Ultrasonographic evaluation of adnxal masses using the Ovarian-Adnexal Reporting and Data System (O-RADS) | ||||
| Evidence Based Women's Health Journal | ||||
| Volume 14, Issue 4, November 2024, Page 407-411 PDF (403.26 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2024.268904.1300 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Elmetwally Mohamed   1; Hend Abdelrahman Shalaby2; Rafik Ibrahim Barakat3; mohamed ibrahem eid4; Mahmoud Mohamed Abdelrazik5
| ||||
| 1Obstetrics and gynecology department.mansoura faculty of medicine.mansoura Egypt | ||||
| 2Obstetrics and gynecology department.faculty of medicine.mansoura Egypt | ||||
| 3Obstetrics and gynecology department. Mansoura faculty of medicine. Mansoura university | ||||
| 4Obstetrics and gynecology department.faculty of medicine.mansoura university.mansoura Egypt | ||||
| 5Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||||
| Abstract | ||||
| Background: Adnxal lesions represent an important health problem which leads to clinical workload and needs diagnostic imaging, surgery, and pathological evaluation. Classifying adnexal lesions is essential to allow decision making regarding the optimal management plan and to eliminate unnecessary patient anxiety. Aim: To evaluate the diagnostic performance of US using the ORADS scoring system in distinguishing between benign and malignant adnexal masses Methods: A prospective study including 77 paients with 94 adenxal masses. The lesions were cateogorized based on ORADS scorning system and were histopathologically evaluated . The diagnostic performances of ultrasound was measured by assessing receiver-operating characteristic curve, sensitivity , specificity, positive and negative predictive values Results: of 77 paients 94 adnexal lesions were detected. The mean (S.D.) age of the patients was 33.96±14.38 years, and 64 of 77 (83.1%) were premenopausal. The overall frequency of malignant tumours was 18.1% (17 of 94 adnexal lesions).The optimal cutoff value for diagnosing malignancy was > O-RADS US 3 with a high sensitivity of 94.12%, specificity of 83.11%, and accuracy of 85.1% with 55.2% PPV and 98.5% NPV. Conclusion: The O-RADS US classification system was an effective non-invasive diagnostic tool for adnexal masses with high reliability for gynaecologists and high sensitivity for suspicion of malignancy. | ||||
| Keywords | ||||
| O-RADS; adnexal masses; ultrasound; malignancy risk | ||||
|
Statistics Article View: 178 PDF Download: 147 |
||||
