ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update
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Publication Date: | 2016 |
Other Authors: | , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10400.26/16545 |
Summary: | An 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. |
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ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an updateMagnetic resonanceimagingOvarian neoplasmRecommendationsDiagnostic imagingOvarian cancerAn 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.SpringerRepositório ComumForstner, RosemarieThomassin-Naggara, IsabelleCunha, Teresa MargaridaKinkel, KarenMasselli, GabrieleHuch, Rahel KubikSpencer, JohnRockall, Andrea2016-11-28T15:41:49Z20162016-11-06T17:07:34Z2016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.26/16545engRosemarie 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, 2016.1432-108410.1007/s00330-016-4600-3info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T06:46:38Zoai:comum.rcaap.pt:10400.26/16545Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:36:19.144980Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
title |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
spellingShingle |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update Forstner, Rosemarie Magnetic resonanceimaging Ovarian neoplasm Recommendations Diagnostic imaging Ovarian cancer |
title_short |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
title_full |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
title_fullStr |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
title_full_unstemmed |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
title_sort |
ESUR recommendations for MR imaging of the sonographically indeterminate adnexal mass: an update |
author |
Forstner, Rosemarie |
author_facet |
Forstner, Rosemarie Thomassin-Naggara, Isabelle Cunha, Teresa Margarida Kinkel, Karen Masselli, Gabriele Huch, Rahel Kubik Spencer, John Rockall, Andrea |
author_role |
author |
author2 |
Thomassin-Naggara, Isabelle Cunha, Teresa Margarida Kinkel, Karen Masselli, Gabriele Huch, Rahel Kubik Spencer, John Rockall, Andrea |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Forstner, Rosemarie Thomassin-Naggara, Isabelle Cunha, Teresa Margarida Kinkel, Karen Masselli, Gabriele Huch, Rahel Kubik Spencer, John Rockall, Andrea |
dc.subject.por.fl_str_mv |
Magnetic resonanceimaging Ovarian neoplasm Recommendations Diagnostic imaging Ovarian cancer |
topic |
Magnetic resonanceimaging Ovarian neoplasm Recommendations Diagnostic imaging Ovarian cancer |
description |
An 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. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-11-28T15:41:49Z 2016 2016-11-06T17:07:34Z 2016-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/16545 |
url |
http://hdl.handle.net/10400.26/16545 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rosemarie 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. 1432-1084 10.1007/s00330-016-4600-3 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
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Springer |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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