分析各种预测模型的应用价值,用于怀孕期间的附质量:一个单一中心的回顾性研究
Yaning Niu1, Jie Shen1, Jiayi Ding1
1Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
概括
怀孕期间的副质很少见,大多是良性的. 简单规则 (SR) 和卵巢附报告和数据系统 (O-RADS) 模型在怀孕期间区分良性和恶性质的诊断价值很高.
科学领域:
- 产科和妇科 产科和妇科
- 诊断成像 诊断成像 诊断成像
- 在瘤学瘤学.
背景情况:
- 怀孕期间的副质群并不常见.
- 区分良性和恶性质量对于适当的管理至关重要.
- 现有的预测模型需要在孕妇人群中进行评估.
研究的目的:
- 评估三个预测模型的临床实用性:在adneXa (ADNEX),简单规则 (SR) 和卵巢-尾报告和数据系统 (O-RADS) 中评估不同NEoplasias.
- 为了评估这些模型在孕妇患有附质量的患者的诊断性能.
- 描述怀孕期间附质的临床和超声波特征.
主要方法:
- 回顾性单中心研究,包括65例手术和病理确诊病例.
- 应用ADNEX,SR和O-RADS模型进行手术前评估.
- 计算诊断效率指标,包括AUC,精度,灵敏度和特异性.
主要成果:
- 大多数质量 (95.4%) 是良性的;只有4.6%是恶性的.
- 与良性质 (46.0毫米) 相比,恶性质的质量具有显著更大的最大直径 (103.0毫米).
- O-RADS (0.94) 和SR (0.91) 模型的诊断性能 (AUC) 比 ADNEX 模型 (0.64) 更高.
结论:
- 怀孕期间恶性副质很少出现.
- 较大的最大直径是恶性附质群体的特征.
- SR和O-RADS模型具有重要的临床价值,用于评估怀孕患者的副质量.
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