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To evaluate the diagnostic performance of a Volume and Solid Vascular Tissue Score (VSVTS) for preoperative risk assessment of pediatric and adolescent adnexal masses. A retrospective cohort study comprised of all female individuals who presented with an adnexal mass that was managed surgically between April 2011 and March2016. The Hospital for Sick Children (Toronto, Ontario, Canada). Female individuals 1-18years of age who presented to a large tertiary pediatric hospital with an adnexal mass that was managed sur