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Role of Diffusion Weighted MRI in Characterization of Ovarian Tumors

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Last updated: 24 Dec 2024

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Abstract

Background: Ovarian masses present a special diagnostic challenge when imaging findings cannot be categorized into benign or malignant pathology. Ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) are currently used to evaluate ovarian tumors.Functional imaging by means of diffusion weighted magnetic resonance imaging (DW-MRI) is now part of the standard imaging protocols for evaluation of the female pelvis. DW-MRI is important MR imaging technique which enable the radiologist to move from morphological to functional assessment of diseases of the female pelvis. Aim of the Study: The aim of the current study is to evaluate the diffusion-weighted MR imaging in prediction of the nature of suspicious ovarian masses which are detected previously by conventional ultrasound. Patients and Methods: MRI Unit, radiodiagnosis department, Ain Shams University hospital. The study is prospective, included thirty women who presented with suspicious adnexal masses on previous ultrasound examination and referred for further assessment and characterization by DW-MRI. Patients with contraindications to MRI (e.g. claustrophobia, cardiac prosthesis and metallic plates) are excluded. Results: The study included 30 women ranging in age between 24 and 61 years with mean age 43.22±11.15. Out of 30 cases, 12 had of benign ovarian tumors while 18 had malignant tumors. Conclusion: Thus, combination of DWI and conventional MRI implies using a completely noninvasive technique with no radiation exposure. It is cost effective (no additional cost to MRI examination), and easily added to the MR study protocols with no marked lengthening of examination time. It improves the specificity of MRI and thus increasing radiologist's confidence in image interpretation which will finally reflect on patient's outcome and prognosis.    

DOI

10.12816/0040603

Keywords

diffusion weighted, MRI, CT, US, Ovarian tumors

Authors

First Name

Eman Soliman

Last Name

Metwally

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Affiliation

Department of radiology, Faculty of Medicine - Ain Shams University

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First Name

Susan Adil Ali

Last Name

Abdul Rahim

MiddleName

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Affiliation

Basra University

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First Name

Husham Aklo

Last Name

Mazzohi

MiddleName

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Affiliation

Basra University

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Volume

69

Article Issue

2

Related Issue

2165

Issue Date

2017-10-01

Receive Date

2018-08-27

Publish Date

2017-10-01

Page Start

1,778

Page End

1,785

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11715.html

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https://ejhm.journals.ekb.eg/service?article_code=11715

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2

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Role of Diffusion Weighted MRI in Characterization of Ovarian Tumors

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Article

Created At

22 Jan 2023