title: MRI in differentiating ovarian borderline from benign mucinous cystadenoma: pathological correlation.
abstract: OBJECTIVE
  To investigate MRI in differentiating borderline mucinous cystadenoma (MC) from benign MC of the ovary.
  
  
  METHODS
  We studied MR images of 26 benign MCs and 24 borderline MCs of the ovary. The following MRI features of tumors were evaluated and compared between two groups: laterality, shape, size, loculation, signal intensity of the fluid, thickness of the septation and the wall, and vegetations. The results of the MRI were then compared with the pathological findings.
  
  
  RESULTS
  Honeycomb loculi, high signal intensity on T1WI, and low signal intensity on T2WI of the intracystic content, thickened septation or wall (≥5 mm), and vegetations (≥5 mm) were significantly more common in borderline MC than in benign MC with the sensitivity and specificity of identifying borderline MC of 50.0% and 80.8%, 41.7% and 96.2%, 45.8% and 96.2%, and 62.5% and 96.2%, respectively. The presence of any one of the following features-honeycomb loculi with a low signal intensity on T2WI, thickened septation or wall (≥5 mm), and vegetations (≥5 mm)-yielded the sensitivity, specificity, and accuracy of identifying borderline MC of 91.7%, 92.3%, and 92.0%, respectively.
  
  
  CONCLUSIONS
  MRI has the ability to accurately demonstrate the morphological characteristics of ovarian MC and reliably differentiate borderline MC from benign MC.
authors.affiliation: Department of Radiology, Jinshan Hospital, Fudan University, Shanghai, China.
authors.forename: Shu Hui
authors.initials: SH
authors.lastname: Zhao
authors.forename: Jin Wei
authors.initials: JW
authors.lastname: Qiang
authors.forename: Guo Fu
authors.initials: GF
authors.lastname: Zhang
authors.forename: Shi Jia
authors.initials: SJ
authors.lastname: Wang
authors.forename: Hai Ying
authors.initials: HY
authors.lastname: Qiu
authors.forename: Li
authors.initials: L
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018291:Cystadenoma, Mucinous / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D010053:Ovary / Q000473:pathology*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D055815:Young Adult
keywords: MRI; borderline; cystadenoma; mucinous; ovary