Role of Conventional and Diffusion weighted MRI in Diagnosis of Female Pelvic Masses | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2023, Issue 1, January 2023 | ||||
| DOI: 10.58675/2682-339X.1709 | ||||
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| Authors | ||||
| Mahmoud Mohamed Abd Elhameed1; Mokhtar Ragab Ramadan2; Wafeek Ibrahim Ali2 | ||||
| 1Radiology resident, Department of Radiology, Almataria teaching hospital, Minstry of health | ||||
| 2Professor of radiodiagnosis, Department of Radiology, Faculty of Medicine, Al-Azhar University | ||||
| Abstract | ||||
| Background: In routine clinical practice, female pelvic masses are often discovered. For the diagnosis of female pelvic masses, magnetic resonance imaging (MRI) methods often employ diffusion-weighted imaging (DWI). Aim: to assess DWI's enhanced utility in describing female pelvic masses compared to traditional MRI Patients and methods: This research had 30 female patients with uterine and adnexal masses. All participants were subjected to history taking and clinical assessment. Initial pelvic ultrasound was done to display provisional identification of benign and malignant tumors and to exclude functional and pure simple cysts. Color Doppler was superimposed on masses to detect vascularity. Conventional MR Imaging with DWI for all cases. Results: We found that there was no substantial variation between Conventional MRI, DWI and Pathology as regard to presence of malignant and benign masses (p value > 0.05). The sensitivity value of Conventional MRI was 90.3%, the specificity value was 86.7%, PPV was 91.8% and NPV was 89.4%. The sensitivity value of DWI was 93.6%, the specificity value was 90.0%, PPV was 95.0% and NPV was 85.6%. Conclusion: We can conclude that DWI may confirm or rule out probable malignancy in gynecological masses if conventional MRI data is included and combined quantitative and qualitative DWI criteria analysis is performed. | ||||
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