Differentiation between pelvic abscesses and pelvic tumors with diffusion-weighted MR imaging: a preliminary study

被引：14

作者：

Chou, Chen-Pin ^{[1
,2
]}

Chiou, Shih-Hwa ^{[2
,3
]}

Levenson, Robin B. ^{[4
,5
]}

Huang, Jer-Shyung ^{[1
,2
]}

Yang, Tsung-Lung ^{[1
,2
]}

Yu, Chia-Cheng ^{[2
,6
]}

Chiang, An-Jen ^{[2
,7
]}

Pan, Huay-Ben ^{[1
,2
,8
]}

机构：

[1] Kaohsiung Vet Gen Hosp, Dept Radiol, Kaohsiung 813, Taiwan

[2] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan

[3] Taipei Vet Gen Hosp, Dept Med Res & Educ, Taipei, Taiwan

[4] Harvard Univ, Sch Med, Boston, MA 02215 USA

[5] Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA 02215 USA

[6] Kaohsiung Vet Gen Hosp, Dept Urol, Kaohsiung 813, Taiwan

[7] Kaohsiung Vet Gen Hosp, Dept Obstet & Gynecol, Kaohsiung 813, Taiwan

[8] I Shou Univ, Dept Med Imaging & Radiol Sci, Kaohsiung, Taiwan

来源：

CLINICAL IMAGING | 2012年 / 36卷 / 05期

关键词：

Pelvic abscess; Pelvic cystic malignancy; Apparent diffusion coefficient; MRI; Diffusion-weighted MRI; BRAIN-ABSCESS;

D O I：

10.1016/j.clinimag.2011.11.018

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Purpose: Use diffusion-weighted magnetic resonance imaging (MRI) in differentiating pelvic abscess from pelvic cystic tumor. Materials and methods: Patients with pelvic abscess (n=23) or pelvic cystic tumor (n=15) who underwent diffusion-weighted MRI were reviewed. Results: Pelvic abscesses showed hyperintensity on diffusion-weighted MRI and hypointensity on apparent diffusion coefficient (ADC) map. The mean ADC values of fluid in pelvic abscess and pelvic tumors were 0.73 +/- 0.15x10(-3) and 2.27 +/- 0.45x10(-3) mm(2)/s, respectively. Pelvic abscesses had significantly lower ADC values than pelvic cystic tumors (P<.001). Conclusion: Diffusion-weighted MRI provides a noncontrast method for interpreting pelvic cystic lesions. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：532 / 538

页数：7

共 22 条

[1] MR diffusion-weighted imaging of kidney: Differentiation between hydronephrosis and pyonephrosis [J].

Chan, JHM ;

Tsui, EYK ;

Luk, SH ;

Fung, SL ;

Cheung, JK ;

Chan, MSM ;

Yuen, MK ;

Mak, SF ;

Wong, KPC .

CLINICAL IMAGING, 2001, 25 (02) :110-113

[2] Diffusion-weighted MR imaging of the liver: distinguishing hepatic abscess from cystic or necrotic tumor [J].

Chan, JHM ;

Tsui, EYK ;

Luk, SH ;

Fung, ASL ;

Yuen, MK ;

Szeto, ML ;

Cheung, YK ;

Wong, KPC .

ABDOMINAL IMAGING, 2001, 26 (02) :161-165

[3] Diffusion-weighted MRI features of brain abscess and cystic or necrotic brain tumors - Comparison with conventional MRI [J].

Chang, SC ;

Lai, PH ;

Chen, WL ;

Weng, HH ;

Ho, JT ;

Wang, JS ;

Chang, CY ;

Pan, HB ;

Yang, CF .

CLINICAL IMAGING, 2002, 26 (04) :227-236

[4] Diffusion-weighted MR imaging of hepatic abscesses: possibility of different apparent diffusion coefficient (ADC)-values in early and mature abscess formation [J].

Holzapfel, Konstantin ;

Rummeny, Ernst ;

Gaa, Jochen .

ABDOMINAL IMAGING, 2007, 32 (04) :538-539

[5] Unusual causes of tubo-ovarian abscess: CT and MR imaging findings [J].

Kim, SH ;

Yang, DM ;

Kim, KA .

RADIOGRAPHICS, 2004, 24 (06) :1575-1589

[6] Biological correlates of diffusivity in brain abscess [J].

Mishra, AM ;

Gupta, RK ;

Saksena, S ;

Prasad, KN ;

Pandey, CM ;

Rathore, D ;

Purwar, A ;

Rathore, RKS ;

Husain, N ;

Jha, DK ;

Jaggi, RS ;

Husain, M .

MAGNETIC RESONANCE IN MEDICINE, 2005, 54 (04) :878-885

[7] Role of diffusion-weighted echo-planar MRI in distinguishing between brain abscess and tumour: a preliminary report [J].

Noguchi, K ;

Watanabe, N ;

Nagayoshi, T ;

Kanazawa, T ;

Toyoshima, S ;

Shimizu, M ;

Seto, H .

NEURORADIOLOGY, 1999, 41 (03) :171-174

[8] Diffusion-weighted Imaging in the Abdomen and Pelvis: Concepts and Applications [J].

Qayyum, Aliya .

RADIOGRAPHICS, 2009, 29 (06) :1797-U313

[9] Emergency MRI of acute pelvic pain: MR protocol with no oral contrast [J].

Singh A.K. ;

Desai H. ;

Novelline R.A. .

Emergency Radiology, 2009, 16 (2) :133-141

[10] Differentiation between cavernous hemangiomas and untreated malignant neoplasms of the liver with free-breathing diffusion-weighted MR imaging: Comparison with T2-weighted fast spin-echo MR imaging [J].

Soyer, Philippe ;

Corno, Lucie ;

Boudiaf, Mourad ;

Aout, Mounir ;

Sirol, Marc ;

Place, Vinciane ;

Duchat, Florent ;

Guerrache, Youcef ;

Fargeaudou, Yann ;

Vicaut, Eric ;

Pocard, Marc ;

Hamzi, Lounis .

EUROPEAN JOURNAL OF RADIOLOGY, 2011, 80 (02) :316-324

← 1 2 3 →