Indeterminate Ovarian Mass at US: Incremental Value of Second Imaging Test for Characterization—Meta-Analysis and Bayesian Analysis

Kinkel, Karen; Lu, Ying; Mehdizade, A.; Pelte, Marie‐Françoise; Hricak, Hedvig

doi:10.1148/radiol.2361041618

Cited by 243 publications

(107 citation statements)

References 39 publications

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“…The values of sensitivity and specificity of MDCT in differentiation of ovarian masses are comparable to those reported in literature (Kinkel et al, 2005;Gatreh-Samani et al, 2011). A sensitivity and specificity of 81% and 87% has been reported by Kinkel et al (2005) in their Meta-analysis.…”

Section: Discussionsupporting

confidence: 85%

See 1 more Smart Citation

Ovarian Masses: Is Multi-detector Computed Tomography a Reliable Imaging Modality?

Khattak¹,

Hafeez²,

Alam³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Discussionsupporting

confidence: 85%

“…A sensitivity and specificity of 81% and 87% has been reported by Kinkel et al (2005) in their Meta-analysis. Similarly Tsili et al have reported that MDCT can categorize adnexal masses into benign and malignant with a sensitivity and specificity of up to 90.5% and 93.7% respectively.…”

Section: Discussionmentioning

confidence: 87%

Ovarian Masses: Is Multi-detector Computed Tomography a Reliable Imaging Modality?

Khattak¹,

Hafeez²,

Alam³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…This showed that in women with an indeterminate ovarian mass at gray-scale US, MR imaging findings contributed to a change in probability of ovarian cancer in both pre-and post-menopausal women more than did CT or combined gray-scale and Doppler US results [12] . Furthermore, in a prospective multi-centre study of 143 patients with a pelvic mass, where diagnostic uncertainty existed, MRI improved diagnostic accuracy, when judged by an expert radiologist [13] .…”

Section: S120 Focus On: Women S Imagingmentioning

confidence: 94%

MR Imaging in Ovarian Cancer

Sohaib¹,

Reznek²

2006

Cancer of the Ovary

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Magnetic resonance (MR) imaging is increasingly being used in patients with gynaecological disorders due to its high contrast resolution compared to computed tomography (CT) and ultrasound. In women presenting with an adnexal mass, ultrasound remains the primary imaging modality in the detection and characterisation of such lesions. However, in recent years overwhelming evidence has accumulated for the use of MR imaging in patients with indeterminate adnexal masses particularly in younger women and where disease markers are unhelpful. In staging ovarian cancer and for evaluating therapeutic response MR imaging is as accurate as CT but CT remains the imaging modality of choice because it is more widely available and quicker. This article reviews that evidence and outlines a place for the use of MR imaging in ovarian cancer.

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“…The value of adding CT or MRI to ultrasound imaging in 'indeterminate ovarian masses' was studied in a meta-analysis. The results showed that MRI was superior to CT [137]. In another study, MRI was found to be superior to ultrasound for discriminating between benign and malignant adnexal masses, because it was associated with fewer false positive results [138].…”

Section: Palpable Pelvic Massmentioning

confidence: 94%

Imaging in gynecology

Valentin

2006

Best Practice & Research Clinical Obstetrics & Gynaecol

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This chapter summarizes the diagnostic performance (sensitivity, specificity, positive and negative likelihood ratios) of ultrasound, computer tomography, and magnetic resonance imaging in the diagnosis of various gynecological diseases and tumors. Positron emission tomography is not discussed. Imaging in infertility, in the diagnosis of Mullerian duct anomalies and in gynecological oncology (staging of gynecological cancers, diagnosis of recurrence of gynecological cancer, diagnosis of trophoblastic tumors) is not dealt with.Ultrasound is the first line imaging method for discrimination between viable intrauterine pregnancy, miscarriage and tubal pregnancy in women with bleeding and/or pain in early pregnancy, for discrimination between benign and malignant adnexal masses and for making a specific diagnosis in adnexal tumors (e.g., dermoid cyst, endometrioma, hemaorrhagic corpus luteum, ectetera), for diagnosing intracavitary uterine pathology in women with bleeding problems, and for confirming or refuting pelvic pathology in women with pelvic pain. Magnetic resonance imaging may have a role as a secondary test in the diagnosis of adenomyosis, 'deep endometriosis' (e.g., endometriosis in the rectovaginal septum or in the utero-sacral ligaments), and in the diagnosis of extremely rare types of ectopic pregnancy (e.g., in the spleen, liver or retroperitoneum).

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Indeterminate Ovarian Mass at US: Incremental Value of Second Imaging Test for Characterization—Meta-Analysis and Bayesian Analysis

Abstract: In women with an indeterminate ovarian mass at gray-scale US, MR imaging results contributed to change in probability of ovarian cancer in both pre- and postmenopausal women more than did CT or combined gray-scale and Doppler US results.

Cited by 243 publications

References 39 publications

Ovarian Masses: Is Multi-detector Computed Tomography a Reliable Imaging Modality?

Ovarian Masses: Is Multi-detector Computed Tomography a Reliable Imaging Modality?

MR Imaging in Ovarian Cancer

Imaging in gynecology

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