Uterine Sarcoma or Degenerating Fibroid? Validating the New Consensus Magnetic Resonance Imaging Algorithm for Evaluating Atypical Uterine Masses
The new consensus pelvic MRI algorithm for evaluating atypical uterine masses has good specificity, sensitivity, positive predictive value, and negative predictive value for determining malignancy, particularly for uterine sarcomas that are leiomyosarcomas. However, if ADC value is near but not below 0.905 × 10 -3 mm 2 /s, the mass may still be malignant, especially if a b value lower than 1000 is used. If the atypical uterine mass is predominantly endometrial, morphological features on T2 and postgadolinium sequences should guide suspicion, as some atypical appearing nonleiomyosarcoma uterine malignancies may have an ADC value greater than 0.905 × 10 -3 mm 2 /s.
Authors
- Emma L. Barber (ORCID: https://orcid.org/0000-0002-8111-0767)
- Linda C. Kelahan (ORCID: https://orcid.org/0000-0003-2142-6003)
- Hannah S. Recht (ORCID: https://orcid.org/0000-0003-2697-3831)
- Yury Velichko (ORCID: https://orcid.org/0000-0002-2287-5727)
- Elisheva D. Shanes (ORCID: https://orcid.org/0000-0002-7659-7072)
- Jeanne M. Horowitz (ORCID: https://orcid.org/0000-0002-8056-8901)
- Frank H. Miller (ORCID: https://orcid.org/0000-0001-9506-9411)
- Aja I. Green-Walker
- Anugayathri Jawahar (ORCID: https://orcid.org/0000-0002-0676-3274)
- Camila Lopes Vendrami (ORCID: https://orcid.org/0000-0002-9604-2795)
Institutions
- Northwestern University (US)
- Northwestern Memorial Hospital (US)
Publication Details
- Journal
- Journal of Computer Assisted Tomography
- Published
- 2024-10-04
- DOI
- https://doi.org/10.1097/rct.0000000000001656
- Citations
- 5
- Primary Topic
- Uterine Myomas and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 2.91