Evidence map›Paper›PMID 42220049›Full record

ArticleUltrasonography (Seoul, Korea)2026

Construction of a nomogram model for predicting benignity and malignancy in adnexal masses.

Kun Zhang, Lieming Wen, Yuyang Guo, Shan Zhou, Yaqian Fu, Yunxia Huang, Baihua Zhao

Abstract read
In one paragraph

Article in Ultrasonography (Seoul, Korea), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kun ZhangDepartment of Ultrasound Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Lieming WenDepartment of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, Changsha, China.
Yuyang GuoDepartment of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, Changsha, China.
Shan ZhouHealth Management Center, The Second Xiangya Hospital, Central South University, Changsha, China.
Yaqian FuHealth Management Center, The Second Xiangya Hospital, Central South University, Changsha, China.
Yunxia HuangDepartment of Ultrasound, The Third Xiangya Hospital, Central South University, Changsha, China.
Baihua ZhaoDepartment of Ultrasound Diagnosis, The Second Xiangya Hospital, Central South University, Changsha, China.

Funding

Natural Science Foundation of Hunan Province 2024JJ9192
6 · The paper itself

Abstract

purposeThis study aimed to construct a simple nomogram model to predict the benign or malignant nature of ovarian masses.

methodsA total of 794 patients with ovarian masses from two independent medical centers between 2017 and 2024 were included. Among them, 700 patients from center 1 were randomly divided into training and internal validation datasets, and 94 patients from center 2 comprised the external validation dataset. Clinical information, ultrasound images, and sonographic characteristics were collected for all patients. Independent risk factors were screened and incorporated into the nomogram. The diagnostic performance of the nomogram was compared with that of the Risk of Malignancy Index 4 (RMI4) and Ovarian-Adnexal Reporting and Data System (O-RADS) models.

resultsUltrasound score, menopausal status, maximum tumor diameter, elevated carbohydrate antigen 125, and elevated human epididymis protein 4 were identified as independent risk factors for distinguishing benign from malignant ovarian masses. In the training, internal validation, and external validation datasets, the areas under the receiver operating characteristic curve (AUCs) were 0.912, 0.906, and 0.949, respectively. The corresponding sensitivity values were 79.9%, 71.2%, and 93.3%, and the specificity values were 87.6%, 90.4%, and 86.7%, respectively. Compared with RMI4 and O-RADS, the nomogram demonstrated the highest AUC and greater clinical net benefit.

conclusionThe nomogram is simple to apply and demonstrates significantly higher diagnostic performance than RMI4, while achieving comparable performance to O-RADS. It may serve as a practical and widely applicable tool for predicting the benign or malignant nature of ovarian tumors.

Indexed as

Adnexal massNomogramsO-RADSRMI4

Identifiers

PMID42220049
PMCPMC13246879

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