MRI of female uterine and juxta-uterine masses: Clinical application in 25 patients

• Published in: Magnetic resonance imaging Vol. 9; no. 4; pp. 485 - 491
• Main Authors: Aubel, Steven, Wozney, Paul, Edwards, Robert P.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 1991; Elsevier Science
• Subjects: Adnexal Diseases - diagnosis; Adnexal Diseases - diagnostic imaging; Adnexal Diseases - pathology; Adolescent; Adult; Aged; Biological and medical sciences; Diagnosis, Differential; Female; Genital system. Mammary gland; Humans; Investigative techniques, diagnostic techniques (general aspects); Magnetic Resonance Imaging - methods; Medical sciences; Middle Aged; MRI; Neoplasm; Ovarian Cysts - diagnosis; Ovarian Cysts - diagnostic imaging; Ovarian Cysts - pathology; Ovarian Diseases - diagnosis; Ovarian Diseases - diagnostic imaging; Ovarian Diseases - pathology; Pelvis; Physical Examination; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Sensitivity and Specificity; Ultrasonography; Uterine Diseases - diagnosis; Uterine Diseases - diagnostic imaging; Uterine Diseases - pathology; Uterine Neoplasms - diagnosis; Uterine Neoplasms - diagnostic imaging; Uterine Neoplasms - pathology; Uterus; Neoplasm; Female; Uterus; Pelvis; MRI; Human; Pelvis minor; Tumor; Diagnosis; Nuclear magnetic resonance imaging; Female genital diseases
• ISSN: 0730-725X; 1873-5894
• DOI: 10.1016/0730-725X(91)90033-I

The clinical utility of magnetic resonance imaging (MRI) in the diagnosis of gynecologic masses was evaluated in 25 patients. In each patient the final pathologic diagnosis was semiquantitatively correlated with the diagnostic impressions from pelvic examination, ultrasound and MRI. There were 9 uterine, 11 ovarian and 5 nonovarian pelvic masses. Pelvic examination correlation with final diagnosis was 26%, consistent with the literature. Ultrasound fared surprisingly poorly, with only 44% correlation. MRI showed an 87% correlation with the final diagnosis. MRI was able to accurately identify masses, discriminate adnexal masses from fluid-filled bowel, identify dermoids, and in one case obviated surgery in a pregnant patient. MRI provided significant clinical management information with greater accuracy than did ultrasound or pelvic examination.