HIGH-FIELD MRI AND US EVALUATION OF THE PELVIS IN WOMEN WITH LEIOMYOMAS

被引:60
作者
ZAWIN, M [1 ]
MCCARTHY, S [1 ]
SCOUTT, LM [1 ]
COMITE, F [1 ]
机构
[1] YALE UNIV,SCH MED,DEPT DIAGNOST RADIOL,333 CEDAR ST,NEW HAVEN,CT 06510
关键词
Leiomyoma; Magnetic resonance (MR); comparative studies; Ultrasound; (US); Uterine neoplasms;
D O I
10.1016/0730-725X(90)90044-3
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Magnetic resonance imaging (MRI) and real-time transabdominal ultrasonography (US) were performed on 23 women with uterine leiomyomas. The uterus, ovaries, and cul de sac were evaluated. Accurate determination of uterine volume was possible in all cases by MRI, but was limited on US in uteri larger than 140 cc. Marked enlargement also prevented visualization of contour abnormalities in eight patients on US, but none on MRI. The endometrial stripe and junctional zone could not be adequately visualized in 21 23 US examinations, whereas they were identified in all 23 MRI (8 normal and 15 distorted). Individual leiomyomas were clearly depicted on 4 US and 19 MR scans, the smallest being 1.1 cm and 0.8 cm, respectively. Of the 31 fibroids present on MRI: 13 were intramural, 4 subserosal, and 14 submucosal. MRI successfully identified 44 46 ovaries as compared to 21 46 on US. Cul de sac fluid was noted in seven women by MRI alone. This data suggests that MRI is superior to US in examination of the entire pelvis in women with leiomyomas. © 1990.
引用
收藏
页码:371 / 376
页数:6
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