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Corresponding Author

Hala M. Sherif

Document Type

Original Article

Abstract

Background: Ovarian cancer is one of the most common forms of cancer among women diagnosed usually by ultrasound. MRI with or without contrast had better accuracy in morphologic characterization.

Aim of the study: To evaluate value of the performance of MRI complementary to ultrasound and Doppler in assessment of borderline ovarian masses prior to surgery. Methods: The study included 60 female patients with complex ovarian lesions who have high suspicious of being borderline by ultrasound and Doppler study. Patients with Complex ovarian cysts were classified by combined MRI and Ultrasound as ORADS 3 or 4 and all cases were subjected to ultrasound, MRI and CA-125 level followed by surgical interference of the included cases with pathological correlation. Results: The study included 60 patients had a mean age group of 41.02±15.3 years. Complex ovarian cysts were identified as 35 borderlines, 13 malignant and 12 benign lesions. Accuracy of MRI in detection of malignant lesions was (93.3%) and for Apparent Diffusion Coefficient (ADC) and diffusion were (74.3%) (71.7%) respectively. Sensitivity of MRI was (96.5%) and specificity was (67.5%). Ultrasound with Doppler, sensitivity was (100%). Combined MRI and Ultrasound in detection of borderline ovarian lesions showed (97.2%) sensitivity and (60%) specificity. Cut off point was 1.33 with 83.3% sensitivity, 90% specificity.

Conclusion: Using of ultrasound with Doppler parameters in combination with MRI in evaluation of suspicious ovarian lesions has better diagnostic outcome.

Keywords

BOTS: borderline ovarian tumors, MRI: Magnetic Resonance Imaging, borderline ovarian tumors

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