T2* relaxometry mapping of the uterine zones

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This study used T2* mapping to show the uterine junctional zone has a significantly lower T2* value than peripheral myometrium, regardless of benign uterine diseases.

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Abstract

BACKGROUND: Previous literature demonstrated that the T2* value of the uterine junctional zone was lower than that of peripheral myometrium by using BOLD MR imaging. We expect T2* mapping image may add more information to T2-weighted images of the uterine myometrium. PURPOSE: To evaluate whether T2* mapping software would reproduce the result of previous report, and to apply the software to benign uterine diseases. MATERIAL AND METHODS: Five healthy volunteers and 19 patients clinically suspected of having benign pelvic disease were imaged using a 1.5T MR system. All women were of reproductive age, and all provided informed consent. Sagittal T2* images using a multishot EPI sequence were obtained. T2* values were calculated and color T2* maps reconstructed using a T2* fitting tool. RESULTS: The uterine zones could be identified in all 24 examinations on the T2* maps. In addition, a thin "4th zone" was seen between the endometrium and the JZ (junctional zone) in 19 of 24 examinations. The T2* value of JZ was significantly lower than that of peripheral myometrium (PM) (P < 0.001). No significant difference in the T2* value of the JZ or of PM was noted between normal uterus and uterus with leiomyomas and/or adenomyosis. CONCLUSION: A quantitative T2* map can easily be obtained using the PRIDE software T2* fitting tool, and the software reproduces the result from previous report. T2* value of the junctional zone was lower than that of peripheral myometrium regardless of having benign myometrial diseases.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Image Interpretation, Computer-Assisted Magnetic Resonance Imaging Uterine Diseases Adult Case-Control Studies Endometriosis Endometriosis Female Humans Image Interpretation, Computer-Assisted Leiomyoma Leiomyoma Magnetic Resonance Imaging Middle Aged Software Statistics, Nonparametric Uterine Diseases

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References (19)

Cited by (4)

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europepmc
last seen: 2026-09-09T06:15:24.302764+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:16:17.081435+00:00
License: CC0 · commercial use OK