O-RADS磁共振评分对附件肿瘤良、恶性的诊断价值  

The diagnostic value of O-RADS magnetic resonance score in benign and malignant adnexal tumors

作　　者：李燕 董兰兰 LI Yan;DONG Lanlan(Department of Radiology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450000,China;Department of Radiology,Sanmenxia Central Hospital,Sanmenxia 472000,China)

机构地区：[1]郑州大学附属郑州中心医院放射科,河南郑州450000 [2]三门峡市中心医院放射科,河南三门峡472000

出　　处：《医学影像学杂志》2024年第3期78-81,共4页Journal of Medical Imaging

摘　　要：目的分析卵巢-附件报告及数据系统磁共振成像(O-RADS MRI)在附件肿瘤良、恶性诊断中的应用价值。方法选取我院收治的130例附件肿瘤患者的临床及MRI检查资料,根据O-RADS MRI风险分层标准对每个肿块进行恶性风险评估,以病理组织活检结果为“金标准”,绘制受试者工作特征(ROC)曲线,计算O-RADS MRI评分的诊断效能。结果130例附件肿瘤,病理组织活检显示恶性36例,良性94例;O-RADS 3、4、5分肿块分别为28、18、20例,恶性率分别为10.7%、83.3%、90.0%,O-RADS 1、2分肿块分别为6例、58例,病理均为良性;ROC曲线下面积为0.964,95%CI 0.933~0.994;O-RADS MRI评分对附件肿瘤诊断的灵敏度、特异度、阳性预测值、阴性预测值及准确度分别为91.7%、94.7%、86.8%、96.7%、93.9%。结论O-RADS MRI评分对附件肿瘤良、恶性诊断具有较高价值,对临床诊疗方案的选择有积极作用。Objective To analyze the application value of Ovarian-Adnexal Reporting and Data System Magnetic Resonance Imaging(O-RADS MRI)in the diagnosis of benign and malignant adnexal tumors.Methods We conducted a retrospective analy‐sis of the clinical and MRI data of 130 patients with adnexal tumors who were diagnosed and treated in our hospital,assessed ma‐lignancy risk for each mass according to O-RADS risk stratification criteria.Using biopsy results as the"gold standard",we plot‐ted the receiver operating characteristic(ROC)curve and calculated the diagnostic performance of magnetic resonance ORADS.Results Among 130 cases of adnexal tumors,36 cases were malignant and 94 cases were benign in pathological bi‐opsy;O-RADS 3,4,5 points were 28,18,and 20,respectively,and the malignant rates were 10.7%,83.3%,and 90.0%,re‐spectively;O-RADS 1,2points were 6,58,and the pathology was benign;The area under the ROC curve was 0.964,95%CI:0.933 to 0.994;The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of O-RADS MRI score for the diagnosis of adnexal tumors were 91.7%,94.7%,86.8%,96.7%,and 93.9%,respectively.Conclusions ORADS MRI score has high value in the diagnosis of benign and malignant adnexal tumors,which has a positive effect on the se‐lection of clinical diagnosis and treatment programs.

关 键 词：附件肿瘤 卵巢-附件报告及数据系统 诊断效能 磁共振成像 

分 类 号：R737.3[医药卫生—肿瘤] R445.2[医药卫生—临床医学]