Age-stratified diagnostic performance of the ovarian-adnexal reporting and data system for adnexal masses: a focus on school-age children, early, and middle adolescents - Scorecard - MDSpire
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Age-stratified diagnostic performance of the ovarian-adnexal reporting and data system for adnexal masses: a focus on school-age children, early, and middle adolescents
Clinical Scorecard: Evaluation of Ovarian-Adnexal Reporting and Data System Diagnostic Efficacy for Adnexal Masses in Pediatric Age Groups: Emphasis on School-Aged Children and Adolescents
At a Glance
Category
Detail
Condition
Adnexal masses in pediatric populations
Key Mechanisms
Ovarian-Adnexal Reporting and Data System (O-RADS) ultrasound classification
Target Population
Pediatric patients aged 6-17 years
Care Setting
Gynecological ultrasound examination
Key Highlights
O-RADS demonstrated 100% sensitivity and 93.6% specificity in school-age children.
Sensitivity decreased to 88.2% and specificity to 85.6% in middle adolescents.
Positive predictive value (PPV) dropped from 71.4% in school-age children to 29.4% in middle adolescents.
Significant difference in AUC between middle adolescents and school-age children (P = 0.027).
Age-specific considerations are crucial for applying O-RADS in pediatric populations.
Guideline-Based Recommendations
Diagnosis
Utilize O-RADS ultrasound lexicon for classification of adnexal masses.
Management
Consider age-specific diagnostic performance when evaluating adnexal masses.
Monitoring & Follow-up
Monitor changes in diagnostic performance across different pediatric age groups.
Risks
Be aware of the lower pretest probability of malignancy in pediatric populations.
Patient & Prescribing Data
501 pediatric patients with adnexal masses
Histological confirmation via surgery or biopsy is necessary for diagnosis.
Clinical Best Practices
Implement standardized assessment protocols using O-RADS for pediatric adnexal masses.
Ensure radiologists are trained in the O-RADS classification system.
