Indian Journal of Obstetrics and Gynecology Research

Diagnostic accuracy of MRI in Sonographically Indeterminate Adnexal lesions

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Author Details: Avichala Taxak, Aparna Vijaysinh Dodia, Palak Bhikhabhai Patel, Harshad Shah, Asutosh Davee

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 208

Article End Page : 211


 Aims and Objectives:

·         The purpose of this study is to assess the ability of MRI in diagnosis of Sonographically indeterminate adnexal lesions.

·         To further characterize them in terms of content (solid, cystic, both solid-cystic), origin, tissue characterization (fat, blood, fibrous) and benign vs malignant potential.

·         To elucidate the sonographic imaging features leading to indeterminate diagnoses.

Conclusion: Adnexa is a complex structure, a significant proportion of adnexal masses detected by sonography are indeterminate. Sonography remains the initial imaging modality of choice in the assessment of the female pelvis, because it is readily available, inexpensive, safe and quick. Despite the high sensitivity of US, it is rarely specific. This study revealed that sonography performed poorly for determining the origin of the mass, which is the essential first step in characterizing an adnexal mass. MRI with its high contrast resolution & tissue characterization capabilities, helps in accurately resolving these uncertainties.

Keyword: MRI, Comparative studies, Adnexal lesions, Female Pelvis