118540

Value of Functional MRI in Evaluation of Ovarian Lesions

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Ovarian masses present a special diagnostic challenge when imaging findings cannot be categorized into benign or malignant pathology. Magnetic Resonance Imaging (MRI) is currently used to evaluate ovarian tumors. Functional MRI techniques such as Diffusion Weighted MRI (DW-MRI), Dynamic Contrast-Enhanced MRI (DCE-MRI) are currently being evaluated as possible predictive and prognostic biomar-kers in the context of ovarian malignancy. Aim of Study: Differentiation between benign and malig-nant ovarian lesions by conventional MRI and assessing the role of functional MRI (f-MRI) as an advanced MRI technique for better differentiation. Patients and Methods: 30 patients with ovarian masses were included. Evaluation of functional Magnetic Resonance Imaging (f-MRI) in diagnosis of ovarian masses and differ-entiating the benign from malignant lesions in addition to conventional MRI sequences. Results: Our study included 30 patients with different ovarian lesions, 22 benign cases and 8 malignant cases proved by histopathology and laparoscopy, and the mean age was 40.37 years. Imaging all have increased the sensitivity, spe-cificity, positive and negative predictive values and accuracy from 72.7%, 66.7, 57.14%, 80%, 61.5% respectively for conventional MRI to 90.9%, 100%, 90.9%, 94.7%, 95% respectively for f-MRI. Conclusion: Combination of conventional MRI & f-MRI findings are problem-solving tool for confusing ovarian lesions, characterizing benign and malignant ovarian tumors.

DOI

10.21608/mjcu.2020.118540

Keywords

f-MRI: Functional Magnetic Resonance Imaging, DCEMRI: Dynamic Contrast Enhanced Mag-netic Resonance Imaging, DWMRI: Diffusion Weighted Magnetic Resonance Imaging

Authors

First Name

FATMA A. ELSHARAWY, M.D.;

Last Name

NAGLAA A. HUSSEIN, M.D.

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Affiliation

The Departments of Radio-Diagnosis & Medical Imaging* and Gynecological**, Faculty of Medicine, Tanta University, Egypt

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Volume

88

Article Issue

September

Related Issue

14147

Issue Date

2020-09-01

Receive Date

2020-06-13

Publish Date

2020-09-01

Page Start

1,827

Page End

1,837

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_118540.html

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https://mjcu.journals.ekb.eg/service?article_code=118540

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44

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Original Article

Type Code

263

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Journal

Publication Title

The Medical Journal of Cairo University

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https://mjcu.journals.ekb.eg/

MainTitle

Value of Functional MRI in Evaluation of Ovarian Lesions

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Article

Created At

22 Jan 2023