Journal
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
Volume 17, Issue 2, Pages 248-254Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacr.2019.10.008
Keywords
Adnexal cyst; CT; incidental findings; MRI; ovarian cyst
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The ACR Incidental Findings Committee (IFC) presents recommendations for managing adnexal masses incidentally detected on CT and MRI. These recommendations represent an update of those provided in our previous JACR 2013 white paper. The Adnexal Subcommittee, which included six radiologists with subspecialty expertise in abdominal imaging or ultrasound and one gynecologist, developed this algorithm. The recommendations draw from published evidence and expert opinion and were finalized by iterative consensus. Algorithm branches successively categorize adnexal masses based on patient characteristics (eg, pre- versus postmenopausal) and imaging features. They terminate with a management recommendation. The algorithm addresses most, but not all, pathologies and clinical scenarios. Our goal is to improve quality of care by providing guidance on how to manage incidentally detected adnexal masses.
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