Adnexal Mass Risk Prediction Models

Home RMI – risk of malignancy index IOTA models Ultrasography score by Sassome and Pelvic Mass Score MLRA Index Morphological score and Berlanda index ROMA - risk of malignancy algorythm Gyn Onc Model Contact

RMI ��� risk of malignancy index

Ultrasound score (choose applicable) Multilocular cyst
Evidence of solid areas
Bilateral lesions
Presence of ascites
Evidence of metastases (in abdominal cavity)
Menopausal status
CA125 ��� serum level (U/ml)
References:
1. Jacobs I, Oram D, Fairbanks J et al. A risk of malignancy index incorporating CA 125, ultrasound and menopausal status for the accurate preoperative diagnosis of ovarian cancer. Br J Obstet Gynaecol 1990; 97: 922-929.
2. Tingulstad S, Hagen B, Skjeldestad FE et al. The risk-of-malignancy index to evaluate potential ovarian cancers in local hospitals. Obstet Gynecol 1999; 93: 448-452.
Important!
One must be very careful when examining the patient with adnexal mass.
Sometimes the most accurate diagnosis is based on doctor’s clinical experience.
In some cases one must use an addition imaging and laboratory tests to make possibly the most accurate diagnosis.
Few data from different diagnostic modalities can be assessed separately or in combinations, which are provided in presented indices.
One must be aware that presented indices are an additional diagnostic tool and cannot replace correctly performed medical examination.