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Diffusion weighted imaging in gynecological malignancies - present and future.

Dinesh Manoharan1, Chandan J Das1, Ankita Aggarwal1

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Diffusion weighted imaging (DWI) offers advanced insights into gynaecological cancers by assessing molecular changes. This functional imaging technique improves diagnostic accuracy, treatment response assessment, and recurrence detection compared to traditional methods.

Keywords:
Diffusion weighted imagingFemale pelvisGynaecologyMagnetic resonance imagingMalignancy

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Gynaecological malignancy management has evolved with advances in biogenetics, treatments, and screening.
  • Imaging's role in gynaecology, surgery, and oncology has expanded due to new techniques.

Purpose of the Study:

  • To describe the fundamentals of diffusion weighted imaging (DWI).
  • To explore the current and emerging applications of DWI in evaluating female gynaecological malignancies.

Main Methods:

  • Utilizing diffusion weighted imaging (DWI) as a functional imaging modality.
  • Assessing molecular-level changes in tumours, moving beyond morphological criteria.

Main Results:

  • DWI enhances diagnostic accuracy of conventional magnetic resonance imaging.
  • It aids in evaluating treatment response and detecting tumour recurrence with superior resolution and no radiation.
  • Quantification of diffusion aids in predicting tumour aggressiveness and grade.

Conclusions:

  • Diffusion weighted imaging (DWI) is a valuable tool in diagnosing and managing gynaecological cancers.
  • Radiologists must understand DWI principles for its effective application in clinical practice.