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ORIGINAL RESEARCH article

Front. Oncol.
Sec. Cancer Imaging and Image-directed Interventions
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1435636
This article is part of the Research Topic Update on the Diagnosis and Surgical Treatment of Gynecological Tumors View all 3 articles

Comparison of the value of the GI-RADS and ADNEX models in the diagnosis of adnexal tumours by junior physicians

Provisionally accepted
Yongjian Chen Yongjian Chen Yanru Li Yanru Li Huiling Su Huiling Su Guorong Lyu Guorong Lyu *
  • The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China

The final, formatted version of the article will be published soon.

    Objective To compare the diagnostic effectiveness of the Gynaecologic Imaging Reporting and Data System (GI-RADS) and Neoplasias in the Adnexa (ADNEX) model for the diagnosis of benign and malignant ovarian tumours by junior physicians. Methods The sonographic data of 634 patients with ovarian tumours confirmed by pathology in our hospital over 4 years were analysed retrospectively by junior doctors. The diagnostic efficacy of the GI-RADS and ADNEX models was compared based on pathology. Results (1)Regarding the diagnostic efficacy of the GI-RADS and ADNEX models, the sensitivity was 90.15% and 84.85%, the specificity was 87.65% and 85.86%, the accuracy rates were 88.17% and 85.65%, and the Youden Indices were 0.778 and 0.707, respectively. The areas under the receiver operating characteristic (ROC) curves were 0.924 (95% CI: 0.900-0.943) and 0.933 (95% CI: 0.911-0.951), respectively. The GI-RADS classification was equivalent to that of the ADNEX model in the diagnosis of adnexal tumours (P>0.05). These findings were highly consistent with the pathological results (Kappa values were 0.684 and 0.691, respectively). ( 2) When differentiating between different pathological types of adnexal tumours, the ADNEX model had the best diagnostic value for distinguishing between benign tumours and stage II-IV ovarian cancer (AUC=0.990, 95% CI: 0.978-0.997). Conclusions (1) The diagnostic efficacy of the GI-RADS and ADNEX models in the diagnosis of benign and malignant ovarian tumours by junior physicians is excellent and comparable. (2) The ADNEX model shows good value for differentiating ovarian tumours of different pathological types by junior physicians.

    Keywords: Ovary, Ultrasonography, tumour, GI-RADS, ADNEX model

    Received: 20 May 2024; Accepted: 31 Jul 2024.

    Copyright: © 2024 Chen, Li, Su and Lyu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor 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.

    * Correspondence: Guorong Lyu, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China

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