadenoma RSNA Case Collection2021Intraductal Papillary Mucinous Neoplasm RSNA Case Collection2020 Vol. 43, No. 3 Slide PresentationAbbreviations Abbreviations: O-RADS Ovarian-Adnexal Reporting and Data System Metrics Altmetric Score PDF download