Neil Soneji BSC, MBBS, Presenter: Nothing to Disclose

Anish Raithatha MBBS, BSC, Abstract Co-Author: Nothing to Disclose

Tara Diane Barwick MBChB, Abstract Co-Author: Nothing to Disclose

Victoria Stewart, Abstract Co-Author: Nothing to Disclose

Andrea Grace Rockall MRCP, FRCR, Abstract Co-Author: Nothing to Disclose

Nishat Bharwani MBBS, FRCR, Abstract Co-Author: Nothing to Disclose

Adnexal masses are common incidental findings in women. The majority are benign and radiological characterization is crucial to plan management and avoid inappropriate surgery. Ultrasound is the first line imaging modality however some lesions cannot be categorized as benign or malignant. In these indeterminate cases, MRI is employed as it provides higher specificity with excellent soft tissue contrast. Aims: - To establish the basic principles of adnexal mass characterization using conventional MRI sequences - To develop these principles further by exploring contemporary techniques such as diffusion-weighted (DW) MRI and dynamic contrast-enhanced (DCE) MRI and their added diagnostic value - To test these interpretive skills with real-life cases from the MDT    

Background Normal adnexal anatomy on MRI MRI protocol Conventional MRI sequences with interpretation pearls and pitfalls - T2W - T1W - Fat suppressed - Delayed post-contrast Contemporary MRI sequences with interpretation pearls and pitfalls - DW-MRI - DCE-MRI and time intensity curve interpretation “Test your skills” – Multi-modality cases with an emphasis on the added value of MRI giving explanations and surgical/clinical correlation and outcome Summary  

http://abstract.rsna.org/uploads/2014/14008519/14008519_r16m.pdf

Soneji, N, Raithatha, A, Barwick, T, Stewart, V, Rockall, A, Bharwani, N, MR Characterization of Ultrasound-Indeterminate Adnexal Masses: A Radiologist’s Primer.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008519.html