Imaging features of complex solid and multicystic ovarian lesions: proposed algorithm for differential diagnosis

Choi, Jong-Kuk; Park, Sung Bin; Han, Byoung Hee; Kim, Young Hwa; Lee, Young Ho; Park, Hyun Jeong; Lee, Eun Sun

doi:10.1016/j.clinimag.2015.06.008

Cited by 10 publications

(9 citation statements)

References 64 publications

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“…Tumor-like formations of the ovaries have different ultrasound characteristics [ 8 ]. Some cystic formations may be complex cysts with exfoliation, hemorrhage, or thick walls.…”

Section: Introductionmentioning

confidence: 99%

“…Differential diagnosis between tumor-like, benign, and malignant ovarian lesions is quite difficult and transvaginal, and transabdominal ultrasonography becomes a tool of primary imaging [ 8 , 9 ]. According to the classification of the International Ovarian Tumor Analysis group, multilocular cysts with a solid component have the highest risk of malignancy [ 8 ]. Multiparametric ultrasound examinations allow making a more accurate differential diagnosis between tumor-like, benign, and malignant masses.…”

Section: Introductionmentioning

confidence: 99%

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Multiparametric Ultrasound Examination in Tumor-Like Formations of the Ovaries

et al. 2020

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Properly diagnosed tumor-like formations of the ovaries facilitate the correct selection of patients who may not require surgery, or choose surgery with minimal access if such intervention is required. Subjective assessment of the features of tumor-like formations with the help of ultrasound diagnostics, including compression elastography, proved to be highly effective in the differential diagnosis of bulky ovarian formations. All tumor-like formations have their sonographic features that allow making a reliable diagnosis of a particular formation. The article reveals data on the diagnostic significance of multiparametric ultrasound imaging in the detection of ovarian tumor-like formations. A detailed sonographic picture of tumor-like formations in B-mode, color, and pulse Doppler mode and compression sonoelastography mode was analyzed. This examination was especially relevant for women of reproductive age, as it depended on the further tactics of treatment of each patient. For all types of tumor-like formations ovaries, a qualitative feature was determined - elastotype on the Ueno scale and the index of stiffness (Strain Ratio) - a quantitative indicator. Follicular cysts, endometrioid and periovarian cysts were found to belong to the 0 elastotype. Cysts of the corpus luteum belonged to the II elastotype on the Ueno scale. The lowest values of the stiffness index were seen in follicular and periovarian cysts, and the highest value was observed in endometrioid cysts. Our results have shown that ultrasound examination of ovarian tumors is an accurate and highly informative method.

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“…Tumor-like formations of the ovaries have different ultrasound characteristics [ 8 ]. Some cystic formations may be complex cysts with exfoliation, hemorrhage, or thick walls.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multiparametric Ultrasound Examination in Tumor-Like Formations of the Ovaries

et al. 2020

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“…1 Some cystic lesions are complex cysts with septations, haemorrhage or thick walls. Malignant lesions have different imaging characteristics as being pure solid or having solid and cystic components together.…”

Section: Introductionmentioning

confidence: 99%

“…First-line imaging tool is ultrasonography, either transabdominal or transvaginal. 1,2 According to the classification of the International Ovarian Tumour Analysis Group, solid lesions or multilocular cysts with solid component have the highest risk of malignancy. 2 Imaging with conventional greyscale ultrasonography, Doppler ultrasonography and/or MRI is important for diagnosis before deciding about surgery.…”

Section: Introductionmentioning

confidence: 99%

“…2 Imaging with conventional greyscale ultrasonography, Doppler ultrasonography and/or MRI is important for diagnosis before deciding about surgery. 1 It is reported that subjective evaluation of greyscale ultrasonography characteristics, colour and power Doppler imaging and three-dimensional Doppler imaging characteristics of the ovarian malignant and benign lesions might differ, and each modality has some advantages over the other. 3,4 Benign and malignant masses of the ovary were proved to have vascularity but resistive index, pulsatility index or temporal average mean velocity measurements did not show specific changes in the differential diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of transabdominal real-time sonoelastography in the evaluation of ovarian lesions: preliminary results

Herek¹,

Karabulut²,

Ağladıoğlu³

2016

BJR

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A Predictive Model for Initial Platinum‐Based Chemotherapy Efficacy in Patients with Postoperative Epithelial Ovarian Cancer Using Tissue‐Derived Small Extracellular Vesicles

Shen,

Wang,

et al. 2024

J of Extracellular Vesicle

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Epithelial ovarian cancer (EOC) is an often‐fatal malignancy marked by the development of resistance to platinum‐based chemotherapy. Thus, accurate prediction of platinum drug efficacy is crucial for strategically selecting postoperative interventions to mitigate the risks associated with suboptimal therapeutic outcomes and adverse effects. Tissue‐derived extracellular vesicles (tsEVs), in contrast to their plasma counterparts, have emerged as a powerful tool for examining distinctive attributes of EOC tissues. In this study, 4D data‐independent acquisition (DIA) proteomic sequencing was performed on tsEVs obtained from 58 platinum‐sensitive and 30 platinum‐resistant patients with EOC. The analysis revealed a notable enrichment of differentially expressed proteins that were predominantly associated with immune‐related pathways. Moreover, pivotal immune‐related proteins (IRPs) were identified by LASSO regression. These factors, combined with clinical parameters selected through univariate logistic regression, were used for the construction of a model employing multivariate logistic regression. This model integrated three tsEV IRPs, CCR1, IGHV_35 and CD72, with one clinical parameter, the presence of postoperative residual lesions. Thus, this model could predict the efficacy of initial platinum‐based chemotherapy in patients with EOC post‐surgery, providing prognostic insights even before the initiation of chemotherapy.

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Imaging features of complex solid and multicystic ovarian lesions: proposed algorithm for differential diagnosis

Cited by 10 publications

References 64 publications

Multiparametric Ultrasound Examination in Tumor-Like Formations of the Ovaries

Multiparametric Ultrasound Examination in Tumor-Like Formations of the Ovaries

Usefulness of transabdominal real-time sonoelastography in the evaluation of ovarian lesions: preliminary results

A Predictive Model for Initial Platinum‐Based Chemotherapy Efficacy in Patients with Postoperative Epithelial Ovarian Cancer Using Tissue‐Derived Small Extracellular Vesicles

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