Ovarian Cancer Reporting Lexicon for Computed Tomography (Ct) and Magnetic Resonance (Mr) Imaging Developed by the Sar Uterine and Ovarian Cancer Disease-Focused Panel and the Esur Female Pelvic Imaging Working Group

Authors

Atul B Shinagare
Elizabeth A Sadowski
Hyesun Park
Olga R Brook
Rosemarie Forstner
Sumer K Wallace
Jeanne M Horowitz
Neil Horowitz
Marcia Javitt
Priyanka Jha
Aki Kido
Yulia Lakhman
Susanna I Lee
Lucia Manganaro
Katherine E Maturen
Stephanie Nougaret
Liina Poder
Gaiane M Rauch
Caroline Reinhold
Evis Sala
Isabelle Thomassin-Naggara
Herbert Alberto Vargas
Aradhana Venkatesan
Olivera Nikolic
Andrea G Rockall

Publication Date

5-1-2022

Journal

European Radiology

Abstract

Objectives: Imaging evaluation is an essential part of treatment planning for patients with ovarian cancer. Variation in the terminology used for describing ovarian cancer on computed tomography (CT) and magnetic resonance (MR) imaging can lead to ambiguity and inconsistency in clinical radiology reports. The aim of this collaborative project between Society of Abdominal Radiology (SAR) Uterine and Ovarian Cancer (UOC) Disease-focused Panel (DFP) and the European Society of Uroradiology (ESUR) Female Pelvic Imaging (FPI) Working Group was to develop an ovarian cancer reporting lexicon for CT and MR imaging.

Methods: Twenty-one members of the SAR UOC DFP and ESUR FPI working group, one radiology clinical fellow, and two gynecologic oncology surgeons formed the Ovarian Cancer Reporting Lexicon Committee. Two attending radiologist members of the committee prepared a preliminary list of imaging terms that was sent as an online survey to 173 radiologists and gynecologic oncologic physicians, of whom 67 responded to the survey. The committee reviewed these responses to create a final consensus list of lexicon terms.

Results: An ovarian cancer reporting lexicon was created for CT and MR Imaging. This consensus-based lexicon has 6 major categories of terms: general, adnexal lesion-specific, peritoneal carcinomatosis-specific, lymph node-specific, metastatic disease -specific, and fluid-specific.

Conclusions: This lexicon for CT and MR imaging evaluation of ovarian cancer patients has the capacity to improve the clarity and consistency of reporting disease sites seen on imaging.

Key points: • This reporting lexicon for CT and MR imaging provides a list of consensus-based, standardized terms and definitions for reporting sites of ovarian cancer on imaging at initial diagnosis or follow-up. • Use of standardized terms and morphologic imaging descriptors can help improve interdisciplinary communication of disease extent and facilitate optimal patient management. • The radiologists should identify and communicate areas of disease, including difficult to resect or potentially unresectable disease that may limit the ability to achieve optimal resection.

Keywords

Female, Humans, Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, Ovarian Neoplasms, Tomography, X-Ray Computed, CT, Lexicon, MRI, Ovarian cancer, Staging

DOI

10.1007/s00330-021-08390-y

PMID

34846566

PMCID

PMC9516633

PubMedCentral® Posted Date

5-1-2023

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes