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[Preoperative differential diagnosis of cystic adnexal tumors: double-contrast MRT]. / Präoperative Differentialdiagnostik zystischer Adnextumoren: Doppelkontrast-MRT.
Reuter, M; Steffens, J C; Schüppler, U; Muhle, C; Brinkmann, G; Kohl, A; Weisner, D; Lüttges, J; Spielmann, R P; Heller, M.
Afiliación
  • Reuter M; Klinik für Radiologische Diagnostik, Christian-Albrachts-Universität zu Kiel.
Rofo ; 164(5): 394-400, 1996 May.
Article en De | MEDLINE | ID: mdl-8634400
PURPOSE: Preoperative assessment of adnexal lesions as benign or malignant by MRI with gastrointestinal and intravenous contrast. METHODS: 46 patients with benign (n = 42) and malignant (n = 4) cystic adnexal tumours underwent MRI of the pelvis. Transaxial and coronal images were acquired using conventional T1- and T2-weighted SE-sequences after oral administration of superparamagnetic iron oxide particles (Ferristene). Additional T1-weighted SE-images were obtained immediately following gadodiamide (Gd DTPA-BMA) injection. RESULTS: MRI correctly classified the four malignant lesions, whereas nine histologically benign lesions were misdiagnosed as malignant. Intravenous contrast yielded a superior delineation of intratumor architecture. CONCLUSION: Due to exclusion of solid structures. MRI with oral and i.v. contrast enables to dismiss suspected malignity in cystic adnexal lesions. Because of the non-specificity of the macroscopic criteria of dignity, the MR diagnosis "malignity" is of limited value.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Imagen por Resonancia Magnética / Gadolinio DTPA Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: De Revista: Rofo Año: 1996 Tipo del documento: Article Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Imagen por Resonancia Magnética / Gadolinio DTPA Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: De Revista: Rofo Año: 1996 Tipo del documento: Article Pais de publicación: Alemania