O-RADS分类、GI-RADS分类、简单规则对卵巢肿瘤诊断性能的比较

Comparison of O-RADS Classification, GI-RADS Classification and Simple Rules in the Diagnosis of Adnexal Tumors

摘要: 目的：探究卵巢–附件超声报告和数据系统的风险分层与管理(O-RADS)、妇科影像报告与数据系统(GI-RADS)、简单规则对卵巢肿瘤良恶性的诊断能力。方法：回顾性分析卵巢肿瘤患者的声像图资料，绘制受试者工作特征(ROC)曲线，分别计算O-RADS、GI-RADS、简单规则对卵巢肿瘤的诊断效能。结果：O-RADS分类、GI-RADS分类及简单规则的曲线下面积(AUC)分别为0.90、0.89、0.86；O-RADS分类、GI-RADS分类及简单规则诊断恶性附件肿块的灵敏度分别为97.6%、82.8%、89.8%，特异度分别为82.5%、91.2%、89.8%。结论：O-RADS分类灵敏度优于GI-RADS分类、简单规则，具有较高的临床价值，值得在临床推广应用。

Abstract: Objective: To explore the diagnostic ability of ovarian-adnexal ultrasound report and data system (O-RADS), gynecological imaging report and data system (GI-RADS) and simple rules for adnexal masses. Methods: The sonographic data of patients with adnexal tumors confirmed by pathology were retrospectively analyzed. The Receiver Operating Characteristic (ROC) curves were drawn and the diagnostic efficacy of O-RADS, GI-RADS and simple rules in the diagnosis of adnexal masses was calculated respectively. Results: The area under the curve (AUC) of O-RADS, GI-RADS and simple rules were 0.90, 0.89, and 0.86, respectively; the sensitivity of O-RADS, GI-RADS and simple rules in diagnosing malignant adnexal masses were 97.6%, 82.8%, 89.8%, and the specificity was 82.5%, 91.2%, and 89.8%, respectively. Conclusion: The sensitivity of O-RADS is better than that of GI-RADS and simple rules, and it has high clinical value and is worthy of clinical application.