IOTA Simple Ultrasound Rules for Triage of Adnexal Mass

Experience from South India

Jyothi Shetty, Aruna Saradha, Deeksha Pandey, Rajeshwari Bhat, Kumar Pratap Kumar, Sunanda Bharatnur

Research output: Contribution to journalArticle

Abstract

Objective: To assess the diagnostic performance of International Ovarian Tumor Analysis (IOTA) simple ultrasound rules to discriminate adnexal masses as benign or malignant. Methods: A cross-sectional prospective study was conducted on women scheduled for elective surgery due to adnexal masses. Ultrasound examiner systematically assessed the tumors according to the IOTA simple rules to determine the risk of the tumor being malignant. If the simple rules yielded inconclusive result, pattern recognition was used to categorize the mass. Results were then compared with histologic findings after surgery. Diagnostic performance was assessed by calculating sensitivity and specificity. Results: Two hundred and five women undergoing surgery were included. The rules were applicable in 183 (89.3%) of the tumors; and for these tumors, sensitivity was 92.8% (95% CI 77–99%) and specificity was 92.9% (95% CI 88–96.4%). Of the tumors, 144 were benign and 39 were malignant. The simple rules yielded inconclusive results in 22 masses which were analyzed by pattern recognition. Conclusion: IOTA simple rules provide excellent discrimination between benign and malignant adnexal masses.

Original languageEnglish
Pages (from-to)356-362
Number of pages7
JournalJournal of Obstetrics and Gynecology of India
Volume69
Issue number4
DOIs
Publication statusPublished - 01-08-2019

Fingerprint

Triage
India
Neoplasms
Cross-Sectional Studies
Prospective Studies
Sensitivity and Specificity

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Shetty, Jyothi ; Saradha, Aruna ; Pandey, Deeksha ; Bhat, Rajeshwari ; Pratap Kumar, Kumar ; Bharatnur, Sunanda. / IOTA Simple Ultrasound Rules for Triage of Adnexal Mass : Experience from South India. In: Journal of Obstetrics and Gynecology of India. 2019 ; Vol. 69, No. 4. pp. 356-362.
@article{1f4fecff0092434989a6b6251a8c728c,
title = "IOTA Simple Ultrasound Rules for Triage of Adnexal Mass: Experience from South India",
abstract = "Objective: To assess the diagnostic performance of International Ovarian Tumor Analysis (IOTA) simple ultrasound rules to discriminate adnexal masses as benign or malignant. Methods: A cross-sectional prospective study was conducted on women scheduled for elective surgery due to adnexal masses. Ultrasound examiner systematically assessed the tumors according to the IOTA simple rules to determine the risk of the tumor being malignant. If the simple rules yielded inconclusive result, pattern recognition was used to categorize the mass. Results were then compared with histologic findings after surgery. Diagnostic performance was assessed by calculating sensitivity and specificity. Results: Two hundred and five women undergoing surgery were included. The rules were applicable in 183 (89.3{\%}) of the tumors; and for these tumors, sensitivity was 92.8{\%} (95{\%} CI 77–99{\%}) and specificity was 92.9{\%} (95{\%} CI 88–96.4{\%}). Of the tumors, 144 were benign and 39 were malignant. The simple rules yielded inconclusive results in 22 masses which were analyzed by pattern recognition. Conclusion: IOTA simple rules provide excellent discrimination between benign and malignant adnexal masses.",
author = "Jyothi Shetty and Aruna Saradha and Deeksha Pandey and Rajeshwari Bhat and {Pratap Kumar}, Kumar and Sunanda Bharatnur",
year = "2019",
month = "8",
day = "1",
doi = "10.1007/s13224-019-01229-z",
language = "English",
volume = "69",
pages = "356--362",
journal = "Journal of Obstetrics and Gynecology of India",
issn = "0971-9202",
publisher = "Springer India",
number = "4",

}

IOTA Simple Ultrasound Rules for Triage of Adnexal Mass : Experience from South India. / Shetty, Jyothi; Saradha, Aruna; Pandey, Deeksha; Bhat, Rajeshwari; Pratap Kumar, Kumar; Bharatnur, Sunanda.

In: Journal of Obstetrics and Gynecology of India, Vol. 69, No. 4, 01.08.2019, p. 356-362.

Research output: Contribution to journalArticle

TY - JOUR

T1 - IOTA Simple Ultrasound Rules for Triage of Adnexal Mass

T2 - Experience from South India

AU - Shetty, Jyothi

AU - Saradha, Aruna

AU - Pandey, Deeksha

AU - Bhat, Rajeshwari

AU - Pratap Kumar, Kumar

AU - Bharatnur, Sunanda

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Objective: To assess the diagnostic performance of International Ovarian Tumor Analysis (IOTA) simple ultrasound rules to discriminate adnexal masses as benign or malignant. Methods: A cross-sectional prospective study was conducted on women scheduled for elective surgery due to adnexal masses. Ultrasound examiner systematically assessed the tumors according to the IOTA simple rules to determine the risk of the tumor being malignant. If the simple rules yielded inconclusive result, pattern recognition was used to categorize the mass. Results were then compared with histologic findings after surgery. Diagnostic performance was assessed by calculating sensitivity and specificity. Results: Two hundred and five women undergoing surgery were included. The rules were applicable in 183 (89.3%) of the tumors; and for these tumors, sensitivity was 92.8% (95% CI 77–99%) and specificity was 92.9% (95% CI 88–96.4%). Of the tumors, 144 were benign and 39 were malignant. The simple rules yielded inconclusive results in 22 masses which were analyzed by pattern recognition. Conclusion: IOTA simple rules provide excellent discrimination between benign and malignant adnexal masses.

AB - Objective: To assess the diagnostic performance of International Ovarian Tumor Analysis (IOTA) simple ultrasound rules to discriminate adnexal masses as benign or malignant. Methods: A cross-sectional prospective study was conducted on women scheduled for elective surgery due to adnexal masses. Ultrasound examiner systematically assessed the tumors according to the IOTA simple rules to determine the risk of the tumor being malignant. If the simple rules yielded inconclusive result, pattern recognition was used to categorize the mass. Results were then compared with histologic findings after surgery. Diagnostic performance was assessed by calculating sensitivity and specificity. Results: Two hundred and five women undergoing surgery were included. The rules were applicable in 183 (89.3%) of the tumors; and for these tumors, sensitivity was 92.8% (95% CI 77–99%) and specificity was 92.9% (95% CI 88–96.4%). Of the tumors, 144 were benign and 39 were malignant. The simple rules yielded inconclusive results in 22 masses which were analyzed by pattern recognition. Conclusion: IOTA simple rules provide excellent discrimination between benign and malignant adnexal masses.

UR - http://www.scopus.com/inward/record.url?scp=85065312201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065312201&partnerID=8YFLogxK

U2 - 10.1007/s13224-019-01229-z

DO - 10.1007/s13224-019-01229-z

M3 - Article

VL - 69

SP - 356

EP - 362

JO - Journal of Obstetrics and Gynecology of India

JF - Journal of Obstetrics and Gynecology of India

SN - 0971-9202

IS - 4

ER -