Abstract
Pelvic MR imaging is the best second-line technique to characterize indeterminate or complex adnexal masses detected at transvaginal ultrasonography. The aim of this text is to explain the added value of MR and CT in the diagnostic management of a slightly symptomatic indeterminate or complex adnexal mass. The objectives of this chapter are to describe the place of MR imaging and CT imaging and to learn how to combine features from morphologic and functional sequences to accurately diagnose an adnexal mass.
The analysis is divided into two steps: The first step is to estimate the risk of malignancy based on the ADNEX MR Scoring system or EURAD score and the second step is to suggest an histopathological hypothesis combining EURAD score with the age of the patient and the morphology of the tumor.
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References
Brun JL, Fritel X, Aubard Y et al (2014) Management of presumed benign ovarian tumors: updated French guidelines. Eur J Obstet Gynecol Reprod Biol 183:52–58
Buys SS, Partridge E, Greene MH et al (2005) Ovarian cancer screening in the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial: findings from the initial screen of a randomized trial. Am J Obstet Gynecol 193(5):1630–1639
Ghattamaneni S, Bhuskute NM, Weston MJ, Spencer JA (2009) Discriminative MRI features of fallopian tube masses. Clin Radiol 64:815–831
Kinkel K, Lu Y, Mehdizade A et al (2005) Indeterminate ovarian mass at US: incremental value of second imaging test for characterization—meta-analysis and Bayesian analysis. Radiology 236(1):85–94
Thomassin-Naggara I, Aubert E, Rockall A et al (2013) Adnexal masses: development and preliminary validation of an MR imaging scoring system. Radiology 267(2):432–443
Timmerman D, Ameye L, Fischerova D et al (2010) Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ 341:c6839
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Thomassin-Naggara, I., Fedida, B., Kermarrec, E. (2017). Adnexal Masses: Characterization of Benign Adnexal Masses. In: Forstner, R., Cunha, T.M., Hamm, B. (eds) MRI and CT of the Female Pelvis. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_66
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DOI: https://doi.org/10.1007/174_2017_66
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