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Published in: Abdominal Radiology 1/2013

01-02-2013

Pelvic inflammatory disease: evaluation of diagnostic accuracy with conventional MR with added diffusion-weighted imaging

Authors: Wenhua Li, Yuzhen Zhang, Yanfen Cui, Ping Zhang, Xiangru Wu

Published in: Abdominal Radiology | Issue 1/2013

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Abstract

Purpose

To determine the incremental value of magnetic resonance (MR) diffusion-weighted (DW) imaging for the diagnosis of pelvic inflammatory diseases (PID).

Materials and methods

We added DW sequences to conventional MR imaging in 187 patients with clinically suspected PID. The imaging findings included shape, signal intensity on T1-weighted, T2-weighted, and DW imaging, shade in the peripheral lesions, free pelvic fluid, and lymphadenopathy.

Results

Laparoscopic and pathological findings confirmed the diagnosis in all patients. Conventional MR findings were consistent with a diagnosis of PID in 90.7% (117/129) and of non-PID in 93.3% (28/30) of the 159 patients. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of conventional MR imaging findings vs. the addition of DW imaging to conventional MR protocols for predicting PID were 90.7%, 93.3%, 98.3%, 70.0%, and 91.2% and 98.4%, 93.3%, 98.4%, 93.3%, and 97.5%, respectively.

Conclusion

The addition of DW sequences to conventional MR imaging can improve the accuracy of diagnosis in PID.
Literature
1.
go back to reference Medeiros LR, Freitas LB, Rosa DD, et al. (2011) Accuracy of magnetic resonance imaging in ovarian tumor: a systematic quantitative review. Am J Obstet Gynecol 204:67.e1–67.e10CrossRef Medeiros LR, Freitas LB, Rosa DD, et al. (2011) Accuracy of magnetic resonance imaging in ovarian tumor: a systematic quantitative review. Am J Obstet Gynecol 204:67.e1–67.e10CrossRef
2.
go back to reference Qayyum A (2009) Diffusion-weighted imaging in the abdomen and pelvis: concepts and applications. Radiographics 29:1797–1810PubMedCrossRef Qayyum A (2009) Diffusion-weighted imaging in the abdomen and pelvis: concepts and applications. Radiographics 29:1797–1810PubMedCrossRef
3.
go back to reference Spencer JA, Ghattamaneni S (2010) MR imaging of sonographically indeterminate adnexal mass. Radiology 256:677–694PubMedCrossRef Spencer JA, Ghattamaneni S (2010) MR imaging of sonographically indeterminate adnexal mass. Radiology 256:677–694PubMedCrossRef
4.
go back to reference Li WH, Chu CT, Cui YF, Zhang P, Zhu MJ (2011) Diffusion-weighted MRI: a useful technique to discriminate benign versus malignant ovarian surface epithelial tumors with solid and cystic components. Abdominal Imaging . doi:10.1007/s00261-011-9814-x Li WH, Chu CT, Cui YF, Zhang P, Zhu MJ (2011) Diffusion-weighted MRI: a useful technique to discriminate benign versus malignant ovarian surface epithelial tumors with solid and cystic components. Abdominal Imaging . doi:10.​1007/​s00261-011-9814-x
5.
go back to reference Tukeva TA, Aronen HJ, Karjalainen PT, et al. (1999) MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US. Radiology 210:209–216PubMed Tukeva TA, Aronen HJ, Karjalainen PT, et al. (1999) MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US. Radiology 210:209–216PubMed
6.
go back to reference Rezvani M, Shaaban AM (2011) Fallopian tube disease in the nonpregnant patient. Radiographics 31:527–548PubMedCrossRef Rezvani M, Shaaban AM (2011) Fallopian tube disease in the nonpregnant patient. Radiographics 31:527–548PubMedCrossRef
7.
go back to reference Kim MY, Rha SE, Oh SN, et al. (2009) MR imaging findings of hydrosalpinx: a comprehensive review. Radiographics 29:495–507PubMedCrossRef Kim MY, Rha SE, Oh SN, et al. (2009) MR imaging findings of hydrosalpinx: a comprehensive review. Radiographics 29:495–507PubMedCrossRef
8.
go back to reference Outwater EK, Siegelman ES, Kilger AM, Dunton CJ, Talerman A (1998) Dilated fallopian tubes: MR imaging characteristics. Radiology 208:463–469PubMed Outwater EK, Siegelman ES, Kilger AM, Dunton CJ, Talerman A (1998) Dilated fallopian tubes: MR imaging characteristics. Radiology 208:463–469PubMed
9.
go back to reference Thomassin-Naggara I, Darai E, Cuenod CA, et al. (2009) Contribution of diffusion-weighted MR imaging for predicting benignity of complex adnexal masses. Eur Radiol 19:1544–1552PubMedCrossRef Thomassin-Naggara I, Darai E, Cuenod CA, et al. (2009) Contribution of diffusion-weighted MR imaging for predicting benignity of complex adnexal masses. Eur Radiol 19:1544–1552PubMedCrossRef
10.
go back to reference Umemoto M, Shiota M, Shimono T, et al. (2006) Preoperative diagnosis of ovarian tumors, focusing on the solid area based on diagnostic imaging. J Obstet Gynaecol Res 32:195–201PubMedCrossRef Umemoto M, Shiota M, Shimono T, et al. (2006) Preoperative diagnosis of ovarian tumors, focusing on the solid area based on diagnostic imaging. J Obstet Gynaecol Res 32:195–201PubMedCrossRef
11.
go back to reference Thomassin-Naggara I, Toussaint I, Perrot N, et al. (2011) Characterization of complex adnexal masses: value of adding perfusion-and diffusion-weighted MR imaging to conventional MR imaging. Radiology 258:793–803PubMedCrossRef Thomassin-Naggara I, Toussaint I, Perrot N, et al. (2011) Characterization of complex adnexal masses: value of adding perfusion-and diffusion-weighted MR imaging to conventional MR imaging. Radiology 258:793–803PubMedCrossRef
12.
go back to reference Luthra G, Parihar A, Nath K, et al. (2007) Comparative evaluation of fungal, tubercular, and pyogenic brain abscesses with conventional and diffusion MR imaging and proton MR spectroscopy. AJNR Am J Neuroradiol 28:1332–1338PubMedCrossRef Luthra G, Parihar A, Nath K, et al. (2007) Comparative evaluation of fungal, tubercular, and pyogenic brain abscesses with conventional and diffusion MR imaging and proton MR spectroscopy. AJNR Am J Neuroradiol 28:1332–1338PubMedCrossRef
13.
go back to reference Cartes-Zumelzu FW, Stavrou I, Castillo M, et al. (2004) Diffusion-weighted imaging in the assessment of brain abscesses therapy. AJNR Am J Neuroradiol 25:1310–1317PubMed Cartes-Zumelzu FW, Stavrou I, Castillo M, et al. (2004) Diffusion-weighted imaging in the assessment of brain abscesses therapy. AJNR Am J Neuroradiol 25:1310–1317PubMed
14.
go back to reference Erturk SM, Ichikawa T, Sano K, et al. (2008) Diffusion-weighted magnetic resonance imaging for characterization of focal liver masses: impact of parallel imaging (SENSE) and b value. J Comput Assist Tomogr 32:865–871PubMedCrossRef Erturk SM, Ichikawa T, Sano K, et al. (2008) Diffusion-weighted magnetic resonance imaging for characterization of focal liver masses: impact of parallel imaging (SENSE) and b value. J Comput Assist Tomogr 32:865–871PubMedCrossRef
15.
go back to reference Nakai G, Matsuki M, Inada Y, et al. (2008) Detection and evaluation of pelvic lymph nodes in patients with gynecologic malignancies using body diffusion-weighted magnetic resonance imaging. J Comput Assist Tomogr 32:764–768PubMedCrossRef Nakai G, Matsuki M, Inada Y, et al. (2008) Detection and evaluation of pelvic lymph nodes in patients with gynecologic malignancies using body diffusion-weighted magnetic resonance imaging. J Comput Assist Tomogr 32:764–768PubMedCrossRef
16.
go back to reference Fujii S, Katite S, Nishihara K, et al. (2008) Diagnostic accuracy of diffusion-weighted imaging in differentiating benign from malignant ovarian lesions. J Magn Reson Imaging 28:1149–1156PubMedCrossRef Fujii S, Katite S, Nishihara K, et al. (2008) Diagnostic accuracy of diffusion-weighted imaging in differentiating benign from malignant ovarian lesions. J Magn Reson Imaging 28:1149–1156PubMedCrossRef
17.
go back to reference Khouli RH, Jacobs MA, Mezban SD, et al. (2010) Diffusion-weighted imaging improves the diagnostic accuracy of conventional 3.0-T breast MR imaging. Radiology 256:64–73CrossRef Khouli RH, Jacobs MA, Mezban SD, et al. (2010) Diffusion-weighted imaging improves the diagnostic accuracy of conventional 3.0-T breast MR imaging. Radiology 256:64–73CrossRef
18.
go back to reference Oto A, Kayhan A, Jiang YL, et al. (2010) Prostate cancer: differentiation of central gland cancer from benign prostatic hyperplasia by using diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology 257:715–723PubMedCrossRef Oto A, Kayhan A, Jiang YL, et al. (2010) Prostate cancer: differentiation of central gland cancer from benign prostatic hyperplasia by using diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology 257:715–723PubMedCrossRef
Metadata
Title
Pelvic inflammatory disease: evaluation of diagnostic accuracy with conventional MR with added diffusion-weighted imaging
Authors
Wenhua Li
Yuzhen Zhang
Yanfen Cui
Ping Zhang
Xiangru Wu
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 1/2013
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-012-9896-0

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