Dr. Tummala Vidya Reddy, Dr. Sonali S. Somani*, Dr. Sunita Sudhir P and Dr. T.V. Kishan
To determine the role of ultrasonography and magnetic resonance imaging in evaluation of female pelvic masses from reproductive organs with histopathological correlation.
MATERIALS AND METHODS
Present prospective study was conducted at department of Radio diagnosis with collaboration with department of Obstetrics and Gynecology, in Kamineni institute of medical sciences, Narketpally on 30 female patients in suspected to have pelvic masses clinically with USG, MRI and HPE.
In the present study 11 (36%) patients were in age group of 31- 40 years. Lower abdominal pain was the most common presenting complaint in 18 (60%) patients. On USG 16 were given as benign and 14 were given as malignant. On Magnetic Resonance Imaging (MRI) 17 cases were given as benign and 13 cases were given as malignant. On HPE 18 cases were confirmed as benign and 12 were confirmed as malignant. USG showed a sensitivity, specificity, positive predictive value and negative predictive value of 88.8%, 100%, 100% and 85.7% respectively compared to gold standard HPE. MRI showed a sensitivity, specificity, positive predictive value and negative predictive value of 94.5%%, 100%, 100% and 92.4% respectively compared to gold standard HPE. The chi square (p-value <0.05) is significant.
Present study has shown that MRI is a very sensitive imaging modality for the evaluation of female patients with pelvic masses and the disease extent is better evaluated than USG. Pre-operative MRI can be preferred as a noninvasive non radiation method for female patients with pelvic masses.