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A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
Multi-detector CT features of benign adnexal lesions
Athina C Tsili1, Nikolaos Dalkalitsis, Evagellos Paraskevaidis
1Department of Clinical Radiology, University Hospital of Ioannina, Leoforos S. Niarchou, 45500, Ioannina, Greece. a_tsili@yahoo.gr
Academic Radiology
|September 8, 2009
Summary
Multidetector computed tomography (MDCT) effectively characterizes benign adnexal lesions. This imaging technique accurately identifies various lesions, aiding in diagnosis and management of gynecologic conditions.
Area of Science:
- Radiology
- Gynecologic Imaging
- Abdominal Imaging
Background:
- Adnexal lesions are common in gynecologic practice.
- Accurate differentiation between benign and malignant adnexal masses is crucial for patient management.
- Multidetector computed tomography (MDCT) offers detailed cross-sectional imaging of pelvic structures.
Purpose of the Study:
- To evaluate the multidetector computed tomography (MDCT) features of histologically proven benign adnexal lesions.
- To assess the diagnostic accuracy of MDCT in characterizing these lesions.
Main Methods:
- Retrospective analysis of MDCT features in 68 histologically confirmed benign adnexal lesions.
- Inclusion of various benign entities: cysts, endometriomas, cystadenomas, fibromas, teratomas.
- Standardized MDCT protocol with intravenous contrast administration (portal phase).
Main Results:
- MDCT demonstrated characteristic appearances for different benign adnexal lesions.
- Ovarian cysts appeared as cystic lesions with smooth, thin walls.
- Serous/mucinous cystadenomas presented as multilocular cystic tumors.
- Endometriomas showed variable appearances, including cystic or hyperdense masses.
- Mature cystic teratomas were accurately characterized by MDCT.
- Fibromas/fibrothecomas displayed specific CT density values.
Conclusions:
- MDCT provides accurate diagnostic information for benign adnexal lesions.
- Characteristic imaging features on MDCT aid in differentiating benign from potentially malignant masses.
- MDCT is a valuable tool in the evaluation of adnexal pathology.
