{"paper_id":"c3af74fd-bc02-43d6-8b65-ecb4987da6cb","body_text":"To Evaluate Accuracy of Ultrasonography and Magnetic Resonance Imaging in Characterizations of Adnexal Lesions and its Correlation with Post Operative Histopathology\nAuthors/Creators\n- 1. Senior Resident Dept. of Radio Diagnosis, Sri Siddhartha Medical College, Tumakuru, Karnataka\n- 2. Consultant Radiologist, Shanthi Diagnostic Centre, Bhopal, Madhya Pradesh\n- 3. Professor and HOD, Dept. of Radio Diagnosis, Sri Siddhartha Medical College, Tumkur, Karnataka\n- 4. Assistant Professor, Department of Surgery, Govt Bundelkhand Medical College, Sagar, Madhya Pradesh\n- 5. Resident, Dept. of Radio Diagnosis, Sri Siddhartha Medical College, Tumkur\n- 6. Senior Resident, Dept. of Obstetrics and Gynecology, Sri Siddhartha Medical College, Tumkur, Karnataka\n- 7. Junior Resident, Dept. of Radio Diagnosis, AJ Institute of Medical Science, Mangalore, Karnataka\nDescription\nIntroduction: Adnexal lesions are one of the most common gynecological pathologies are benign in nature, but the malignant ones (10 percent) if not timely intervened can be lethal. When there is a clinical suspicion of adnexal lesions primary modality of choice for diagnosis will be always ultrasonography with Doppler study. About 20% of assessed lesions could be deemed sonographically indeterminate. In such cases Magnetic resonance Imaging will be performed and comparing results of both modalities with gold standard procedure Histopathology of patients will be done. Accurate diagnosis will aid in further management. Aim of the study: To evaluate accuracy of Ultrasonography and Magnetic resonance imaging in characterizations of adnexal lesions and its correlation with post operative histopathology. Results: In the present study age distribution varied from 15-60 years majority were noted among 31-35 years constituting 24.3%. Main symptom was abdominal pain followed by abdominal discomfort. Most common histopathological diagnosis was hemorrhagic cyst ovary constituting to 21.6% among benign lesions, serous cystadenoma ovary constituting to 10.8%. Ultrasonography correctly detected all benign adnexal pathologies, however, MRI detected malignant lesions such as serous cystadenocarcinoma and mucinous cystadenocarcinoma which were diagnosed as benign lesions in Ultrasonography MRI pelvis showed sensitivity of 97%, negative predictive value of 75% over Ultrasonography which showed sensitivity of 88.8% and negative predictive value of 75%. Conclusion: As in few cases ultrasonography fails to accurately differentiate neoplastic etiology, MRI due to its excellent soft tissue characterization and anatomical delineation gives conclusive results.\nAbstract (English)\nIntroduction: Adnexal lesions are one of the most common gynecological pathologies are benign in nature, but the malignant ones (10 percent) if not timely intervened can be lethal. When there is a clinical suspicion of adnexal lesions primary modality of choice for diagnosis will be always ultrasonography with Doppler study. About 20% of assessed lesions could be deemed sonographically indeterminate. In such cases Magnetic resonance Imaging will be performed and comparing results of both modalities with gold standard procedure Histopathology of patients will be done. Accurate diagnosis will aid in further management. Aim of the study: To evaluate accuracy of Ultrasonography and Magnetic resonance imaging in characterizations of adnexal lesions and its correlation with post operative histopathology. Results: In the present study age distribution varied from 15-60 years majority were noted among 31-35 years constituting 24.3%. Main symptom was abdominal pain followed by abdominal discomfort. Most common histopathological diagnosis was hemorrhagic cyst ovary constituting to 21.6% among benign lesions, serous cystadenoma ovary constituting to 10.8%. Ultrasonography correctly detected all benign adnexal pathologies, however, MRI detected malignant lesions such as serous cystadenocarcinoma and mucinous cystadenocarcinoma which were diagnosed as benign lesions in Ultrasonography MRI pelvis showed sensitivity of 97%, negative predictive value of 75% over Ultrasonography which showed sensitivity of 88.8% and negative predictive value of 75%. Conclusion: As in few cases ultrasonography fails to accurately differentiate neoplastic etiology, MRI due to its excellent soft tissue characterization and anatomical delineation gives conclusive results.\nFiles\nIJPCR,Vol15,Issue3,Article127.pdf\nFiles\n(1.3 MB)\n| Name | Size | Download all |\n|---|---|---|\n|\nmd5:89ec35e91095d34e467050f6f55ab928\n|\n1.3 MB | Preview Download |\nAdditional details\nDates\n- Accepted\n-\n2023-02-28\nSoftware\n- Repository URL\n- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue3,Article127.pdf\n- Development Status\n- Active\nReferences\n- 1. Usmani Y, Bhartiya P, Shukla MK. Role of USG & MRI in Female Pelvic Masses with Histological Correlation in Post-Operative Patients. Journal of Evolution of Medical and Dental Sciences. 2020 Nov 16;9(46):3439-44. 2. Neeharika C, Ravindran C. Ultrasound and Magnetic Resonance Imaging Correlation of Adnexallesions. Annals of the Romanian Society for Cell Biology. 2021 Mar 27:3404-18. 3. Kumar PB, Reddy PS. Accuracy of imaging findings compared with that of histopathological findings of the ovarian lesions. 4. Yashi, Singh S. Correlation of ultrasound findings with histopathology of pelvic masses in a tertiary care hospital. Int J Health Sci Res. 2019; 9(1):46-52 5. Varwatte P, Ilangovan G, Balaganesan H. Comparative Study of Ultrasonography and Magnetic Resonance imaging in the Diagnosis of Adnexal Lesions. International Journal of Contemporary Medicine Surgery and Radiology. 2020 Apr;5(2). 6. Mansour TM, Tawfik MH, El-Barody MM, Sileem SA, Okasha A. Open Aimj Original Article. 7. Ramya T, Madhan Kumar V, Jeyakumar M, Radhika D. A Comparative Study of Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Adnexal Lesions. IAIM, 2022; 9(1): 40-47 8. Salooja BS. Comparison of diagnostic ability of ultrasonography, contrast enhanced computed tomography and magnetic resonance imaging indetection of ovarian masses with histopathology correlation. International Journal of Medical Science and Clinical Invention. 2017 Jul 15;4(7). 9. Debbarma T, Ray J, De A, Ray MS. A Study on Validity of Ultrasonography and Magnetic Resonance Imaging in Assessment of Uterine Adnexal Masses. 10. Arora M, Thakker VD, Sindhwani G, Gogoi RK. Ovarian masses: hitting the oncological dart with ultrasound and CT-A comparative study in a remote northeast Indian town. International Journal of Anatomy, Radiology and Surgery. 2017 Apr;6(2):68-74.","source_license":"CC0","license_restricted":false}