Background: Globally as growing occurrence ratio of ovarian cancer as well as
efficacy of Gynecologic-Imaging Reporting-and-Data-System GI-RADS to diagnose pathologies
like ovaries cancer, we designed for evaluating the presentation of diagnosis
of this system to differentiate among the adnexal benign and malignant lesions.
For routine gynecologic examinations, pelvic ultrasound is generally used,
consequential in analysis of adnexal lesions, main stream of which are benign
or functional. Though, because of probable difficulties including benign
adnexal cyst (i.e. pelvic pain and adnexal torsion) as well as ultimate
significance of initial analysis as well as cure of ovarian cancer, precise
ultrasound analysis of adnexal lesions is important in clinical run through
Methods: We searched google scholar and pubmed form 2000 to December 2019.
Selection criteria reporting on the accuracy of GI-R-A-D-S system in
Results: In this study, we evaluated 197 women with suspected appendicitis. The
proportions of GI-RADS II, III, IV and V were 34.5 (69 cases), 38.0 (76 cases),
19.5 (39 cases) and 6.5 (13 cases). For the high-risk and low-risk GI-RADS
subtypes, 72.5% were classified as GI-RADS II and III, and 26 were classified
as GI-RADS IV and V, respectively. Conclusive histopathologic analysis was
testified for 158 cases. Histopathologic assessment designated that 12(7.6%) of
were malignant masses as well as 146(92.6%) were benign. Associating by
histopathologic analysis, the GIRADS system specificity, sensitivity, negative
predictive value and positive predictive value, as well as negative LR were
91.6, 80.82, 28.2, 99.1, 4.77, and 0.10, correspondingly. The accurateness of
the scoring system was 81.64%.
Conclusion: This systemic review concluded that by
Gynecologic-Imaging-Reporting-Data System, we could measure the possibility of
malignant stage through such an organized along with modest recording system
thus that system could be valuable in clinician to perform a suitable clinical
Keywords: Adnexal Diseases, Ovarian Neoplasms, Ultrasonography.