| Autor: |
Swaika, Sweta, Mandwe, Manisha |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2022, Vol. 13` Issue 8, p2218-2228, 11p |
| Abstrakt: |
Background- Large numbers of females are affected by gynecological diseases. For early treatment, it is essential that there is accurate diagnosis about the type and extension of the lesions. Our primary aim was to determine the accuracy of magnetic resonance imaging (MRI) in the diagnosis of gynecological pathologies as compared to ultrasound (US). Methods- This retrospective study included 166 females (>12 years of age) with gynecological diseases who underwent MRI in our department with ultrasound correlation (either transabdominal or transvaginal ultrasound imaging). Imaging findings of all patients who underwent surgery or biopsy were further correlated with pathohistology (which was considered as gold standard). We considered MRI as reference standard for all the patients who were not operated. Results- In this study, the most common gynecological disease was ovarian neoplasms (37, 22.3%) followed by cervical carcinoma (26, 15.7%) and uterine fibroids (25, 15.1%). The overall sensitivity of US was 80.6% and MRI was 95% for precise diagnosis of all the lesions. Kappa statistics showed there was substantial agreement of US and almost perfect agreement of MRI with pathohistological findings in this study. Conclusion- Imaging in gynecological diseases is indispensable for proper diagnosis, treatment and follow-up. Ultrasound is preferred as the primary modality for patients though it is operator dependent. MRI has higher sensitivity and accuracy and recommended for those lesions which are undecided on ultrasound. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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