Didactics-Ovarian Masses_RMI or Simple Rules and How to Stage Them

Video Transcription

Video Summary

In this video, Leo, a radiologist, discusses the analysis of indeterminate adnexal masses. He explains the risk and malignancy index (RMI), which assigns scores based on ultrasound findings, CA125 levels, and menopausal status. A score over 200 indicates a high risk of malignancy. Leo also introduces the International Ovarian Tumor Analysis (IOTA) simple rules, which assess different features to determine the likelihood of malignancy. He discusses the advantages of IOTA, such as its use of ultrasound only and the inclusion of Doppler. Leo highlights additional signs of malignancy, including ascites, mental cake, peritoneal deposits, and lymph node involvement. He emphasizes the importance of recognizing atypical sites of metastasis and considering biopsy for accurate diagnosis. Leo also addresses the challenges in determining resectability and proposes the need for a reporting template to ensure consistent evaluation. He concludes by briefly mentioning the MR adnex score and the role of diffusion-weighted imaging in assessing malignancy. Overall, Leo provides insights into the evaluation and management of indeterminate adnexal masses.

Asset Subtitle

Liam McKinght
September 2022

Keywords

Leo

indeterminate adnexal masses

IOTA

ultrasound findings

malignancy

biopsy

resectability

evaluation