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

Rochelle F Andreotti; Dirk Timmerman; Beryl R Benacerraf; Genevieve L Bennett; Tom Bourne; Douglas L Brown; Beverly G Coleman; Mary C Frates; Wouter Froyman; Steven R Goldstein; Ulrike M Hamper; Mindy M Horrow; Marta Hernanz-Schulman; Caroline Reinhold; Lori M Strachowski; Phyllis Glanc

doi:10.1016/j.jacr.2018.07.004

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

J Am Coll Radiol. 2018 Oct;15(10):1415-1429. doi: 10.1016/j.jacr.2018.07.004. Epub 2018 Aug 24.

Authors

Rochelle F Andreotti¹, Dirk Timmerman², Beryl R Benacerraf³, Genevieve L Bennett⁴, Tom Bourne⁵, Douglas L Brown⁶, Beverly G Coleman⁷, Mary C Frates⁸, Wouter Froyman², Steven R Goldstein⁹, Ulrike M Hamper¹⁰, Mindy M Horrow¹¹, Marta Hernanz-Schulman¹², Caroline Reinhold¹³, Lori M Strachowski¹⁴, Phyllis Glanc¹⁵

Affiliations

¹ Department of Radiology and Radiologic Sciences and Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee. Electronic address: rochelle.f.andreotti@vanderbilt.edu.
² Department of Development and Regeneration, KU Leuven, Leuven, Belgium; Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium.
³ Department of Radiology and Department of Obstetrics and Gynecology, Harvard Medical School, Brigham and Women's Hospital, Brookline, Massachusetts.
⁴ Department of Radiology, NYU Langone Health, New York, New York.
⁵ Imperial College London, Queen Charlottes and Chelsea Hospital, London, England.
⁶ Department of Radiology, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
⁷ Department of Radiology, Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
⁸ Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts.
⁹ Department of Obstetrics and Gynecology, New York University-Langone, New York, New York.
¹⁰ Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, School of Medicine, Baltimore, Maryland.
¹¹ Department of Radiology, Einstein Medical Center, Philadelphia, Pennsylvania.
¹² Department of Radiology and Radiological Sciences, Vanderbilt University School of Medicine, Carell Children's Hospital at Vanderbilt, Nashville, Tennessee.
¹³ Department of Radiology, McGill University Health Center, Montreal, Quebec, Canada.
¹⁴ Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
¹⁵ Department of Radiology, University of Toronto, Sunnybrook Research Institute, Toronto, Ontario, Canada.

PMID: 30149950
DOI: 10.1016/j.jacr.2018.07.004

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.

Keywords: Ovarian mass; ovarian cancer; pelvic imaging; structured reporting; ultrasound.

MeSH terms

Adnexal Diseases / diagnostic imaging*
Consensus
Data Systems
Diagnosis, Differential
Female
Humans
Image Interpretation, Computer-Assisted
Practice Guidelines as Topic
Radiology Information Systems / standards*
Risk Assessment
Societies, Medical
Ultrasonography*
United States