Comparison of Two Ovarian Malignancy Prediction Models Based on Age Sonographic Findings and Serum Ca125 Measurement

Objective: The aim of our study is to compare an ovarian malignancy prediction model based on age andfour sonographic findings (OMPS1) with a new model called OMPS2 which differs just by adding serum CA125measurement to (OMPS1).
Methods: In a cross sectional comparative study OMPS1 was validated in 830 operatedovarian masses within a 3 years period (2006-2009). Logistic regression analysis was used to construct OMPS2based on OMPS1 adding serum CA125 findings. The area under the curve for two models was compared in411 patients.
Results: OMPS2 was calculated as follows: OMPS1 + 1.444 (if serum CA125= 36-200) or 3.842 (ifserum CA125 is more than 200). AUC of OMPS2 was increased to 84.3% (CI 95% 78.1- 89.8) in comparison toOMPS1 with AUC of 78.1% (CI 95% 71.8-84.5).
Conclusion: Our second model is more accurate in predictionof ovarian malignancy, compared with our first model.