Evaluation of Uterine Masses using USG and MRI – with HPE Correlation

Author: Yuvabalakumaran G., Anupritha S., Sidhesh R.M., Sathiyanarayanan R. and Srikar B.

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Abstract

Ultrasonography and MRI were two extensively utilised for diagnosing uterine mass lesions in these days and they are also becoming widely available. The objective was to find out the diagnostic ability of ultrasonography and MRI for various uterine mass lesions in comparison to HPE. The present study was cross-sectional study carried out in the department of radiodiagnosis in tertiary care hospital between February 2021 and April 2022. All the participants who came with symptoms of uterine mass lesions during the study period were included into the study. A pretested semi structured proforma was used to record the data. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy for each parameter was calculated. 95% confidence interval for all the diagnostic parameters were estimated. The sensitivity for diagnosing adenomyosis for TA USG, TV ISG and MRI were 35.7%, 50% and 78.5%, respectively. The specificity was 66.6%, 75% and 88.8% for the three. The diagnostic accuracy was higher for MRI (86%) followed by TV USG (68%) and TA USG (58%). The sensitivity was 100% for MRI, 90% for TV USG and 75% for TA USG. The specificity for MRI, TV USG and TA USG were 93.3%, 83.3% and 80%, respectively. The diagnostic accuracy of MRI was 96%, TV USG was 86% and TA USG was 78%. The sensitivity for diagnosing tumour mass for TV USG and MRI were 69.2% and 84.6%, respectively. The specificity was 91.8% and 86.4% for MRI and transvaginal USG, respectively. The diagnostic accuracy for MRI was 90% while that of TV USG was 82%. MRI was found to be more accurate tool for diagnosing uterine mass lesions followed by transvaginal USG and transabdominal USG.

Keywords

Uterine mass lesions, adenomyosis, fibroids, Transvaginal USG, transabdominal USG, MRI, tumour mass

Conclusion

MRI was found to be more accurate tool for diagnosing uterine mass lesions followed by transvaginal USG and transabdominal USG. For certain lesions like fibroids, the sensitivity was 100% and diagnostic accuracy was 96%. The diagnostic accuracy for tumour mass was 90% and that of adenomyosis was 86% in case of MRI.

References

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How to cite this article

Yuvabalakumaran G., Anupritha S., Sidhesh R.M., Sathiyanarayanan R. and Srikar B. (2023). Evaluation of Uterine Masses using USG and MRI – with HPE Correlation. Biological Forum – An International Journal, 15(6): 426-431.