MRI Study of Uterine Mass Lesions in Correlation with Trans-Abdominal, Trans-Vaginal Ultrasound using HPE as a Gold Standard

Background: Although MRI is an expensive technique compared to USG, USG examination can’t encompass every lesion or mass of the uterus due to the obscuration of the pelvis by bowel gas; hence, both studies are mandatory to conclude the uterine mass apart from the histopathology of the uterine mass.Method: In 30 adult women with uterine masses, transabdominal ultrasound, transvaginal ultrasound, and MRI were performed in all patients. The observations were compared.Results: The clinical manifestations were: 21 (70%) had pain, 11 (36.6%) had bleeding PV, 9 (30%) had discharged PV, 2 (6.6%) had a mass abdomen, 2 (6.6%) had loss of weight and appetite pre-menopausal, and 10 (33.3%) were post-menopausal.According to their histopathological report, they were classified into five groups: adenomyosis was affected in 7 patients, fibroids were observed in 14 individuals, endometrial cancer was in 2 patients, and cervical cancer was polyp. Out of ten women, two had adnexal pathology.Conclusion: TVS is a good screening modality, but MRI is definitely better for proper characterization and localization of fibroid, enabling clinicians to select the most appropriate management in clinical practice today.