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ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update

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dc.contributor.authorForstner, Rosemarie
dc.contributor.authorThomassin-Naggara, Isabelle
dc.contributor.authorCunha, Teresa Margarida
dc.contributor.authorKinkel, Karen
dc.contributor.authorMasselli, Gabriele
dc.contributor.authorHuch, Rahel Kubik
dc.contributor.authorSpencer, John
dc.contributor.authorRockall, Andrea
dc.date.accessioned2016-11-28T15:41:49Z
dc.date.available2016-11-28T15:41:49Z
dc.date.issued2016
dc.date.updated2016-11-06T17:07:34Z
dc.description.abstractAn update of the 2010 published ESUR recommendations of MRI of the sonographically indeterminate adnexal mass integrating functional techniques is provided. An algorithmic approach using sagittal T2 and a set of transaxial T1 and T2WI allows categorization of adnexal masses in one of the following three types according to its predominant signal characteristics. T1 'bright' masses due to fat or blood content can be simply and effectively determined using a combination of T1W, T2W and FST1W imaging. When there is concern for a solid component within such a mass, it requires additional assessment as for a complex cystic or cystic-solid mass. For low T2 solid adnexal masses, DWI is now recommended. Such masses with low DWI signal on high b value image (e.g. > b 1000 s/mm2 ) can be regarded as benign. Any other solid adnexal mass, displaying intermediate or high DWI signal, requires further assessment by contrast-enhanced (CE)T1W imaging, ideally with DCE MR, where a type 3 curve is highly predictive of malignancy. For complex cystic or cystic-solid masses, both DWI and CET1W—preferably DCE MRI—is recommended. Characteristic enhancement curves of solid components can discriminate between lesions that are highly likely malignant and highly likely benign.pt_PT
dc.identifier1432-1084en_US
dc.identifier.citationRosemarie Forstner; Isabelle Thomassin-Naggara; Teresa Margarida Cunha; Karen Kinkel; Gabriele Masselli; Rahel Kubik Huch; John Spencer; Andrea Rockall. ESUR Recommendations for MR Imaging Of The Sonographically Indeterminate Adnexal Mass: An Update, European Radiology, 21 October, 1-10, 2016.pt_PT
dc.identifier.doi10.1007/s00330-016-4600-3pt_PT
dc.identifier.issn1432-1084
dc.identifier.urihttp://hdl.handle.net/10400.26/16545
dc.language.isoengpt_PT
dc.publisherSpringerpt_PT
dc.subjectMagnetic resonanceimagingpt_PT
dc.subjectOvarian neoplasmpt_PT
dc.subjectRecommendationspt_PT
dc.subjectDiagnostic imagingpt_PT
dc.subjectOvarian cancerpt_PT
dc.titleESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an updatept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Radiologypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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