卵巢-附件超声报告和数据系统分类联合超声图像特征对卵巢附件良恶性肿块的鉴别诊断价值  

Differential diagnosis value of ovarian-adnexal ultrasound reporting and data system classification combined ultrasound image features in benign and malignant ovarian adnexal masses

作　　者：陈伟萍[1] 温家霖 黄琳[1] 赵雅 CHEN Weiping;WEN Jialin;HUANG Lin;ZHAO Ya(Department of Ultrasound,Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095,Guangdong,China;College of Pharmacy,Guangzhou Medical University,Guangzhou 511436,Guangdong,China)

机构地区：[1]广东省第二中医院超声科,广州510095 [2]广州医科大学药学院,广州5114360

出　　处：《癌症进展》2024年第10期1067-1070,共4页Oncology Progress

基　　金：广东省中医药局科研项目(20201018)。

摘　　要：目的 探讨卵巢-附件超声报告和数据系统(O-RADS)分类联合超声图像特征对卵巢附件良恶性肿块的鉴别诊断价值。方法 选取O-RADS分类为3~5类的140例卵巢附件肿块患者,所有患者均接受彩色多普勒超声检查。以病理检查结果为金标准,绘制受试者工作特征曲线,计算曲线下面积(AUC),分析O-RADS分类、多项超声图像特征单独及联合检查对卵巢附件恶性肿块的诊断价值。结果 病理检查结果显示,140例患者中共147个卵巢附件肿块,恶性56个(包括交界性肿瘤),良性91个;O-RADS分类3类46个,4类61个,5类40个。O-RADS分类联合肿块实性部分最大径、血流评分、肿块形态诊断卵巢附件恶性肿块的AUC为0.959,高于各指标单独检查的0.738、0.882、0.913、0.894。结论 在O-RADS分类定性诊断卵巢附件肿块的基础上,结合肿块实性部分最大径线、血流评分、肿块形态等彩色多普勒超声图像特征可进一步提高卵巢附件良恶性肿块的鉴别诊断效能。Objective To explore the differential diagnosis value of ovarian-adnexal ultrasound reporting and data system(O-RADS)classification combined ultrasound image features in benign and malignant ovarian adnexal masses.Method A total of 140 patients with ovarian adrenal masses classified as O-RADS 3-5 were selected.All patients under-went color Doppler ultrasound examination.Using pathological examination results as the gold standard,the receiver op-erating characteristic curve was drawn,the area under the curve(AUC)was calculated,and the diagnostic value of O-RADS classification and multiple ultrasound image features single and combined examination in malignant ovarian adre-nal masses were analyzed.Result Pathological examination results showed that there were 147 ovarian adnexal masses in 140 patients,56 were malignant(including borderline tumors)and 91 were benign;46 ovarian adnexal masse were O-RADS 3,61 were O-RADS 4,and 40 were O-RADS 5.The AUC of O-RADS classification combined maximum diame-ter of tumor solid part,blood flow score and tumor morphology in the diagnosis of malignant ovarian adrenal tumor was 0.959,higher than 0.738,0.882,0.913,0.894 of each index single examination.Conclusion On the basis of O-RADS classification in the qualitative diagnosis of ovarian adnexal masses,combined color Doppler ultrasound image features such as the maximum diameter of the solid part,blood flow score and tumor morphology can further improve the differen-tial diagnosis efficiency of benign and malignant ovarian adnexal masses.

关 键 词：卵巢-附件超声报告和数据系统 卵巢附件肿块 良恶性 鉴别诊断价值 

分 类 号：R737.31[医药卫生—肿瘤]