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 - Takeaways - MDSpire

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

  • By

  • Rongsen Zhang

  • Yan Tan

  • Xiaoye Zhang

  • Taiqing Zheng

  • Minghui Liu

  • Guotao Wang

  • July 15, 2026

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  • 1

    The study evaluated the diagnostic performance of the O-RADS system for adnexal masses in 501 pediatric patients across three age groups.

  • 2

    In school-age children, O-RADS demonstrated 100% sensitivity and 93.6% specificity, with an area under the curve (AUC) of 0.968.

  • 3

    Early adolescents showed a sensitivity of 95.8% and specificity of 88.5%, with an AUC of 0.922, indicating strong diagnostic performance.

  • 4

    Middle adolescents had lower sensitivity at 88.2% and specificity at 85.6%, with a significant drop in AUC to 0.869 compared to younger groups.

  • 5

    The study highlights the need for age-specific considerations in applying the O-RADS system due to varying diagnostic performance across age groups.

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