Imaging modalities, including Ultrasonography (USG), Magnetic Resonance Imaging (MRI) and Computed Tomography (CT), play pivotal roles in managing gynecological disorders, with USG being particularly valuable for diagnosing acute pelvic pain, and CT demonstrating superior diagnostic capabilities in characterizing pelvic masses. Despite advanced modalities like MRI, USG remains essential as a screening tool. Ultrasonography offers diverse imaging capabilities, while CT serves as a valuable adjunct to overcome the limitations of USG. However, concerns regarding ionizing radiation exposure exist with CT, especially in young and pregnant females. This prospective study, conducted from July 2015 to November 2017 at the Gujarat Cancer and Research Institute, included 100 patients with suspected or diagnosed female pelvic pathology. Data were collected through CT and USG imaging, along with histopathological diagnoses. Patients underwent imaging examinations using specific protocols for each modality and detailed clinical information was recorded. Analysis revealed age‐specific distributions of pelvic pathologies, with cervical pathology predominantly affecting the 4th decade and ovarian pathology peaking in the 5th decade. Cervical cancer was the most prevalent diagnosis, followed by ovarian and endometrial cancers. CT exhibited higher sensitivity than USG in detecting malignancies and assessing organ involvement, particularly in cervical and ovarian cancers. Additionally, CT demonstrated superior sensitivity for lymphadenopathy detection in cervical cancer. The study emphasized CT's diagnostic accuracy and its potential to guide treatment decisions. In conclusion, the study comprehensively evaluated female pelvic pathology using USG and CT, highlighting CT's superiority in diagnostic accuracy, particularly in malignancy detection and organ involvement assessment. CT emerged as the preferred imaging modality, potentially enhancing treatment planning and reducing mortality and morbidity associated with pelvic tumors.
Ankurkumar Z. Patel, Nikunj P. Patel, Nihar Patel and Meena Matang. Role of USG and CT Scan in Evaluation of Female Pelvic Pathology.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.496.502
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.496.502