| 摘要: |
| 目的 比较超声卵巢-附件影像报告和数据系统(ovarian-adnexal reporting and data system，O-RADS)与超声国际卵巢肿瘤研究组（international ovarian tumor analysis，IOTA）简单法则（simple rules，SR）诊断卵巢肿瘤的价值。方法 回顾性分析经病理结果证实的159例卵巢肿块的常规超声声像图，分别使用O-RADS和IOTA SR进行分类评价，比较两者对卵巢肿块良恶性的诊断效能。结果 O-RADS和IOTA SR对卵巢肿块诊断的受试者工作特征（ receiver operating characteristic，ROC）曲线下面积分别为0.863、0.847。O-RADS诊断卵巢肿块良恶性的灵敏度为95.08%，特异度为77.55%, IOTA SR诊断卵巢肿块良恶性的灵敏度为90.16%，特异度为74.49%。结论 O-RADS比IOTA SR的诊断效能更高，可降低卵巢良性肿块的误诊率。 |
| 关键词: 超声；卵巢肿瘤；卵巢－附件影像报告和数据系统 国际卵巢肿瘤研究组 |
| DOI： |
| 投稿时间：2023-01-05修订日期：2023-01-12 |
| 基金项目:2022年度临床能力提升工程医疗项目立项(JSPH-MB-2022-14) |
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| A comparative study of the diagnostic efficacy of ultrasound O-RADS and IOTA SR for ovarian masses |
| Qiu Jiahui,Hu Yu,Ma Qian,Zhu Nan,Ye Xinhua |
| (Jiangsu Province Hospital) |
| Abstract: |
| Objective To compare the value of ultrasound ovarian-adnexal imaging reporting and data system (O-RADS) and International Ovarian of Tumor Analysis (IOTA) simpler ules (SR) ultrasonographic stratification in the diagnosis of adnexal masses. Methods Routine ultrasound images of 159 cases of ovarian mass confirmed by pathology were retrospectively analyzed,and O-RADS and IOTA SR were used for classification evaluation, respectively, to compare the efficacy of the two methods in the diagnosis of benign and malignant ovarian masses. Results The area under receiver operating characteristic (ROC) curve of O-RADS and IOTA SR for the diagnosis of ovarian mass was 0.863 and 0.847. The sensitivity and specificity of O-RADS for the diagnosis of benign and malignant ovarian masses were 95.08% and 77.55%, and the sensitivity and specificity of IOTA SR for the diagnosis of benign and malignant ovarian masses were 90.16% and 74.49%. Conclusion Compared with IOTA SR, O-RADS has higher diagnostic efficiency , which can reduce the misdiagnosis rate of benign ovarian masses. |
| Key words: Ultrasound Ovarian tumors Ovarian-adnexal imaging reporting and data system International Ovarian of Tumor Analysis |
