A comparative study of ultrasonography & magnetic resonance imaging with pathological results in diagnosis, localization & measurement of uterine leiomyomas

Muthanna Medical Journal
Volume 4, Issue 1, March 2017, Pages 8-13
http://dx.doi.org/10.18081/2410-4590/2017-8-19
DOI: 10.18081/2410-4590/2017-8-19

Research Article

Amjaad Majeed Hameed¹*

¹Collage of medicine /AL-Qadisiya University
Received 04 December 2016, Accepted 18 February 2017, Available online 05 March 2017
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2017AH

Abstract

Uterine leiomyomas (fibroids or myomas) are the commonest benign tumor of the pelvic organs in females, accurate mapping  of myomas is essential for treatment. Many studies, used  ultrasonography (US) and magnetic resonance imaging (MRI) to determine myomas localization, number and measurement, recently concern has been increasing rate of hysterectomy for myoma in women who have complete childbearing. The aim of the study is to compare US, MRI  results with pathology that is regard as a  gold standard in  detection, localization and measurement of the uterine lieomyoma. A comparative study was done during the period from July 2012 to April 2016 in AL-Diawanyia general teaching hospital in Iraq all included female patients had uterine myomas and all of them had pelvic ultrasonography, MRI and hysterectomy,  the results were compared with pathological results. Both US and MRI results  were compared with pathology result and the correct detection rate of myoma in  ultrasound was low (73.3%) if compare with MRI detection rate (98.1%) with significant P 0.001. Mean number of  myomas in US  was (1.62±1.07), in  MRI was (2.14±149) and in  pathology was (2.15±1.50),  mean diameter of myomas in pathology was 3.49±2.21, in MRI was 3.58±2.21 with P value 0.360 while  in US  mean number was 4.37±1.73with P value 0.002.  Regarding myomas’ localization, there is no significant difference between MRI & pathology (P =0.1573) but  there is high significant difference in myomas’ localization in US and pathology(P=0.00889). In conclusions; MRI is indicated when exact myoma mapping  is required.

Keywords: Uterine myoma; Magnetic resonance imaging; Ultrasonography

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