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210142

Role of MRI Diffusion in differentiating of benign and malignant ovarian masses

Article

Last updated: 27 Dec 2024

Subjects

-

Tags

Diagnostic Radiology.

Abstract

Background: Ovarian masses are more common findings incidentally detected in symptomatic patients in every day work, to characterize them MRI is a modality of choice due to its high tissue contrast so MRI has high sensitivity, specificity and accuracy. Objectives: Assessment of role of MRI diffusion in differentiating of benign and malignant ovarian masses. Patients and method: Study was carried out on 60 female cases presented by ovarian masses referred from the OB/GYN out clinic and in patients between September 2019 and September 2020. The study was done in MRI unit, Diagnostic Radiology Department at Sohag Faculty of Medicine during the period from September 2019 to September 2020. For every patient a written consent was taken, patient's clinical data, pelvi-abdominal US, laboratory investigations and pelvis MRI were done. Results: 46 cases (76.7%) had benign ovarian lesions and 14 cases (23.3%) had malignant ovarian lesions. All the malignant cases (100%) show restriction at DWI while only 11 benign cases (23.9%) show restriction at DWI. The mean ADC was 1.76x10-3 mm2/s, with a range from 0.5x10-3 mm2/s to 3x10-3 mm2/s (P value <0.001 (HS). The mean ADC was higher among benign cases (2.082x10-3 mm2/s) compared to malignant ones (0.707x10-3 mm2/s), ADC cut-off point is 0.895x10-3 mm2/s, with a sensitivity of 89.1% and a specificity of 92.9% with P value <0.001. Conclusion: DWI and ADC value increases the accuracy of MRI to discriminate between benign and malignant lesions. Cut-off value was 0.89x10-3 mm2/s to differentiate between benign and malignant ovarian masses.

DOI

10.21608/svuijm.2021.110653.1254

Keywords

Ovary, Diffusion-weighted MR imaging, Ovarian tumors, ADC value

Authors

First Name

Ahmed Samir

Last Name

Kamel

MiddleName

-

Affiliation

Diagnostic Radiology Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

ahmed_rad@yahoo.com

City

-

Orcid

-

First Name

Mohammad Tharwat Mahmoud

Last Name

Solyman

MiddleName

-

Affiliation

Diagnostic Radiology Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

mthalhewaig@gmail.com

City

Sohag

Orcid

-

First Name

Ahmed Tageldin

Last Name

Abdelhafez

MiddleName

-

Affiliation

Obstetrics and Gynecology Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

ahmed_ahmed6@med.sohag.edu.eg

City

-

Orcid

-

First Name

Nahla Mohammed

Last Name

Ali

MiddleName

-

Affiliation

Diagnostic Radiology Department, Faculty of Medicine, Sohag University, Sohag, Egypt

Email

nahla.hasan@ymail.com

City

Sohag

Orcid

0000-0003-4677-7424

Volume

5

Article Issue

1

Related Issue

28020

Issue Date

2022-01-01

Receive Date

2021-12-12

Publish Date

2022-01-01

Page Start

174

Page End

187

Print ISSN

2735-427X

Online ISSN

2636-3402

Link

https://svuijm.journals.ekb.eg/article_210142.html

Detail API

https://svuijm.journals.ekb.eg/service?article_code=210142

Order

19

Type

Original research articles

Type Code

1,520

Publication Type

Journal

Publication Title

SVU-International Journal of Medical Sciences

Publication Link

https://svuijm.journals.ekb.eg/

MainTitle

Role of MRI Diffusion in differentiating of benign and malignant ovarian masses

Details

Type

Article

Created At

23 Jan 2023