Background: Evaluation of the peculiarities of radiology reports of patients with neoplasms of the abdomen and pelvis to optimize clinical imaging management. Material and methods: The study included 104 patients, divided into two groups, experimental group (L2) and control group (L1), repeatedly investigated by computed tomography in 2009-2019, a total of 440 examinations, of which 120 prospective examinations and 320 retrospective examinations, aged between 25 and 85 years, with primary tumors of the abdomen and pelvis. Results: Four specific descriptive criteria were analyzed from radiology reports and were obtained the following results: specification of the scanning protocols in radiology reports (0% for L1 and 95.3% for L2), specifying the reason for the examination in radiology reports (100% for L1 and 26.0% for L2), use of international terminology in radiology reports (0% for L1 and 74% for L2), patient follow-up in radiology reports (88.5% for L1 and 59.8 % for L2). Conclusions: Following the SWOT analysis of the radiology reports, has been developed a standardized model for describing CT images of patients with oncological pathologies of the abdomen and pelvis. The decision-making process was built on Strengths, eliminating Weaknesses, exploiting Opportunities and removing Threats