|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Reliability of ultrasound ovarian-adnexal reporting and data system amongst less experienced readers before and after training显示文摘BACKGROUND The 2018 ovarian-adnexal reporting and data system(O-RADS)guidelines are aimed at providing a system for consistent reports and risk stratification for ovarian lesions found on ultrasound.It provides key characteristics and findings for lesions,a lexicon of descriptors to communicate findings,and risk characterization and associated follow-up recommendation guidelines.However,the ORADS guidelines have not been validated in North American institutions or amongst less experienced readers.AIM To evaluate the diagnostic accuracy and inter-reader reliability of ultrasound ORADS risk stratification amongst less experienced readers in a North American institution with and without pre-test training.METHODS A single-center retrospective study was performed using 100 ovarian/adnexal lesions of varying O-RADS scores.Of these cases,50 were allotted to a training cohort and 50 to a testing cohort via a non-randomized group selection process in order to approximately equal distribution of O-RADS categories both within and between groups.Reference standard O-RADS scores were established through consensus of three fellowship-trained body imaging radiologists.Three PGY-4 residents were independently evaluated for diagnostic accuracy and inter-reader reliability with and without pre-test O-RADS training.Sensitivity,specificity,positive predictive value,negative predictive value(NPV),and area under the curve(AUC)were used to measure accuracy.Fleiss kappa and weighted quadratic(pairwise)kappa values were used to measure inter-reader reliability.Statistical significance was P<0.05.RESULTS Mean patient age was 40±16 years with lesions ranging from 1.2 to 22.5 cm.Readers demonstrated excellent specificities(85%-100%pre-training and 91%-100%post-training)and NPVs(89%-100%pre-training and 91-100%post-training)across the O-RADS categories.Sensitivities were variable(55%-100%pre-training and 64%-100%post-training)with malignant ORADS 4 and 5 Lesions pre-training and post-training AUC values of 0.87-0.95 and 0.94-098,respectively(P<0.001).Nineteen of 22(86%)misclassified cases in pre-training were related to mischaracterization of dermoid features or wall/septation morphology.Fifteen of 17(88%)of posttraining misclassified cases were related to one of these two errors.Fleiss kappa inter-reader reliability was‘good’and pairwise inter-reader reliability was‘very good’with pre-training and post-training assessment(k=0.76 and 0.77;and k=0.77-0.87 and 0.85-0.89,respectively).CONCLUSION Less experienced readers in North America achieved excellent specificities and AUC values with very good pairwise inter-reader reliability.They may be subject to misclassification of potentially malignant lesions,and specific training around dermoid features and smooth vs irregular inner wall/septation morphology may improve sensitivity. | Prayash Katlariwala Mitchell P Wilson Yeli Pi Baljot S Chahal Roger Croutze Deelan Patel Vimal Patel Gavin Low | 2022 | World Journal of Radiology2022，14，9： | 2 |
| 2 | The reflection of guided waves from circumferential notches in pipes 显示文摘 | Alleyne D N Lowe M J S Cawley P | 1998 | Trans ASME J of Appl Mech1998，65，： | 2 |
| 3 | Growth of anaerobic rumen fungi on defined and semi-defined media lacking rumen fluid显示文摘 | LOWE S E THEODOROU M K TRINCI A P J | 1985 | Journal of General Microbiology1985，131，： | 1 |
| 4 | Guided waves in curved pipes显示文摘 | DEMMA A CAWLEY P LOWE M J S | 2002 | Review of Progress in Quantitative Nondestructive Evaluation2002，21，： | 1 |
| 5 | Botulinum toxins types A and B for brow furrows:preliminary experiences with type B toxin dosing显示文摘 | YAMAUCHI P S LASK G P | 2002 | J Cosmet Laser Ther2002，4，1： | 1 |
| 6 | Discovery and development of folic-acid-based receptor targeting for imaging and therapy of cancer and inflammatory diseases 显示文摘 | LOW P S HENNE W A DOORNEWEERD D D | 2008 | Acc Chem Res2008，41，： | 1 |
| 7 | Defect detection in pipes using guided waves显示文摘 | LOWE M J S ALLEYNE D N CAWLEY P | 1998 | Ultrasonics1998，36，： | 1 |
| 8 | Growth of anaerobic rumen fungi on defined and semi-defined media lacking rumen fluid显示文摘 | Lowe S E Theodoron M K Trinci A P J | 1985 | J Gen Microbiol1985，131，： | 1 |
| 9 | Second consensus statement on the diagnosis of multiple system atrophy显示文摘 | GILMAN S WENNING G K LOW P A | 2008 | Neurology2008，71，9： | 1 |
| 10 | Preparation of mixed-matrix membranes for micellar enhanced ultrafiltration based on response surface methodology显示文摘 | Ngang H P Ahmad A L Low S C | 2012 | Desalination2012，293，： | 1 |
| 11 | Sorption of Cr(Ⅵ) and Cu(Ⅱ) in aqueous solution by ethylenediamine modified rice hull显示文摘 | Tang P L Lee C K Low K S | 2003 | Environmental Technology2003，24，10： | 1 |
| 12 | Folate receptor-mediated targeting of liposomal drugs to cancer cells显示文摘 | STEPHENSON S M LOW P S LEE R J | 2004 | Methods Enzymol2004，387，： | 1 |
| 13 | Rapid stimulation of an oxidative burst during elicitation of cultured plant cells显示文摘 | APROSTOLL A HEINSTEIN P F LOW P S | 1989 | Plant Physiol1989，90，： | 1 |
| 14 | Doulas as childbirth paraprofessionals:results from a national survey 显示文摘 | Lantz P M Low L K Varkey S | 2005 | Womens Health Issues2005，15，3： | 1 |
| 15 | Folate - mediated tumor cell targeting of lipo- some- entrapped doxorubicin in vitro 显示文摘 | Lee R J Low P S | 1995 | Biochim Biophys Acta1995，1233，： | 1 |
| 16 | Fusion protein technologies for biophar- maceuticais: Applications and challenges 显示文摘 | Berger S Lowe P Tesar M | 2015 | Mabs2015，7，3： | 1 |
| 17 | Consensus statement on the diagnosis of multiple system atyophy显示文摘 | GILMNN S LOW P N QUINN N | 1999 | J Neurol Sci1999，163，1： | 1 |
| 18 | The variation of the reflection coefficient of extensional guided waves in pipes from defects as a function of defect depth,axial extent,circumferential extent and frequency显示文摘 | Cawley P Lowe M J S Simonetti F | 2002 | Journal of Mechanical Engineering Science2002，216，11： | 1 |
| 19 | Internationalization of Chinese construction enterprises 显示文摘 | Low S P Jiang H B | 2003 | Journal of Construction Engineering and Management2003，129，6： | 1 |
| 20 | Comparison of radial versus brachial approaches for diagnostic coronary angiography when the femoral approach is contraindicated 显示文摘 | Hildick S D J Ludman P F Lowe M D | 1998 | Am J Cardiol1998，81，6： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员