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Determination of 1H MRS Efficacy in the Diagnosis of Complex Adnexal Masses by Comparing Results with Sonography and Histopathologic CE

AUTHORS

Ahmad Soltani Shirazi 1 , * , Mita Bigpourian Behbahani 1

AUTHORS INFORMATION

1 Ahvaz University of Medical Sciences, Ahvaz, IR Iran

ARTICLE INFORMATION

Iranian Journal of Radiology: 11 (30th Iranian Congress of Radiology); e21406
Published Online: February 28, 2014
Article Type: Research Article
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Abstract

Background: Adnexal masses are often diagnosed in the pregnant patients. Ultrasonography is the first line modality for the determination of adnexal mass nature followed by contrast enhanced MRI assessment. However, these methods are not reliable methods for the detection of malignancy of ovarian masses. In vivo proton magnetic resonance spectroscopy is able to distinguish malignant and benign ovarian tumors.

Patients and Methods: Sixteen patients with the adnexal masses diagnosed primarily by US were evaluated by in vivo 1H MRS for detection of lipid, lactate a choline peak.

Results: Significant correlation between MRS and with histopathology findings was observed. The correlation between US and histopathology findings was not significant. 1H MRS was properly able to detect malignancy in the 80% of the above patients.

Conclusion: We concluded that 1H-MRS is a reliable method for preoperative characterization of adnexal lesions.

Keywords

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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