Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance
Purpose To evaluate ultrasound (US) and magnetic resonance (MR) findings in the viable twisted adnexa. Materials and Methods Ten patients underwent US and MR studies before surgical detorsion. Corrected cross‐sectional area of the ovary was defined as cross‐sectional area minus areas of cysts and fo...
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| Veröffentlicht in: | Journal of magnetic resonance imaging 2004-09, Vol.20 (3), p.451-462 |
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| creator | Ghossain, Michel A. Hachem, Kamal Buy, Jean-Noël Hourany-Rizk, Roula G. Aoun, Noël J. Haddad-Zebouni, Soha Mansour, Fersan Attieh, Elie Abboud, Joseph |
| description | Purpose
To evaluate ultrasound (US) and magnetic resonance (MR) findings in the viable twisted adnexa.
Materials and Methods
Ten patients underwent US and MR studies before surgical detorsion. Corrected cross‐sectional area of the ovary was defined as cross‐sectional area minus areas of cysts and follicles superior to 1 cm. On T2‐weighted images, signal intensity of the stroma was graded as type 1 when it was equal to that of urine and type 2 when it was less than that of urine but markedly more than the contralateral side.
Results
The tube was twisted in six cases and the ovary in nine cases. All adnexa were viable. The largest ovarian cross‐sectional area and the largest corrected ovarian cross‐sectional area of the twisted ovary were significantly larger than those of the contralateral ovary (P = 0.043 for US; P = 0.012 and 0.017, respectively, for MR). These ovaries contained types 1 and 2 hyperintensity in six cases and only type 2 hyperintensity in three cases. Tubal thickening was seen on MR in five cases.
Conclusion
Tubal thickening, enlargement of ovarian stroma as reflected by the corrected cross‐sectional area, and hyperintensity of this stroma on T2‐weighted images probably related to edema were useful findings in these viable torsions. J. Magn. Reson. Imaging 2004;20:451–462. © 2004 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/jmri.20131 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66816567</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1875857400</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4631-df31cb4d75884c500c356e76499396ebae58b0ae53f3953b79db07885f7c6f7f3</originalsourceid><addsrcrecordid>eNqFkUtv1DAURi0Eog_Y8AOQV6hCSrmO40fYVRVMi1qgiMfScpybjktiBzvTx78n0xlgVza-Xpzv6F59hLxgcMgAyjdXQ_KHJTDOHpFdJsqyKIWWj-c_CF4wDWqH7OV8BQB1XYmnZIcJzstS8F0yHLUBb21Pp5iyj-EtPbeXASfvaMIcgw0OaedD68Nlpj7QaYn02tumR2rvo_TGT0uKw7i02WcaA81TisOsjNc2eRuoHUe0aW16Rp50ts_4fDv3ybf3774enxRnnxanx0dnhaskZ0XbceaaqlVC68oJAMeFRCWruua1xMai0A3ML-94LXij6rYBpbXolJOd6vg-ebXxjin-WmGezOCzw763AeMqGyk1k0KqGTx4EGR63kGoCuC_TqZkzUGuwdcb0KWYc8LOjMkPNt0ZBmZdmFkXZu4Lm-GXW-uqGbD9h24bmgG2AW58j3cPqMyH8y-nf6TFJuPzhLd_Mzb9NPPNSpgfHxfmQlxopRffzWf-G-xXsA8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>17693060</pqid></control><display><type>article</type><title>Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance</title><source>Wiley Free Content</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ghossain, Michel A. ; Hachem, Kamal ; Buy, Jean-Noël ; Hourany-Rizk, Roula G. ; Aoun, Noël J. ; Haddad-Zebouni, Soha ; Mansour, Fersan ; Attieh, Elie ; Abboud, Joseph</creator><creatorcontrib>Ghossain, Michel A. ; Hachem, Kamal ; Buy, Jean-Noël ; Hourany-Rizk, Roula G. ; Aoun, Noël J. ; Haddad-Zebouni, Soha ; Mansour, Fersan ; Attieh, Elie ; Abboud, Joseph</creatorcontrib><description>Purpose
To evaluate ultrasound (US) and magnetic resonance (MR) findings in the viable twisted adnexa.
Materials and Methods
Ten patients underwent US and MR studies before surgical detorsion. Corrected cross‐sectional area of the ovary was defined as cross‐sectional area minus areas of cysts and follicles superior to 1 cm. On T2‐weighted images, signal intensity of the stroma was graded as type 1 when it was equal to that of urine and type 2 when it was less than that of urine but markedly more than the contralateral side.
Results
The tube was twisted in six cases and the ovary in nine cases. All adnexa were viable. The largest ovarian cross‐sectional area and the largest corrected ovarian cross‐sectional area of the twisted ovary were significantly larger than those of the contralateral ovary (P = 0.043 for US; P = 0.012 and 0.017, respectively, for MR). These ovaries contained types 1 and 2 hyperintensity in six cases and only type 2 hyperintensity in three cases. Tubal thickening was seen on MR in five cases.
Conclusion
Tubal thickening, enlargement of ovarian stroma as reflected by the corrected cross‐sectional area, and hyperintensity of this stroma on T2‐weighted images probably related to edema were useful findings in these viable torsions. J. Magn. Reson. Imaging 2004;20:451–462. © 2004 Wiley‐Liss, Inc.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.20131</identifier><identifier>PMID: 15332253</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adnexa Uteri - diagnostic imaging ; Adnexa Uteri - pathology ; adnexal torsion ; Adult ; Female ; Humans ; Magnetic Resonance Imaging - methods ; Ovarian Cysts - diagnosis ; Ovarian Cysts - diagnostic imaging ; Ovarian Diseases - diagnosis ; Ovarian Diseases - diagnostic imaging ; ovarian edema ; Retrospective Studies ; Torsion Abnormality - diagnosis ; tubal thickening ; Ultrasonography</subject><ispartof>Journal of magnetic resonance imaging, 2004-09, Vol.20 (3), p.451-462</ispartof><rights>Copyright © 2004 Wiley‐Liss, Inc.</rights><rights>Copyright 2004 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4631-df31cb4d75884c500c356e76499396ebae58b0ae53f3953b79db07885f7c6f7f3</citedby><cites>FETCH-LOGICAL-c4631-df31cb4d75884c500c356e76499396ebae58b0ae53f3953b79db07885f7c6f7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.20131$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.20131$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15332253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghossain, Michel A.</creatorcontrib><creatorcontrib>Hachem, Kamal</creatorcontrib><creatorcontrib>Buy, Jean-Noël</creatorcontrib><creatorcontrib>Hourany-Rizk, Roula G.</creatorcontrib><creatorcontrib>Aoun, Noël J.</creatorcontrib><creatorcontrib>Haddad-Zebouni, Soha</creatorcontrib><creatorcontrib>Mansour, Fersan</creatorcontrib><creatorcontrib>Attieh, Elie</creatorcontrib><creatorcontrib>Abboud, Joseph</creatorcontrib><title>Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose
To evaluate ultrasound (US) and magnetic resonance (MR) findings in the viable twisted adnexa.
Materials and Methods
Ten patients underwent US and MR studies before surgical detorsion. Corrected cross‐sectional area of the ovary was defined as cross‐sectional area minus areas of cysts and follicles superior to 1 cm. On T2‐weighted images, signal intensity of the stroma was graded as type 1 when it was equal to that of urine and type 2 when it was less than that of urine but markedly more than the contralateral side.
Results
The tube was twisted in six cases and the ovary in nine cases. All adnexa were viable. The largest ovarian cross‐sectional area and the largest corrected ovarian cross‐sectional area of the twisted ovary were significantly larger than those of the contralateral ovary (P = 0.043 for US; P = 0.012 and 0.017, respectively, for MR). These ovaries contained types 1 and 2 hyperintensity in six cases and only type 2 hyperintensity in three cases. Tubal thickening was seen on MR in five cases.
Conclusion
Tubal thickening, enlargement of ovarian stroma as reflected by the corrected cross‐sectional area, and hyperintensity of this stroma on T2‐weighted images probably related to edema were useful findings in these viable torsions. J. Magn. Reson. Imaging 2004;20:451–462. © 2004 Wiley‐Liss, Inc.</description><subject>Adnexa Uteri - diagnostic imaging</subject><subject>Adnexa Uteri - pathology</subject><subject>adnexal torsion</subject><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Ovarian Cysts - diagnosis</subject><subject>Ovarian Cysts - diagnostic imaging</subject><subject>Ovarian Diseases - diagnosis</subject><subject>Ovarian Diseases - diagnostic imaging</subject><subject>ovarian edema</subject><subject>Retrospective Studies</subject><subject>Torsion Abnormality - diagnosis</subject><subject>tubal thickening</subject><subject>Ultrasonography</subject><issn>1053-1807</issn><issn>1522-2586</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAURi0Eog_Y8AOQV6hCSrmO40fYVRVMi1qgiMfScpybjktiBzvTx78n0xlgVza-Xpzv6F59hLxgcMgAyjdXQ_KHJTDOHpFdJsqyKIWWj-c_CF4wDWqH7OV8BQB1XYmnZIcJzstS8F0yHLUBb21Pp5iyj-EtPbeXASfvaMIcgw0OaedD68Nlpj7QaYn02tumR2rvo_TGT0uKw7i02WcaA81TisOsjNc2eRuoHUe0aW16Rp50ts_4fDv3ybf3774enxRnnxanx0dnhaskZ0XbceaaqlVC68oJAMeFRCWruua1xMai0A3ML-94LXij6rYBpbXolJOd6vg-ebXxjin-WmGezOCzw763AeMqGyk1k0KqGTx4EGR63kGoCuC_TqZkzUGuwdcb0KWYc8LOjMkPNt0ZBmZdmFkXZu4Lm-GXW-uqGbD9h24bmgG2AW58j3cPqMyH8y-nf6TFJuPzhLd_Mzb9NPPNSpgfHxfmQlxopRffzWf-G-xXsA8</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Ghossain, Michel A.</creator><creator>Hachem, Kamal</creator><creator>Buy, Jean-Noël</creator><creator>Hourany-Rizk, Roula G.</creator><creator>Aoun, Noël J.</creator><creator>Haddad-Zebouni, Soha</creator><creator>Mansour, Fersan</creator><creator>Attieh, Elie</creator><creator>Abboud, Joseph</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200409</creationdate><title>Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance</title><author>Ghossain, Michel A. ; Hachem, Kamal ; Buy, Jean-Noël ; Hourany-Rizk, Roula G. ; Aoun, Noël J. ; Haddad-Zebouni, Soha ; Mansour, Fersan ; Attieh, Elie ; Abboud, Joseph</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4631-df31cb4d75884c500c356e76499396ebae58b0ae53f3953b79db07885f7c6f7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adnexa Uteri - diagnostic imaging</topic><topic>Adnexa Uteri - pathology</topic><topic>adnexal torsion</topic><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Ovarian Cysts - diagnosis</topic><topic>Ovarian Cysts - diagnostic imaging</topic><topic>Ovarian Diseases - diagnosis</topic><topic>Ovarian Diseases - diagnostic imaging</topic><topic>ovarian edema</topic><topic>Retrospective Studies</topic><topic>Torsion Abnormality - diagnosis</topic><topic>tubal thickening</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghossain, Michel A.</creatorcontrib><creatorcontrib>Hachem, Kamal</creatorcontrib><creatorcontrib>Buy, Jean-Noël</creatorcontrib><creatorcontrib>Hourany-Rizk, Roula G.</creatorcontrib><creatorcontrib>Aoun, Noël J.</creatorcontrib><creatorcontrib>Haddad-Zebouni, Soha</creatorcontrib><creatorcontrib>Mansour, Fersan</creatorcontrib><creatorcontrib>Attieh, Elie</creatorcontrib><creatorcontrib>Abboud, Joseph</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghossain, Michel A.</au><au>Hachem, Kamal</au><au>Buy, Jean-Noël</au><au>Hourany-Rizk, Roula G.</au><au>Aoun, Noël J.</au><au>Haddad-Zebouni, Soha</au><au>Mansour, Fersan</au><au>Attieh, Elie</au><au>Abboud, Joseph</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J. Magn. Reson. Imaging</addtitle><date>2004-09</date><risdate>2004</risdate><volume>20</volume><issue>3</issue><spage>451</spage><epage>462</epage><pages>451-462</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose
To evaluate ultrasound (US) and magnetic resonance (MR) findings in the viable twisted adnexa.
Materials and Methods
Ten patients underwent US and MR studies before surgical detorsion. Corrected cross‐sectional area of the ovary was defined as cross‐sectional area minus areas of cysts and follicles superior to 1 cm. On T2‐weighted images, signal intensity of the stroma was graded as type 1 when it was equal to that of urine and type 2 when it was less than that of urine but markedly more than the contralateral side.
Results
The tube was twisted in six cases and the ovary in nine cases. All adnexa were viable. The largest ovarian cross‐sectional area and the largest corrected ovarian cross‐sectional area of the twisted ovary were significantly larger than those of the contralateral ovary (P = 0.043 for US; P = 0.012 and 0.017, respectively, for MR). These ovaries contained types 1 and 2 hyperintensity in six cases and only type 2 hyperintensity in three cases. Tubal thickening was seen on MR in five cases.
Conclusion
Tubal thickening, enlargement of ovarian stroma as reflected by the corrected cross‐sectional area, and hyperintensity of this stroma on T2‐weighted images probably related to edema were useful findings in these viable torsions. J. Magn. Reson. Imaging 2004;20:451–462. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15332253</pmid><doi>10.1002/jmri.20131</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of magnetic resonance imaging, 2004-09, Vol.20 (3), p.451-462 |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adnexa Uteri - diagnostic imaging Adnexa Uteri - pathology adnexal torsion Adult Female Humans Magnetic Resonance Imaging - methods Ovarian Cysts - diagnosis Ovarian Cysts - diagnostic imaging Ovarian Diseases - diagnosis Ovarian Diseases - diagnostic imaging ovarian edema Retrospective Studies Torsion Abnormality - diagnosis tubal thickening Ultrasonography |
| title | Adnexal torsion: Magnetic resonance findings in the viable adnexa with emphasis on stromal ovarian appearance |
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