■IOTA在2009年提出了仅基于超声的卵巢肿块的术前诊断的简单超声规则。这是一个准确的,简单和廉价的方法。RMI,然而,需要CA125水平。虽然RMI-4是最新的,RMI-1仍然是最广泛使用的方法。本研究是为了比较IOTA规则与RMI-1和RMI-4。
■术前使用IOTA简单规则区分良性和恶性附件肿块,并将其准确性与RMI-1和RMI-4进行比较。
■一项前瞻性观察性研究于2019年11月1日至2021年3月31日在妇产科进行。ABVIMS和RML医生医院,新德里。这项研究是对70例使用IOTA简单规则进行术前评估的附件肿块患者进行的。RMI-1和RMI-4。使用组织病理学来比较结果。
■在70名患者中,良性59例(84.3%),恶性11例(15.7%)。IOTA规则适用于60例(85.7%),10例(14.3%)结果无定论。如果适用,IOTA规则的敏感性和特异性(88.9%和94.1%,分别)显著高于RMI-1(45.5%和93.2%,分别)和RMI-4(45.5%和89.8%,分别)。当不确定的结果被列为恶性时,IOTA规则的敏感性增加(88.9%对90.9%);然而,特异性降低(94.1%vs81.4%)。
■IOTA简单规则比RMI-1和RMI-4更准确地诊断良性和恶性附件肿块。然而,这些规则不适用于14%的案件。
UNASSIGNED: IOTA proposed Simple Ultrasound Rules in 2009 for preoperative diagnosis of ovarian masses based on ultrasound only. It is an accurate, simple and inexpensive method. RMI, however, requires CA125 level. While RMI-4 is the latest, RMI-1 is still the most widely used method. The present study was done to compare IOTA Rules with RMI-1 and RMI-4.
UNASSIGNED: To differentiate benign and malignant adnexal masses preoperatively using IOTA simple rules and compare its accuracy with RMI-1 and RMI-4.
UNASSIGNED: A prospective observational study was performed from 1st November 2019 to 31st March 2021 in the Department of Obstetrics and Gynaecology, ABVIMS and Dr. RML Hospital, New Delhi. This study was conducted on 70 patients with adnexal masses who underwent pre-operative evaluation using IOTA Simple Rules, RMI-1 and RMI-4. Histopathology was used to compare the results.
UNASSIGNED: Out of 70 patients, 59 (84.3%) cases were benign and 11 (15.7%) were malignant. The IOTA Rules were applicable to 60 cases (85.7%), and the results were inconclusive in 10 cases (14.3%). Where applicable, the sensitivity and specificity of the IOTA Rules (88.9% and 94.1%, respectively) were significantly higher than RMI-1 (45.5% and 93.2%, respectively) and RMI-4 (45.5% and 89.8%, respectively). When inconclusive results were included as malignant, the sensitivity of the IOTA Rules increased (88.9% vs 90.9%); however, the specificity decreased (94.1% vs 81.4%).
UNASSIGNED: IOTA Simple Rules were more accurate at diagnosing benign from malignant adnexal masses than RMI-1 and RMI-4. However, the rules were not applicable to 14% of the cases.