The role of magnetic resonance imaging and ultrasound in patients with adnexal masses

S. Aslam Sohaib, T. D. Mills, A. Sahdev, J. A W Webb, P. O. VanTrappen, I. J. Jacobs, R. H. Reznek

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Aims: To evaluate the accuracy of ultrasonography (US) and magnetic resonance imaging (MRI) in characterizing adnexal masses, and to determine which patients may benefit from MRI. Methods: We prospectively studied 72 women (mean age 53 years, range 19 to 86 years) with clinically suspected adnexal masses. A single experienced sonographer performed transabdominal and transvaginal greyscale spectral and colour Doppler examinations. MRI was carried out on a 1.5T system using T1, T2 and fat-suppressed T1-weighted sequences before and after intravenous injection of gadolinium. The adnexal masses were categorized as benign or malignant without knowledge of clinical details, according to the imaging features which were compared with the surgical and pathological findings. Results: For characterizing lesions as malignant, the sensitivity, specificity and accuracy of MRI were 96.6%, 83.7% and 88.9%, respectively, and of US were 100%, 39.5% and 63.9%, respectively. MRI was more specific (p
    Original languageEnglish
    Pages (from-to)340-348
    Number of pages8
    JournalClinical Radiology
    Volume60
    Issue number3
    DOIs
    Publication statusPublished - Mar 2005

    Keywords

    • Magnetic resonance (MR)
    • Neoplasms
    • Ovary
    • Ultrasound (US)

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