The role of dynamic contrast-enhanced and diffusion weighted magnetic resonance imaging in the female pelvis |
| |
Authors: | Evis Sala Andrea Rockall Deepa Rangarajan Rahel A Kubik-Huch |
| |
Institution: | a University Department of Radiology, Box 218, Level 5, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, United Kingdom b Department of Radiology, St Bartholomew's Hospital, West Smithfield, London EC1A 7ED, United Kingdom c Department of Radiology, Box 218, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, United Kingdom d Institute of Radiology, Department of Medical Services, Kantonsspital Baden Im Ergel, CH-5404 Baden, Switzerland |
| |
Abstract: | Functional imaging by means of dynamic multiphase contrast-enhanced magnetic resonance imaging (DCE-MRI) and diffusion weighted magnetic resonance imaging (DW-MRI) is now part of the standard imaging protocols for evaluation of the female pelvis. DCE-MRI and DW-MRI are important MR imaging techniques which enable the radiologist to move from morphological to functional assessment of diseases of the female pelvis. This is mainly due to the limitations of morphologic imaging, particularly in lesion characterization, accurate lymph node staging, assessment of tumour response and inability to differentiate post-treatment changes from tumour recurrence.DCE-MRI improves the accuracy of T2WI in staging of endometrial cancer. It also helps differentiate tumour recurrence from radiation fibrosis in patients with cervical cancer. DCE-MRI improves characterization of cystic adnexal lesions and detection of small peritoneal implants in patients with ovarian cancer.DW-MRI is valuable in preoperative staging of patients with endometrial and cervical cancer, especially in detection of extra-uterine disease. It does increase reader's confidence for detection of recurrent disease in gynaecological malignancies and improves detection of small peritoneal implants in patients with ovarian cancer.In this review article we give an overview of both DCE-MRI and DW-MRI techniques, concentrating on their main clinical application in the female pelvis, and present a practical approach of the added value of these techniques according to the main pathological conditions, highlighting the pearls and pitfalls of each technique. |
| |
Keywords: | Magnetic resonance imaging Diffusion weighted magnetic resonance imaging Apparent diffusion coefficient Dynamic contrast-enhanced magnetic resonance imaging Female pelvis |
本文献已被 ScienceDirect 等数据库收录! |
|