Role of diffusion weighted MRI in the differential diagnosis of endometrial cancer, polyp, hyperplasia, and physiological thickening.
Our purpose was to evaluate the role of diffusion-weighted imaging (DWI) in the diagnosis of various common pathologies of the uterine cavity, by comparing them with contrast-enhanced MRI findings. One hundred sixty-four patients with lesions in endometrial cavity were included in the study. The patients were grouped in four (one malignant and three benign groups). We have observed that the differences of the apparent diffusion coefficient, b1000q, and Cq values between various common benign and malignant lesions were statistically significant (P<.001). However, the differences of the values between benign groups were not statistically significant (P>.05). Alternatively, endometrial polyp group's signal intensity on DWI was different than the other groups.
Department of Radiology, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: drbarisbakir@yahoo.com.
Baris
B
Bakir
Department of Radiology, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: sanli_sukru@hotmail.com.
Sükrü
S
Sanli
Department of Obstetric and Gynecology, Haseki Women and Children Diseases Education and Research Hospital, Millet Caddesi, Aksaray/Fatih, 34091, Istanbul, Turkey. Electronic address: vuslatlale@hotmail.com.
Vuslat Lale
VL
Bakir
Department of Obstetric and Gynecology, Zeynep Kamil Women and Children Diseases Education and Research Hospital, Opr. Dr. Burhanettin Ustunel Caddesi No:10, Uskudar, 34668, Istanbul, Turkey. Electronic address: selcukayas@gmail.com.
Selcuk
S
Ayas
Department of Biostatistics and Medical Informatics, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: sevda@istanbul.edu.tr.
Sevda Ozel
SO
Yildiz
Department of Obstetric and Gynecology, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: cemiyi@yahoo.com.
Ahmet Cem
AC
Iyibozkurt
Department of Radiology, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: drmgkartal@gmail.com.
Merve Gülbiz
MG
Kartal
Department of Pathology, Istanbul University, Istanbul Medical School, Capa, 34390, Istanbul, Turkey. Electronic address: yavuze@istanbul.edu.tr.
Ekrem
E
Yavuz
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003287:Contrast Media; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods*; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging*; D004717:Endometrium / Q000000981:diagnostic imaging* / Q000473:pathology*; D005260:Female; D006801:Humans; D006965:Hyperplasia; D007089:Image Enhancement; D008875:Middle Aged; D011127:Polyps / Q000000981:diagnostic imaging*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
D003287:Contrast Media
Diffusion-weighted MRI; Endometrial cancer; Endometrial hyperplasia; Endometrial polyp; Endometrial thickness