Abstract
Objectives
We investigated the utility of magnetic resonance imaging (MRI) and diffusion-weighted
imaging (DWI) in the categorization of uterine sarcoma (US) and compared them with
pathological findings.
Methods
The baseline and MRI characteristics were recorded and compared across the subtypes
of USs.
Results
There were no differences in the conventional or DWI signals among the four subtypes
of US, except in the heterogeneity of T2-weighted imaging. A difference in the mean apparent diffusion coefficient value for
USs and uterine fibroids differed significantly (P=.019).
Conclusions
MRI characteristics showed no specific differences between any subtypes of US.
Keywords
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References
- Imaging of uterine malignancies.Semin Ultrasound CT MR. 2010; 31: 377-387
- Uterine sarcomas: a review.Gynecol Oncol. 2010; 116: 131-139
- Uterine sarcoma.in: Schorge JO Schaffer JI Halvorson LM Williams gynecology. The Mc-Graw-Hill Companies, Columbus, OH2008: 706-716
- Mri of malignant neoplasms of the uterine corpus and cervix.Am J Roentgenol. 2007; 188: 1577-1587
- Primary malignant mixed müllerian tumor of the uterus: findings on sonography, ct, and gadolinium-enhanced mri.Am J Roentgenol. 2008; 191: 278-283
- The utility of diffusion-weighted mr imaging for differentiating uterine sarcomas from benign leiomyomas.Eur Radiol. 2008; 18: 723-730
- Carcinosarcoma of the uterus: Mr findings.J Magn Reson Imaging. 2008; 28: 434-439
- Combined use of t2-weighted and diffusion-weighted 3-t mr imaging for differentiating uterine sarcomas from benign leiomyomas.Eur Radiol. 2009; 19: 2756-2764
- Adenosarcoma of the uterus: magnetic resonance imaging characteristics.Clin Imaging. 2009; 33: 244-247
- Mri appearance of mesenchymal tumors of the uterus.Eur J Radiol. 2010; 74: 241-249
- Value of magnetic resonance imaging in diagnosis of adenomyosis and myomas of the uterus.J Minim Invasive Gynecol. 2012; 19: 620-626
- How to differentiate benign from malignant myometrial tumours using mr imaging.Eur Radiol. 2013; 23: 2306-2314
- Current concepts in the imaging of uterine sarcoma.Abdom Imaging. 2013; 38: 397-411
- Diagnostic accuracy of the apparent diffusion coefficient in differentiating benign from malignant uterine endometrial cavity lesions: Initial results.Eur Radiol. 2008; 18: 384-389
- Diffusion-weighted imaging of uterine endometrial stromal sarcoma: a report of 2 cases.J Comput Assist Tomogr. 2010; 34 ([310.1097/RCT.1090b1013e3181cfc1676]): 377-379
- The role of dynamic contrast-enhanced and diffusion weighted magnetic resonance imaging in the female pelvis.Eur J Radiol. 2010; 76: 367-385
- Evaluation of primary adnexal masses by 3 t mri: categorization with conventional mr imaging and diffusion-weighted imaging.J Ovarian Res. 2012; 5: 33
- Figo staging for uterine sarcomas.Int J Gynecol Obstet. 2009; 104: 177-178
- Endometrial stromal sarcoma located in the myometrium with a low-intensity rim on t2-weighted images: report of three cases and literature review.J Magn Reson Imaging. 2010; 31: 975-979
- Carcinosarcoma of the uterus: radiologic–pathologic correlations with magnetic resonance imaging including diffusion-weighted imaging.Magn Reson Imaging. 2008; 26: 1446-1450
- Sarcomas of abdominal organs: computed tomography and magnetic resonance imaging findings.Semin Ultrasound CT MR. 2011; 32: 405-421
- Recent developments in uterine mesenchymal neoplasms.Histopathology. 2013; 62: 124-137
- Interobserver variability in the interpretation of tumor cell necrosis in uterine leiomyosarcoma.Am J Surg Pathol. 2013; 37 ([610.1097/PAS.1090b1013e3182851162]): 650-658
- Smooth muscle tumors of uncertain malignant potential and leiomyosarcomas of the uterus: Mr findings.J Magn Reson Imaging. 2004; 20: 998-1007
- Sonography and mri of tamoxifen-associated müllerian adenosarcoma of the uterus.Am J Roentgenol. 2003; 181: 1673-1675
- Can mri predict the diagnosis of endometrial carcinosarcoma?.Clin Radiol. 2011; 66: 621-624
- Mri appearances of uterine malignant mixed müllerian tumors.Am J Roentgenol. 2010; 195: 1268-1275
- Diffusion weighted imaging of female pelvic cancers: concepts and clinical applications.Eur J Radiol. 2011; 78: 21-29
- Diagnostic accuracy of diffusion-weighted imaging with conventional mr imaging for differentiating complex solid and cystic ovarian tumors at 1.5t.World J Surg Oncol. 2012; 10: 237
- Diffusion-weighted mri: a useful technique to discriminate benign versus malignant ovarian surface epithelial tumors with solid and cystic components.Abdom Imaging. 2012; 37: 897-903
Article info
Publication history
Published online: June 12, 2014
Accepted:
June 2,
2014
Received in revised form:
May 19,
2014
Received:
March 9,
2014
Footnotes
☆We declare that we have no conflicts of interest.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
