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Pattern Recognition or Adnexal MR Scoring System: Which Is More Accurate in Evaluating Adnexal Lesions?
Malek, Mehrooz; Hosseini, Ashrafsadat; Moradi, Behnaz; Rahmani, Maryam; Aghasi, Maryam; Akhavan, Setareh; Ahmadinejad, Nasrin; Abdolghafoorian, Hamed.
Afiliación
  • Malek M; Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
  • Hosseini A; Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
  • Moradi B; Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
  • Rahmani M; Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
  • Aghasi M; Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
  • Akhavan S; Department of Gynecology, Oncology, Vail-e-Asr Hospital, Imam Khomeini Hospital, Tehran, Iran.
  • Ahmadinejad N; Department of Gynecology, Oncology, Vail-e-Asr Hospital, Imam Khomeini Hospital, Tehran, Iran.
  • Abdolghafoorian H; Shahid Beheshti University of Medical Science, Tehran, Iran.
Asian Pac J Cancer Prev ; 25(4): 1265-1270, 2024 Apr 01.
Article en En | MEDLINE | ID: mdl-38679986
ABSTRACT

PURPOSE:

This study aims to compare the accuracy of the ADNEX MR scoring system and pattern recognition system to evaluate adnexal lesions indeterminate on the US exam.

METHODS:

In this cross-sectional retrospective study, pelvic DCE-MRI of 245 patients with 340 adnexal masses was studied based on the ADNEX MR scoring system and pattern recognition system.

RESULTS:

ADNEX MR scoring system with a sensitivity of 96.6% and specificity of 91% has an accuracy of 92.9%. The pattern recognition system's sensitivity, specificity, and accuracy are 95.8%, 93.3%, and 94.7%, respectively. PPV and NPV for the ADNEX MR scoring system were 85.1 and 98.1, respectively. PPV and NPV for the pattern recognition system were 89.7% and 97.7%, respectively. The area under the ROC curve for the ADNEX MR scoring system and pattern recognition system is 0.938 (95% CI, 0.909-0.967) and 0.950 (95% CI, 0.922-0.977). Pairwise comparison of these AUCs showed no significant difference (p = 0.052).

CONCLUSION:

The pattern recognition system is less sensitive than the ADNEX MR scoring system, yet more specific.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Enfermedades de los Anexos Límite: Adolescent / Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Asian Pac J Cancer Prev Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Tailandia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Enfermedades de los Anexos Límite: Adolescent / Adult / Aged / Female / Humans / Middle aged Idioma: En Revista: Asian Pac J Cancer Prev Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Tailandia