Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

Chilla, Bianka; Hauser, Nik; Singer, Gad; Trippel, Mafalda; Froehlich, Johannes M.; Ra, Kubik-Huch

doi:10.1007/s00330-010-2018-x

Cited by 35 publications

(22 citation statements)

References 39 publications

(56 reference statements)

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“…25 In a recently published large systematic quantitative review of the use of the MRI in the discrimination of invasive and borderline tumors from benign ovarian lesions, a sensitivity of 0.92 and a specificity of 0.85 have been reported for this imaging technique. 26 Owing to its remarkably high reported sensitivity, it seems possible that MRI in combination with expert sonography and the RMI could potentially further ameliorate the diagnostic accuracy in the assessment of an adnexal mass.…”

Section: Discussionmentioning

confidence: 99%

Preoperative Multimodal Strategies for Risk Assessment of Adnexal Masses

Radosa

Camara²,

Vorwergk³

et al. 2011

International Journal of Gynecological Cancer

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Section: Discussionmentioning

confidence: 99%

Preoperative Multimodal Strategies for Risk Assessment of Adnexal Masses

Radosa

Camara²,

Vorwergk³

et al. 2011

International Journal of Gynecological Cancer

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“…map images] may also be obtained for improved detection and characterization of pelvic pathology (2). Qualitative assessment of signal intensities on diffusion-weighted images has shown significant differences in benign and malignant pathology, with high signal intensity was observed more frequently in malignant lesions (5 …”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…MRI offers excellent tissue characterization due to high soft tissue contrast and can aid in the diagnosis of such pathologies when incompletely evaluated with pelvic ultrasonography (2). MRI also offers high spatial resolution and multiplanar imaging capability, such that differentiation between nonovarian and ovarian lesions is feasible.…”

Section: Introductionmentioning

confidence: 98%

“…These lesions are usually first encountered with ultrasound however, frequently pelvic ultrasonography lacks the specificity and will not be covered in this review (2). MRI offers excellent tissue characterization due to high soft tissue contrast and can aid in the diagnosis of such pathologies when incompletely evaluated with pelvic ultrasonography (2).…”

Section: Introductionmentioning

confidence: 98%

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Magnetic resonance imaging evaluation of non ovarian adnexal lesions

et al. 2016

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“…7 MRG benign-malign kitle karakterizasyonunda US ve klinik bulgular ile birlikte değerlendirildiğin-de yüksek doğruluk oranlarına ulaşmaktadır. 9 Balan tarafından yapılan çalışmada, adneksiyel kitlelerin karakterizasyonunda doğruluk oranları US'nin %83 MRG'nin %96 saptanmıştır. 1 Çalışmamızda benignmalign kitlelerin ayırımı US ile %80, MRG ile %85 doğrulukta yapılmıştır.…”

Section: -5unclassified

•Pelvic magnetic resonance imaging in gynecologic masses

Asal¹,

Koşar²,

Duymuş³

et al. 2011

Dicle Med J

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ÖZETAmaç: Bu çalışmanın amacı adneksiyel ve uterin kitle olgularında pelvik manyetik rezonans görüntüleme (MRG) tetkikinin tanısal etkinliğini ve ultrasonografi (US)'ye katkısını değerlendirmektir. Gereç ve yöntem:Jinekolojik kitle ön tanısı ile başvuran (10-83 yaş arası) 62 hastadan 61'ine pelvik MRG incelemesi gerçekleştirildi. Bu hastaların içerisinden patoloji sonuçlarına ulaşılabilen ve takip sonuçları ile tanı konabilen 53 hasta çalışmaya dahil edildi. Hastalara çekim öncesi veya sonrasında birkaç gün içerisinde sadece transvajinal sadece transabdominal ya da transvajinal ve transabdominal yolla US incelemesi gerçekleştirildi. Çalışmaya dahil edilen hastaların postoperatif patoloji sonuçları ve opere olmayan hastalarda ise klinik ve radyolojik takip kesin tanı kabul edildi. Sonuçlar US ve MRG bulguları ile karşılaştırıldı.Bulgular: 53 hastada 62 pelvik lezyon saptandı. Lezyonların 42 (%66) tanesini adneksiyel kitle, 34 (%33) tanesini uterin patolojiler oluşturmaktaydı. Adneksiyel kitle saptanan 6 hastada bilateral adneksiyel lezyon, 3 hastada da ovoadneksiyel lojda aynı tarafta iki farklı lezyon saptandı. Uterin kitlelerin 14'ü serviks Ca, 4'ü leiomyom, 1'i endometrium Ca, 1 olgu da vajen Ca olarak belirlendi. MRG'de adneksiyel kitlelerin 40'ı (40/42), US'da 38'i (38/42) vizualize edilebildi. MRG ve US'da uterin kitlelerin tümü vizualize edilebildi. Benign-malign kitlelerin ayırımı US ile % 80, MRG ile %85 doğrulukta yapıldı.Sonuç: MRG, iyi kontrast rezolüsyonu, multıplanar ve multısekans görüntüleme ve yumuşak doku patolojilerinin gösterilmesindeki üstünlükleri ile jinekolojik kitlelerin orijini ve karakterizasyonunda US'ye üstündür. Ancak bü-tün hastalarda jinekolojik bulgu dahilinde ilk görüntüleme yöntemi US olmalı, klinik şüphe halinde MRG'ye başvu-rulmalıdır.Anahtar kelimeler: Adneksiyel kitle, manyetik rezonans görüntüleme, ultrasonografi ABSTRACT Objective: The aim of this study was to evaluate the diagnostic efficiency and the addition of the pelvic magnetic resonance imaging (MRI) to the ultrasonography (US) in adnexal and uterine masses. Materials and methods:Magnetic resonance imaging was performed to 61 patients (age 10-83 years) who refer with gynecologic mass prediagnosis. The study includes 53 patients having histopathological diagnosis and follow up results. Transvaginal, transabdominal or pelvic US were performed to all patients before or after a few days of MRI. Postoperative histopathological results and clinical and radiological follow up were used for definite diagnosis. The results verified with US and MRI findings. Results:Totally 62 pelvic lesions detected in 53 patients. Forty-two of 62 lesions (66%) were adnexal masses, 20 of 62 lesions were uterine (34%) masses, six patients had bilateral adnexal lesions and three had two different lesions in the same ovoadnexal side. Fourteen of the uterine masses were cervix cancer, four were leiomyoma, one was endometrium cancer and one vaginal cancer. Forty (40/42) adnexal masses detected in MRI, and 38 (38/42) were detected in US. Distincti...

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Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

Abstract: Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings.

Cited by 35 publications

References 39 publications

Preoperative Multimodal Strategies for Risk Assessment of Adnexal Masses

Preoperative Multimodal Strategies for Risk Assessment of Adnexal Masses

Magnetic resonance imaging evaluation of non ovarian adnexal lesions

•Pelvic magnetic resonance imaging in gynecologic masses

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