Abstract：
Ovarian masses encompass various conditions, from benign to highly malignant, and imaging plays a vital role in their diagnosis and management. Ultrasound, particularly transvaginal ultrasound, is the foremost diagnostic method for adnexal masses. Magnetic Resonance Imaging (MRI) is advised for more precise characterisation if ultrasound results are inconclusive. The ovarian-adnexal reporting and data system (O-RADS) MRI lexicon and scoring system provides a standardised method for describing, assessing, and categorising the risk of each ovarian mass. Determining a histological differential diagnosis of the mass may influence treatment decision-making and treatment planning. When ultrasound or MRI suggests the possibility of cancer, computed tomography (CT) is the preferred imaging technique for staging. It is essential to outline the extent of the malignancy, guide treatment decisions, and evaluate the feasibility of cytoreductive surgery. This article provides a comprehensive overview of the key imaging processes in evaluating and managing ovarian masses, from initial diagnosis to initial treatment. It also includes pertinent recommendations for properly performing and interpreting various imaging modalities. KEY POINTS: MRI is the modality of choice for indeterminate ovarian masses at ultrasound, and the O-RADS MRI lexicon and score enable unequivocal communication with clinicians. CT is the recommended modality for suspected ovarian masses to tailor treatment and surgery. Multidisciplinary meetings integrate information and help decide the most appropriate treatment for each patient.
摘要：
卵巢肿块包括各种条件，从良性到高度恶性，影像学在其诊断和管理中起着至关重要的作用。超声波,尤其是经阴道超声检查,是附件肿块最重要的诊断方法。如果超声结果不确定，建议磁共振成像（MRI）进行更精确的表征。卵巢附件报告和数据系统（O-RADS）MRI词典和评分系统提供了一种标准化的描述方法，评估,并对每个卵巢肿块的风险进行分类。确定肿块的组织学鉴别诊断可能会影响治疗决策和治疗计划。当超声或MRI显示癌症的可能性时，计算机断层扫描(CT)是分期的首选成像技术.概述恶性肿瘤的程度是至关重要的，指导治疗决策，并评价肿瘤细胞减灭术的可行性。本文全面概述了评估和管理卵巢肿块的关键成像过程，从最初的诊断到最初的治疗。它还包括正确执行和解释各种成像模式的相关建议。关键点：MRI是超声检查不确定卵巢肿块的选择模式，以及O-RADSMRI词典和评分可以与临床医生明确沟通。CT是可疑卵巢肿块的推荐治疗方式和手术。多学科会议整合信息并帮助为每位患者决定最合适的治疗方法。
