Diagnostic Accuracy of Biomarkers and International Ovarian Tumor Analysis Simple Rules in Diagnosis of Ovarian Cancer

Hematol Oncol Clin North Am. 2024 Feb;38(1):251-265. doi: 10.1016/j.hoc.2023.06.011. Epub 2023 Aug 1.

Abstract

This study investigated whether combining International Ovarian Tumor Analysis (IOTA) Simple Rules with tumor biomarkers would improve the diagnostic accuracy for early detection of adnexal malignancies. Receiver operating characteristic curve analysis of suspected adnexal tumors was performed in 226 women admitted for surgery at the University Clinical Center of Kosovo. Primary outcome was the diagnostic accuracy of the combination of adnexal mass biomarkers and IOTA Simple Rules. IOTA Simple Rules combined with biomarker indications increased the diagnostic accuracy of classifying adnexal masses. Data analysis of individual measures showed that ferritin had the lowest rate of sensitivity.

Keywords: IOTA Simple Rules; Kosovo; Ovarian cancer; ROC analysis; Tumor biomarkers.

Publication types

  • Review

MeSH terms

  • Adnexal Diseases* / diagnosis
  • Adnexal Diseases* / pathology
  • Biomarkers
  • Diagnosis, Differential
  • Female
  • Humans
  • Ovarian Neoplasms* / diagnosis
  • Ovarian Neoplasms* / pathology
  • Sensitivity and Specificity
  • Ultrasonography

Substances

  • Biomarkers