Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The objective of this study is to evaluate the comparative effectiveness of ultrasound and MRI in the assessment of adnexal mass lesions, correlating these findings with clinical outcomes and surgical results. The inclusion criteria encompassed clinically suspected adnexal mass lesions as well as those identified incidentally through ultrasonography. In this investigation, all 30 participants underwent ultrasonography, followed by MRI for each patient. The diagnostic outcomes from both imaging modalities were then compared against definitive results, which included histopathological analysis, surgical findings, or follow‐up data. It is noted that 60% of ovarian tumors and 85% of malignant ovarian neoplasms are classified as ovarian epithelial neoplasms. The ultrasonography identified a total of 19 benign lesions and 11 malignant cases. In contrast, MRI revealed 21 cases as benign and 9 as malignant. Among the 30 cases, six were classified as malignant via ultrasound, comprising two serous cystadenocarcinomas, two mucinous cystadenocarcinomas, one serous papillary cystadenocarcinoma of the fallopian tube and one malignant tubo‐ovarian mass. All six cases were consistently diagnosed as such on MRI and histopathological examination. However, one case, which was indeterminate on both ultrasound and MRI, was ultimately identified as a dysgerminoma upon histopathological evaluation. The study demonstrated that for the characterization of lesions as benign, MRI exhibited sensitivity, specificity and accuracy rates of 94.7%, 90.0% and 65%, respectively, while ultrasound showed sensitivity, specificity and accuracy rates of 94.7%, 90.9% and 70%, respectively. Ultrasound proves to be a sensitive initial imaging modality for the detection of adnexal lesions and serves as the primary triage method prior to treatment. MRI is particularly beneficial for the further evaluation of indeterminate cases and those with suspicious malignancies that were not conclusively diagnosed through ultrasound.
How to cite this article:
Katakam Usharani, B. Pravan Kumar Reddy and Kahalid Mohammed Saifullah. Study of Role of Ultrasound and Magnetic Resonance Imaging in Adnexal Masses.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.704.708
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.704.708