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European Radiology

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01.03.2009 | Urogenital

Role of diffusion-weighted imaging in the diagnosis of gynecological diseases

verfasst von: Tomohiro Namimoto, Kazuo Awai, Takeshi Nakaura, Yumi Yanaga, Toshinori Hirai, Yasuyuki Yamashita

Erschienen in: European Radiology | Ausgabe 3/2009

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Abstract

Recent technical advances in diffusion-weighted imaging (DWI) greatly enhanced the clinical value of magnetic resonance imaging (MRI) of the body. DWI can provide excellent tissue contrast based on molecular diffusion and may be able to demonstrate malignant tumors. Quantitative measurement of the apparent diffusion coefficient (ADC) may be valuable in distinguishing between malignant and benign lesions. We reviewed DWI and conventional MRI of the female pelvis to study the utility of DWI in patients with gynecological diseases. Although the ADC can help to differentiate between normal and cancerous tissue in the uterine cervix and endometrium, its utility may be limited by the large overlap of the uterine myometrium and ovaries. On the other hand, the ADC may be useful for monitoring the therapeutic outcome after uterine arterial embolizati (UAE), chemotherapy and/or radiation therapy. In patients with ovarian cancer, DWI demonstrates high intensity not only at the primary cancer site but also in disseminated peritoneal implants. When added to conventional MRI findings, DWI and ADC values provide additional information and DWI may play an important role in the diagnosis of patients with gynecological diseases.

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Titel: Role of diffusion-weighted imaging in the diagnosis of gynecological diseases
verfasst von: Tomohiro Namimoto
Kazuo Awai
Takeshi Nakaura
Yumi Yanaga
Toshinori Hirai
Yasuyuki Yamashita
Publikationsdatum: 01.03.2009
Verlag: Springer-Verlag
Erschienen in: European Radiology / Ausgabe 3/2009
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-008-1185-5

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Role of diffusion-weighted imaging in the diagnosis of gynecological diseases

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