Diagnostic accuracy of MRI in the evaluation of female pelvic lesions

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Joseph KT
Dr.C S Prabhu
DR. Lokesh Kumar T
Dr. Prabhakaran T
Dr. Haritha D

Abstract

Aims & Objectives: To evaluate the diagnostic reliability of MRI in evaluating pelvic pathologies and its correlation with histopathology and its accuracy in differentiating benign versus malignant pelvic pathologies in correlation with histopathological findings.


Materials and Methods: To evaluate the diagnostic reliability of MRI in evaluating pelvic pathologies and its correlation with histopathology and its accuracy in differentiating benign versus malignant pelvic pathologies in correlation with histopathological findings.


Results: MRI was able to determine the location of all lesions included in the study. Of the 20 cases, the 12 cases were benign and 8 cases were malignant.MR imaging wasfound to be 100% sensitive, 87.5 % specificand 95 % accurate in differentiating between the benign and malignant lesions. In determining the various other parameters like margins, cellularity, components and infiltration, MRI was found to be reliable.The study demonstrated a sensitivity, specificity and accuracy of 71.43%, 100% and 90% respectively, in distinguishing the borders of the lesion. It had a sensitivity, specificity and accuracy of 100%, 94.4% and 95% respectively in evaluating the cellularity of the lesion. The ability of MRI in detecting the internal components of the lesion was found to be statistically significant with a p value of 0.001. The study showed a sensitivity, specificity and accuracy of 75%, 100% and 90% respectively in assessing the infiltration.


Conclusions: Magnetic Resonance Imaging of the female pelvis is a well-established problem-solving tool in the evaluation of utero-ovarian lesions. The information before surgery can assist with appropriate referral, surgical and treatment planning, and patient counseling regarding expectations as well as the risks and benefits of the procedure.

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