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A mixed-methods evaluation of the implementation of IOTA-ADNEX ultrasound triage in NHS secondary care ovarian diagnostic one-stop clinics

2025-11-27 obstetrics and gynecology Title + abstract only
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ObjectivesRobust evidence supports IOTA-ADNEX ultrasound triage at 10% threshold for ovarian cancer (OC) diagnosis to identify women for referral to tertiary gynaecological cancer centres for further management. The IOTA-ADNEX risk prediction model has superior sensitivity compared to the current standard of care triage, Risk of Malignancy Index (RMI-1), yet NHS adoption is limited. In our survey of British Gynaecological Cancer Society clinicians only 30% (24/79) currently follow an IOTA model,...

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