MR imaging in discriminating between benign and malignant paediatric ovarian masses: a systematic review.

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Abstrakt

Tytuł:: MR imaging in discriminating between benign and malignant paediatric ovarian masses: a systematic review.
Autorzy:: van Nimwegen LWE; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands.
Mavinkurve-Groothuis AMC; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands. .
de Krijger RR; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands.; Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Hulsker CCC; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands.
Goverde AJ; Department of Reproductive Medicine and Gynaecology, University Medical Center of Utrecht, Utrecht, The Netherlands.
Zsiros J; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands.
Littooij AS; Princess Máxima Center for Pediatric Oncology, Heidelberglaan 25, 3584, CS, Utrecht, The Netherlands.; Department of Radiology and Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Źródło:: European radiology [Eur Radiol] 2020 Feb; Vol. 30 (2), pp. 1166-1181. Date of Electronic Publication: 2019 Sep 16.
Typ publikacji:: Journal Article; Systematic Review
Język:: English
Imprint Name(s):: Original Publication: Berlin : Springer International, c1991-
MeSH Terms:: Magnetic Resonance Imaging*/methods
Ovarian Neoplasms/*diagnostic imaging
Adolescent ; Adult ; Child ; Contrast Media ; Diagnosis, Differential ; Diffusion Magnetic Resonance Imaging/methods ; Female ; Humans ; Ovarian Neoplasms/pathology ; Prospective Studies ; Sensitivity and Specificity ; Ultrasonography
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Contributed Indexing:: Keywords: Magnetic resonance imaging; Ovarian neoplasms; Systematic review
Substance Nomenclature:: 0 (Contrast Media)
Entry Date(s):: Date Created: 20190919 Date Completed: 20200604 Latest Revision: 20200604
Update Code:: 20240105
PubMed Central ID:: PMC6957553
DOI:: 10.1007/s00330-019-06420-4
PMID:: 31529256
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Objectives: The use of magnetic resonance (MR) imaging in differentiation between benign and malignant adnexal masses in children and adolescents might be of great value in the diagnostic workup of sonographically indeterminate masses, since preserving fertility is of particular importance in this population. This systematic review evaluates the diagnostic value of MR imaging in children with an ovarian mass.
Methods: The review was made according to the PRISMA Statement. PubMed and EMBASE were systematically searched for studies on the use of MR imaging in differential diagnosis of ovarian masses in both adult women and children from 2008 to 2018.
Results: Sixteen paediatric and 18 adult studies were included. In the included studies, MR imaging has shown good diagnostic performance in differentiating between benign and malignant ovarian masses. MR imaging techniques including diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE) imaging seem to further improve the diagnostic performance.
Conclusion: The addition of DWI with apparent diffusion coefficient (ADC) values measured in enhancing components of solid lesions and DCE imaging may further increase the good diagnostic performance of MR imaging in the pre-operative differentiation between benign and malignant ovarian masses by increasing specificity. Prospective age-specific studies are needed to confirm the high diagnostic performance of MR imaging in children and adolescents with a sonographically indeterminate ovarian mass.
Key Points: • MR imaging, based on several morphological features, is of good diagnostic performance in differentiating between benign and malignant ovarian masses. Sensitivity and specificity varied between 84.8 to 100% and 20.0 to 98.4%, respectively. • MR imaging techniques like diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE) imaging seem to improve the diagnostic performance. • Specific studies in children and adolescents with ovarian masses are required to confirm the suggested increased diagnostic performance of DWI and DCE in this population.

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