Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Uterine and adnexal masses pose a diagnostic challenge due to their varied nature, ranging from benign to malignant. MRI has emerged as a valuable imaging modality for the evaluation of these masses, providing detailed information on their internal characteristics, enhancement patterns and origin. This study aimed to evaluate the role of MRI in the diagnosis and characterization of uterine and adnexal masses in female patients, with an emphasis on differentiating between benign and malignant lesions. This cross‐sectional descriptive study involved 73 consecutive female patients clinically suspected of having uterine or adnexal masses, who were referred to the Department of Radiodiagnosis at G.S.L Medical College and General Hospital for MRI imaging from January 1, 2015, to June 31, 2016. MRI findings were analyzed for lesion origin, internal characteristics, enhancement patterns and the presence of fat planes. Statistical analysis was conducted using SPSS version 2.0 and Microsoft Excel 2007. The majority of lesions (61.7%) were of uterine origin, with ovarian lesions accounting for 20.5% and adnexal lesions for 5.5%. Uterine fibroids (19.3%) and ovarian cysts/masses (16.5%) were the most common findings. Gadolinium enhancement was present in 41% of uterine lesions and 59% of adnexal/ovarian lesions. Fat planes were preserved in 79.5% of lesions. Benign lesions were more frequent than malignant ones, with benign adnexal masses making up 44.5% of cases compared to 29.6% for malignant lesions. MRI is an effective imaging modality for evaluating uterine and adnexal masses, offering detailed visualization that aids in differentiating between benign and malignant lesions. Gadolinium enhancement and preserved fat planes were key features in the characterization of these masses. The result of this study shows the importance of MRI in guiding clinical decision‐making and reducing unnecessary surgical interventions.
How to cite this article:
Vijaya Lakshmi Ailuru, Bathineni Haritha, Dwara Manojna Devi and Vamseedhar Reddy Chapparapu. Role of MRI in Evaluating Gynecological Pathology.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.375.380
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.375.380