DYNAMIC ENHANCED MRI IN DIAGNOSING ADENOMYOSIS BY GRADED APPROACH IN COMPARISON WITH HYSTEROSCOPY BIOPSY CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND Adenomyosis is not an uncommon condition on routine ultrasonography. Specificity of ultrasound in adenomyosis is non-specific, probably due to inadequate bladder preparation and non-specific history background. In common, late stage adenomyosis is considerably diagnosed on ultrasound. Therefore, emphasis on importance of MRI in adenomyosis by standardised grading and early diagnostic algorithm is challenging in future prospects. The objective of this study is to diagnose different grades of adenomyosis from early to late changes and to compare MRI grading with grading by hysteroscopy biopsy. MATERIALS AND METHODS We have decided the sample size of 49, calculated based on previous one year record in our hospital. Ultrasound was done (n= 49) and positive clinical background patients were included for MRI and further hysteroscopy biopsy. Hysteroscopy biopsy grading was done within 2 weeks follow-up and considered as Gold Standard. Based on grades of myometrial fibrous tissue involvement, results were compared. MRI reports were done by one experienced radiologist. RESULTS All positive patients were studied and graded by MRI protocol. MRI graded approach shows better sensitivity for grades (Grades II and IV) as compared with (Grade I and III). The biopsy vs. MRI result showed that normal Grade I, Grade II, Grade III and Grade IV were 13.8% vs. 17.2%; 41.4% vs. 44.5; 31.0 vs. 31.0; 3.4 vs. 3.4 and 3.4 vs. 3.4 respectively. CONCLUSION MRI graded approach algorithm as compared to routine MRI for adenomyosis proved to be a valid tool in future prospective; however, false positive results exist in higher grades
Authors and Affiliations
Ameen M. D, Vetriraj S
Keywords
Related Articles
- EP ID EP283327
- DOI 10.14260/jemds/2018/6
- Views 89
- Downloads 0
TERLIPRESSIN THERAPY RESPONSE ASSESSED BY COLOUR DOPPLER IMAGING IN PATIENTS OF HEPATORENAL SYNDROME
BACKGROUND The resistive index of renal arteries is the most widely used parameter to estimate the arteriolar vascular resistance in HRS. We aimed to evaluate the effects of terlipressin on renal haemodynamics using resi...
A RARE CASE OF URINARY BLADDER ENDOMETRIOSIS FOLLOWING CESAREAN SECTION
Endometriosis is a common benign gynecological disease characterized by the presence of ectopic endometrial tissue, outside the uterus. Involvement of the urinary tract however is rare with an occurence of 4%.1 We...
UNUSUAL PRESENTATION OF A GIANT EPIDERMOID CYST IN SCALP REGION- A CASE REPORT
PRESENTATION OF CASE An otherwise ordinarily occurring epidermoid cyst in most of the cases is considered as a benign and harmless one.(1) It is of an epidermal origin and it usually presents itself on body parts such as...
BACTERIOLOGICAL PROFILE OF DIABETIC FOOT ULCERS
BACKGROUND Diabetes mellitus is a progressive disease, diabetic foot is one of the major complications of diabetes mellitus and eventually leads to development of gangrene and lower extremity amputation. This study has b...
HOSPITAL BASED STUDY FOR ASYMPTOMATIC BACTERIURIA IN PREGNANT WOMEN
Asymptomatic bacteriuria (ASB) is infection in pregnancy which requires medical treatment. If left untreated, may lead to prematurity, intrauterine death and pyelonephritis. The diagnosis is done by culture and...