Ultrasound Versus Magnetic Resonance Imaging in Diagnosis of Malignant and Surgically Difficult Adnexal Cases, AHMED L. ABOULNASR, AHMED S. NASR, ASHRAF S. SELIM, MOSTAFA S. SALEM and MOHAMED A. SHALABY
Abstract
Background: In this study we aim at detection of the most appropriate tool of imaging in the provisional diagnosis of adnexal malignant and surgically difficult cases to be able to plan the most appropriate management.
Objectives: Evaluation of the role of magnetic resonance imaging and ultrasonography in the provisional diagnosis of adnexal malignant and surgically difficult cases, comparing their results with surgical evaluation and finally with the pathological examination.
Study Design: Thirty cases with adnexal malignant and surgically difficult disorders were all under gone both ultrasonography and magnetic resonance imaging and results for all were compared with surgical evaluation and finally with pathology.
Results: Magnetic resonance imaging matched pathological results in 24 out of 30 adnexal cases (80%), with sensitivity and specіficіty 93.8% & 89.3% and ultrasound matched only in 16 cases (53.3%), wіth significant difference, (p.value 0.044).
Conclusion: The results of our study showed the superiority magnetic resonance imaging in provisional diagnosis of adnexal malignant and surgically difficult cases over ultrasonography.