首页|卵巢-附件影像报告和数据系统联合卵巢癌风险预测模型指数对卵巢良、恶性肿瘤的诊断价值

卵巢-附件影像报告和数据系统联合卵巢癌风险预测模型指数对卵巢良、恶性肿瘤的诊断价值

Differential Diagnosis Between Benign and Malignant Ovarian Tumors by Using Ovarian Adnexal Imaging Reporting and Data System Combined with Ovarian Cancer Risk Prediction Model

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目的 探讨卵巢-附件影像报告和数据系统(O-RADS)联合卵巢癌风险预测模型(ROMA)指数对卵巢肿瘤良恶性的诊断效能.资料与方法 回顾性分析 2021 年 1-12 月宁夏医科大学总医院 495 例卵巢肿瘤的超声图像,根据O-RADS超声风险分层标准对附件区包块进行分类.以手术病理结果为"金标准",绘制受试者工作特征曲线,计算O-RADS对附件肿块的诊断效能,对O-RADS 4类,联合ROMA指数计算诊断符合率.结果 O-RADS 2～5类卵巢肿瘤的恶性率分别为0、2.7%、43.6%、86.8%;O-RADS超声风险分层诊断卵巢肿瘤的曲线下面积为0.929,对附件区良、恶性肿瘤的最佳截断值为>3类,诊断卵巢肿瘤的敏感度为 90.8%、特异度为 89.4%、阳性预测值为 67.9%,阴性预测值为 97.5%,诊断符合率为 89.7%;O-RADS 2～5类诊断卵巢肿瘤的符合率分别为100%、97.3%、43.6%、86.8%,O-RADS 4类是卵巢肿瘤良恶性鉴别的难点,将O-RADS 4类联合ROMA指数后诊断符合率由 43.6%升至 72.7%.结论 O-RADS超声风险分层对卵巢肿瘤有较好的诊断价值.但O-RADS 4类是诊断难点,O-RADS 4类联合ROMA指数能显著提高卵巢肿瘤的诊断符合率.
Purpose To investigate the diagnostic performance of ovarian-adnexal reporting and data system(O-RADS)combined with risk of ovarian malignancy algorithm(ROMA)index for predicting benign and malignant ovarian tumors.Materials and Methods The ultrasonic image data of all patients with ovarian tumors admitted to the General Hospital of Ningxia Medical University from January to December 2021 were retrospectively analyzed.The adnexal masses were classified according to the O-RADS ultrasonic risk stratification standard.After surgery,the pathologic findings were taken as the"gold standard".The receiver operating characteristic curve was produced,and the diagnostic efficacy of O-RADS for predicting the malignancy of adnexal masses were calculated.For the tumor of O-RADS 4,diagnostic accuracy of O-RADS combined with ROMA was measured.Results The malignant rates of the tumors of O-RADS 2-5 were 0,2.7%,43.6%and 86.8%,respectively.The area under curve of O-RADS was 0.929,and the cut-off value was O-RADS 3.The sensitivity,specificity,positive predictive value and negative predictive value of O-RADS for predicting the malignancy of ovarian tumors were 90.8%,89.4%,67.9%,97.5%and 89.7%,respectively.The coincidence rates of O-RADS 2-5 in the diagnosis of ovarian tumors were 100%,97.3%,43.6%and 86.8%,respectively.It was indicated that it was difficult to differentiate benign tumor from malignant tumors in O-RADS 4.The coincidence rate of O-RADS 4 combined with ROMA index increased from 43.6%to 72.7%.Conclusion O-RADS ultrasound risk stratification has good diagnostic performance in predicting the malignancy of ovarian tumors.However,O-RADS 4 is difficult to diagnose,combining O-RADS with ROMA index can significantly improve diagnostic accuracy.

Ovarian neoplasmsUltrasonographyOvarian adnexal reporting and data systemRisk of ovarian malignancy algorithm

吴丽仙、武立萍、雍圆圆

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宁夏医科大学总医院心脑血管病医院妇科,宁夏 银川 750000

宁夏医科大学总医院妇科,宁夏 银川 750000

卵巢肿瘤 超声检查 卵巢-附件影像报告和数据系统 卵巢癌风险预测模型

2024

10.3969/j.issn.1005-5185.2024.07.014

中国医学影像学杂志
中国医学影像技术研究会

中国医学影像学杂志

CSTPCD北大核心
影响因子：1.37
ISSN：1005-5185
年,卷(期)：2024.32(7)
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