Diagnostic Performance of Contrast-Enhanced Ultrasound for Ovarian Cancer: A Meta-Analysis

Ying, Wantao; Peng, Hongling; Zhao, Xia

doi:10.1016/j.ultrasmedbio.2014.11.018

Cited by 22 publications

(13 citation statements)

References 35 publications

(50 reference statements)

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“…In an ultrasound-indeterminate adnexal mass, Doppler ultrasound has shown a sensitivity of 84 % and a specificity of 82 % in diagnosing cancer [ 8 ]. Wu et al, on a recent meta-analysis of ten independent studies, reported a high diagnostic accuracy of contrast-enhanced ultrasound in distinguishing between benign and malignant ovarian masses [ 9 ]. However, unless morphological and vascularity features clearly indicate a benign lesion, further assessment is mandatory.…”

Section: Approach To Adnexal Massesmentioning

confidence: 99%

MR imaging of ovarian masses: classification and differential diagnosis

et al. 2015

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ObjectiveWe propose a Magnetic Resonance Imaging (MRI) guided approach to differential diagnosis of ovarian tumours based on morphological appearance.BackgroundCharacterization of ovarian lesions is of great importance in order to plan adequate therapeutic procedures, and may influence patient’s management. Optimal assessment of adnexal masses requires a multidisciplinary approach, based on physical examination, laboratory tests and imaging techniques. Primary ovarian tumours can be classified into three main categories according to tumour origin: epithelial, germ cell and sex cord-stromal tumours. Ovarian neoplasms may be benign, borderline or malignant. Using an imaging-guided approach based on morphological appearance, we classified adnexal masses into four main groups: unilocular cyst, multilocular cyst, cystic and solid, predominantly solid. We describe MR signal intensity features and enhancement behaviour of ovarian lesions using pathologically proven examples from our institution.ConclusionMRI is an essential problem-solving tool to determine the site of origin of a pelvic mass, to characterize an adnexal mass, and to detect local invasion. The main advantages of MRI are the high contrast resolution and lack of ionizing radiation exposure. Although different pathological conditions may show similar radiologic manifestations, radiologists should be aware of MRI features of ovarian lesions that may orientate differential diagnosis.Teaching Points• Diagnostic imaging plays a crucial role in detection, characterization and staging of adnexal masses.• Characterization of an ovarian lesion may influence patient’s management.• Different pathological conditions may have similar radiologic manifestations.• Non-neoplastic lesions should always be taken into consideration.

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Section: Approach To Adnexal Massesmentioning

confidence: 99%

MR imaging of ovarian masses: classification and differential diagnosis

et al. 2015

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“…Contrast‐enhanced sonography has been developed to improve the diagnostic accuracy of sonography for differentiation of malignant lesions in the liver, kidney, pancreas, ovaries, and other organs 7. Contrast agents are injected intravenously into the systemic circulation.…”

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confidence: 99%

Diagnostic Value of Contrast‐Enhanced Sonography for Differentiation of Breast Lesions

Liu

Zhu

et al. 2016

J of Ultrasound Medicine

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“…Обобщенная чувствительность, специфичность и диагностическая точность составили 89, 91 и 91,7 % соответственно. Установлено, что для злокачественных образований характерно быстрое накопление контрастного препарата в артериальную фазу и быстрое его выведение в венозную фазу [19]. Аналогичные данные получены и нами при КУУЗИ опухолей яичников в случае синхронного рака.…”

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