Background: Risk of ovarian malignancy algorithm (ROMA) and risk of malignancy index (RMI) are two scoring systems that are commonly used to predict ovarian tumor malignancy. Literature shows different cutoff points for a different population.Objective: This study aims to validate and compare the performance of ROMA and RMI and also validate the cutoff points for Indonesian population. Methods: This is a retrospective study conducted at Dr Cipto Mangunkusumo Hospital (CMH). Medical records of patients with epithelial ovarian cancer who underwent surgery in our institution during 2010-2014 were collected. The diagnostic values of ROMA and RMI were calculated. Results: From the analysis of 213 subjects included in this study, ROMA was statistically better than RMI [AUC (area under the curve) in all groups: 87.
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