Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study....
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Chilla, Bianka [verfasserIn] Hauser, Nik Singer, Gad Trippel, Mafalda Froehlich, Johannes M. Kubik-Huch, Rahel A.

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Adnexal lesion Diagnostic efficacy Ultrasound MRI Diffusion-weighted imaging Cost-effectiveness

Anmerkung:	© European Society of Radiology 2010

Übergeordnetes Werk:	Enthalten in: European radiology - Berlin : Springer, 1991, 21(2010), 6 vom: 21. Dez., Seite 1301-1310
Übergeordnetes Werk:	volume:21 ; year:2010 ; number:6 ; day:21 ; month:12 ; pages:1301-1310

Links:	Volltext

DOI / URN:	10.1007/s00330-010-2018-x

Katalog-ID:	SPR004002377

Internformat


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100	1		\|a Chilla, Bianka \|e verfasserin \|4 aut
245	1	0	\|a Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
264		1	\|c 2010
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520			\|a Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings.
650		4	\|a Adnexal lesion \|7 (dpeaa)DE-He213
650		4	\|a Diagnostic efficacy \|7 (dpeaa)DE-He213
650		4	\|a Ultrasound \|7 (dpeaa)DE-He213
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650		4	\|a Diffusion-weighted imaging \|7 (dpeaa)DE-He213
650		4	\|a Cost-effectiveness \|7 (dpeaa)DE-He213
700	1		\|a Hauser, Nik \|4 aut
700	1		\|a Singer, Gad \|4 aut
700	1		\|a Trippel, Mafalda \|4 aut
700	1		\|a Froehlich, Johannes M. \|4 aut
700	1		\|a Kubik-Huch, Rahel A. \|4 aut
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912			\|a GBV_ILN_161
912			\|a GBV_ILN_170
912			\|a GBV_ILN_171
912			\|a GBV_ILN_187
912			\|a GBV_ILN_213
912			\|a GBV_ILN_224
912			\|a GBV_ILN_230
912			\|a GBV_ILN_250
912			\|a GBV_ILN_267
912			\|a GBV_ILN_281
912			\|a GBV_ILN_285
912			\|a GBV_ILN_293
912			\|a GBV_ILN_370
912			\|a GBV_ILN_602
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912			\|a GBV_ILN_2086
912			\|a GBV_ILN_2088
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912			\|a GBV_ILN_2106
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publishDate	2010
allfields	10.1007/s00330-010-2018-x doi (DE-627)SPR004002377 (SPR)s00330-010-2018-x-e DE-627 ger DE-627 rakwb eng Chilla, Bianka verfasserin aut Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2010 Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213 Hauser, Nik aut Singer, Gad aut Trippel, Mafalda aut Froehlich, Johannes M. aut Kubik-Huch, Rahel A. aut Enthalten in European radiology Berlin : Springer, 1991 21(2010), 6 vom: 21. Dez., Seite 1301-1310 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310 https://dx.doi.org/10.1007/s00330-010-2018-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 21 2010 6 21 12 1301-1310
spelling	10.1007/s00330-010-2018-x doi (DE-627)SPR004002377 (SPR)s00330-010-2018-x-e DE-627 ger DE-627 rakwb eng Chilla, Bianka verfasserin aut Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2010 Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213 Hauser, Nik aut Singer, Gad aut Trippel, Mafalda aut Froehlich, Johannes M. aut Kubik-Huch, Rahel A. aut Enthalten in European radiology Berlin : Springer, 1991 21(2010), 6 vom: 21. Dez., Seite 1301-1310 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310 https://dx.doi.org/10.1007/s00330-010-2018-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 21 2010 6 21 12 1301-1310
allfields_unstemmed	10.1007/s00330-010-2018-x doi (DE-627)SPR004002377 (SPR)s00330-010-2018-x-e DE-627 ger DE-627 rakwb eng Chilla, Bianka verfasserin aut Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2010 Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213 Hauser, Nik aut Singer, Gad aut Trippel, Mafalda aut Froehlich, Johannes M. aut Kubik-Huch, Rahel A. aut Enthalten in European radiology Berlin : Springer, 1991 21(2010), 6 vom: 21. Dez., Seite 1301-1310 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310 https://dx.doi.org/10.1007/s00330-010-2018-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 21 2010 6 21 12 1301-1310
allfieldsGer	10.1007/s00330-010-2018-x doi (DE-627)SPR004002377 (SPR)s00330-010-2018-x-e DE-627 ger DE-627 rakwb eng Chilla, Bianka verfasserin aut Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2010 Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213 Hauser, Nik aut Singer, Gad aut Trippel, Mafalda aut Froehlich, Johannes M. aut Kubik-Huch, Rahel A. aut Enthalten in European radiology Berlin : Springer, 1991 21(2010), 6 vom: 21. Dez., Seite 1301-1310 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310 https://dx.doi.org/10.1007/s00330-010-2018-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 21 2010 6 21 12 1301-1310
allfieldsSound	10.1007/s00330-010-2018-x doi (DE-627)SPR004002377 (SPR)s00330-010-2018-x-e DE-627 ger DE-627 rakwb eng Chilla, Bianka verfasserin aut Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Radiology 2010 Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213 Hauser, Nik aut Singer, Gad aut Trippel, Mafalda aut Froehlich, Johannes M. aut Kubik-Huch, Rahel A. aut Enthalten in European radiology Berlin : Springer, 1991 21(2010), 6 vom: 21. Dez., Seite 1301-1310 (DE-627)268757526 (DE-600)1472718-3 1432-1084 nnns volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310 https://dx.doi.org/10.1007/s00330-010-2018-x lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 21 2010 6 21 12 1301-1310
language	English
source	Enthalten in European radiology 21(2010), 6 vom: 21. Dez., Seite 1301-1310 volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310
sourceStr	Enthalten in European radiology 21(2010), 6 vom: 21. Dez., Seite 1301-1310 volume:21 year:2010 number:6 day:21 month:12 pages:1301-1310
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Adnexal lesion Diagnostic efficacy Ultrasound MRI Diffusion-weighted imaging Cost-effectiveness
isfreeaccess_bool	false
container_title	European radiology
authorswithroles_txt_mv	Chilla, Bianka @@aut@@ Hauser, Nik @@aut@@ Singer, Gad @@aut@@ Trippel, Mafalda @@aut@@ Froehlich, Johannes M. @@aut@@ Kubik-Huch, Rahel A. @@aut@@
publishDateDaySort_date	2010-12-21T00:00:00Z
hierarchy_top_id	268757526
id	SPR004002377
language_de	englisch
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Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). 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author	Chilla, Bianka
spellingShingle	Chilla, Bianka misc Adnexal lesion misc Diagnostic efficacy misc Ultrasound misc MRI misc Diffusion-weighted imaging misc Cost-effectiveness Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
authorStr	Chilla, Bianka
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topic_title	Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions Adnexal lesion (dpeaa)DE-He213 Diagnostic efficacy (dpeaa)DE-He213 Ultrasound (dpeaa)DE-He213 MRI (dpeaa)DE-He213 Diffusion-weighted imaging (dpeaa)DE-He213 Cost-effectiveness (dpeaa)DE-He213
topic	misc Adnexal lesion misc Diagnostic efficacy misc Ultrasound misc MRI misc Diffusion-weighted imaging misc Cost-effectiveness
topic_unstemmed	misc Adnexal lesion misc Diagnostic efficacy misc Ultrasound misc MRI misc Diffusion-weighted imaging misc Cost-effectiveness
topic_browse	misc Adnexal lesion misc Diagnostic efficacy misc Ultrasound misc MRI misc Diffusion-weighted imaging misc Cost-effectiveness
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title	Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
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title_full	Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
author_sort	Chilla, Bianka
journal	European radiology
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author_browse	Chilla, Bianka Hauser, Nik Singer, Gad Trippel, Mafalda Froehlich, Johannes M. Kubik-Huch, Rahel A.
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author-letter	Chilla, Bianka
doi_str_mv	10.1007/s00330-010-2018-x
title_sort	indeterminate adnexal masses at ultrasound: effect of mri imaging findings on diagnostic thinking and therapeutic decisions
title_auth	Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
abstract	Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. © European Society of Radiology 2010
abstractGer	Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. © European Society of Radiology 2010
abstract_unstemmed	Objective To determine the impact of MRI including DWI on therapeutic decision-making and costs in the work-up of patients with a indeterminate adnexal mass on ultrasound. Methods Thirty-eight patients with indeterminate ovarian lesions scheduled for surgery were included in this prospective study. In a questionnaire, the surgeon characterised the lesions based on a morphological score and determined the surgical procedure. The assessment was re-evaluated knowing MR findings and correlated with the final diagnosis. A cost-benefit analysis of MRI was performed. The impact of including DWI in the MR protocol was assessed. Results MRI provided major diagnostic information in 11/38 cases (28.9%) resulting in abstention from surgery in 5 cases; moderate additional information was recorded in 10/38 (26.3%) patients. Overall a net cost saving (3’676 EUR) was achieved. DWI did not show a significant difference between benign and malignant lesions. Teratomas yielded significantly lower mean ADC values (0.597 × $ 10^{-3} $ $ mm^{2} $/s) compared with all other adnexal lesions (1.812 × $ 10^{-3} $ $ mm^{2} $/s); the mean ADC values in endometrioma (1.387 × $ 10^{-3} $ $ mm^{2} $/s) were significantly lower than in other cystic lesions (2.372 × $ 10^{-3} $ $ mm^{2} $/s). Conclusion Inclusion of MRI in the diagnostic algorithm of the indeterminate adnexal mass allows better differentiation of ovarian lesions resulting in a change of therapeutic decision-making with net cost savings. © European Society of Radiology 2010
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container_issue	6
title_short	Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions
url	https://dx.doi.org/10.1007/s00330-010-2018-x
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author2	Hauser, Nik Singer, Gad Trippel, Mafalda Froehlich, Johannes M. Kubik-Huch, Rahel A.
author2Str	Hauser, Nik Singer, Gad Trippel, Mafalda Froehlich, Johannes M. Kubik-Huch, Rahel A.
ppnlink	268757526
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hochschulschrift_bool	false
doi_str	10.1007/s00330-010-2018-x
up_date	2024-07-03T23:02:30.831Z
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Indeterminate adnexal masses at ultrasound: effect of MRI imaging findings on diagnostic thinking and therapeutic decisions

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