Abstract
The aim was to determine the utility of diffusion-weighted magnetic resonance imaging
(DW MRI) and apparent diffusion coefficient (ADC) measurements in differentiation
of endometrioma and hemorrhagic ovarian cyst. A total of 24 female patients who underwent
pelvic MRI with an initial diagnosis of ovarian cyst were included in the study. The
final diagnosis was endometrioma in 12 patients and hemorrhagic ovarian cyst in 12
patients. We observed significantly lower ADC values in endometriomas compared with
hemorrhagic ovarian cysts in all b values. DW MRI with quantitative ADC measurements can be used for differentiation
of endometrioma from hemorrhagic ovarian cysts.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The relation between endometriosis and ovarian cancer—a review.Acta Obstet Gynecol Scand. 2014; 93: 20-31
- Characterization of adnexial masses with MRI.AJR Am J Roentgenol. 2005; 184: 1004-1009
- Cancer statistics, 2007.CA Cancer J Clin. 2007; 57: 43-66
- Diffusion MR imaging: clinical applications.AJR Am J Roentgenol. 1992; 159: 591-599
- Advances in the early detection of ovarian carcinoma.J Reprod Med. 2005; 50: 447-453
- Lung carcinoma: diffusion-weighted MR imaging-preliminary evaluation with apparent diffusion coefficient.Radiology. 2007; 243: 570-577
- Current status of body MR imaging: fast MR imaging and diffusion-weighted imaging.Int J Clin Oncol. 2006; 11: 278-285
- Bladder cancer: diagnosis with diffusion weighted MR imaging in patients with gross hematuria.Radiology. 2009; 251: 415-421
- Clinical utility of diffusion-weighted magnetic resonance imaging in the assessment of ischemic stroke.Ann Neurol. 1997; 41: 574-580
- Characteristics of uterine contractility during menses in women with mild to moderate endometriosis.Fertil Steril. 2002; 77: 1156-1161
- Epidemiology of endometriosis.Obstet Gynecol Clin North Am. 1997; 24: 235-258
- Endometriosis: radiologic–pathologic correlation.Radiographics. 2001; 21: 193-216
- Treatment of endometriosis.N Engl J Med. 2001; 345: 266-275
- Differential diagnosis of pelvic masses by gray scale sonography.AJR Am J Roentgenol. 1978; 131: 469-476
- Diffusion-weighted EPI of cystic ovarian lesions: evaluation of cystic contents using apparent diffusion coefficients.J Magn Reson Imaging. 2000; 12: 1014-1019
- Diffusion-weighted echo planar imaging of ovarian tumors: is it useful to measure apparent diffusion coefficients?.J Comput Assist Tomogr. 2002; 26: 250-256
- Diffusion-weighted echo-planar MR imaging and ADC mapping in the differential diagnosis of ovarian cystic masses: usefulness of detecting keratinoid substances in mature cystic teratomas.J Magn Reson Imaging. 2005; 22: 271-278
Article info
Publication history
Published online: May 07, 2015
Accepted:
May 4,
2015
Received in revised form:
April 22,
2015
Received:
January 26,
2015
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.