附件磁共振成像评分系统与模式识别：哪项更能准确评估附件病变？
Pattern Recognition or Adnexal MR Scoring System: Which Is More Accurate in Evaluating Adnexal Lesions?
机构信息
Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Science, Tehran, Iran.
Department of Gynecology, Oncology, Vail-e-Asr Hospital, Imam Khomeini Hospital, Tehran, Iran.
出版信息
Asian Pac J Cancer Prev. 2024 Apr 1;25(4):1265-1270. doi: 10.31557/APJCP.2024.25.4.1265.
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.
目的
本研究旨在比较 ADNEX MR 评分系统和模式识别系统评估 US 检查不确定的附件病变的准确性。
方法
在这项横断面回顾性研究中，根据 ADNEX MR 评分系统和模式识别系统对 245 例 340 个附件肿块的盆腔 DCE-MRI 进行了研究。
结果
ADNEX MR 评分系统的灵敏度为 96.6%，特异性为 91%，准确率为 92.9%。模式识别系统的灵敏度、特异性和准确率分别为 95.8%、93.3%和 94.7%。ADNEX MR 评分系统的 PPV 和 NPV 分别为 85.1%和 98.1%。模式识别系统的 PPV 和 NPV 分别为 89.7%和 97.7%。ADNEX MR 评分系统和模式识别系统的 ROC 曲线下面积分别为 0.938（95%CI，0.909-0.967）和 0.950（95%CI，0.922-0.977）。这些 AUC 的两两比较无统计学差异（p = 0.052）。
结论
与 ADNEX MR 评分系统相比，模式识别系统的灵敏度较低，但特异性更高。
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