Risk of Ovarian Malignancy Algorithm (ROMA)

£91.00

ROMA (Risk of Ovarian Malignancy Algorithm) Blood Test in London

The Risk of Ovarian Malignancy Algorithm (ROMA) Profile (SP30) is a specialised blood test designed to assess the likelihood of ovarian malignancy in women presenting with ovarian masses or related clinical concerns. This profile measures CA 125 and HE4 tumour markers and combines the results with menopausal status to generate a ROMA score, helping to evaluate the risk of ovarian cancer and support clinical decision-making. Ideal for women undergoing investigation for ovarian abnormalities or requiring further risk assessment, this test is available at Medical Diagnosis Victoria (MDX Victoria) in London, with results typically available within 5 days.

Women’s Diagnostics

Risk of Ovarian Malignancy Algorithm (ROMA)

This profile (SP30) is used to assess the risk of ovarian malignancy in women. CA 125 and HE4 are proteins that can be elevated in ovarian cancer, and the ROMA score combines these markers with menopausal status to estimate the likelihood of malignancy.

📊 Test Specifications

Clinic Testing Fee

£91.00
+ £21.00 Phlebotomy Fee

🩸

Sample RequiredBlood Sample

⏱️

Turnaround Time5 Days Processing

Diagnostic Focus

Why Choose This Test?

Symptom Investigation

This profile provides essential clarity if you are experiencing:

  • Unexplained pelvic masses
  • Persistent abdominal bloating or pain
  • Changes in bowel or bladder habits
  • Feeling full very quickly when eating

Comprehensive Biomarkers

It combines advanced protein markers with clinical algorithms:

  • Cancer Antigen 125 (CA 125) analysis
  • Human Epididymis Protein 4 (HE4)
  • Premenopausal risk calculation (ROMA-PRE)
  • Postmenopausal risk calculation (ROMA-POST)

Actionable Insights

This detailed internal view empowers patients and clinicians to:

  • Support the evaluation of ovarian health thoroughly
  • Assist clinicians in accurate risk assessment
  • Guide optimal management and treatment planning
  • Differentiate between benign and malignant possibilities

Schedule Your ROMA Profile

Map your ovarian health markers clearly. Secure an appointment with our clinical team for a rapid, gentle blood draw today.

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Component Index

What Is Included?

This profile provides a precise evaluation of specific protein markers and calculates risk using established clinical algorithms.

CA 125 & HE4 Proteins

Evaluates the concentration of Cancer Antigen 125 and Human Epididymis Protein 4 in the blood, which are key proteins often elevated in ovarian conditions.

Cancer Antigen 125 (CA 125)
Human Epididymis Protein 4 (HE4)
Clinical focus:
Identifying elevated levels of specific tumour markers associated with ovarian tissue.

ROMA-PRE Algorithm

Calculates the specific risk index for premenopausal women by combining their CA 125 and HE4 levels into a predictive score.

ROMA-PRE Calculation
Clinical focus:
Stratifying the likelihood of malignancy in women prior to menopause.

ROMA-POST Algorithm

Calculates the specific risk index for postmenopausal women to accurately assess malignancy likelihood based on their hormonal status.

ROMA-POST Calculation
Clinical focus:
Providing accurate risk assessment adjusted for postmenopausal biological changes.

Understanding the ROMA Score

The Risk of Ovarian Malignancy Algorithm (ROMA) significantly improves diagnostic accuracy compared to checking CA 125 alone. Because CA 125 can be elevated by benign conditions like endometriosis or menstruation, combining it with HE4 and factoring in your menopausal status allows clinicians to better categorise the probability of finding a malignancy, guiding faster and more appropriate referrals.

Pathology Reports

How To Read Your Laboratory Results

Your results will list your values alongside standard reference ranges and your calculated ROMA score. Important: A single out of range value or elevated score does not automatically indicate a malignancy. Results must be assessed in conjunction with your medical history, imaging, and clinical examination.

Results Timeline: Profile metrics are typically available within 5 days. Once your results are ready, they will be securely shared with you.

Laboratory Diagnostic Analysis

Clinical Environment Consultation

Medical Consultation

Need Help? Private GP Consultations

If you have questions about your diagnostic results, we offer Private GP consultations. A doctor can review your report, explain what the numbers mean for your specific situation, and discuss the best next steps or specialist referrals for managing your health.

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Clinic Support

Frequently Asked Questions

Do I need to fast before the test?
No, there are no special fasting or preparation instructions required for the ROMA profile.
How quickly will I get my results?
Your comprehensive results will be processed and securely delivered within 5 days of sample collection.
Can I walk in, or do I need an appointment?
Walk-ins are welcome at the clinic, but booking a slot online is highly recommended to ensure priority service.
What should I do if my results are abnormal?
If your markers or ROMA score are outside the standard reference ranges, we strongly recommend booking a Private GP consultation with us or contacting your specialist to review them.
Is the phlebotomy fee included in the price?
No, the £21 phlebotomy service fee is separate and payable directly at the clinic.
Will my results be sent securely?
Yes, your laboratory results will be delivered securely and privately to the email address provided.
Does a high CA 125 mean I have cancer?
Not necessarily. CA 125 can be elevated in benign conditions such as endometriosis, pelvic inflammatory disease, or even during menstruation. This is why HE4 and the ROMA score are used to provide better accuracy.
Can I eat and drink normally before the test?
Yes, you can eat and drink normally prior to your phlebotomy appointment.
Online Trends

Most Searched Online Questions About Ovarian Health Risk

What is the ROMA test?
It combines the levels of CA 125, HE4, and your menopausal status into a clinical algorithm to predict the risk of finding an ovarian malignancy.
What is HE4?
Human Epididymis Protein 4 is a biomarker that is often elevated in epithelial ovarian cancer and is typically less affected by benign gynaecological conditions than CA 125.
What are the symptoms of ovarian cancer?
Common symptoms include persistent bloating, pelvic or abdominal pain, difficulty eating, and feeling full quickly.
Why check both CA 125 and HE4?
Combining both markers significantly increases the sensitivity and specificity of detecting ovarian cancer compared to using either marker alone.
Does menopausal status matter?
Yes. The ROMA score uses different calculations depending on whether a woman is premenopausal or postmenopausal to ensure the most accurate risk estimation.

Secure Diagnostics

Ready to Check Your Ovarian Health?

Take immediate control of your diagnostic pathway today. Arrange a precise, comprehensive ROMA profile screening at our premium clinic spaces.

Clinical indications listed are for general informational purposes only and do not represent a complete list of possible uses, which may vary depending on individual circumstances.

ROMA profile results should always be assessed in conjunction with the patient’s medical history, clinical examination, and other findings by a qualified healthcare professional.