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卵巢-附件肿块超声评分系统的研究进展

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超声是诊断卵巢-附件肿块最常用的影像学方式,但由于长期以来缺乏统一的超声图像描述标准、肿块图像各异及对操作者经验的依赖,导致术前对肿块良恶性的鉴别、亚分类及恶性风险评估有一定难度。因此,研究者先后开发了多种超声评分系统,对肿块的超声检查、报告书写等进行规范化描述,提出风险预测模型及恶性风险分类,给出临床管理建议,以期提升超声诊断的规范化、同质化,提高术前诊断肿块的准确率,为临床医师正确解读超声报告及进一步诊疗提供有益指导。本文就卵巢-附件肿块的恶性肿瘤风险指数模型、国际卵巢肿瘤研究分析组织开发的几种模型、妇科影像报告与数据系统及卵巢-附件超声报告和数据系统等的超声研究进展作一综述。
Research progress of the ultrasound scoring system of ovarian-adnexal mass
Ultrasound is the most commonly used imaging modality for the diagnosis of ovarian-adnexal masses.However,due to the long-standing lack of uniform standards for describing ultrasound images,the variability of mass images,and the reliance on operator experience,these factors lead to difficulties in preoperative identification,subclassification,and malignancy risk assessment of the masses.Therefore,researchers have successively developed a variety of ultrasound scoring systems to standardize the description of ultrasound examinations and the writing of mass reports,propose risk prediction models and malignant risk classifications,and provide clinical management suggestions,in order to enhance the standardization and homogenization of ultrasound diagnosis,improve the accuracy of preoperative diagnosis of masses,and offer useful guidance to clinicians in correctly interpreting ultrasound reports and further diagnosis and treatment.This article provides a review of ultrasound research advances in the risk of malignancy index,several models developed by the International Ovarian Tumor Analysis,the gynecologic imaging reporting and data system,and the ovarian-adnexal reporting and data system.

ovarian-adnexal massscoring systemultrasound diagnosis

范林霞、周慧丽

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新疆医科大学第一附属医院(新疆医科大学第一临床医学院)妇产超声科/新疆超声医学重点实验室,新疆乌鲁木齐 830054

卵巢-附件肿块 评分系统 超声诊断

2024

分子影像学杂志
南方医科大学

分子影像学杂志

CSTPCD
ISSN:1674-4500
年,卷(期):2024.47(10)