TO CORRELATE THE MRI FINDINGS WITH THAT OF TRANSVAGINAL ULTRASOUND

Renu Goindani, Anoop Gupta
In: International Journal of Medical and Biomedical Studies · 2019 · vol. 3(10) · doi:10.32553/ijmbs.v3i10.644 · W2984477486
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This study evaluated the diagnostic accuracy of transvaginal ultrasound versus MRI in 65 patients with clinically suspected or incidentally detected endometrial lesions. The results indicated that while benign conditions predominated, transvaginal ultrasound achieved an 82% accuracy rate for detecting malignant lesions but lacked sufficient sensitivity for definitive diagnosis. Consequently, the authors recommend using ultrasound as a primary screening tool due to its accessibility and cost-effectiveness, while reserving MRI for cases where malignancy is suspected based on clinical features or initial imaging findings. Relevance to endometriosis: adenomyosis is listed as one of the benign lesions identified via transvaginal ultrasound, placing this paper tangentially within the corpus focused on these conditions.

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Abstract

This Study was done in the Department of Radio diagnosis of Amaltas Institute of Medical Sciences, Dewas, Madhya Pradesh, A total of 65 patients who were referred to our department with clinical suspicion of endometrial lesions and incidentally detected endometrial lesions on ultrasonography underwent transvaginal ultrasound. Result:On TVS 29% cases were diagnosed as endometrial hyperplasia. 25% cases were diagnosed as malignantetiology. Overall benign lesions predominated comprising of 75% of total lesions. Other benign lesions identified on TVS were endometrial polyp,endometritis,submucosal fibroid ,adenomyosis and synechiae. Conclusion: TVS should be used as the primary imaging modality in endometrial lesions as it is dynamic, widely available and less expensive. But it is less sensitive in diagnosing malignant endometrial lesions and there extend. Accuracy of TVS is 82% in detecting malignant endometrial lesions. All patients with even slight suspicion of malignancy based on clinical features, age and TVS findings should be subjected to pelvic MRI. Keywords: MRI, Transvaginal, Ultrasound & Endometrial lesions
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Conclusion

TVS should be used as the primary imaging modality in endometrial lesions as it is dynamic, widely available and less expensive. But it is less sensitive in diagnosing malignant endometrial lesions and there extend. Accuracy of TVS is 82% in detecting malignant endometrial lesions. All patients with even slight suspicion of malignancy based on clinical features, age and TVS findings should be subjected to pelvic MRI.

Keywords

MRI, Transvaginal, Ultrasound & Endometrial lesions

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