MRI in Diagnostic of the Female Pelvis Maugnancies: Five Year Period Experiences
DOI:
https://doi.org/10.5644/Radovi.384Keywords:
female pelvis, disease, malignancy, uterus, ovary, MRIAbstract
The purpose of this study was to assess diagnostic accuracy of MRI in differentiation of female pelvis disorders. We compared our results with clinical staging and post-operative findings.
Method and Material: During the five-year period we performed MRI of the female pelvis at 225 patients. Average age of patients was 42. In 92 (36%) patients, MRI revealed ovarian malignancy, in 61 (24%) patients’ uterine carcinomas, in 54 (24%) recto-sigmoid tumours — Krukcnberg and the other 18 (8%) patients had non-malignant diseases of pelvis. Ali patients were examined on MR 1,0 T units, with body coil: axial, sagittal and sometimes coronal planes T2 WITSE and TI WI SE sequences were used. If it was necessary contrast medium - gadolinium was injected intravenously during T1WI SE sequences, and FAT SAT, when needed.
Results: In our reports we compared MRI results with clinical staging (gynaecological examination, TAUS sometimes TVUS, CT) and post-operative findings, with sensitivity 89% and specifity 76 %.
Conclusion: As we know from the literature the most authors consider that MRI today is the method of choice in the staging of pelvis malignancy, with exception of staging of ovarian malignancy, were CT is the preferred method.
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