Preoperative CT image-based assessment for estimating risk of ovarian torsion in women with ovarian lesions and pelvic pain

Autor: Nam Hun Heo, Ji Eun Lee, Seung Soo Kim, Hyeong Cheol Shin, Jeong Ah Hwang, Sunyoung Lee, Seo-Youn Choi
Rok vydání: 2020
Předmět:
Zdroj: Abdominal radiology (New York). 46(3)
ISSN: 2366-0058
Popis: To define and weight the preoperative CT findings for ovarian torsion and to develop an integrated nomogram for estimating the probability of ovarian torsion in women with ovarian lesion and pelvic pain. This retrospective study included 218 women with surgically resected ovarian lesions who underwent preoperative contrast-enhanced CT for pelvic pain from January 2014 to February 2019. Significant imaging findings for torsion were extracted using regression analyses and a regression coefficient-based nomogram was constructed. The diagnostic performance with sensitivity, specificity, and accuracy of the significant imaging findings and the nomogram were assessed. A total of 255 ovarian lesions (123 lesions with torsion and 132 lesions without torsion) were evaluated. Multivariable regression analysis showed that whirl sign (odds ratio [OR] 11.000; p
Databáze: OpenAIRE