Diagnostic Efficacy of T2 Dark Spot, T2 Dark Rim Signs, and T2 Shading on Magnetic Resonance Imaging in Differentiating Endometriomas From Hemorrhagic Cysts
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T2 dark spot and T2 dark rim signs on MRI were useful in differentiating endometriomas from hemorrhagic cysts in a study of 72 lesions.
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Abstract
OBJECTIVE: This study aimed to evaluate the diagnostic efficacy of T2 dark spot, T2 dark rim, and T2 shading signs on magnetic resonance imaging in the differentiation of endometriomas from hemorrhagic cysts. METHODS: Seventy-two hemorrhagic lesions were included in this retrospective study. The presence of T2 dark spot, T2 dark rim, and T2 shading signs in the lesions and the presence of complete or incomplete rim in lesions exhibiting T2 dark rim signs were evaluated. RESULTS: Of 72 lesions, 50 were diagnosed with endometrioma and 22 were diagnosed with hemorrhagic cyst. Twenty-six of 50 endometriomas and none of the hemorrhagic cysts showed T2 dark spot sign. T2 shading was observed in 90% of endometriomas and 18% of hemorrhagic cysts. Incomplete T2 dark rim was detected in 67% of endometriomas and 21% of hemorrhagic cysts. CONCLUSIONS: T2 dark spot and T2 dark rim signs could be useful for distinguishing endometriomas from hemorrhagic cysts.
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Cited by (10)
- Differential Diagnosis of Ovarian Endometriotic Cysts and Hemorrhagic Functional Cysts 2025
- Evaluating the Diagnostic Efficacy of Susceptibility Weighted Imaging (SWI) in Pelvic Endometriosis 2025
- Ovarian endometrioma 2025
- MRI of female infertility 2023
- MRI of endometriosis 2023
- Acute pelvic pain: A pictorial review with magnetic resonance imaging 2022
- The efficiency of susceptibility-weighted MRI in the differentiation of endometriomas from haemorrhagic ovarian cysts 2021
- Rupture of ovarian endometriotic cyst complicated with endometriosis: A case report 2021
- Minimally invasive diagnosis of endometriosis 2021
- T2 dark spot sign (endometrioma) 2015
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:22:41.077124+00:00
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