IOTA简单法则与O-RADS诊断附件肿块良恶性的对比研究
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1.新疆医科大学第一附属医院昌吉分院超声医学科,新疆维吾尔自治区 昌吉 831100;2.新疆医科大学第一附属医院妇产超声诊断科 新疆超声医学重点实验室,新疆维吾尔自治区 乌鲁木齐 830054

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新疆医科大学第一附属医院昌吉分院2020年院级科研项目


IOTA simple rules and O-RADS in the diagnosis of benign and malignant adnexal masses:a comparative study
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Changji Branch of the First Affiliated Hospital of Xinjiang Medical University

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2020 Hospital-Level Scientific Research Project of the First Affiliated Hospital of Xinjiang Medical University, Changji Branch

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    摘要:

    目的 比较低年资超声医师应用国际卵巢肿瘤分析组织(IOTA)简单法则与卵巢-附件影像报告和数据系统(O-RADS)鉴别附件良恶性肿块的诊断价值。方法 回顾性分析我院经病理证实的116例附件肿块患者的超声图像资料,由两名低年资超声医师分别采用三种方法进行评估:首先进行常规超声主观评估,随后应用IOTA简单法则和O-RADS对肿块进行评估,以病理结果为金标准,绘制受试者工作特征(ROC)曲线比较分析三种方法在鉴别附件良恶性肿块中的诊断效能。结果 共144枚肿块,经病理证实良性123枚,恶性21枚。主观评估、IOTA简单法则、O-RADS诊断准确率分别为75.69%、89.58%、86.81%,灵敏度分别为76.19%、95.24%、90.48%,特异度分别为75.61%、88.62%、86.18%,AUC分别为0.76、0.92、0.88。统计分析显示,三种方法间存在显著差异(P<0.05)。结论 低年资超声医师应用IOTA简单法则与O-RADS鉴别附件良恶性肿块的诊断效能均高于主观评估;其中IOTA简单法则在诊断附件恶性肿瘤方面的灵敏度较O-RADS更高,且更易于低年资超声医师掌握和应用。

    Abstract:

    Objective To compare the diagnostic value of the International Ovarian Tumor Analysis (IOTA) Simple Rules and the Ovarian-Adnexal Reporting and Data System (O-RADS) in differentiating benign and malignant adnexal masses when applied by junior sonographers. Methods Retrospective analysis was performed on ultrasound imaging data from 116 patients with pathologically confirmed adnexal masses. Two junior sonographers independently evaluated the masses using three methods: conventional subjective ultrasound assessment, followed by the IOTA Simple Rules and O-RADS. Using pathological results as the gold standard, receiver operating characteristic (ROC) curves were plotted to compare the diagnostic performance of the three methods. Results A total of 144 masses were analyzed, including 123 benign and 21 malignant cases confirmed by pathology. The diagnostic accuracy rates for subjective assessment, IOTA Simple Rules, and O-RADS were 75.69%, 89.58%, and 86.81%, respectively; sensitivities were 76.19%, 95.24%, and 90.48%; specificities were 75.61%, 88.62%, and 86.18%; and AUC values were 0.76, 0.92, and 0.88. Statistical analysis revealed significant differences among the three methods (P<0.05). Conclusion Both the IOTA Simple Rules and O-RADS demonstrated superior diagnostic efficacy compared to subjective assessment when applied by junior sonographers. The IOTA Simple Rules exhibited higher sensitivity than O-RADS for detecting malignant adnexal masses and were more accessible for junior sonographers to master and apply.

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赵薇,盛桂梅,刘婕,倪艳,陈倩,周慧丽. IOTA简单法则与O-RADS诊断附件肿块良恶性的对比研究[J].临床超声医学杂志,2025,27(4):321-326

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  • 收稿日期:2024-07-12
  • 最后修改日期:2025-03-17
  • 录用日期:2024-08-14
  • 在线发布日期: 2025-04-30
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