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IOTA ADNEX Model (iModel) for Ovarian Tumours

The IOTA ADNEX model calculates the probability that an adnexal mass is benign, borderline, stage I cancer, stage II-IV cancer, or a secondary metastatic tumour, using ultrasound and clinical features.

Purpose:
Differentiate between benign and malignant adnexal masses to guide surgical planning
Population:
Women with adnexal masses evaluated by ultrasound
Factors:
Age, Serum CA-125, Maximum lesion diameter, Proportion solid tissue, Number of papillary projections, More than 10 cyst locules, Acoustic shadows, Ascites, Oncology centre
Reference:
Van Calster et al., BMJ 2014
HomeiMODEL (Ovarian Recurrence)
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iMODEL (Ovarian Recurrence)

Clinical Context & Background

The iMODEL (International Model) score estimates the probability of complete cytoreduction (R0) in patients with platinum-sensitive recurrent ovarian cancer. It provides a more granular risk assessment than the binary AGO score.
Formula Logic
Sum of 6 risk factors. Max 11.9.

Reference Data

Total ScoreEst. Complete Resection Rate
Low Risk (≤ 4.7)83% - 94%
Intermediate60% - 80%
High Risk (> 4.7)Low

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Evidence-based oncology decision support. Verify with clinical guidelines.