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首页> 外文期刊>International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics >Comparison of the diagnostic accuracy of International Ovarian Tumor Analysis simple rules and the risk of malignancy index to discriminate between benign and malignant adnexal masses
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Comparison of the diagnostic accuracy of International Ovarian Tumor Analysis simple rules and the risk of malignancy index to discriminate between benign and malignant adnexal masses

机译：国际卵巢肿瘤分析简单规则诊断准确性的比较及恶性指数的风险，歧视良性和恶性侧态群体

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Abstract Objective To compare the diagnostic accuracy of International Ovarian Tumor Analysis ( IOTA ) simple rules and risk of malignancy index ( RMI ?1/ RMI ?2) scoring to discriminate between benign and malignant adnexal masses. Methods Secondary analysis of a cohort of patients scheduled for surgery for adnexal masses in a tertiary center between April 2010 and March 2018. Ultrasound examinations were performed by general gynecologists within 24?hours prior to surgery to evaluate sonographic features. Demographic data and preoperative CA ?125 levels were recorded. IOTA rules and RMI scoring were applied to predict malignancy and prospectively recorded. Final diagnosis was based on pathological or intraoperative diagnosis. Results A total of 479 masses met the inclusion criteria and were retrieved from the database: 334 (69.7%) benign and 145 (30.3%) malignant. IOTA rules could be applied to 392 (81.8%) masses and were inconclusive in 87 (18.2%). Sensitivity and specificity of IOTA rules (83.8% and 92.0%, respectively) were significantly higher than RMI ?1 (77.2% and 86.8%, respectively) and RMI ?2 (82.1% and 82.6%, respectively). Conclusion IOTA simple rules had higher diagnostic accuracy compared with RMI to discriminate between benign and malignant adnexal masses; however, nearly 20% of IOTA results were inconclusive and needed expert consultation.
机译：摘要目的比较国际卵巢肿瘤分析（IOTA）简单规则的诊断准确性和恶性指数的风险（RMI？1 / RMI？2）得分，以区分良性和恶性侧态群众。方法2010年4月至2018年4月至3月3日期间安排在第三届中心侧面进行外科群体的患者群体的二次分析。一般妇科医生在手术前24小时内进行超声检查以评估超声特征。记录人口统计数据和术前CA？125级。 IOTA规则和RMI评分被应用于预测恶性和前瞻性记录。最终诊断是基于病理或术中诊断。结果共有479群众达到纳入标准，并从数据库中检索：334（69.7％）良性，145（30.3％）恶性。 IOTA规则可以应用于392（81.8％）群众，并在87（18.2％）不确定。 IOTA规则的敏感性和特异性分别高于RMIα1（分别为77.2％和86.8％）和RMI？2（分别为82.6％）。结论与RMI相比，IOTA简单规则具有更高的诊断准确性，以区分良性和恶性侧态群体;然而，近20％的IOTA结果是不确定和需要的专家咨询。

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