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Ultrasound Can Effectively Predict Ovarian Cancer and Prevent Unnecessary Surgery

By MedImaging International staff writers
Posted on 24 Mar 2022

Ovarian cancer is the deadliest of the gynecologic cancers. More...

Characterization of adnexal lesions, or lumps near the uterus, on ultrasound examination is crucial for appropriate patient management, as some adnexal lesions can progress to cancer, while many others are benign and do not require treatment. Current risk stratification systems perform well, but their multiple sub-categories and multifaceted approach may make them difficult for radiologists in busy clinical practices to master. According to a new study, the appearance of ovarian lesions on ultrasound is an effective predictor of cancer risk that can help women avoid unnecessary surgery.

In the new study, researchers at the University of Rochester Medical Center (Rochester, NY, USA) assessed a method that uses ultrasound images to classify adnexal lesions into one of two categories: classic or non-classic. Classic lesions are the commonly detected ones such as fluid-filled cysts that carry a very low risk of malignancy. Non-classic lesions include lesions with a solid component and blood flow detected on Doppler ultrasound. A classic versus non-classic approach to these lesions could help radiologists in a busy clinical practice more quickly assess a lesion.

The researchers looked at 970 isolated adnexal lesions in 878 women, mean age 42 years, at average risk of ovarian cancer, meaning they had no family history or genetic markers linked with the disease. Of the 970 lesions, 53 (6%) were malignant. The classic versus non-classic ultrasound-based categorization approach achieved a sensitivity of 92.5% and a specificity of 73.1% for diagnosing malignancy in ovarian cancer. The frequency of malignancy was less than 1% in lesions with classic ultrasound features. In contrast, lesions that had a solid component with blood flow had a malignancy frequency of 32% in the overall study group and 50% in study participants who were more than 60 years old.

When a classic benign lesion is encountered, patients may be reassured a benign lesion is present, avoiding extensive further work-up. If additional research supports the study findings, then the system could end up being a useful tool for radiologists that would spare many women the costs, stress and complications of surgery. While these findings on diagnostic ultrasound exams offer valuable triaging information, ultrasound has not been proven beneficial specifically as a screening exam for ovarian cancer.

"If you have something that follows the classic imaging patterns described for these lesions, then the risk of cancer is really low," said study lead author Akshya Gupta, M.D., from the University of Rochester Medical Center. "If you have something that's not classic in appearance, then the presence of solid components and particularly the presence of Doppler blood flow is really what drives the risk of malignancy."

"Ultimately, we're hoping that by using the ultrasound features we can triage which patients need follow-up imaging with ultrasound or MRI and which patients should be referred to surgery," Dr. Gupta said.

Related Links:
University of Rochester Medical Center 


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89 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792134 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
90 (37.908554077148): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
91 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (!!!!! 3752.9468536377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
106 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
107 (70.095062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (61.988830566406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
109 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
110 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
111 (74.863433837891): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (588.89389038086): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (!!!!! 3509.0446472168): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (428.91502380371): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
115 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
116 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
117 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
118 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
119 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
120 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
121 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
122 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
123 (452.99530029297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
124 (!!!!! 57135.105133057): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
125 (!!!!! 2166.9864654541): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792134 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792134 AND type='deeppockets_item' AND published='1' LIMIT 1
126 (!!!!! 20339.965820312): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (560.99891662598): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
128 (644.92225646973): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
130 (451.08795166016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (327.11029052734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
132 (!!!!! 3926.0387420654): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (!!!!! 1267.1947479248): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
134 (407.93418884277): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (623.94142150879): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
136 (!!!!! 1566.8869018555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (905.03692626953): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
138 (116.10984802246): SELECT name FROM jos_deeppockets WHERE id=214
139 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=214
140 (913.85841369629): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (!!!!! 1573.8010406494): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
142 (310.89782714844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
143 (519.99092102051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
144 (!!!!! 26185.035705566): TRUNCATE TABLE jos_trademed_module
145 (145.91217041016): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (92.029571533203): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294792134 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
147 (!!!!! 3049.8504638672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
149 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
150 (125.16975402832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
151 (!!!!! 1489.8777008057): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
152 (142.81272888184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
153 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
154 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792134 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792134 AND type='deeppockets_item' AND published='1' LIMIT 1
155 (30.040740966797): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)
156 (29.087066650391): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)
157 (54.121017456055): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
158 (209.80834960938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
159 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792134 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792134 AND published='1' LIMIT 1
160 (52.928924560547): select jos_twitters.link from jos_twitters where cat=10
161 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10
162 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10
163 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10