To Compare the Diagnostic Efficacy of Ultrasonography and Computed Tomography in The Assessment of Suspicious Ovarian Masses

Diagnostic Efficacy of Ultrasonography and Computed Tomography in Ovarian Masses

Abstract

Background: To compare the diagnostic efficacy of ultrasonography and computed tomography in the assessment of suspicious ovarian masses. Subjects and Methods: A total of 110 female participants were enrolled as subjects in this prospective study and carried out at Department of Radiology, Dhanalakshmi Srinivasan Medical College and Hospital. All patients underwent abdominal ultrasonography and computed tomography (CT) scan to determine the characteristics of the ovarian mass. This study excluded patients who had ovarian masses that could be managed conservatively. A comprehensive medical history pertaining to allergies and renal function tests was obtained prior to conducting the CT scan. In cases where a patient had a documented history of allergies, nonionic contrast agents were administered. Results: In the evaluation of benign and malignant ovarian masses, computed tomography (CT) demonstrated a sensitivity of 95.45%, specificity of 91.82%, and an accuracy of 93.64%. Additionally, the positive predictive value (PPV) and negative predictive value (NPV) were determined to be 94.55% and 90.91%, respectively. The sensitivity of ultrasonography (USG) in this study was found to be 90.91% for benign cases and 78.18% for malignant cases. The specificity of USG was determined to be 86.36% for benign cases and 77.27% for malignant cases. The positive predictive value (PPV) was calculated to be 88.18% for benign cases and 74.55% for malignant cases, while the negative predictive value (NPV) was 86.36% for benign cases and 72.73% for malignant cases. Conclusion: We concluded that the computed tomography (CT) has demonstrated a greater number of benefits in terms of tumor localization and characterization. Therefore, computed tomography (CT) may be recommended in cases where atypical abnormalities are detected during a routine ultrasound (USG) scan for the purpose of diagnosing ovarian masses.