卵巢-附件影像报告和数据系统鉴别101例卵巢附件良恶性肿物的应用价值  

Value of ovarian-adnexal reporting and data system in differentiating 101 benign and malignant ovarian-adnexal masses

作　　者：王艺璇 李菲 胡蓉 王蓓[1] WANG Yixuan;LI Fei;HU Rong;WANG Bei(Department of Medical Ultrasound,The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan Hospital,Shandong Medicine and Health Key Laboratory of Abdominal Medicine Imaging,Jinan 250014,Shandong,China)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院)超声医学,山东省医药卫生腹部医学影像学重点实验室,山东济南250014

出　　处：《山东大学学报（医学版）》2021年第4期87-92,共6页Journal of Shandong University:Health Sciences

基　　金：山东省医药卫生科技发展计划项目(2015WS0232)。

摘　　要：目的探讨卵巢-附件影像报告和数据系统(O-RADS)在鉴别卵巢附件良恶性肿物上的应用价值。方法回顾性分析2018年11月至2020年11月行超声检查并经手术病理证实的101例卵巢附件肿物患者的超声图像,评估所有图像特征,使用O-RADS进行分类,以病理结果为金标准,绘制受试者工作特征(ROC)曲线,计算O-RADS对恶性卵巢附件肿物的诊断效能。结果(1)O-RADS 2~5类卵巢附件肿物恶性率分别为0%、3.85%、27.78%、68.75%;(2)不同医师对O-RADS诊断一致性的加权Kappa系数为0.84,P<0.001;(3)O-RADS诊断恶性卵巢附件肿物的曲线下面积(AUC)为0.83,截断值为O-RADS 5类,其诊断恶性卵巢附件肿物的敏感度、特异度、阳性预测值、阴性预测值、准确率分别为66.67%、85.29%、68.75%、84.06%、79.21%。结论O-RADS对于鉴别卵巢附件良恶性肿物具有一定的应用价值。Objective To explore the value of ovarian-adnexal reporting and data system(O-RADS)in differentiating benign and malignant ovarian-adnexal masses.Methods Totally,101 patients who were diagnosed as ovarian or adnexal diseases were evaluated by ultrasound from November 2018 to November 2020.The ultrasonic images were analyzed retrospectively using O-RADS to categorize the patients.Taken pathological results as the gold standard,the receiver operating characteristic(ROC)curve was described to get the diagnostic efficacy.Results(1)The incidence rate of malignancies of O-RADS 2-5 types were 0%,3.85%,27.78%,and 68.75%,respectively.(2)The weighted Kappa coefficient between two different sonographers?diagnoses was 0.84,P<0.001.(3)The area under the curve(AUC)of O-RADS was 0.83,cutoff value was O-RADS 5 type.The sensitivity,specificity,positive predictive value,negative predictive value,accuracy were 66.67%,85.29%,68.75%,84.06%,and 79.21%,respectively.Conclusion The value of O-RADS is relatively high in differentiating benign and malignant ovarian-adnexal masses.

关 键 词：超声 卵巢 附件 肿物 影像报告和数据系统 

分 类 号：R445.1[医药卫生—影像医学与核医学]