Diagnostic accuracy of diffusion weighted imaging on MRI in suspected cases of ovarian cancer, keeping histopathology as gold standard.

Maryam Latif, Salahuddin Balooch, Zeeshan Ali, Umar Amin, Kiran Zafar, Muhammad Usman Khan
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Abstract

Objective: To assess the diagnostic accuracy of diffusion weighted imaging on MRI in patients of ovarian cancer with histopathology considered as gold standard. Study Design: Cross-sectional study. Setting: Department of Radiology, Tertiary Care Hospital Kharian. Period: February 2022 to August 2022. Material & Methods: Non-probability, consecutive sampling was performed from 60 patients. After receiving informed consents, the suspected female patients with age 15 to 65 years went under MRI. The results were compared with histopathological findings and diagnostic potential of MRI was calculated by 2x2 table. The findings of both the modalities were compared by correlation analysis with p<0.05 considered as significant. Results: The sensitivity and specificity of MRI were estimated to be 92.68% and 73.68%. The positive predictive value and negative predictive value were estimated to be 88.37% and 82.35%. The diagnostic accuracy was found to be 86.66%. The findings of MRI and histopathology were significantly (p<0.05) correlated with a value of 0.685. Conclusion: The use of MRI is highly recommended in diagnosis of ovarian cancer.
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以组织病理学为金标准,磁共振成像弥散加权成像对疑似卵巢癌病例的诊断准确性。
目的评估以组织病理学为金标准的磁共振成像弥散加权成像对卵巢癌患者的诊断准确性。研究设计:横断面研究。研究地点哈里安三级医院放射科。时间: 2022年2月至2022年8月2022 年 2 月至 2022 年 8 月。材料与方法:从 60 名患者中进行非概率连续抽样。在获得知情同意后,对 15 至 65 岁的疑似女性患者进行核磁共振成像检查。结果与组织病理学结果进行比较,并通过 2x2 表计算核磁共振成像的诊断潜力。两种方法的结果通过相关性分析进行比较,P<0.05 为差异显著。结果:核磁共振成像的敏感性和特异性分别为 92.68% 和 73.68%。阳性预测值和阴性预测值分别为 88.37% 和 82.35%。诊断准确率为 86.66%。核磁共振成像结果与组织病理学结果呈显著相关(P<0.05),相关值为 0.685。结论:强烈建议在诊断卵巢癌时使用磁共振成像。
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