Advances in MRI-Based Scoring Systems for Differentiating Benign and Malignant Adnexal Masses

本研究对基于MRI的附件肿物评分系统研究进展进行综述。首先分别回顾ADNEX MR评分系统和O-RADS MRI评分系统的提出背景及其对超声下不确定的附件肿物的诊断性能和临床价值。其次，整理两大MRI评分系统的分类标准以及相关的MRI特征术语。再总结近年来两大评分系统的临床应用进展及局限性。最后，进一步讨论MRI评分系统未来的可能发展方向。本综述旨在为后续研究附件肿物的术前评估及准确分类方面提供一些可行的思路和建议。The present review examines the current landscape and emerging developments of MRI-derived scoring systems for characterizing adnexal masses. Firstly, the background of the ADNEX MR SCORING system and the O-RADS MRI scoring system were reviewed, and their diagnostic performance and clinical value for indeterminate adnexal masses under ultrasound were reviewed, respectively. Secondly, the classification criteria of the two MRI scoring systems and the related descriptive terms of MRI signs are organized. The clinical progress and limitations of the two scoring systems in recent years are then summarized, and finally, the possible future directions of MRI scoring systems are further explored and discussed. The aim of this study is to provide some feasible ideas and suggestions for subsequent studies on the preoperative evaluation and accurate classification of adnexal masses.