Testing with OVA1

The clinical performance of OVA1 (MIA) has been validated in combination with an independent clinical assessment. Once a pelvic mass is identified and planned for surgery, the assessment of the patient’s history, imaging and OVA1 (MIA) score is triggered. If a modality indicates elevated risk, physicians can be confident in the sensitivity to detect ovarian cancer. If the modalities agree on a low risk, provider can feel more assured that it is unlikely cancer.  Based on the data from OVA1 (MIA) validation studies, we recommend the risk assessment protocol outlined below.

OVA1 (MIA) should not be used without an independent clinical/radiological evaluation and is not intended to be a screening test or to determine whether a patient should proceed to surgery. Incorrect use of OVA1 (MIA) carries the risk of unnecessary surgery and/or delayed diagnosis.

Protocol Integration


Identify Adnexal Masses


With history, imaging, and OVA1, assess the mass.


Educate patient on possible outcomes.


Determine if mass is benign or malignant.


Ob/Gyn treat benign masses. Gyn Onc consult on malignant masses.

Identify patients with inconclusive imaging

Imaging may not detect a cancer when present. Most ultrasound features are indeterminate and not definitive of cancer.

This uncertainty is often identified as the gray-zone. To be sensitive in detecting ovarian cancer, look for the following gray-zone red flags in your ultrasound reports (table on the right) and evaluate with OVA1 (MIA) pre-surgically.

Gray-zone red flags include:

  • Cysts concerning for surgery
  • Fixed or bilateral cysts
  • Complex or suspicious for:
  • Think or thick, single or multiple septations
  • Irregularity
  • Nodules
  • Non-classic endometrioma, dermoid, hemorrhagic cyst findings
  • Thickened walls
  • Solid consistency
  • Papillary projections

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For Providers

Download A Uniquely Barcoded OVA1 Test Request Form

All OVA1 (MIA) test samples are run by ASPiRA LABS. Physicians can expect an average 24 to 48-hr turnaround time from the time a specimen is received.