对儿科患者的超声波卵巢尾报告和数据系统 (O-RADS) 的评估
Katherine Epstein1,2, Jonathan Dillman3,4, Nadeen Abu Ata5
1Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnett Avenue, Cincinnati, OH, 45229, USA. katherine.epstein@cchmc.org.
Pediatric radiology
|February 16, 2026
概括
卵巢-附体报告和数据系统超声波 (O-RADS US) 在儿科患者中显示出有前途的结果,对于卵巢病变具有高灵敏度和负预测值. 然而,放射科医生之间的共识是温和的,这表明在儿童的应用中存在潜在的挑战.
科学领域:
- 儿科放射学 儿科放射学
- 妇科超声波 妇科超声波
- 瘤成像学成像学
背景情况:
- 卵巢-附体报告和数据系统超声波 (O-RADS US) 是为成人附体损伤风险评估而建立的.
- 有限的数据存在O-RADS美国在儿科群体的实用性,其中卵巢恶性瘤是罕见的.
研究的目的:
- 评估儿科卵巢病变中O-RADS美国系统的放射科医生间协议.
- 评估O-RADS US在区分恶性和良性儿科卵巢病变方面的诊断性能.
主要方法:
- 从2015年至2020年,对儿科患者 (<18岁) 的盆腔超声波进行了回顾性审查.
- 收录标准:卵巢病变>3厘米 (前经) 或>5厘米 (经经).
- 三名儿科放射科医生独立使用O-RADS US对病变进行了分类,评估了协议和诊断指标.
主要成果:
- 分析了160个儿科盆腔超声波;大多数病变是O-RADS 2 (良性).
- 对于O-RADS类别 (κ=0.42) 观察到中度的放射科医生间协议.
- 美国O-RADS显示出高灵敏度 (100%) 和NPV (100%),但对恶性瘤的特异性较低 (74-82%) 和PPV (5-7%).
结论:
- 美国O-RADS分类,特别是O-RADS 2,对儿童的恶性瘤风险较低提供了保证.
- 由于恶性瘤发病率较低和放射科医生间协议中等,应用存在挑战.
- 需要进一步的研究来证实临床效用,并探索儿科特有的O-RADS修改.
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