Utility of MRI in uterine and adnexal lesions
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 4
Abstract
Objective: To ascertain the role of MRI as a problem solving modality in characterising indeterminate uterine and adnexal masses from USG. Methods: A prospective study was conducted with 100 female patients with pelvic pathologies who underwent an ultrasound examination and proved to be diagnostic dilemmas. These patients were further investigated with an MRI of the pelvis without contrast. Routine sequences were performed in all patients including T1Wi,T2Wi and GRE. Results: There were 70 uterine lesions (fibroids -39, adenomyosis -14,Müllerian anomalies – 4,bulkiness of uterus -8,low lying placenta antenatal scan -2) and 30 adnexal lesions(malignant ovarian cysts -10,dermoid cyst – 6,chocolate cyst -8,tubovarian masses – 6,chronic torsion -1,chronic ectopic – 1,peritoneal inclusion cyst -1). The diagnosis made after the MRI scan was compared to the working diagnosis made from USG and these were separately compared with the HPR diagnoses in 53 patients who underwent surgery. The remaining 43 patients who were treated conservatively the MRI diagnoses were compared with the working USG diagnoses. The statistical data was analysed by contingency coefficient, CC, method (variant of Chi square method).The CC for USG diagnoses and postoperative diagnoses was statistically significant. The CC for MRI diagnoses and postoperative diagnoses was 0.684 at a p value of 0.013.Conclusions: The analysis of data from the study indicates a strong association between the MRI diagnoses and the postoperative diagnoses, more so than the USG diagnoses and the postoperative diagnoses. There is more variability between the USG diagnoses and the postoperative diagnoses by comparison
Authors and Affiliations
JyotsnaKochiyil, Radiodiagnosis, Jeevan Vernekar
Keywords
Related Articles
- EP ID EP229766
- DOI 10.17511
- Views 136
- Downloads 0
Correlation between maternal mid upper arm circumference and neonatal anthropometry
Introduction: An infant’s birth weight has been identified as the best marker of optimal fetal growth and development. Maternal anthropometry (weight, height and Mid-Upper Arm Circumference) have been identified to influ...
A retrospective comparative analysis of two different techniques of small bowel diversion in Ileal perforation cases: a single centre experience
Introduction: Ileal perforation is a common surgical emergency especially in Indian sub-continent due to increased incidence of enteric fever and tuberculosis- two most common causes of ileal perforation. Many different...
Clinical study of benign lesions of larynx
Aim of Study: To analyze over a period of 2 years, the demographics such as age, sex, distribution, occupation, the site of involvement, symptomatology and prognosis of the most frequent benign lesions of larynx. Materia...
Study of autonomic sympatho-vagal modulation in different trimesters of pregnancy
Introduction: Various physiological conditions are known to influence functional activity of ANS and one such state is pregnancy. Pregnancy is associated with profound but temporary and reversible hemo-dynamic changes in...
Correlation of preoperative co-morbidities with post-operative outcomes in patients operated for hip fractures
Introduction: As the population ages, disability and death is becoming more common in which hip fracture is one of the commonest cause. The purpose of this study is to analyse the effect of preoperative co-morbidities on...