Comparison of International Ovarian Tumor Analysis Simple Rules to Society of Radiologists in Ultrasound Guidelines for Detection of Malignancy in Adnexal Cysts

Patel-Lippmann, Krupa; Sadowski, Elizabeth A.; Robbins, Jessica B.; Paroder, Viktoriya; Barroilhet, Lisa; Maddox, Elizabeth; McMahon, Timothy T.; Sampene, Emmanuel; Wasnik, Ashish P.; Blaty, Alexander D.; Maturen, Katherine E.

doi:10.2214/ajr.18.20630

Cited by 39 publications

(23 citation statements)

References 29 publications

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“…Ultrasound plays a crucial role in the diagnosis of adnexal abnormalities, with a sensitivity of more than 90% & a specificity of 51.0-97.0% for cancer [9][10][11] . Numerous sonographic criteria have been proposed for characterization of adnexal lesion, like indexing morphologic & ultrasound findings, as well as classification systems based on the presence of specific ultrasound findings 12,13 .…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Ovarian Cysts Observed in Doppler Ultrasound

Akram¹,

Ashraf²,

Zahur³

et al. 2021

PJMHS

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Background: Ovarian cysts known as ovarian masses, are commonly found incidentally in asymptomatic women. Ovarian cancer is the 7th most frequent cancer in women worldwide, as well as the eighth leading cause of cancer death. Ultrasonography is the principal imaging technique for confirming the mass ovarian origin and determining whether the mass is benign or malignant. Method: This descriptive cross sectional study was conducted from 15 June to December 2019 in the Radiology Department of Avicenna Medical College. A total of 90 ultrasounds undertaken at the Gynecological Ultrasound Unit. A total of 32 patients with functioning ovarian cysts were included. A total of 46 individuals with benign tumors and 9 patients with malignant cysts were included in the control group. The remaining patients were not followed up on and were treated at a different center. The majority of the patients had issues with their menstrual cycle and pain. Results: The mean age of the patients was 35.6+9.16. In functioning ovarian cysts, benign tumors & ovarian tumors. The functioning ovarian cysts had a mean size of 40.8 mm +16.35 mm. Differences were significant found between1this group & other1two groups: A mean size of 61.75 +65.5; P, 0.001 was seen for non-functional benign ovarian disease; and the average size of malignant cysts was 85.9 +50.6; P = 0.001. Out of 32 functional1ovarian cysts, 22 were found by ultrasonography, 8.0 were not identified and 2.0 cases were1diagnosed ultra-sonographically as functional ovarian cysts but histologically revealed to be benign ovarian cysts (non-functional). The sensitivity of color Doppler ultrasound was determined to be 82.0%. Conclusion: The study's findings revealed that ultrasound had an 82 percent sensitivity in diagnosing ovarian masses, increasing its accuracy. As a result, ultrasonography appears to be the first modality of choice in the examination of any woman suspected of having an ovarian tumor. Also, to rule out the need for unnecessarily surgical procedures in benign lesions. Keywords: Ovarian Cysts, cancer, ultrasound

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Section: Discussionmentioning

confidence: 99%

Characteristics of Ovarian Cysts Observed in Doppler Ultrasound

Akram¹,

Ashraf²,

Zahur³

et al. 2021

PJMHS

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“…To facilitate the sonographer's assessment to differentiate benign from malignant adnexal masses, the International Ovarian Tumor Analysis group developed the Assessment of Different Neoplasia in the Adnexa (ADNEX) model [43][44][45][46][47][48]. The Society of Radiologists in Ultrasound consensus statement [49] and the Gynecologic Imaging Reporting and Data System, also known as GI-RADS [50], are other proposed characterization and management systems of ovarian masses (OM).…”

Section: Ultrasoundmentioning

confidence: 99%

Radiomics Analysis in Ovarian Cancer: A Narrative Review

et al. 2021

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Ovarian cancer (OC) is the second most common gynecological malignancy, accounting for about 14,000 deaths in 2020 in the US. The recognition of tools for proper screening, early diagnosis, and prognosis of OC is still lagging. The application of methods such as radiomics to medical images such as ultrasound scan (US), computed tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET) in OC may help to realize so-called “precision medicine” by developing new quantification metrics linking qualitative and/or quantitative data imaging to achieve clinical diagnostic endpoints. This narrative review aims to summarize the applications of radiomics as a support in the management of a complex pathology such as ovarian cancer. We give an insight into the current evidence on radiomics applied to different imaging methods.

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“…The Ovarian Adnexal Reporting and Data System (O-RADS) is a lexicon designed in 2018 to standardize definitions of characteristics by ultrasound. This system offers an interpretation method to decrease ambiguity and recommends management guides according to its classification (1,14). The stage of ovarian cancer is given by International Federation of Gynecology and Obstetrics (FIGO), Tumor Node Metastasis (TNM) and American Joint Committee of Cancer (AJCC).…”

Section: Review Articlementioning

confidence: 99%

Imaging and diagnostic approach of the adnexal mass: what the oncologist should know

et al. 2020

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Early detection and characterization of ovarian lesions is of utmost importance for adequate management. Ovarian cancer accounts for 3.3% of all cancers in women worldwide but has only a 5% of female cancer deaths because of low survival rates. The majority of ovarian lesions are benign and have spontaneous resolution. The adequate discrimination between benign and malignant lesions is the most important starting point for a correct and optimal management. Ultrasound is the method of choice up until now for adequate assessment of adnexal abnormalities, no other method has proven superior. Along time, there has been many classification systems that aim standardization of adnexal masses The Gynecology Imaging Reporting and Data System (GI-RADS), published in 2019. The International Ovarian Tumor Analysis (IOTA) group standardized in 2013 the approach of adnexal pathology descriptions by ultrasound with the limitation of needing pathologic reports for complete assessment. The Ovarian Adnexal Reporting and Data System (O-RADS) is a lexicon designed in 2018 to standardize definitions of characteristics by ultrasound. This system offers an interpretation method to decrease ambiguity and recommends management guides according to its classification.

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Comparison of International Ovarian Tumor Analysis Simple Rules to Society of Radiologists in Ultrasound Guidelines for Detection of Malignancy in Adnexal Cysts

Cited by 39 publications

References 29 publications

Characteristics of Ovarian Cysts Observed in Doppler Ultrasound

Characteristics of Ovarian Cysts Observed in Doppler Ultrasound

Radiomics Analysis in Ovarian Cancer: A Narrative Review

Imaging and diagnostic approach of the adnexal mass: what the oncologist should know

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