Introduction
Methods
Study population
Ultrasound examination
Image analysis
O-RADS
O-RADS combined with CEUS
Statistical method
Results
Pathological results
Conventional ultrasonic examination results
O-RADS classification
Pathological results | Number | O-RADS | O-RADS combined with CEUS | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
2 | 3 | 4 | 5 | 2 | 3 | 4 | 5 | ||||
Benign | |||||||||||
Ovarian endometriosis cyst | 16 | 6 | 3 | 6 | 1 | 6 | 9 | 1 | |||
Ovarian serous cystadenoma | 8 | 4 | 4 | 4 | 4 | ||||||
Ovarian mucinous cystadenoma | 9 | 6 | 3 | 8 | 1 | ||||||
Ovarian mature teratoma | 9 | 3 | 5 | 1 | 3 | 6 | |||||
Ovarian goiter | 5 | 4 | 1 | 4 | 1 | ||||||
Simple ovarian cyst | 8 | 4 | 2 | 2 | 4 | 4 | |||||
Ovarian hemorrhagic cyst | 2 | 1 | 1 | 2 | |||||||
Ovarian coronal cyst | 1 | 1 | 1 | ||||||||
Oviduct ovarian cyst | 2 | 2 | 1 | 1 | |||||||
Mesosalpinx cyst | 2 | 1 | 1 | 1 | 1 | ||||||
Ovarian fibroma | 1 | 1 | 1 | ||||||||
Ovarian adenofibroma | 1 | 1 | 1 | ||||||||
Ovarian fibrotheca cell tumor | 4 | 4 | 4 | ||||||||
Chronic ovarian suppurative inflammation | 1 | 1 | 1 | ||||||||
Hydrosalpinx | 1 | 1 | 1 | ||||||||
Fallopian tube abscess | 1 | 1 | 1 | ||||||||
Malignant | |||||||||||
Ovarian serous cystadenocarcinoma | 4 | 2 | 2 | 1 | 3 | ||||||
Ovarian mucinous cystadenocarcinoma | 1 | 1 | 1 | ||||||||
Ovarian endometrioid adenocarcinoma | 2 | 2 | 2 | ||||||||
Ovarian dysgerminoma | 2 | 2 | 2 | ||||||||
Ovarian yolk sac tumor | 2 | 2 | 2 | ||||||||
Ovarian granulosa cell tumor | 1 | 1 | 1 | ||||||||
Ovarian clear cell carcinoma | 2 | 1 | 1 | 2 | |||||||
Ovarian carcinosarcoma | 1 | 1 | 1 | ||||||||
Ovarian fibrosarcoma | 1 | 1 | 1 | ||||||||
Ovarian metastatic carcinoma | 4 | 1 | 3 | 1 | 3 | ||||||
Serous fallopian tube carcinoma | 1 | 1 | 1 | ||||||||
Ovarian borderline serous cystadenoma | 5 | 3 | 2 | 3 | 2 | ||||||
Ovarian borderline mucinous cystadenoma | 2 | 2 | 1 | 1 | |||||||
Ovarian borderline serous cystic fibroma | 1 | 1 | 1 | ||||||||
Total | 100 | 19 | 29 | 32 | 20 | 19 | 47 | 11 | 23 |
Classification of O-RADS combined with CEUS
Diagnostic performance of O-RADS and O-RADS combined with CEUS in adnexal masses
Diagnostic method | Sensitivity (%) | Specificity (%) | Accuracy (%) | PPV(%) | NPV(%) | AUC |
---|---|---|---|---|---|---|
O-RADS | 96.6 | 66.2 | 75.0 | 53.8 | 97.9 | 0.910 |
O-RADS combined with CEUS | 96.6 | 91.5 | 93.0 | 82.4 | 98.5 | 0.962 |
χ2 /Z | <0.001 | 13.693 | 12.054 | 7.355 | 1.000 | 2.689 |
P | 1.000 | <0.001 | 0.001 | 0.007 | 0.667 | 0.007 |