Comparison of different ovarian cancer detection algorithms

R. Macuks, Baidekalna, S. Donina

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


The objective of the study was to evaluate the accuracy of a combined-two step ovarian cancer screening tool consisting of the ovarian cancer symptom index combined with either a risk of ovarian malignancy algorithm (ROMA) or a risk of malignancy index. Material and Methods: The case-control study consisted of 31 patients with ovarian cancer, 30 patients with benign ovarian diseases and 27 age-matched healthy controls. Results: Sensitivity and specificity of the ovarian cancer symptom index among menopausal women were 84.6% and 52.9%, respectively. ROMA revealed the highest discriminative value when compared to others (AUC 98.4%). When the cutoff level of 28 was applied for menopausal women, ROMA revealed sensitivity and specificity of 95.8% and 93.1%, respectively. Conclusions: The ovarian cancer symptom index could be used as the first step in ovarian cancer screening with subsequent application of ROMA as a second step screening tool. A larger sample size in both control and patient groups should be evaluated to reach clear conclusions.

Original languageEnglish
Pages (from-to)408-410
Number of pages3
JournalEuropean Journal of Gynaecological Oncology
Issue number4
Publication statusPublished - 2011


  • CA125
  • HE4
  • Ovarian cancer
  • Screening

Field of Science*

  • 3.2 Clinical medicine

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database


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