Evidence map›Paper›PMID 39415417›Full record

SynthesisUltrasonography (Seoul, Korea)2024

GI-RADS versus O-RADS in the differential diagnosis of adnexal masses: a systematic review and head-to-head meta-analysis.

Marina Perez, Ainhoa Meseguer, Julio Vara, Jose Carlos Vilches, Ignacio Brunel, Manuel Lozano, Rodrigo Orozco, Juan Luis Alcazar

Abstract readMeta-Analysis
In one paragraph

Synthesis in Ultrasonography (Seoul, Korea), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marina PerezDepartment of Obstetrics and Gynecology, University General Hospital Nuestra Señora del Prado, Talavera de la Reina, Spain.
Ainhoa MeseguerDepartment of Obstetrics and Gynecology, Hospital Comarcal Francesc de Borja, Gandia, Spain.
Julio VaraDepartment of Obstetrics and Gynecology, School of Medicine, University of Navarra, Pamplona, Spain.
Jose Carlos VilchesDepartment of Obstetrics and Gynecology, Hospital QuirónSalud, Málaga, Spain.
Ignacio BrunelDepartment of Obstetrics and Gynecology, Hospital QuirónSalud, Málaga, Spain.
Manuel LozanoDepartment of Obstetrics and Gynecology, Hospital QuirónSalud, Málaga, Spain.
Rodrigo OrozcoDepartment of Obstetrics and Gynecology, Hospital QuirónSalud, Málaga, Spain.
Juan Luis AlcazarDepartment of Obstetrics and Gynecology, School of Medicine, University of Navarra, Pamplona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to compare the diagnostic performance of the Gynecology Imaging Reporting and Data System (GI-RADS) and Ovarian-Adnexal Reporting and Data System (O-RADS) ultrasound (US) classification systems and assess their capacity to stratify the risk of malignancy in adnexal masses (AMs).

methodsA comprehensive search of MEDLINE (PubMed), Scopus, Web of Science, and Google Scholar was conducted to identify articles published between January 2020 and August 2023. The quality of the studies, the risk of bias, and concerns regarding applicability were assessed using QUADAS-2.

resultsThe search yielded 132 citations. Five articles, which included a total of 2,448 AMs, were ultimately selected for inclusion. The risk of bias was high in all articles regarding patient selection, low in four studies for the index test, and unclear in three papers for the reference test. For GI-RADS, the pooled sensitivity and specificity were 90.8% (95% confidence interval [CI], 86.0% to 94.0%) and 91.5% (95% CI, 89.0% to 93.0%), respectively. For O-RADS, the pooled sensitivity and specificity were 95.1% (95% CI, 93.0% to 97.0%) and 88.8% (95% CI, 85.0% to 92.0%), respectively. O-RADS demonstrated greater sensitivity for malignancy than GI-RADS (P<0.05). Heterogeneity was moderate for both sensitivity and specificity with respect to GIRADS; for O-RADS, heterogeneity was moderate for sensitivity and high for specificity.

conclusionBoth GI-RADS and O-RADS US demonstrate good diagnostic performance in the preoperative assessment of AMs. However, the O-RADS classification provides superior sensitivity.

Indexed as

Adnexal massesDiagnosisUltrasound

Identifiers

PMID39415417
PMCPMC11532524

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.