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Contemporary Guidelines for Adnexal Mass Imaging: A 2020 Update

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Abstract

Incidental adnexal masses are commonly encountered at ultrasound, computed tomography, and magnetic resonance imaging. Since many of these lesions are surgically resected and ultimately found to be benign, patients may be exposed to personal and economic costs related to unnecessary oophorectomy. Thus, accurate non-invasive risk stratification of adnexal masses is essential for optimal management and outcomes. Multiple consensus guidelines in radiology have been published to assist in characterization of these masses as benign, indeterminate, or likely malignant. In the last two years, several new and updated stratification systems for assessment of incidental adnexal masses have been published. The purpose of this article is to offer a concise review of four recent publications: ACR 2020 update on the management of incidental adnexal findings on CT and MRI, SRU 2019 consensus update on simple adnexal cysts, O-RADS ultrasound risk stratification system (2020), and O-RADS MRI risk stratification system (2020).

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Authors and Affiliations

  1. Department of Radiology, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA

    Erica B. Stein, Molly E. Roseland, Kimberly L. Shampain, Ashish P. Wasnik & Katherine E. Maturen

  2. Department of Obstetrics & Gynecology, Michigan Medicine, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA

    Katherine E. Maturen

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  1. Erica B. Stein
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  2. Molly E. Roseland
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  3. Kimberly L. Shampain
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  4. Ashish P. Wasnik
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All authors contributed to the study conception and design. Material preparation was performed by all authors. The first draft of the manuscript was written by Erica Stein and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Erica B. Stein.

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Stein, E.B., Roseland, M.E., Shampain, K.L. et al. Contemporary Guidelines for Adnexal Mass Imaging: A 2020 Update. Abdom Radiol 46, 2127–2139 (2021). https://doi.org/10.1007/s00261-020-02812-z

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  • DOI: https://doi.org/10.1007/s00261-020-02812-z

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