Share：
Share this content in WeChat
X
[Chinese][PDF]847112
• Clinical Article •
Value of DWI in differential diagnosis of uterine empyema and uterine cavity fluid
ZHAO Hong-wei  ZHAI Ze-qing  FU Li-ping  WANG Yan-li 

DOI:10.12015/issn.1674-8034.2017.05.008.


[Abstract] Objective: To investigate the value of DWI sequence in the differential diagnosis of uterine empyema and uterine cavity fluid.Materials and Methods: Forty-four cases of DWI signal of uterine empyema and uterine cavity fluid were retrospectively analyzed, these cases were confirmed by pathology or clinic. Afterwards the apparent diffusion coefficient (ADC) was measured and the receiver operating characteristic (ROC) curve of the ADC value was drawn.Results: In DWI, 20 cases of uterine empyema, 18 cases showed high signal, 1 case showed inhomogeneous high signal, 1 case showed low signal, mean ADC value was (0.78±0.21)×10-3 mm2/s. In DWI, 24 cases of uterine cavity fluid, 22 cases showed low signal, 2 cases showed high signal, mean ADC value was (1.81±0.38)×10-3 mm2/s. There was significant difference in ADC value between the two groups (P <0.001), the optimum cutoff point for ADC values was 1.20×10-3 mm2/s, the sensitivity was 91.7% and the specificity was 95.0%.Conclusions: The ADC value can be used to identify the uterine empyema and uterine cavity fluid, and the cutoff value was 1.20×10-3 mm2/s.
[Keywords] Pyometra；Uterine diseases；Diffusion magnetic resonance imaging

ZHAO Hong-wei Department of Radiology, Central Hospital of Gezhouba group, Yichang 443000, China

ZHAI Ze-qing Department of Radiology, Central Hospital of Gezhouba group, Yichang 443000, China

FU Li-ping* Department of Radiology, Three Gorges branch of hospital, Zhongnan Hospital of Wuhan University, Yichang 443000, China

WANG Yan-li Department of Radiology, Central Hospital of Gezhouba group, Yichang 443000, China

*Correspondence to: Fu LP, E-mail: gzbmr_000@163.com

Conflicts of interest   None.

Received  2017-01-13
Accepted  2017-04-06
DOI: 10.12015/issn.1674-8034.2017.05.008
DOI:10.12015/issn.1674-8034.2017.05.008.

[1]
石磊. 74例子宫积脓患者的治疗体会. 中国继续医学教育, 2015, (11): 81-82.
[2]
付蓉, 梅长青, 鲁必芬, 等. 老年宫腔积脓漏误诊原因探究(附九例报告).临床误诊误治, 2015, 28(12): 43-45.
[3]
Hayati F, Ahrari-Khafi MS, Hassankhani M, et al. A rare radiographic appearance of a calcified uterus in a queen with pyometra: a case report. Veterinární Med, 2016, 61(6): 357-360.
[4]
郭玉峰, 郭玉华, 张芳芹. 宫腔积脓影像学表现(附3例报告). 中国中西医结合影像学杂志, 2006, 4(5): 396-397.
[5]
牛爱琴. 绝经后妇女宫腔积脓并子宫穿孔20例临床分析. 中国综合临床, 2015, 31(7): 656-658.
[6]
田可歌, 乔丽雅, 董立国, 等. 盆腔、腹腔脓肿的病原学分析与临床处理. 中华医院感染学杂志, 2007, 17(1): 42-44.
[7]
谢幸, 苟文丽. 妇产科学. 8版. 北京: 人民卫生出版社, 2013: 37-68
[8]
刘卉, 崔世民. 弥散加权成像技术在评价脑肿瘤瘤周水肿中的应用. 天津医科大学(硕士论文) , 2007: 202-205.
[9]
Sato A, Uchida A, Yamanaka Y, et al. A case of vaginal adhesion and pyometra undergone hysterectomy after methotrexate-associated lymphoproliferative disorders (MTX-LPD). J Reproduct Immunol, 2016, 11(118): 125-126.
[10]
韦骏, 马强华, 叶建军, 等. 磁共振DWI结合常规MRI对腹盆腔脓肿的诊断价值. 放射学实践, 2009, 24(4): 418-421.
[11]
Yamashita Y, Namimoto T, Mitsuzaki K, et al. Mucin-producing tumor of the pancreas: diagnostic value of diffusion-weighted echoplanar MR imaging. Radiology, 2015, 20(8): 605-609.
[12]
Chan JH, Tsui EY, Luk SH, et al. Diffusion-weighted MR imaging of the liver: distinguishing hepatic abscess from cystic or necrotic tumor. Abdom Imaging, 2014, 2(6): 161-165.
[13]
姜曼, 赵卫, 易根发, 等. 子宫肌瘤MRI特征与高强度聚焦超声消融疗效. 介入放射学杂志, 2014, 23(4): 314-319.
[14]
马绍康, 高菊珍, 吴令英, 等. 子宫颈癌放疗后子宫腔积液151例临床分析. 中华放射肿瘤学杂志, 2007, 16(6): 451-454.
[15]
Kim SH, Yang DM, et al. Unusual causes of tubo-ovarian abscess: CT and MR imanging findings. Radiographics, 2014, 24(6): 1575-1589.

PREV The value of 3.0 T high-spatial-resolution MRI in the fistula classification and internal opening location
NEXT Imaging findings of ovarian sertoli-leydig cell tumors：three cases and literature review
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn