Ultrassonografia nas massas anexiais: aspectos de imagem

Neto, Francisco Andrade; Palma-Dias, Ricardo; Costa, Fabrício da Silva

doi:10.1590/s0100-39842011000100014

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…High-resolution imaging by transvaginal DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20231545 ultrasound provides high diagnostic accuracy for adnexal pathology. 3 There have been studies using different sonographic approaches for the characterization of adnexal masses, including the pattern recognition approach, simple scoring systems, and complex mathematical models such as neural networks. Among all these, pattern recognition shows higher diagnostic accuracy; however, it requires expertise that may only be available at most primary healthcare facilities.…”

Section: Introductionmentioning

confidence: 99%

Comparison of diagnostic performance of simple international ovarian tumor analysis rules versus subjective pattern recognition for triage of adnexal masses

Singh

Tomer

Amina

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Accurate and early diagnosis of adnexal masses is essential for optimal clinical decision-making. The aim of the study was to compare the diagnostic performance of simple international ovarian tumor analysis (IOTA) rules vs subjective pattern recognition, to discriminate between benign and malignant adnexal mass, and to establish the diagnostic utility of IOTA rules as a standardized examination tool in early diagnosis of ovarian malignancy. Methods: A prospective cohort study was conducted at a tertiary care hospital between November 2017 and March 2019 on 100 women with adnexal masses. All adnexal masses detected on ultrasound were classified according to IOTA rules by the trainee, followed by subjective pattern recognition by experts. These observations were further correlated with histopathology/intraoperative findings/ follow-up examination. Diagnostic efficacy was assessed by comparing sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy. Results: Among the 100 patients, 81 had benign, and 19 had malignant masses on final diagnosis. The sensitivity, specificity, PPV, NPV, and accuracy for the detection of malignancy using IOTA rules by trainee were 100%, 95.59%, 81.82%, 100%, and 95.65%, and by subjective evaluation by experts were 100%, 97.5%%, 90.5%, 100%, and 98% respectively. No statistically significant difference was found between the diagnostic accuracy of the two methods. Conclusions: Simple IOTA rules are as accurate as subjective evaluation by experts in the characterization of adnexal masses. Their inherent simplicity and reproducibility make them ideal for use by less experienced sonographers.

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Section: Introductionmentioning

confidence: 99%

Comparison of diagnostic performance of simple international ovarian tumor analysis rules versus subjective pattern recognition for triage of adnexal masses

Singh

Tomer

Amina

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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“…[9] Transvaginal ultrasound (TVUS) in assessing ovarian cysts and adnexal masses is now a process of high accuracy. [10] The best assessment of complex adnexal masses to differentiate benign from malignant tumors is given by Gadolinium-enhanced MR imaging, thereby preventing improper management and minimizing aggressive surgical action for benign diseases. [11] The process utilized for MR imaging regarding indeterminate adnexal mass includes 2 components: a collection of simple T1-and T2-weighted sequences for assessing the mass site and signal characteristics; after that selecting problem-solving sequences for refining the diagnosis tailored to the alleged nature of the mass.…”

Section: Introductionmentioning

confidence: 99%

Technical Accuracy and Efficiency of Magnetic Resonance Imaging in Evaluation of Female Adnexal Pathology in Comparison with Ultrasound

Mahmood,

Hamood,

Hadi

2021

Indian Journal of Forensic Medicine & Toxicology

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Introduction:The masses or cysts of the ovary, masses of the fallopian tube, pathology of the broad ligament, and cysts of the para tubal are all referred to as adnexal masses. The first-line imaging modality is ultrasound. MR imaging has played and continues to be of high importance in treating adnexal disease patients.Purpose: To equate the diagnostic accuracy regarding ultrasound and Magnetic Resonance Imaging (MRI) in females with adnexal pathology. Patients and method:The research was conducted in Baghdad medical city/radiology institute. There were 60 women in this study. If ultrasound is associated with adnexal pathology, all patients have been subjected to MRI and ultrasound examination. The imaging was done with a (Mindray, Dc-80A) ultrasound machine. 1.5 Tesla was used for the MRI (Magnetom Avanto, Siemens). Results:In an MRI study of 60 patients, the right-side lesions were found in 25 (46%), the left side lesion seen in 24 (44%), and bilateral in 6 (11%). In an MRI, 37 (61%) of the patients were cystic, while 18 (30%) were complex mass lesions. Regarding diagnosis of malignant lesions with MRI, the sensitivity, precision, and accuracy were all 100%, 100%, and 100%, respectively. Conclusions:For the measurement of pelvic masses, ultrasound is often used as the first imaging modality. The high contrast resolution of MRI allows for precise tissue characterization and better anatomic delineation. In the case of benign pathologies, this would undoubtedly assist in preventing needless surgeries.

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