Role of magnetic resonance imaging to differentiate between borderline and malignant serous epithelial ovarian tumors

Akçay A., Peker A. A., Oran Z., Toprak H., Toluk Ö., Balsak S., ...Daha Fazla

ABDOMINAL RADIOLOGY, cilt.49, sa.1, ss.229-236, 2024 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1007/s00261-023-04076-9
  • Dergi Adı: ABDOMINAL RADIOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.229-236
  • Anahtar Kelimeler: Diffusion weighted imaging, Magnetic resonance imaging, Serous borderline ovarian tumors, Serous epithelial ovarian carcinoma
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

Purpose We aimed to differentiate serous borderline ovarian tumors (SBOT) from serous epithelial ovarian carcinomas (SEOC) using morphological and functional MRI findings, to improve the patient management.Method We retrospectively investigated 24 ovarian lesions diagnosed with SBOT and 64 ovarian lesions diagnosed with SEOC. Additional to the demographic and morphological findings T2W signal intensity ratio, mean apparent diffusion coefficient (ADC(mean)) and total apparent diffusion coefficient (ADC(total)) values were analyzed and compared between two groups.Results Bilaterality, pelvic free fluid presence, serum CA-125 level (U/mL), presence of pelvic peritoneal implant were in favor of SEOC. Lower maximum size of solid component and solid size to maximum size ratio, dominantly cystic and solid-cystic appearance, exophytic growth pattern, presence of papiller projection and papillary architecture and internal branching pattern, higher T2W signal intensity ratio, ADC(mean) and ADC(total) values were in favor of SBOT.Conclusion Our study revealed that morphological and functional imaging findings were valuable in differentiating BSOT from SEOC.