This review of the American College of Radiology Ovarian-Adnexal Reporting and Data System (O-RADS) ultrasound (US) v2022 will familiarize the reader with the updated O-RADS US system, highlight new updates, and outline key technical and reporting components. Additionally, this review will outline how to approach and incorporate the system into clinical practice, with reporting and real-world examples. Future directions will focus on addressing knowledge gaps and expanding on research opportunities.
Keywords: O-RADS; Ovarian cancer; Ovarian neoplasm; Ovarian/adnexal lesions; Ultrasound.
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