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Review
. 2024 Aug 21;16(8):e67365.
doi: 10.7759/cureus.67365. eCollection 2024 Aug.

Diagnostic Efficacy of Ultrasound-Based International Ovarian Tumor Analysis Simple Rules and Assessment of the Different Neoplasias in the Adnexa Model in Malignancy Prediction Among Women With Adnexal Masses: A Systematic Review

Shweta V Suryawanshi  1 , Kanchan S Dwidmuthe  1 , Snehal Savalkar  2 , Anuja Bhalerao  1
Affiliations
Review

Diagnostic Efficacy of Ultrasound-Based International Ovarian Tumor Analysis Simple Rules and Assessment of the Different Neoplasias in the Adnexa Model in Malignancy Prediction Among Women With Adnexal Masses: A Systematic Review

Shweta V Suryawanshi et al. Cureus. .

Abstract

Transvaginal ultrasonography (USG) is most commonly used before surgery to accurately diagnose benign and malignant ovarian masses for effective treatment, avoid unnecessary interventions, improve the prognosis of patients, and preserve fertility in patients with benign tumors. Therefore, the objective of the present systematic review was to assess the diagnostic efficacy of ultrasound-based International Ovarian Tumor Analysis (IOTA) Simple Rules (SR) and Assessment of Different NEoplasias in the adneXa (ADNEX) model in predicting malignancy among women with adnexal masses. A systematic literature search was carried out on electronic databases consisting of Science Direct, PubMed, and Google Scholar. The keywords utilized to perform the literature search and include relevant articles consisted of "Diagnostic Efficacy", AND "Ultrasound-Based International Ovarian Tumor Analysis Simple Rules", AND "International Ovarian Tumor Analysis ADNEX Model", AND "Adnexal masses", AND "Ovarian tumors". Based on the selection criteria, a total of five studies were included. The study concluded that both the models showed high diagnostic efficacy for malignancy prediction; however, in comparison to the IOTA SR, the IOTA ADNEX model demonstrated good diagnostic efficacy.

Keywords: adnexal masses; diagnostic efficacy; iota simple rules; iota-adnex model; ovarian tumors.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. PRISMA flowchart illustrating the search strategy
PRISMA = Preferred Reporting Items for Systematic Reviews and Meta-analyses
See this image and copyright information in PMC

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References

    1. Ovarian cancer. Jayson GC, Kohn EC, Kitchener HC, Ledermann JA. Lancet. 2014;384:1376–1388. - PubMed
    1. Cancer statistics, 2019. Siegel RL, Miller KD, Jemal A. CA Cancer J Clin. 2019;69:7–34. - PubMed
    1. Diagnostic accuracy and cost-effectiveness of different strategies to triage women with adnexal masses: a prospective study. [ Jul; 2024 ];Piovano E, Cavallero C, Fuso L, et al. Ultrasound Obstet Gynecol. 2017 50:395–403. - PubMed
    1. Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS) Menon U, Gentry-Maharaj A, Hallett R, et al. Lancet Oncol. 2009;10:327–340. - PubMed
    1. Ultrasound scanning of the pelvis and abdomen for staging of gynecological tumors: a review. Fischerova D. Ultrasound Obstet Gynecol. 2011;38:246–266. - PubMed

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