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Dynamic Contrast-Enhanced Magnetic Resonance Imaging; A Useful Tool for Characterization and Assessment of Ovarian Masses

Article

Last updated: 24 Dec 2024

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Abstract

Objectives: To evaluate the diagnostic performance of dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) for the characterization of complex ovarian tumors, by using histologic findings as the reference standard. Patients and methods: 25 patients (age range from 24 to 60) with complex ovarian masses underwent DCE-MRI before surgical excision. The study included 8 benign, 3 borderline & 14 malignant masses. The following kinetic parameters were analyzed: enhancement amplitude (EA) in the form of MRE%, time to peak in the form of T max & maximal slope (MS) & correlated with histopathological results. Results: DCE-MRI achieved higher overall accuracy (85.7%) & specificity (86.5%) than conventional MRI. MRE% was higher for malignant than for benign (p0.001) & borderline masses (p0.002). T max was of shorter duration in malignant than in benign (p, < 0.001) and borderline (p, 0.018) masses. Type III curve was specific for invasive malignant tumors. Conclusion: DCE-MRI can be a useful tool in characterization of complex ovarian masses & in differentiating between borderline & invasive malignant neoplasms.

Keywords

Ovarian masses, DCE- MRI, enhancement amplitude, time to peak, maximal slope

Authors

First Name

Rania A Maarof, Ahmed S Abdelrahman,

Last Name

Dhifaf A Habeeb

MiddleName

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Affiliation

Department of Radiodiagnosis Faculty of Medicine – Ain shams University

Email

dc.dhifaf@yahoo.com

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Orcid

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Volume

71

Article Issue

2

Related Issue

1697

Issue Date

2018-04-01

Receive Date

2018-02-25

Publish Date

2018-04-01

Page Start

2,620

Page End

2,625

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8831.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=8831

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Dynamic Contrast-Enhanced Magnetic Resonance Imaging; A Useful Tool for Characterization and Assessment of Ovarian Masses

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Article

Created At

22 Jan 2023