Application value of gynaecological imaging report and data system in differentiating the benign and malignant adnexal tumors

LI Qin; ZHAO Wei; TANG Liulin; MO Yingying

doi:10.16245/j.cnki.issn1008-6978.2021.05.017

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Application value of gynaecological imaging report and data system in differentiating the benign and malignant adnexal tumors

更新时间：2021-10-13

- Application value of gynaecological imaging report and data system in differentiating the benign and malignant adnexal tumors
- Journal of Clinical Ultrasound in Medicine Vol. 23, Issue 5, Pages: 374-378(2021)
- 作者机构：
  
  1. 桂林医学院附属医院超声科
  2. 桂林医学院附属医院妇科
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2021.05.017
  CLC： R737.3;R445.1
- Published：2021，
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[1]李琴,赵薇,唐柳林,莫莹莹.妇科影像报告和数据系统鉴别附件肿块良恶性的应用价值[J].临床超声医学杂志,2021,23(05):374-378.

LI Qin, ZHAO Wei, TANG Liulin, et al. Application value of gynaecological imaging report and data system in differentiating the benign and malignant adnexal tumors. [J]. Journal of Clinical Ultrasound in Medicine 23(5):374-378(2021)
[1]李琴,赵薇,唐柳林,莫莹莹.妇科影像报告和数据系统鉴别附件肿块良恶性的应用价值[J].临床超声医学杂志,2021,23(05):374-378. DOI： 10.16245/j.cnki.issn1008-6978.2021.05.017.

LI Qin, ZHAO Wei, TANG Liulin, et al. Application value of gynaecological imaging report and data system in differentiating the benign and malignant adnexal tumors. [J]. Journal of Clinical Ultrasound in Medicine 23(5):374-378(2021) DOI： 10.16245/j.cnki.issn1008-6978.2021.05.017.

摘要

目的探讨妇科影像报告和数据系统（GI-RADS）在附件肿块良恶性鉴别中的应用价值。方法回顾性分析在我院经手术病理确诊的附件肿块患者180例

恶性39例

良性141例

根据附件肿块的超声特征对其进行GI-RADS分类

以病理结果为金标准

绘制受试者工作特征（ROC）曲线分析其诊断附件肿块良恶性的截断值及其诊断效能。结果 180例附件肿块患者中GI-RADS 2类15例

均为良性;GI-RADS 3类112例

其中1例恶性;GI-RADS 4类25例

其中12例恶性;GI-RADS 5类28例

其中26例恶性。以GI-RADS 5类预测附件恶性肿块的敏感性、特异性、阳性预测值、阴性预测值及准确率分别为66.7%、98.6%、92.9%、91.4%、91.7%

曲线下面积为0.826;将GI-RADS 4、5类预测附件恶性肿块的敏感性、特异性、阳性预测值、阴性预测值及准确率分别为97.4%、89.4%、71.7%、99.2%、91.1%

曲线下面积为0.934;二者诊断敏感性、特异性、阳性预测值、阴性预测值、ROC曲线下面积比较差异均有统计学意义（均P<0.05）。结论 GI-RADS分类能够较好地鉴别诊断附件良恶性肿块

其中GI-RADS分类>3类为附件恶性肿块高风险

其诊断效能较好。

Abstract

ObjectiveTo explore the application value of gynaecological imaging report and data system（GI-RADS）in the differential diagnosis of benign and malignant adnexal tumors.MethodsA total of 180 patients with adnexal tumors who confirmed by operation and pathology in our hospital were analyzed retrospectively.There were 39 cases of malignant adnexal tumors and 141 cases of benign adnexal tumors.They were classified by GI-RADS according to the ultrasonic characteristics of adnexal tumors.The diagnostic efficacy and cut-off value of ultrasound were calculated based on the gold standard of pathological results by receiver operating characteristic（ROC）curve.ResultsAmong 180 cases of adnexal tumors

15 cases were judged as GI-RADS 2 and none was malignant.There were 112 cases of GI-RADS 3 and 1 case of which was malignant.There were 25 cases of GI-RADS 4 and 12 cases of which were malignant.There were 28 cases of GI-RADS 5 and 26 cases of which were malignant. The sensitivity

specificity

positive predictive value

negative predictive value and accuracy of GI-RADS 5 in predicting malignant tumors were 66.7%

98.6%

92.9%

91.4% and 91.7%

the area under the ROC curve（AUC）was 0.826.And these parameters of GI-RADS 4 and 5 in predicting malignant tumors were 97.4%

89.4%

71.7%

99.2% and 91.1%

AUC was 0.934

respectively.There were significant differences in sensitivity

specificity

positive predictive value

negative predictive value and AUC between the two methods（all P<0.05）.ConclusionGI-RADS classification can be used to differentiate benign and malignant adnexal tumors with excellent diagnostic efficiency

and tumors with GI-RADS classification > 3 has high malignant risk.

关键词

超声检查妇科影像报告和数据系统附件肿块良恶性

Keywords

UltrasonographyGynecologic imaging reporting and data systemAdnexal tumorbenign and malignant

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