{"title":"盆腔粘连超声新评分系统:腹腔镜术前评估工具。","authors":"Qiuling Guo, Yanru Li, Weiru Lin, Caihong Liu, Jincheng Dai, Guorong Lyu, Shanshan Su","doi":"10.1002/jum.16758","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To develop a new ultrasound-based scoring system for pelvic adhesions and evaluate its predictive performance through intraoperative findings during laparoscopy.</p><p><strong>Methods: </strong>This prospective study was conducted from April 2023 to June 2024, including 152 adult patients undergoing laparoscopic surgery at our hospital. Imaging and clinical data were collected, and preoperative assessment of pelvic adhesions was performed using a novel ultrasound scoring system. Pearson correlation analysis was used to assess its correlation with the revised American Fertility Society (rAFS) score. The predictive performance, accuracy, and clinical utility of the new scoring system were evaluated from multiple perspectives using receiver operating characteristic (ROC) curves, calibration curves, decision curve analysis (DCA), and clinical impact curves.</p><p><strong>Results: </strong>Pearson correlation analysis showed a strong correlation (correlation coefficient = 0.88, P < .001) between the new ultrasound scoring system and rAFS. The area under the ROC curve (AUC) for predicting mild, moderate, and severe pelvic adhesions using the new scoring system were 0.927, 0.952, and 0.937, indicating good predictive performance. Calibration curve analysis demonstrated high predictive accuracy for pelvic adhesions. DCA indicated strong clinical utility of the new scoring system, and the clinical impact curve showed its ability to accurately identify high-risk pelvic adhesion patients during laparoscopic surgery.</p><p><strong>Conclusions: </strong>The newly established scoring system demonstrated good predictive performance, discrimination, and clinical utility, providing a valuable guiding tool for the prediction of the presence or absence of adhesions.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pelvic Adhesion Ultrasound New Scoring System: A Promising Preoperative Assessment Tool for Laparoscopy.\",\"authors\":\"Qiuling Guo, Yanru Li, Weiru Lin, Caihong Liu, Jincheng Dai, Guorong Lyu, Shanshan Su\",\"doi\":\"10.1002/jum.16758\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To develop a new ultrasound-based scoring system for pelvic adhesions and evaluate its predictive performance through intraoperative findings during laparoscopy.</p><p><strong>Methods: </strong>This prospective study was conducted from April 2023 to June 2024, including 152 adult patients undergoing laparoscopic surgery at our hospital. Imaging and clinical data were collected, and preoperative assessment of pelvic adhesions was performed using a novel ultrasound scoring system. Pearson correlation analysis was used to assess its correlation with the revised American Fertility Society (rAFS) score. The predictive performance, accuracy, and clinical utility of the new scoring system were evaluated from multiple perspectives using receiver operating characteristic (ROC) curves, calibration curves, decision curve analysis (DCA), and clinical impact curves.</p><p><strong>Results: </strong>Pearson correlation analysis showed a strong correlation (correlation coefficient = 0.88, P < .001) between the new ultrasound scoring system and rAFS. The area under the ROC curve (AUC) for predicting mild, moderate, and severe pelvic adhesions using the new scoring system were 0.927, 0.952, and 0.937, indicating good predictive performance. Calibration curve analysis demonstrated high predictive accuracy for pelvic adhesions. DCA indicated strong clinical utility of the new scoring system, and the clinical impact curve showed its ability to accurately identify high-risk pelvic adhesion patients during laparoscopic surgery.</p><p><strong>Conclusions: </strong>The newly established scoring system demonstrated good predictive performance, discrimination, and clinical utility, providing a valuable guiding tool for the prediction of the presence or absence of adhesions.</p>\",\"PeriodicalId\":17563,\"journal\":{\"name\":\"Journal of Ultrasound in Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Ultrasound in Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jum.16758\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Ultrasound in Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jum.16758","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ACOUSTICS","Score":null,"Total":0}
Pelvic Adhesion Ultrasound New Scoring System: A Promising Preoperative Assessment Tool for Laparoscopy.
Objective: To develop a new ultrasound-based scoring system for pelvic adhesions and evaluate its predictive performance through intraoperative findings during laparoscopy.
Methods: This prospective study was conducted from April 2023 to June 2024, including 152 adult patients undergoing laparoscopic surgery at our hospital. Imaging and clinical data were collected, and preoperative assessment of pelvic adhesions was performed using a novel ultrasound scoring system. Pearson correlation analysis was used to assess its correlation with the revised American Fertility Society (rAFS) score. The predictive performance, accuracy, and clinical utility of the new scoring system were evaluated from multiple perspectives using receiver operating characteristic (ROC) curves, calibration curves, decision curve analysis (DCA), and clinical impact curves.
Results: Pearson correlation analysis showed a strong correlation (correlation coefficient = 0.88, P < .001) between the new ultrasound scoring system and rAFS. The area under the ROC curve (AUC) for predicting mild, moderate, and severe pelvic adhesions using the new scoring system were 0.927, 0.952, and 0.937, indicating good predictive performance. Calibration curve analysis demonstrated high predictive accuracy for pelvic adhesions. DCA indicated strong clinical utility of the new scoring system, and the clinical impact curve showed its ability to accurately identify high-risk pelvic adhesion patients during laparoscopic surgery.
Conclusions: The newly established scoring system demonstrated good predictive performance, discrimination, and clinical utility, providing a valuable guiding tool for the prediction of the presence or absence of adhesions.
期刊介绍:
The Journal of Ultrasound in Medicine (JUM) is dedicated to the rapid, accurate publication of original articles dealing with all aspects of medical ultrasound, particularly its direct application to patient care but also relevant basic science, advances in instrumentation, and biological effects. The journal is an official publication of the American Institute of Ultrasound in Medicine and publishes articles in a variety of categories, including Original Research papers, Review Articles, Pictorial Essays, Technical Innovations, Case Series, Letters to the Editor, and more, from an international bevy of countries in a continual effort to showcase and promote advances in the ultrasound community.
Represented through these efforts are a wide variety of disciplines of ultrasound, including, but not limited to:
-Basic Science-
Breast Ultrasound-
Contrast-Enhanced Ultrasound-
Dermatology-
Echocardiography-
Elastography-
Emergency Medicine-
Fetal Echocardiography-
Gastrointestinal Ultrasound-
General and Abdominal Ultrasound-
Genitourinary Ultrasound-
Gynecologic Ultrasound-
Head and Neck Ultrasound-
High Frequency Clinical and Preclinical Imaging-
Interventional-Intraoperative Ultrasound-
Musculoskeletal Ultrasound-
Neurosonology-
Obstetric Ultrasound-
Ophthalmologic Ultrasound-
Pediatric Ultrasound-
Point-of-Care Ultrasound-
Public Policy-
Superficial Structures-
Therapeutic Ultrasound-
Ultrasound Education-
Ultrasound in Global Health-
Urologic Ultrasound-
Vascular Ultrasound