摘要
目的探讨卵巢-附件影像报告和数据系统(O-RADS)及妇科影像报告和数据系统(GI-RADS)超声分类在卵巢-附件肿物中的诊断价值。方法回顾性分析2021年1月~2023年10月在我院手术的150例卵巢-附件肿物患者超声图像资料,评估所有肿物声像图特征,分别进行O-RADS及GI-RADS分类,以术后病理结果为金标准,分别绘制两种分类方法诊断的ROC曲线,分析两种分类方法诊断效能。结果150例卵巢-附件肿物良性115例,恶性35例;GI-RADS分类诊断阈值为GI-RADS 4b类,诊断敏感度、特异度、准确度及AUC分别为71.43%、90.43%、86.00%、0.904;O-RADS分类诊断阈值为O-RADS 5类;诊断敏感度、特异度、准确度及AUC分别为71.43%、98.26%、92.00%、0.934;O-RADS诊断准确度及AUC略高于GI-RADS,但差异无统计学意义(P>0.05),O-RADS诊断特异度高于GI-RADS,差异有统计学意义(P<0.05)。结论超声O-RADS及GI-RADS分类对卵巢-附件良恶性肿物均具有较高诊断价值,O-RADS具有更高的特异度。
Objective To explore the diagnostic value of ovarian adnexal imaging report and data system(O-RADS)and gynecological imaging report and data system(GI-RADS)ultrasound classification in ovarian adnexal tumors.Methods A retrospective analysis was conducted on the ultrasound image data of 150 patients with ovarian adnexal tumors who underwent surgery and were confirmed by pathology in our hospital from January 2021 to October 2023.All ultrasound image features of the tumors were evaluated,and O-RADS and GI-RADS classifications were performed.The postoperative pathological results were used as the gold standard to draw ROC curves for the two classification methods and analyze their diagnostic efficacy.Results Out of 150 cases of ovarian adnexal tumors,115 were benign and 35 were malignant;The diagnostic threshold for GI-RADS classification is GI-RADS 4b,with diagnostic sensitivity,specificity,accuracy,AUC of 71.43%,90.43%,86.00%,0.904,respectively.The diagnostic threshold for O-RADS classification is O-RADS class 5;The diagnostic sensitivity,specificity,accuracy,AUC were 71.43%,98.26%,92.00%,0.934,respectively.Compared with GI-RADS,ORADS had slightly higher diagnostic accuracy and AUC,but the difference was not statistically significant(P>0.05).O-RADS had higher diagnostic specificity than GI-RADS,and the difference was statistically significant(P<0.05).Conclusion Ultrasound O-RADS and GI-RADS classification have good diagnostic value for both benign and malignant ovarian adnexal tumors,with O-RADS having higher specificity.
作者
刘芳欣
任永凤
李健
程刚
陈飞
陆静
LIU Fangxin;REN Yongfeng;LI Jian;CHENG Gang;CHEN Fei;LU Jing(Department of Ultrasound Medicine,Bozhou Hospital Affiliated to Anhui Medical University(Bozhou People's Hospital),Bozhou 236800,China;Department of Oncology,Bozhou Hospital Affiliated to Anhui Medical University(Bozhou People's Hospital),Bozhou 236800,China)
出处
《分子影像学杂志》
2025年第2期186-190,共5页
Journal of Molecular Imaging
基金
安徽省卫生健康科研项目(AHWJ2023BAa20129)
安徽医科大学校基金资助项目(2023xkj198)。
关键词
卵巢
附件
超声
影像报告和数据系统
ovarian
adnexal
ultrasound
reporting and data system
