ROLE OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATION OF FEMALE ADNEXAL MASSES WITH HISTOPATHOLOGICAL CORRELATION

Amit Disawal; Harsha Sahu; Subinay Saha

Volume : VIII, Issue : IV, April - 2019

ROLE OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATION OF FEMALE ADNEXAL MASSES WITH HISTOPATHOLOGICAL CORRELATION

Amit Disawal, Harsha Sahu, Subinay Saha

Abstract :

Ultrasound is the imaging modality of choice for the female pelvis. It is widely available, has oad acceptance by patients and is relatively inexpensive. However, there are some shortcomings with this modality, such as the limited ﬁeld of view, obscuration of pelvic organs by the presence of bowel gas, experience of the operator.MRI, on the other hand, provides excellent contrast resolution, resulting in accurate tissue characterization and improved anatomic delineation. There is a signiﬁcant difference, in the inherent costs of MRI and ultrasound. In this article we have characterized adnexal lesion on both USG and MRI and looked for sensitivity and specificity of USG for picking up malignant lesion accurately. The comparative study was carried out with 50 patients. According to this study, Ultrasound remains the first line of imaging for the female pelvis with high diagnostic accuracy rates for adnexal abnormalities with 100% sensitivity and 90.3% accuracy. In 40% patients where USG were inconclusive MRI was diagnostic , In 2% cases both MRI and USG didn�t solve the diagnostic dilemma.