Diagnostic performance of sonohysterography and MRI diffusion in benign endometrial lesion characterization

ConclusionHigh incidence of occult endometrial lesions in breast cancer patients in dependent of tamoxifen therapy, suggests pretreatment endometrial assessment.HSG is accurate in discrimination between focal and diffuse endometrial lesions, and help making a decision for either hysteroscopy or directed biopsy, but cannot reliably differentiate benign and malignant lesions.MRI DWI is accurate noninvasive method in distinguishing benign from malignant endometrial lesions which need further evaluation by biopsy.We recommend that HSG can be used as an initial investing technique in cases of endometrial abnormalities, however in cases of failed HSG or biopsy, MRI diffusion can provide an efficient alternative tool to exclude malignancy.
Source: The Egyptian Journal of Radiology and Nuclear Medicine - Category: Nuclear Medicine Source Type: research