In a tertiary referral oncology center, the Ovarian-Adnexal Reporting and Data System US risk stratification and management system enabled accurate discrimination of benign and malignant ovarian an... Background The Ovarian-Adnexal Reporting and Data System (O-RADS) US risk stratification and management system (O-RADS US) was designed to improve risk assessment and management of ovarian and adne...

A hybrid large language model (LLM)–based application, optimized by combining LLM feature classification with deterministic elements, accurately assigned Ovarian-Adnexal Reporting and Data System MRI scores from adnexal lesion descriptions and outperformed originally reporting radiologists.