CORRELATIVE STUDY OF ENDOMETRIAL LESIONS BY TRANSVAGINAL ULTRASOUND AND MAGNETIC RESONANCE IMAGING

Abstract

Introduction: Endometrial abnormalities are one of the most common diagnostic challenges. Imaging holds an important role in diagnosis of the lesions and differentiating them into benign and malignant. Aims: To assess the role of TVS and MRI in characterization of benign and malignant endometrial lesions and to assess the diagnostic potential of TVS & MRI by correlating with histopathology. Methods and Material: 65 patients with abnormal uterine bleeding underwent transvaginal ultrasound and subsequently pelvic MRI. Diagnosis was confirmed by Histopathology. Results: Sensitivity of TVS in detecting malignant lesions was 59% and specificity was 93 %. Sensitivity of MRI in detecting malignant lesions was 95% and specificity was 98 %. Conclusion: TVS should be used as the primary imaging modality in endometrial lesions. All patients with even slight suspicion of malignancy should be subjected to pelvic MRI.