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Obstetrics and Gynecology Residents Can Accurately Classify Benign Ovarian Tumors Using the International Ovarian Tumor Analysis Rules.
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Abstract:
OBJECTIVES:Recognition of benign versus malignant tumors is essential in gynecologic ultrasound (US). The International Ovarian Tumor Analysis (IOTA) rules have been proposed as part of resident US training. The objective of this study was to examine whether they could be accurately used by obstetrics and gynecology residents in Rwanda. METHODS:Patients undergoing explorative laparotomy for adnexal masses at the University Teaching Hospital of Kigali were included. Before the study, a didactic lecture on the IOTA rules for classifying adnexal masses was performed. Preoperative transabdominal US examinations were performed by residents at different levels of training, who were blinded to the results of prior US examinations. The IOTA classification was compared to the final pathologic diagnosis. RESULTS:There were 72 patients who underwent 116 US examinations. Only 15.5% of US examinations were considered inconclusive. First-year residents (12) correctly diagnosed 18 of 20 masses (90%) as benign and 4 of 4 as malignant. Second-year residents (9) classified 29 of 29 masses correctly. Third-year residents (10) accurately identified 21 of 22 (95.5%) as benign and 5 of 5 as malignant. Fourth-year residents (13) accurately identified 11 of 12 (91.7%) as benign and 6 of 6 as malignant. Therefore, 74 of 78 tumors (94.9%) considered benign by IOTA rules were confirmed by histologic results. Similarly, all 20 tumors classified as malignant were confirmed. Overall, the sensitivities to diagnose benign and malignant tumors by the IOTA rules were 83.3% and 100%, respectively. The positive and negative predictive values were 100% and 94.9%. There were no significant differences noted between residency years. CONCLUSIONS:All levels of Rwandan obstetrics and gynecology residents were able to use the IOTA rules to accurately distinguish benign from malignant tumors.
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JOURNAL OF ULTRASOUND IN MEDICINE
J ULTRAS MED
| 最新影响因子：2.754 | 期刊ISSN：0278-4297 | CiteScore：1.43 |
| 出版周期：Monthly | 是否OA：YES | 出版年份：1982 |
| 自引率：8.10% | 研究方向：医学-核医学 |
| 出版地区：UNITED STATES |
SCI期刊coverage：Science Citation Index Expanded（科学引文索引扩展）
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JOURNAL OF ULTRASOUND IN MEDICINE 期刊简介
英文简介：
The Journal of Ultrasound in Medicine is dedicated to the rapid, accurate publication of original articles dealing with all aspects of diagnostic ultrasound, particularly its direct application to patient care, but also relevant basic science, advances in instrumentation, and biologic effects. Research papers, case reports, review articles, technical notes, and letters to the editor are published.
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JOURNAL OF ULTRASOUND IN MEDICINE 期刊中科院评价数据
最新中科院分区
| 大类(学科) | 小类(学科) | 学科排名 |
| 医学 |
ACOUSTICS (声学) 4区 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING (核医学) 4区 |
18/31 88/129 |
最新公布的期刊年发文量
| 年度总发文量 | 年度论文发表量 | 年度综述发表量 |
| 266 | 257 | 9 |
总被引频次：6688
特征因子：0.008860
影响因子趋势图
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JOURNAL OF ULTRASOUND IN MEDICINE 期刊CiteScore评价数据
最新CiteScore值
1.43
=
引文计数(2018)
文献(2015-2017)
=
1377次引用
964篇文献
文献总数（2014-2016）：964
被引比率：57%
SJR：0.586
SCLmago期刊等级衡量经过加权后的期刊受引用次数，引用次数的加权值由施引期刊的学科领域和声望(SJR)决定。
SNIP：0.845
每篇文章中来源出版物的标准化影响将实际受引用情况对照期刊所属学科领域中预期的受引用情况进行衡量。
CiteScore排名
| 序号 | 类别 | 排名 | 百分位 |
| 1 |
大类(学科)：Health Professions
小类(学科)：Radiological and Ultrasound Technology
|
#23/47
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| 2 |
大类(学科)：Medicine
小类(学科)：Radiology, Nuclear Medicine and Imaging
|
#123/270
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|
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liting7111
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liting7111
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liting7111
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liting7111
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