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Volume 5 Issue 3 (March, 2017)

Original Articles

COMPARATIVE ROLE OF MRI & USG IN EVALUATING FEMALE PELVIC PATHOLOGIES AND ITS CORRELATION WITH OPERATIVE / HISTOPATHOLOGY FINDINGS
Vadlamudi Vijetha, T. Munikumari, Umamaheshwar

Introduction: Since magnetic resonance imaging (MRI) offers high contrast resolution, provides good tissue characterization, and is capable of multiplanar imaging capabilities, it is becoming a useful tool for the evaluation of female pelvic pathology. Since MRI is more expensive and potentially less readily available than ultrasound, it is important to know when patients should undergo MRI. Aim & objective: To study MRI & ultrasound appearance of various pathologies of female pelvis, to assess which modality is more accurate in a particular pathology and to assess the sensitivity & specificity of MRI & ultrasound in various Pelvic pathologies. Methodology: 50 female patients were randomly selected who reported with clinical positive symptoms and findings of pelvic pathologies. Equipments which were used to assess the pathologies were ESAOTE my lab 40 with is color doppler and GE (1.5T) for MRI Machine. Descriptive statistical analysis was carried out in the study. Results: MRI and USG provide valuable adjunct in pre and post-operative evaluation. This study comprised of 50 cases, with maximum patients in the age group of 31 to 40, followed by 41 to 50 and then 21 to 30 years. The commonest complaint being Bleeding PV, followed by pain abdomen, post menopausal bleeding and others. USG was able to diagnose 60% of the congenital defects in comparison to MRI (100%).USG was able to diagnose 42% with adnexal lesions, 26% with uterine lesions and 100% with cervical cancers (only with the quantification of the lesion), but the specificity was 100% with USG. On MRI, maximum group were adnexal lesions followed by uterine lesions followed by cervical cancer and then others. Conclusion: Since magnetic resonance imaging (MRI) offers high contrast resolution, provides good tissue characterization, and is capable of multiplanar imaging capabilities, it is becoming a useful tool for the evaluation of female pelvic pathology.  It is more accurate and specific than USG. Since it is more expensive than the USG and need more expertise, it is important to know when patients should undergo MRI.

Key words: MRI, Pelvic pathologies, USG.

 
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