Contrast-enhanced ultrasound combined with Ovarian-Adnexal Reporting and Data System US risk stratification and management system for diagnosis of adnexal masses
10.3760/cma.j.cn131148-20211015-00739
- VernacularTitle:超声造影联合卵巢-附件超声报告和数据风险分层系统的临床应用价值
- Author:
Qingjuan WANG
1
;
Qian LIANG
;
Jian ZHENG
;
Siliang KANG
;
Liling HUANG
Author Information
1. 深圳市龙岗区第三人民医院超声科，深圳 518115
- Keywords:
Contrast-enhanced ultrasound;
Ovarian-adnexal mass;
Ovarian-Adnexal Reporting and Data System;
Differentiation
- From:
Chinese Journal of Ultrasonography
2022;31(3):220-225
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of contrast-enhanced ultrasound (CEUS) combined with Ovarian-Adnexal Reporting and Data System (O-RADS US) risk stratification and management system in differential diagnosis of ovarian-adnexal mass.Methods:Fifty-six patients with ovarian-adnexal mass who received transabdominal transvaginal ultrasound and CEUS in the Third People′s Hospital of Longgang District from September 2018 to January 2021 were enrolled. The images were classified by O-RADS US and diagnosed by CEUS by experienced and senior radiologist. On the basis of O-RADS US classification, the enhancement time, enhancement level and enhancement mode of CEUS were combined to upgrade or degrade the classification results of O-RADS US. The diagnostic accuracy was assessed using ROC curve analysis, the area under the ROC curve (AUC) was calculated. The reproducibility of O-RADS US was assessed by another senior radiologist.Results:The AUC of O-RADS US for diagnosing benign and malignant ovarian-adnexal masses was 0.844(0.722, 0.927), the AUC of CEUS was 0.833(0.710, 0.920), the AUC of O-RADS US combined with CEUS was 0.940(0.842, 0.986) (compared with O-RADS US, P=0.020; compared with CEUS, P=0.031). The intra-class correlation coefficient (ICC) was 0.897(0.824, 0.940) for O-RADS US. Conclusions:CEUS combined with O-RADS US classification can effectively improve the diagnostic efficiency for benign and malignant ovarian-adnexal masses.
