CHARACTERIZATION OF DIFFERENT OVARIAN MASSES USING IOTA ULTRASOUND RULES.

Authors

  • Sumity Singh Senior Resident, Department of Radiology, IGIMS, Patna, Bihar, India
  • Manisha Kumari  Assistant Professor, Department of Radiology, IGIMS, Patna, Bihar, India
  • Sanjay Kumar Suman Professor, Department of Radiology, IGIMS, Patna, Bihar, India
  • Shweta Bharti Post Graduate Student, Department of Obstetrics and Gynaecology, IGIMS, Patna, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i3.1115

Keywords:

IOTA Guidelines, IOTA Triage, Adnexal Masses, Ovarian Masses, Ovarian Cancers

Abstract

Background:

An adnexal lump in a woman is a common clinical condition. Accurately defining ovarian cancers is essential because it facilitates the identification of benign ovarian masses, which can then be treated conservatively to lower morbidity. 2008 saw the IOTA group suggest basic.

Aim:

The purpose of the investigation was to determine the diagnostic value of IOTA ultrasonography rules, as well as to assess and evaluate the guidelines' sensitivity and specificity in relation to histological diagnosis and their suitability for use as a tool at our tertiary care center for the early detection of ovarian cancer.

Methods:

This prospective cross-sectional investigation was carried out in the Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India, between 2022 to 2023. The study included women who had been recruited with at least one adnexal mass. When two adnexal masses were present, the analysis took into account the mass with the more intricate ultrasonography morphology. The masses were characterized by evaluating the sonographic morphology of the masses and doing a color Doppler examination. A link between sonography and histopathology was found using suitable statistical techniques.

Results:

Using these guidelines, 158 individuals underwent USG; of these, 98 had benign, 48 had cancer, and 10 had unclear results. 47 of the 49 masses on the final HPE report that the simple rules had predicted to be benign turned out to be benign based on histology. Histology revealed that 21 of the 24 masses that the basic rules predicted to be cancer were in fact malignant.

Conclusion:

The study evaluates the effectiveness of simple rules in distinguishing between benign and malignant adnexal masses. Despite yielding inconclusive results in about 6.4% of cases, the diagnostic performance improves with extensive training provided to resident doctors. Overall, the IOTA simple rules offer a user-friendly method for classification.

Published

2024-03-31

How to Cite

Singh, S. . ., Kumari, M. ., Suman, S. K., & Bharti, S. . (2024). CHARACTERIZATION OF DIFFERENT OVARIAN MASSES USING IOTA ULTRASOUND RULES. Student’s Journal of Health Research Africa, 5(3). https://doi.org/10.51168/sjhrafrica.v5i3.1115

Issue

Section

Section of Radiology and Radiotherapy