Abdominal Radiology

, Volume 43, Issue 3, pp 679–695 | Cite as

A systematic approach to adnexal masses discovered on ultrasound: the ADNEx MR scoring system

  • Elizabeth A. Sadowski
  • Jessica B. Robbins
  • Andrea G. Rockall
  • Isabelle Thomassin-Naggara
Pictorial essay


Adnexal lesions are a common occurrence in radiology practice and imaging plays a crucial role in triaging women appropriately. Current trends toward early detection and characterization have increased the need for accurate imaging assessment of adnexal lesions prior to treatment. Ultrasound is the first-line imaging modality for assessing adnexal lesions; however, approximately 20% of lesions are incompletely characterized after ultrasound evaluation. Secondary assessment with MR imaging using the ADNEx MR Scoring System has been demonstrated as highly accurate in the characterization of adnexal lesions and in excluding ovarian cancer. This review will address the role of MR imaging in further assessment of adnexal lesions discovered on US, and the utility of the ADNEx MR Scoring System.


Adnexal lesion Ovarian lesion Ovarian cancer Adnexal cyst Ovarian cyst MRI 


Financial disclosure



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Copyright information

© Springer Science+Business Media, LLC 2018

Authors and Affiliations

  • Elizabeth A. Sadowski
    • 1
    • 2
  • Jessica B. Robbins
    • 1
  • Andrea G. Rockall
    • 3
    • 4
  • Isabelle Thomassin-Naggara
    • 5
  1. 1.Department of Radiology, Clinical Science Center, E3/372University of Wisconsin School of Medicine and Public HealthMadisonUSA
  2. 2.Obstetrics and Gynecology, Clinical Science Center, E3/372University of Wisconsin School of Medicine and Public HealthMadisonUSA
  3. 3.Department of RadiologyThe Royal Marsden NHS Foundation TrustLondonUK
  4. 4.Divison of Surgery and CancerImperial College LondonLondonUK
  5. 5.Department of RadiologySorbonne Universités, UPMC Univ Paris 06, Institut Universitaire de Cancérologie, Assistance Publique – Hôpitaux de Paris, Hôpital Tenon, Service d’ImagerieParisFrance

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