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American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children

OBJECTIVE: To evaluate the diagnostic performance and inter-observer agreement of the American College of Radiology Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS) in the diagnosis of ovarian masses in children. METHODS: From June 2012 to December 2021, 163 ovarian masses in 159 patien...

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Autores principales: Wang, Huimin, Wang, Limin, An, Siwei, Ma, Qiuping, Tu, Yanping, Shang, Ning, Pan, Yunxiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030612/
https://www.ncbi.nlm.nih.gov/pubmed/36969276
http://dx.doi.org/10.3389/fped.2023.1091735
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author Wang, Huimin
Wang, Limin
An, Siwei
Ma, Qiuping
Tu, Yanping
Shang, Ning
Pan, Yunxiang
author_facet Wang, Huimin
Wang, Limin
An, Siwei
Ma, Qiuping
Tu, Yanping
Shang, Ning
Pan, Yunxiang
author_sort Wang, Huimin
collection PubMed
description OBJECTIVE: To evaluate the diagnostic performance and inter-observer agreement of the American College of Radiology Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS) in the diagnosis of ovarian masses in children. METHODS: From June 2012 to December 2021, 163 ovarian masses in 159 patients with pathologic results were retrospectively analyzed. Each mass was classified into an O-RADS category according to the criteria. The diagnostic performance of O-RADS for detecting malignant ovarian masses was assessed using histopathology as the reference standard. Kappa (k) statistic was used to assess inter-observer agreement between a less-experienced and a well-experienced radiologist. RESULTS: Out of 163 ovarian masses, 18 (11.0%) were malignant and 145 (89.0%) were benign. The malignancy rates of O-RADS 5, O-RADS 4, and O-RADS 3 masses were 72.7%, 34.6%, and 4.8%, respectively. The area under the receiver operating characteristic curve was 0.944 (95% CI, 0.908–0.981). The optimal cutoff value for predicting malignant ovarian masses was  > O-RADS 3 with a sensitivity, specificity, and accuracy of 94.4%, 86.2% and 86.2% respectively. The inter-observer agreement of the O-RADS category was good (k = 0.777). CONCLUSIONS: O-RADS has a high diagnostic performance for children with ovarian masses. It provides an effective malignant risk classification for ovarian masses in children, which shows high consistency between radiologists with different levels of experience.
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spelling pubmed-100306122023-03-23 American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children Wang, Huimin Wang, Limin An, Siwei Ma, Qiuping Tu, Yanping Shang, Ning Pan, Yunxiang Front Pediatr Pediatrics OBJECTIVE: To evaluate the diagnostic performance and inter-observer agreement of the American College of Radiology Ovarian-Adnexal Reporting and Data System Ultrasound (O-RADS) in the diagnosis of ovarian masses in children. METHODS: From June 2012 to December 2021, 163 ovarian masses in 159 patients with pathologic results were retrospectively analyzed. Each mass was classified into an O-RADS category according to the criteria. The diagnostic performance of O-RADS for detecting malignant ovarian masses was assessed using histopathology as the reference standard. Kappa (k) statistic was used to assess inter-observer agreement between a less-experienced and a well-experienced radiologist. RESULTS: Out of 163 ovarian masses, 18 (11.0%) were malignant and 145 (89.0%) were benign. The malignancy rates of O-RADS 5, O-RADS 4, and O-RADS 3 masses were 72.7%, 34.6%, and 4.8%, respectively. The area under the receiver operating characteristic curve was 0.944 (95% CI, 0.908–0.981). The optimal cutoff value for predicting malignant ovarian masses was  > O-RADS 3 with a sensitivity, specificity, and accuracy of 94.4%, 86.2% and 86.2% respectively. The inter-observer agreement of the O-RADS category was good (k = 0.777). CONCLUSIONS: O-RADS has a high diagnostic performance for children with ovarian masses. It provides an effective malignant risk classification for ovarian masses in children, which shows high consistency between radiologists with different levels of experience. Frontiers Media S.A. 2023-03-08 /pmc/articles/PMC10030612/ /pubmed/36969276 http://dx.doi.org/10.3389/fped.2023.1091735 Text en © 2023 Wang, Wang, An, Ma, Tu, Shang and Pan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Wang, Huimin
Wang, Limin
An, Siwei
Ma, Qiuping
Tu, Yanping
Shang, Ning
Pan, Yunxiang
American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title_full American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title_fullStr American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title_full_unstemmed American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title_short American college of radiology ovarian-adnexal reporting and data system ultrasound (O-RADS): Diagnostic performance and inter-reviewer agreement for ovarian masses in children
title_sort american college of radiology ovarian-adnexal reporting and data system ultrasound (o-rads): diagnostic performance and inter-reviewer agreement for ovarian masses in children
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030612/
https://www.ncbi.nlm.nih.gov/pubmed/36969276
http://dx.doi.org/10.3389/fped.2023.1091735
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