Efficacy of USG and MRI in the Evaluation of Ovarian Cyst

Abstract

Background, an accurate diagnosis of ovarian cysts is of utmost importance to determine the timely treatment to preserve fertility. Objective, To compare the findings of l ultrasound and pelvic magnetic resonance imaging in patients with ovarian cysts. Methods: study was conducted in radiological department of Alhakeem Teaching Hospital in the najaf center in the period of January 2020 to October 2021,ninety six female patient was examined by magnetic resonance imaging after physical examination and ultrasound examination. the age group between 14-70 years ,the women present with variety of symptoms include irregular cycle , abdominal pain, dysmenhorria and menorrhagia. Results:On US ,the adnexal lesions were simple cyst (39.4%), complex cyst (21.2%), dermoid cyst (13.8%), chocolate cyst (9.6%), Hemorrhagic cysts (9.6%),and multilocular cysts (6.4%).On MRI, the adnexal lesions were simple cyst (33.0%), complex cyst (6.4%), dermoid cyst (11.7%), chocolate cyst (20.2%), Hemorrhagic cysts (11.7%), multilocular cysts (6.4%),mucinous cyst adenocarcinoma(4.2%),serous carcinoma(4.2%),sexcord/stromal ovarian cyst(1.1%),and borderline ovarian(1.1%) . Findings of USG in Comparison to MRI Resultshave100% sensivity,94% spacifity and 94.68 accuracy. Conclusions: : sonograpgically vague ovarian cysts of solid or complex content will be benefit from further evaluation by magnetic resonance imaging,which highly accurate for identifying the origin of the mass and characterization of its tissue content.