Ovarian-Adnexal Reporting Lexicon for Ultrasound: A White Paper of the ACR Ovarian-Adnexal Reporting and Data System Committee

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 ap...

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Published inJournal of the American College of Radiology Vol. 15; no. 10; pp. 1415 - 1429
Main Authors Andreotti, Rochelle F., Timmerman, Dirk, Benacerraf, Beryl R., Bennett, Genevieve L., Bourne, Tom, Brown, Douglas L., Coleman, Beverly G., Frates, Mary C., Froyman, Wouter, Goldstein, Steven R., Hamper, Ulrike M., Horrow, Mindy M., Hernanz-Schulman, Marta, Reinhold, Caroline, Strachowski, Lori M., Glanc, Phyllis
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2018
Subjects
Adnexal Diseases - diagnostic imaging
Consensus
Data Systems
Diagnosis, Differential
Female
Humans
Image Interpretation, Computer-Assisted
ovarian cancer
Ovarian mass
pelvic imaging
Practice Guidelines as Topic
Radiology Information Systems - standards
Risk Assessment
Societies, Medical
structured reporting
Ultrasonography
ultrasound
United States
United States
structured reporting
Ovarian mass
ovarian cancer
pelvic imaging
ultrasound
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Summary: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.
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ISSN:1546-1440
1558-349X
DOI:10.1016/j.jacr.2018.07.004