CClinicalTrials.gg
Active, not recruitingNCT07009743Updated Jun 8, 2025

O-RADS MRI System on Early Detection of Ovarian Cancer

An observational study in Ovarian Cancer (OvCa) and Ovarian Cancer Metastatic, sponsored by Shanghai Gynecologic Oncology Group. Active, not recruiting at 1 site in China. Open to female participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2025-06-08.

Sponsored by Shanghai Gynecologic Oncology Group · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
2,549
Ages
35 Years and older
Sex
Female
01

Study summary

This study is designed to prospectively enroll individuals with suspected or potential risk of ovarian cancer across multiple centers. The investigation will implement rational optimization of the recommended imaging sequences and interpretation protocols within the standard Ovarian-Adnexal Reporting and Data System (O-RADS) MRI framework. By integrating comprehensive clinical parameters and histopathological correlations, we aim to validate the diagnostic efficacy and reproducibility of the optimized protocol against the standard O-RADS MRI system. The ultimate objective is to establish a refined methodology for accurately diagnosing early-stage or low-burden ovarian malignancies, thereby improving prognostic outcomes of patients with ovarian cancer.

02

Conditions studied

  • Ovarian Cancer (OvCa)
  • Ovarian Cancer Metastatic
03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's planned enrollment of 2,549 is above the median of 200 across 527 observational studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Shanghai Gynecologic Oncology Group is the lead sponsor of 15 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with epithelial ovarian carcinoma (EOC) at FIGO stages I-IIB and stage IIIC (with a tumor burden score \<2).

Inclusion criteria

  • Patients meeting either of the following criteria based on initial diagnostic pelvic ultrasound findings (pelvic mass or pelvic effusion) suspicious for ovarian malignancy or at elevated risk for ovarian cancer:

    1. Postmenopausal women or females ≥45 years with pelvic mass or effusion on ultrasound;
    2. Postmenopausal women or females ≥45 years with serum CA125 ≥35 U/mL;
    3. Females ≥35 years with a confirmed family history of ovarian or breast carcinoma;
    4. Females ≥35 years harboring pathogenic/likely pathogenic BRCA1/2 germline mutations;
    5. Females ≥35 years with BRCA1/2 mutations, non-suspicious adnexal lesions on ultrasound but planning prophylactic adnexectomy with availability of serial pathological sectioning.

      ② Ability to comply with the study protocol and adhere to scheduled follow-up assessments.

      ③ Provision of written informed consent.

Exclusion criteria

Exclusion Criteria:

  • ① Pregnant individuals

    • Patients with histopathologically confirmed ovarian cancer

      • Ovarian malignancy diagnosed by PET-CT at this institution

        ④ Patients undergoing neoadjuvant chemotherapy for confirmed ovarian cancer

        ⑤ Claustrophobia precluding tolerance of MRI examination

        ⑥ Contraindications to MRI: cardiac pacemakers, ferromagnetic implants, or high-risk metallic foreign bodies

        ⑦ History of gadolinium-based contrast agent (GBCA) hypersensitivity or intolerance

        ⑧ Severe renal insufficiency (glomerular filtration rate \<30 mL/min/1.73 m²)

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
2,549 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Interventions

  • Diagnostic testMRI contrast-enhancing agents

    All patients underwent standard pelvic MRI examinations (1.5T or 3T) with the following sequences: T2-weighted imaging (T2WI), T1-weighted imaging (T1WI) with and without fat suppression; axial, sagittal, and coronal post-contrast T1WI following intravenous administration of gadolinium-based contrast agents (GBCA); functional sequences including dynamic contrast-enhanced MRI (DCE-MRI) and diffusion-weighted imaging MRI (DWI-MRI). Enhancement sequences may be omitted if no adnexal masses were identified on T2WI, T1WI, or DWI sequences.

06

What researchers measure

Primary outcomes

  1. the diagnostic performance of the O-RADS MRI system in the early detection of ovarian cancer

    To evaluate the diagnostic performance of the O-RADS MRI system in the early detection of ovarian cancer (FIGO stages I-IIIC, epithelial ovarian carcinoma \[EOC\], tumor burden score ≤2), including sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, and area under the receiver operating characteristic curve (AUC).

    Time frame: 2 years

07

Study locations

1 site
  • Zhongshan Hospital, Fudan University
    Shanghai, 200032, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07009743
Lead sponsor
Shanghai Gynecologic Oncology Group
Responsible party
Sponsor
First posted
Jun 8, 2025
Start date
Jan 1, 2025
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Jun 8, 2025

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion