{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:48:21Z","timestamp":1787730501230,"version":"build-2784847793"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1157","license":[{"start":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T00:00:00Z","timestamp":1708732800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Key Research and Development Projects of Anhui Province","award":["2022e07020008"],"award-info":[{"award-number":["2022e07020008"]}]},{"name":"The University Science Technology Research Project of Anhui Educational Committee","award":["2022AH051262"],"award-info":[{"award-number":["2022AH051262"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the value of magnetic resonance imaging (MRI) and clinical features in identifying ovarian thecoma-fibroma (OTF) with cystic degeneration and ovary adenofibroma (OAF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 40 patients with OTF (OTF group) and 28 patients with OAF (OAF group) were included in this retrospective study. Univariable and multivariable analyses were performed on clinical features and MRI between the two groups, and the receiver operating characteristic (ROC) curve was plotted to estimate the optimal threshold and predictive performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The OTF group had smaller cyst degeneration degree (P\u2009&amp;lt;\u2009.001), fewer black sponge sign (20% vs. 53.6%, P\u2009=\u2009.004), lower minimum apparent diffusion coefficient value (ADCmin) (0.986 (0.152) vs. 1.255 (0.370), P\u2009&amp;lt;\u2009.001), higher age (57.4\u2009\u00b1\u200914.2 vs. 44.1\u2009\u00b1\u200915.9, P\u2009=\u2009.001) and more postmenopausal women (72.5% vs. 28.6%, P\u2009&amp;lt;\u2009.001) than OAF. The area under the curve of MRI, clinical features and MRI combined with clinical features was 0.870, 0.841, and 0.954, respectively, and MRI combined with clinical features was significantly higher than the other two (P\u2009&amp;lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The cyst degeneration degree, black sponge sign, ADCmin, age and menopause were independent factors in identifying OTF with cystic degeneration and OAF. The combination of MRI and clinical features has a good effect on the identification of the two.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge<\/jats:title>\n                    <jats:p>This is the first time to distinguish OTF with cystic degeneration from OAF by combining MRI and clinical features. It shows the diagnostic performance of MRI, clinical features, and combination of the two. This will facilitate the discriminability and awareness of these two diseases among radiologists and gynaecologists.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjr\/tqae046","type":"journal-article","created":{"date-parts":[[2024,2,25]],"date-time":"2024-02-25T06:35:23Z","timestamp":1708842923000},"page":"1057-1065","source":"Crossref","is-referenced-by-count":6,"title":["MRI combined with clinical features to differentiate ovarian thecoma-fibroma with cystic degeneration from ovary adenofibroma"],"prefix":"10.1093","volume":"97","author":[{"given":"Juan","family":"Bo","sequence":"first","affiliation":[{"name":"Department of Radiology, Anhui Provincial Hospital Affiliated to Anhui Medical University , Hefei, Anhui 230001, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingjie","family":"Sun","sequence":"additional","affiliation":[{"name":"Faculty of Graduate Studies , , Wuhu, Anhui 241002, China"},{"name":"Wannan Medical College , , Wuhu, Anhui 241002, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Radiology, Western District, First Affiliated Hospital of University of Science and Technology of China , No.107 Huanhu East Road, Shushan District , Hefei, Anhui, 230031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longyu","family":"Wei","sequence":"additional","affiliation":[{"name":"Faculty of Graduate Studies , , Bengbu, Anhui 233030, China"},{"name":"Bengbu Medical College , , Bengbu, Anhui 233030, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baoyue","family":"Fu","sequence":"additional","affiliation":[{"name":"Faculty of Graduate Studies , , Bengbu, Anhui 233030, China"},{"name":"Bengbu Medical College , , Bengbu, Anhui 233030, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Western District, First Affiliated Hospital of University of Science and Technology of China , No.107 Huanhu East Road, Shushan District , Hefei, Anhui, 230031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Western District, First Affiliated Hospital of University of Science and Technology of China , No.107 Huanhu East Road, Shushan District , Hefei, Anhui, 230031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2954-076X","authenticated-orcid":false,"given":"Jiangning","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Radiology, Anhui Provincial Hospital Affiliated to Anhui Medical University , Hefei, Anhui 230001, China"},{"name":"Department of Radiology, Western District, First Affiliated Hospital of University of Science and Technology of China , No.107 Huanhu East Road, Shushan District , Hefei, Anhui, 230031, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,24]]},"reference":[{"issue":"3","key":"2024050718553186900_tqae046-B1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1148\/radiology.204.3.9280262","article-title":"Fibroma and fibrothecoma of the ovary: MR imaging findings","volume":"204","author":"Troiano","year":"1997","journal-title":"Radiology"},{"issue":"5","key":"2024050718553186900_tqae046-B2","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1007\/s00330-003-2060-z","article-title":"CT and MRI findings of cystadenofibromas of the ovary","volume":"14","author":"Cho","year":"2004","journal-title":"Eur Radiol"},{"key":"2024050718553186900_tqae046-B3","first-page":"105","volume-title":"WHO Classification of Tumours Editorial Board. 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