{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:21:37Z","timestamp":1753878097478,"version":"3.41.2"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transvaginal ultrasound (TV\u2010US) of the pelvis is now a standard component of the diagnostic armamentarium in gynaecology. After undergoing specialised training, healthcare professionals (sonographers, gynaecologists, and radiologists) performing such scans can diagnose pelvic pathology accurately. TV\u2010US is fast to perform and cheaper than cross\u2010sectional imaging. Many gynaecology services now offer ultrasound as a well\u2010established part of one\u2010stop clinics, where a diagnosis can be made at the first visit and the patient pathway expedited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Predicting the risk of malignancy in adnexal masses is so important. This review describes my systematic approach to reporting a \u201ccomplex ovarian mass\u201d on TV\u2010US, as a subspecialist gynaecologist\u2010sonologist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using International Ovarian Tumour Analysis (IOTA) language and IOTA risk of malignancy algorithms allows us to describe and categorise adnexal masses on ultrasound and to predict the risk and stage of malignancy. With experience, experts can also predict the histopathological subtype. This level of diagnostic performance allows us to streamline the patient journey and to reach a diagnosis and management plan faster. You will never call an ovarian mass \u2018complex\u2019 again!<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13846","type":"journal-article","created":{"date-parts":[[2025,3,8]],"date-time":"2025-03-08T17:59:35Z","timestamp":1741456775000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How I Do It\u2014How to Report the \u201cComplex\u201d Ovarian Mass on <scp>US<\/scp>"],"prefix":"10.1111","author":[{"given":"Susanne","family":"Johnson","sequence":"first","affiliation":[{"name":"Nuffield Health Wessex Hospital  Eastleigh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2000.00287.x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26080"},{"key":"e_1_2_13_4_1","first-page":"32","article-title":"Practical Guidance for Applying the ADNEX Model From the IOTA Group to Discriminate Between Different Subtypes of Adnexal Tumors","volume":"7","author":"Calster B. V.","year":"2015","journal-title":"Facts, Views & Vision in ObGyn"},{"key":"e_1_2_13_5_1","unstructured":"S.Johnson \u201cIOTA 2\u2010Step Strategy 2023.\u201dhttps:\/\/www.youtube.com\/watch?v=_UoW2z6USYo."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23635"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.230685"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2022.5969"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.04.003"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4020"},{"key":"e_1_2_13_11_1","unstructured":"ISUOG \u201cISUOG Basic Training Typical Ultrasound Appearances of Common Pathologies in the Adnexae\u201d."},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.3892\/ijo.2014.2764"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13846","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T04:30:50Z","timestamp":1746678650000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13846"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,3]]},"references-count":11,"alternative-id":["10.1111\/1754-9485.13846"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13846","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"type":"print","value":"1754-9477"},{"type":"electronic","value":"1754-9485"}],"subject":[],"published":{"date-parts":[[2025,3,3]]},"assertion":[{"value":"2024-08-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1754-9485.13846"}}