卵巢-附件报告和数据系统超声2022版(O-RADS US v2022)及其联合恶性风险指数4鉴别附件良、恶性肿瘤  

Ovarian-adnexal reporting and data system ultrasound 2022 version(O-RADS US v2022)and it combined with risk of malignancy index 4 for differential diagnosis of benign and malignant adnexal tumors

作　　者：李健[1] 刘芳欣[1] 戚建国 许廷兰 任永凤[1] 王洲[1] 陈飞[1] 李姿灼 LI Jian;LIU Fangxin;QI Jianguo;XU Tinglan;REN Yongfeng;WANG Zhou;CHEN Fei;LI Zizhuo(Department of Ultrasound Medicine,Bozhou People's Hospital,Bozhou 236800,China;Department of Medical Imaging,School of Medical Imaging,Wannan Medical College,Wuhu 241002,China)

机构地区：[1]亳州市人民医院超声医学科,安徽亳州236800 [2]皖南医学院医学影像学院医学影像学系,安徽芜湖241002

出　　处：《中国医学影像技术》2024年第6期893-897,共5页Chinese Journal of Medical Imaging Technology

摘　　要：目的观察卵巢-附件报告和数据系统超声2022版(O-RADS US v2022)及其联合恶性风险指数4(RMI4)鉴别附件良、恶性肿瘤的价值。方法回顾性分析126例手术病理诊断为附件肿瘤患者,根据O-RADS US v2022将1~3类归为良性病变、4~5类归为恶性病变,以450为RMI4分类的临界值,基于二者进行联合分类。以病理结果为金标准,绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),评估单一O-RADS US v2022、RMI4及其联合鉴别附件良、恶性肿瘤的效能。结果126例附件肿瘤中,良性94例、恶性32例。O-RADS US v2022鉴别附件良、恶性肿瘤的敏感度、特异度、准确率及AUC分别为78.13%、80.85%和80.16%、0.795,RMI4分别为71.88%、84.04%和80.95%、0.780;二者联合的特异度及准确率(93.62%、92.06%)均高于单一O-RADS US v2022(χ^(2)=7.322、5.967,P=0.007、0.015)或RMI4(χ^(2)=4.625、5.331,P=0.032、0.021),而敏感度及AUC(87.50%、0.906)差异均无统计学意义(P均>0.05)。结论O-RADS US v2022能有效鉴别附件良、恶性肿瘤,联合RMI4可提高鉴别特异度及准确率。Objective To observe the value of ovarian-adnexal reporting and data system ultrasound 2022 version(O-RADS US v2022)and it combined with risk of malignancy index 4(RMI4)for differential diagnosis of benign and malignant adnexal tumors.Methods Data of 126 patients with adnexal tumors confirmed by surgical pathology were retrospectively analyzed.O-RADS US v2022 was used to classify:1-3 as benign lesion and 4-5 as malignant lesion.RMI4 classification took 450 as the critical value.And classification was performed based on the two combination.Taking pathological results as gold standard,receiver operating characteristic(ROC)curve was drawn to evaluate the efficacy of O-RADS US v2022 and RMI4 alone or combination for the differential diagnosis of benign and malignant adnexal tumors.Results Among 126 cases,94 were benign and 32 were malignant tumors.The sensitivity,specificity,accuracy and area under the curve(AUC)of O-RADS US v2022 were 78.13%,80.85%,80.16%and 0.795,respectively.The diagnostic results of RMI4 were 71.88%,84.04%,80.95%and 0.780,respectively.The specificity and accuracy of the combination of the two(93.62%,92.06%)were higher than those of O-RADS US v2022(χ^(2)=7.322,5.967,P=0.007,0.015)or RMI4(χ^(2)=4.625,5.331,P=0.032,0.021),while no significant difference in sensitivity and AUC(87.50%,0.906)was found with O-RADS US v2022 or RMI4(all P>0.05).Conclusion O-RADS US v2022 could effectively differentiate benign and malignant adnexal tumors,and combined with RMI4 could improve the diagnostic specificity and accuracy.

关 键 词：卵巢肿瘤 病理学 临床 诊断 鉴别 卵巢-附件报告和数据系统 恶性风险指数4 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]