Association between the sonographer's experience and diagnostic performance of IOTA simple rules

To validate the clinical value of simple rules in distinguishing malignant adnexal masses from benign ones and to explore the effect of simple rules for experienced and less-experienced sonographers. Patients with persistent adnexal masses were enrolled between November 2013 and December 2015. All m...

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Bibliographic Details
Published in:World journal of surgical oncology 2018-09, Vol.16 (1), p.179-179, Article 179
Main Authors: Ning, Chun-Ping, Ji, Xiaoli, Wang, Hong-Qiao, Du, Xiao-Ying, Niu, Hai-Tao, Fang, Shi-Bao
Format: Article
Language:English
Subjects:
Adnexal
Adnexal Diseases - diagnostic imaging
Adnexal Diseases - pathology
Adolescent
Adult
Aged
Aged, 80 and over
Benign
Cancer therapies
Clinical Competence - standards
Diagnosis
Diagnosis, Differential
Diagnostic equipment (Medical)
Diagnostic medical sonographers
Diagnostic systems
Female
Gynecology
Health Personnel - standards
Humans
Lesions
Mass
Middle Aged
Ovarian cancer
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - diagnostic imaging
Ovarian Neoplasms - pathology
Post-menopause
Practice
ROC Curve
Sensitivity and Specificity
Studies
Systematic review
Tumors
Ultrasonic imaging
Ultrasonography - standards
Ultrasound
Ultrasound imaging
Womens health
Young Adult
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Summary:To validate the clinical value of simple rules in distinguishing malignant adnexal masses from benign ones and to explore the effect of simple rules for experienced and less-experienced sonographers. Patients with persistent adnexal masses were enrolled between November 2013 and December 2015. All masses were proven through histological examinations. Five sets of diagnoses were made and compared with one another. Diagnosis 1 was made, according to the simple rules, by a trainee with little clinical diagnostic experience. Diagnoses 2 and 3 were made by experienced and less-experienced sonographers, respectively, according to their clinical experiences. With diagnosis 1 as a reference, the two sonographers were asked to provide a second diagnosis, which were diagnoses 4 and 5. The efficiency of the five sets of diagnoses was compared using ROC curves. In total, 75 malignant (37.7%) and 124 benign lesions (62.3%) were enrolled in this study. The mean diameter of the benign masses was obviously smaller than that of the malignant ones (6.8 ± 3.4 cm vs. 9.3 ± 4.9 cm, p 
ISSN:1477-7819
1477-7819
DOI:10.1186/s12957-018-1479-2