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العنوان
New MRI techniques in diagnosis of endometriosis /
الناشر
Salma Moheeb Abdelghaffar ,
المؤلف
Salma Moheeb Abdelghaffar
هيئة الاعداد
باحث / Salma Moheeb Abdelghaffar
مشرف / SohaTalaat Hamed
مشرف / Mariam Raafat Louis Bouls
مشرف / Doaa Shafie Abuzaher Belal
تاريخ النشر
2020
عدد الصفحات
200 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
24/1/2020
مكان الإجازة
جامعة القاهرة - كلية الطب - Radio diagnosis
الفهرس
Only 14 pages are availabe for public view

from 215

from 215

Abstract

Endometriosis is the most common cause of chronic pelvic pain in reproductive age women. It affects approximately 10% of women of the reproductive age. Diagnostic performance values of MRI wereevaluated with a conventional MR protocol; T1, T1FS and T2 WI, and with diffusion weighted and T2* weighted sequences. Surgery and histopathologic examination are the only confirmatory methods for the lesions, thus our quantitative studies included only the surgically confirmed lesions. 80.7% of the endometriosis lesions showed restricted diffusion on DWI, and 96.1% of the endometriosis lesions had signal losses on the T2 star weighted sequence related to hemorrhagic character whereas only 65.4% of the lesions had T1W hyperintense signals and T2 Shading.Diagnostic performance of the MRI examination was improved by the use of the diffusion sequence and more improved by the T2* sequence, compared to the conventional MR protocol (Se=96.12 and Spe=85.7 in T2* weighted images, and Se=80.7 and Spe=71.4 in DWI, Se=80.7 and Spe=71.4 in conventional MRI. P value for conventional MRI was 0.1 which is considered not statistically significantly (p <0.05). P-value for DWI was 0.016, which is considered statistically significantly (p<0.05). P-value for T2*WI was 0.001, which isconsidered statistically significantly (p <0.05).Thus, DWI and T2* significantly improve the diagnostic accuracy of MRI by allowing the detection of hemorrhagic character of endometriotic lesions