Role of diffusion weighted MRI in the differential diagnosis of endometrial cancer, polyp, hyperplasia, and physiological thickening

被引:39
作者
Bakir, Baris [1 ]
Sanli, Sukru [1 ]
Bakir, Vuslat Lale [2 ]
Ayas, Selcuk [3 ]
Yildiz, Sevda Ozel [4 ]
Iyibozkurt, Ahmet Cem [5 ]
Kartal, Merve Gulbiz [1 ]
Yavuz, Ekrem [6 ]
机构
[1] Istanbul Univ, Istanbul Med Sch, Dept Radiol, TR-34390 Istanbul, Turkey
[2] Haseki Women & Children Dis Educ & Res Hosp, Dept Obstetr & Gynecol, Millet Caddesi, TR-34091 Istanbul, Turkey
[3] Zeynep Kamil Women & Children Dis Educ & Res Hosp, Dept Obstetr & Gynecol, Opr Dr Burhanettin Ustunel Caddesi 10, TR-34668 Istanbul, Turkey
[4] Istanbul Univ, Istanbul Med Sch, Dept Biostat & Med Informat, TR-34390 Istanbul, Turkey
[5] Istanbul Univ, Istanbul Med Sch, Dept Obstet & Gynecol, TR-34390 Istanbul, Turkey
[6] Istanbul Univ, Istanbul Med Sch, Dept Pathol, TR-34390 Istanbul, Turkey
关键词
Diffusion-weighted MRI; Endometrial cancer; Endometrial polyp; Endometrial hyperplasia; Endometrial thickness; MYOMETRIAL INVASION; IMAGING FEATURES; CARCINOMA; LESIONS; BENIGN; CAVITY; COEFFICIENT; ACCURACY;
D O I
10.1016/j.clinimag.2016.10.016
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
Our purpose was to evaluate the role of diffusion-weighted imaging (DWI) in the diagnosis of various common pathologies of the uterine cavity, by comparing them with contrast-enhanced MRI findings. One hundred sixtyfour patients with lesions in endometrial cavity were included in the study. The patients were grouped in four (one malignant and three benign groups). We have observed that the differences of the apparent diffusion coefficient, b1000q, and Cq values between various common benign and malignant lesions were statistically significant (P<.001). However, the differences of the values between benign groups were not statistically significant (P>.05). Alternatively, endometrial polyp group's signal intensity on DWI was different than the other groups. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:86 / 94
页数:9
相关论文
共 26 条
  • [1] American College of Radiology, ACR APPR CRIT ABN VA
  • [2] OUTPATIENT ENDOMETRIAL SAMPLING WITH THE PIPELLE CURETTE
    BENBARUCH, G
    SEIDMAN, DS
    SCHIFF, E
    MORAN, O
    MENCZER, J
    [J]. GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 1994, 37 (04) : 260 - 262
  • [3] Cohen JR, 1994, J AM ASSOC GYN LAP, V1, P7
  • [4] DUBINSKY TJ, 1995, J ULTRAS MED, V14, P887
  • [5] Diagnostic accuracy of the apparent diffusion coefficient in differentiating benign from malignant uterine endometrial cavity lesions: initial results
    Fujii, Shinya
    Matsusue, Eiji
    Kigawa, Junzo
    Sato, Shinya
    Kanasaki, Yoshiko
    Nakanishi, Junko
    Sugihara, Shuji
    Kaminou, Toshio
    Terakawa, Naoki
    Ogawa, Toshihide
    [J]. EUROPEAN RADIOLOGY, 2008, 18 (02) : 384 - 389
  • [6] Endometrial polyps: MR imaging features and distinction from endometrial carcinoma
    Grasel, RP
    Outwater, EK
    Siegelman, ES
    Capuzzi, D
    Parker, L
    Hussain, SM
    [J]. RADIOLOGY, 2000, 214 (01) : 47 - 52
  • [7] GUIDO RS, 1995, J REPROD MED, V40, P553
  • [8] Hase S, 2012, ACTA MED OKAYAMA, V66, P475
  • [9] Abnormal uterine cavity: Differential diagnosis with MR imaging
    Imaoka, I
    Sugimura, K
    Masui, T
    Takehara, K
    Ichijo, K
    Naito, M
    [J]. MAGNETIC RESONANCE IMAGING, 1999, 17 (10) : 1445 - 1455
  • [10] Body diffusion-weighted MR imaging of uterine endometrial cancer: Is it helpful in the detection of cancer in nonenhanced MR imaging?
    Inada, Yuki
    Matsuki, Mitsuru
    Nakai, Go
    Tatsugami, Fuminari
    Tanikake, Masato
    Narabayashi, Isamu
    Yamada, Takashi
    Tsuji, Motomu
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2009, 70 (01) : 122 - 127