Can Presurgical Ultrasound Predict Survival in Women With Ovarian Masses?

Abstract:

PURPOSE:This study aimed to determine the ability of ultrasound to predict survival and detect more aggressive tumors in women with ovarian masses. MATERIALS AND METHODS:Institutional review board approval was obtained. A total of 167 patients who presented with adnexal mass/masses were included. These were documented as benign or malignant on ultrasound. Age, date of diagnosis and date of death, type of tumor, and tumor marker cancer antigen 125 (CA-125) values were recorded. A CA-125 value of less than 35 U/mL was considered normal. All cases underwent surgery. Pathologic findings were considered as reference standard. The 2 × 2 cross-tabulations were used to correlate dichotomized CA-125, US diagnosis (benign vs malignant), and pathologic status. Difference of distributions was tested using the Wilcoxon rank sum test, and their association was tested using the Fisher exact test. All tests were 2-sided, and P values of 0.05 or less were considered statistically significant. Kaplan-Meir curves were generated to estimate survival. RESULTS:There was a statistically significant difference in patients with benign versus malignant tumors based on pathology (P < 0.0001) and ultrasound (P < 0.0003). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ultrasound were 55%, 86%, 90% and 46%, and 81%. Patients diagnosed as having malignant tumors based on ultrasound had statistically significant worse overall survival. Probability of survival based on pathologic diagnosis of malignancy was statistically significant at P < 0.0003; based on ultrasound, P < 0.0001; and based on CA-125, P < 0.041. CONCLUSION:Patients who had ultrasound-based prediction of ovarian malignancy had overall worse survival probability (P < 0.0001) compared with CA-125- or pathology-based prediction.

journal_name

Ultrasound Q

journal_title

Ultrasound quarterly

authors

Mubarak AI,Morani AC,Samuel J,Sun J,Wei W,Bhosale PR

doi

10.1097/RUQ.0000000000000401

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

39-44

issue

1

eissn

0894-8771

issn

1536-0253

journal_volume

35

pub_type

杂志文章
  • Contrast-Enhanced Ultrasound: Practical Review for the Assessment of Hepatic and Renal Lesions.

    abstract::The use of microbubble contrast greatly enhances the ability of ultrasound to delineate structures and therefore aid in diagnosis. Ultrasound microbubble contrast agents are composed of low-solubility gas encapsulated in a biomaterial shell. These agents use the physics of ultrasound imaging to effectively identify an...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0000000000000182

    authors: Denham SL,Alexander LF,Robbin ML

    更新日期:2016-06-01 00:00:00

  • Carotid and vertebral artery Doppler ultrasound waveforms: a pictorial review.

    abstract::Carotid and vertebral artery spectral Doppler ultrasound waveforms can be affected by many types of local lesions, proximal cardiovascular disease, and devices, as well as distal cerebrovascular disease. Recognizing abnormal spectral Doppler ultrasound waveforms and their significance is important for proper managemen...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0b013e31821c7f6a

    authors: Ginat DT,Bhatt S,Sidhu R,Dogra V

    更新日期:2011-06-01 00:00:00

  • A New Visual Transient Elastography Technique for Grading Liver Fibrosis in Patients With Chronic Hepatitis B.

    abstract::Liver fibrosis is evaluated to assess the prognosis and guide the treatment of chronic hepatitis B (CHB). To compare the efficiency of 2 transient elastography techniques for grading liver fibrosis in CHB: visual transient elastography (ViTE) with real-time image guidance and FibroScan (FS) with no image guidance. All...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000509

    authors: Ren X,Zhang L,Xia S,Chen Z,Zhou W,Ji R,Zhou J,Lin Y,Zhan W

    更新日期:2020-09-23 00:00:00

  • Relationship Between Breast Ultrasound Background Echotexture and Magnetic Resonance Imaging Background Parenchymal Enhancement and the Effect of Hormonal Status Thereon.

    abstract::We studied the relationship between breast ultrasound background echotexture (BET) and magnetic resonance imaging (MRI) background parenchymal enhancement (BPE) and whether this relationship varied with hormonal status and amount of fibroglandular tissue (FGT) on MRI. Two hundred eighty-three Korean women (52.1 years;...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000487

    authors: Kim SJ,Jung HK,Han BK,Lee JH,Oh KS,Lee JS,Lee Y

    更新日期:2020-06-01 00:00:00

  • Breast Adenomyoepithelioma: Ultrasonography, Elastography, Digital Mammography, Contrast-Enhanced Digital Mammography, and Pathology Findings of This Rare Type of Breast Tumor.

    abstract::Breast adenomyoepithelioma is considered as an uncommon breast tumor. It is evaluated as a variant of intraductal papilloma. The treatment of choice is local resection with free margins. It is the first case of breast adenomyoepithelioma reported with conventional ultrasonography, elastography (both free-hand and acou...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000119

    authors: Gkali CA,Chalazonitis AN,Feida E,Dimitrakakis C,Sotiropoulou M

    更新日期:2015-09-01 00:00:00

  • Work-up of urinary tract infection in infants and children.

    abstract::Urinary tract infection (UTI) in infants and children demands rapid differentiation between upper UTI (pyelonephritis) and lower UTI (cystitis) for prompt treatment to be initiated so that renal damage is minimized. This pictorial review presents a wide gamut of structural and functional abnormalities of the urinary t...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/00013644-200106000-00003

    authors: Rosenberg HK,Ilaslan H,Finkelstein MS

    更新日期:2001-06-01 00:00:00

  • The Evolving Role of Shear Wave Elastography in the Diagnosis and Treatment of Prostate Cancer.

    abstract::To forego misdiagnosis and biopsy-related complications, we explore a novel technique that embraces tissue elasticity to circumvent the current limitations in the accurate, non-invasive detection of prostate cancer. A MEDLINE® database search of literature pertinent to prostate elastography published in the last five ...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0000000000000385

    authors: Gandhi J,Zaidi S,Shah J,Joshi G,Khan SA

    更新日期:2018-12-01 00:00:00

  • Detection and Measurement of Stones With Ultrasound Strain Elastography: A Phantom Study.

    abstract::The sonoelastographic appearances of stones in a phantom were evaluated in this study. Ten stones were embedded into a tissue-mimicking meat phantom. The stone axial (vertical) and transverse (horizontal) dimensions measured by an electronic digital caliper, gray-scale ultrasound, and strain elastography (SE) were com...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000204

    authors: Li Q,Chen L,Halpern EF,Samir AE

    更新日期:2015-12-01 00:00:00

  • Radiologist and Sonographer Interpretation Discrepancies for Biliary Sonographic Findings: Our Experience.

    abstract:PURPOSE:The aim was to determine the discrepancy rate between the preliminary interpretation by sonographers and the final radiology interpretation for biliary sonographic findings. MATERIALS AND METHODS:Institutional review board approval was obtained. Four hundred consecutive right upper quadrant sonographer perform...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000280

    authors: Dawkins A,George N,Ganesh H,Ayoob A,Lee J,Nair R,Kiper C,Duncan K,Stevens S

    更新日期:2017-12-01 00:00:00

  • Various sonographic appearances of the hemorrhagic corpus luteum cyst.

    abstract::Although hemorrhagic corpus luteum cysts are frequently seen during sonography of the female pelvis, their diagnosis is often challenging as a result of variations in size, thickness of the cyst wall, and internal echo pattern depending on the formation and lysis of the clot. There are cases in which hemoperitoneum is...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/00013644-200406000-00003

    authors: Swire MN,Castro-Aragon I,Levine D

    更新日期:2004-06-01 00:00:00

  • Pediatric gynecologic ultrasound.

    abstract::This article reviews salient features of pediatric gynecologic ultrasound. It reviews technologic factors, technique, and normal anatomy used to evaluate the pediatric gynecologic tract for abnormality. It reviews and illustrates clinical imaging information necessary to know in the ultrasonic analysis of several clin...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/00013644-200409000-00007

    authors: Ratani RS,Cohen HL,Fiore E

    更新日期:2004-09-01 00:00:00

  • Teaching ultrasound in developing countries: issues to consider when working in small medical facilities.

    abstract::The author provides some suggestions for those considering travel to developing countries to provide training in ultrasound at small medical facilities. Issues discussed will include planning before the trip, personal safety and health while there, as well as equipment and travel issues. ...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000043

    authors: Brown DL

    更新日期:2014-03-01 00:00:00

  • Dynamic automatic ultrasound optimization: time savings, keystroke savings, and image quality.

    abstract:PURPOSE:The aims of this study were to evaluate if a dynamic automatic image optimization technique decreases examination time and number of keystrokes while maintaining or improving image quality and to determine if these variables vary with sonographer experience. MATERIALS AND METHODS:Five sonographers of varying e...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0b013e3181a424e2

    authors: Barr RG,Grajo JR

    更新日期:2009-06-01 00:00:00

  • Ultrasound of Biliary Cast Syndrome and Its Mimics.

    abstract::Biliary cast syndrome (BCS) consists of mass-like hardened collections of inspissated bile and sloughed biliary mucosa filling the intrahepatic and/or extrahepatic bile ducts, which show an alternating pattern of dilatation and stricture. It is a rare but serious complication of liver transplantation frequently necess...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0000000000000196

    authors: Hu B,Horrow MM

    更新日期:2016-09-01 00:00:00

  • Duplex Doppler sonography of the carotid artery: velocity measurements in an artery with contralateral stenosis.

    abstract::To determine if a significant contralateral stenosis affects interpretation tables of the ipsilateral internal carotid artery's degree of stenosis in duplex Doppler ultrasound, the records of 307 patients with carotid duplex ultrasound studies with an angiogram performed within 3 months without intervening interventio...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0b013e31814fb469

    authors: Grajo JR,Barr RG

    更新日期:2007-09-01 00:00:00

  • Carotid Ultrasound Examinations: Indications Correlated With Abnormal Findings.

    abstract::Our purpose was to evaluate the clinical indications for carotid duplex ultrasonography and determine for each indication how often carotid artery disease was identified.We retrospectively reviewed the consecutive reports for 3191 carotid ultrasound examinations. We tracked 14 indications to determine how often examin...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000371

    authors: Naidich JB,Weiss A,Grimaldi GM,Kohn N,Naidich JJ,Pellerito JS

    更新日期:2018-09-01 00:00:00

  • Diagnosing Polyps on Transvaginal Sonography: Is Sonohysterography Always Necessary?

    abstract:BACKGROUND:Endometrial polyps are localized overgrowth of glands, stroma, and blood vessels and reported in 13% to 50% of women with dysfunctional uterine bleeding. Transvaginal ultrasound (TVUS) is the initial noninvasive modality of choice for the evaluation of endometrial polyps. The addition of intrauterine contras...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000384

    authors: Fadl SA,Sabry AS,Hippe DS,Al-Obaidli A,Yousef RR,Dubinsky TJ

    更新日期:2018-12-01 00:00:00

  • Imaging in renal transplantation.

    abstract::Renal transplantation is the best treatment option for chronic renal failure, with marked improvement in social activity, work, and family life. In addition to these obvious improvements, it is an extremely cost-effective procedure when successful. Ultrasonography plays a major role in the imaging of these patients, a...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/00013644-200309000-00003

    authors: Baxter GM

    更新日期:2003-09-01 00:00:00

  • ACR Appropriateness Criteria® acute pancreatitis.

    abstract::The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals a...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000099

    authors: Baker ME,Nelson RC,Rosen MP,Blake MA,Cash BD,Hindman NM,Kamel IR,Kaur H,Piorkowski RJ,Qayyum A,Yarmish GM

    更新日期:2014-12-01 00:00:00

  • Dermatology Ultrasound. Imaging Technique, Tips and Tricks, High-Resolution Anatomy.

    abstract::This article reviews the ultrasound (US) scanner setting, the examination methodology, and the anatomy of the skin. Dermatologic US requires frequencies of 15 MHz or greater and appropriate probe handling. The use of color Doppler imaging is mandatory, proven that it is set to detect slow flows. Trapezoid field of vie...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000520

    authors: Catalano O,Wortsman X

    更新日期:2020-12-01 00:00:00

  • Vessel tortuosity causing false positives in detecting renal artery stenosis on Doppler ultrasound.

    abstract:INTRODUCTION:Color Doppler ultrasound (CDUS) is currently preferred to screen for renal artery stenosis (RAS); however, a wide range of sensitivities and specificities have been reported. We wanted to identify potential factors contributing to this wide range and to improve CDUS screening for RAS. We noted RAS was over...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0b013e3182817b57

    authors: Lo R,Donaldson C

    更新日期:2013-03-01 00:00:00

  • Quantitative Assessment of Thyroid, Submandibular, and Parotid Glands Elasticity With Shear-Wave Elastography in Children.

    abstract::Tissue elasticity is becoming a more commonly used parameter in evaluation of parenchyma in inflammatory diseases. Considering the changes in the thyroid and salivary glands with adolescence, determination of mean elasticity ranges with a function of age is necessary to apply ultrasound elastography more widely in the...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000352

    authors: Arioz Habibi H,Memis Durmaz ES,Qarayeva V,Kandemirli SG,Kalyoncu Ucar A,Aslan M,Apaydin G,Kurugoglu S,Adaletli I

    更新日期:2018-06-01 00:00:00

  • Intraoperative ultrasonography of the brain and spine.

    abstract::Intraoperative ultrasonography can play a particularly useful role in facilitating surgery or guiding biopsies in the brain and spinal canal. Given the limited access that is frequently afforded to the operating surgeon, coupled with lesions that may be located in deep or seemingly inaccessible locations, sonography p...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/01.ruq.0000263840.92560.72

    authors: Kane RA,Kruskal JB

    更新日期:2007-03-01 00:00:00

  • Transabdominal sonography of bile ducts.

    abstract::Ultrasound is considered to be the initial imaging modality of choice for evaluation of bile ducts. In this article, sonographic anatomy of the bile ducts and ultrasound findings in congenital, inflammatory, neoplastic, and other abnormalities of bile ducts are described. Roles of color Doppler ultrasound and newer ap...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/00013644-200209000-00004

    authors: Parulekar SG

    更新日期:2002-09-01 00:00:00

  • Prenatal diagnosis of tethered spinal cord.

    abstract::Tethered spinal cord is associated with closed and open neural tube defects. With prenatal screening, spinal defects are consistently diagnosed during fetal life. We show that the conus medullaris can be seen well with prenatal ultrasound, and the diagnosis of tethered spinal cord can be made during fetal life. In thi...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0b013e3181a32218

    authors: Sohaey R,Oh KY,Kennedy AM,Ameli JR,Selden NR

    更新日期:2009-06-01 00:00:00

  • Ultrasound Diagnosis of Clinically Unsuspected Ureteral Stone Presenting as Acute Scrotum: Case Series.

    abstract::Ureteral colic is not generally included in the differential diagnoses of acute scrotal pain, although ureteral pathology is a recognized cause of pain referred to the scrotum. We report 3 patients presenting with acute scrotal pain who had normal scrotal color Doppler ultrasound scans; subsequent ultrasound of the ip...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000291

    authors: Wachsberg RH

    更新日期:2017-09-01 00:00:00

  • Systematic approach to difficult problems in breast sonography.

    abstract::Although there is an increasing use of more imaging modalities in breast imaging, the role of breast sonography has not diminished--in fact, the applications of sonography have increased with the improvement of high-frequency equipment. Compared with other breast imaging modalities, current sonographic equipment has e...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0b013e31816b8cdf

    authors: Hashimoto BE,Morgan GN,Kramer DJ,Lee M

    更新日期:2008-03-01 00:00:00

  • Predicting Adverse Neonatal Outcome Especially When Gestational Age Is Uncertain: Utility of Sonographic Measurement of Fetal Abdominal Wall Thickness.

    abstract::Early and accurate prenatal diagnosis of intrauterine growth restriction is important. Commonly used biometric parameters have limited specificity and require accurate dating. Fetal abdominal wall thickness (AWT) could be a useful supplemental parameter. We performed a retrospective study of 100 third trimester ultras...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章

    doi:10.1097/RUQ.0000000000000310

    authors: Wu L,Richardson ML,Dubinsky T

    更新日期:2017-09-01 00:00:00

  • Breast Involvement in Pure Cutaneous Rosai-Dorfman Disease: Ultrasound and Sonoelastography Appearance With a Review of the Literature.

    abstract::Rosai-Dorfman disease or sinus histiocytosis of the lymph nodes is a rare, idiopathic, and benign disorder. Painless lymphadenopathy is the most frequent systemic presenting symptom and involves the cervical region in up to 90% of the patients. Extranodal involvement is less common and can represent the initial or the...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/RUQ.0000000000000170

    authors: Ciurea A,Ciortea C,Cosarca M,Rogojan L

    更新日期:2016-06-01 00:00:00

  • Ultrasound of the scrotum.

    abstract::Ultrasound plays an important role in the diagnostic workup of scrotal diseases. It can differentiate a testicular mass from an extratesticular mass and determine whether the mass is cystic, solid, or complex. Using this information a likely diagnosis can be ascertained. In the acute scrotum, acute epididymitis/epidid...

    journal_title:Ultrasound quarterly

    pub_type: 杂志文章,评审

    doi:10.1097/00013644-200412000-00004

    authors: Akin EA,Khati NJ,Hill MC

    更新日期:2004-12-01 00:00:00