akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347.2019.13.4.345-353akusherstvo-608Research ArticleREVIEW ARTICLEНАУЧНЫЙ ОБЗОРО-RADS and ADNEX MR scoring system: standardization of assessment and modern approaches to stratification of ovarian malignancy risksO-RADS и ADNEX MR scoring system: стандартизация оценки и современные подходы к стратификации рисков злокачественности образований яичниковhttps://orcid.org/0000-0003-4768-115XСолоповаА. Е.SolopovaA. E.

 Солопова Алина Евгеньевна – д.м.н., доцент, ведущий научный сотрудник отделения лучевой диагностики

Россия, 117997 Москва, ул. академика Опарина, д. 4.

Scopus Author ID: 24460923200. Researcher ID: P-8659-2015.

Alina E. Solopova – MD, PhD, Associate Professor, Leading Researcher, Department of Radiology

Akademika Oparina St., Moscow 117997, Russia.

Scopus Author ID: 24460923200. Researcher ID: P-8659-2015.

dr.solopova@mail.ruhttps://orcid.org/0000-0003-3778-4067ДудинаА. Н.DudinaA. N.

Дудина Анастасия Николаевна – студент 6-го курса Института здоровья детей

Россия, 117997 Москва, ул. академика Опарина, д. 4.

Anastasiya N. Dudina – 6 th year student, Institute of Children’s Health

8 bild. 2, Trubetskaya St., Moscow 119991, Russia.

ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской ФедерацииРоссияNational Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Health Ministry of Russian FederationRussian FederationФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской ФедерацииРоссияSechenov UniversityRussian Federation201916012020134345353Copyright © Solopova A.E., Dudina A.N., 20202020Солопова А.Е., Дудина А.Н.Solopova A.E., Dudina A.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/608

This article reviews the studies published over the recent 10 years about diagnostic imaging of ovarian lesions (OL). We discuss the current classification systems considering the imaging criteria and the risks of malignancy as well as the ways of optimizing the treatment of patients. There are a number of methods of evaluation and interpretation of diagnostic data obtained using ultrasound as a first line method for OL visualization. To report the results, there is a unified terminology system O-RADS (Ovarian-Adnexal Reporting and Data System) developed specifically for ultrasound examinations. In 2013, the ADNEX MR (adnexal lesions magnetic resonance imaging) scoring system (AMRSS) was developed to standardize magnetic resonance data. That system combines the analysis of both basic-anatomical and functional MR-images and allows one to classify ovarian tumors by the risk of malignancy. Although O-RADS and AMRSS are based on different diagnostic modalities, they complement each other for the diagnostic purpose. In this review, we analyze correlations between the results obtained with these two methods; we also address the possibility of using the above methods in combination in order to pursue a more comprehensive approach to diagnosis of ovarian cancer.

В обзоре проанализированы результаты работ, опубликованных за последние 10 лет, посвященные лучевой диагностике образований яичников (ОЯ), современным подходам к классификации с учетом основных визуализационных критериев и рисков злокачественности, основной целью которой является оптимизация тактики ведения этой группы пациентов. Существует большое количество методов оценки и интерпретации диагностических данных, полученных с использованием ультразвукового исследования (УЗИ), как метода выбора первой линии лучевой диагностики ОЯ. Для описания существует единая терминологическая система O-RADS (англ. Ovarian-Adnexal Reporting and Data System), разработанная для УЗИ. В 2013 г. с целью стандартизации магнитно-резонансных (МР) данных была разработана система оценки – ADNEX MR (англ. Adnexal lesions magnetic resonance imaging) scoring system (AMRSS). Данная система объединяет анализ базовых анатомических и функциональных МР-изображений и позволяет классифицировать опухолевые образования яичников по степени риска злокачественности. Поскольку O-RADS и AMRSS основаны на различных диагностических данных и являются взаимодополняющими системами оценки, проанализированы корреляции и возможности использования их в совокупности, что позволит комплексно подойти к вопросу диагностики рака яичников.

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The authors declare that there are no conflicts of interest present.