Contribution of diffusion-weighted imaging to conventional MRI for detection of haemorrhagic infarction in ovary torsion

• Published in: BMC medical imaging 2017-11, Vol.17 (1), p.56-56, Article 56
• Main Authors: Özdemir, Oğuzhan, Metin, Yavuz, Metin, Nurgül Orhan, Küpeli, Ali
• Format: Article
• Language: English
• Subjects: Diffusion-weighted imaging; Driving while intoxicated; Haemorrhagic ovary torsion; Magnetic resonance imaging; Medical research
• ISSN: 1471-2342; 1471-2342
• DOI: 10.1186/s12880-017-0232-6

To assess the role of DWI in differentiation haemorrhagic ovary infarction from non-haemorrhagic one. For this prospectively designed study, of 117 female patients who presented with acute lower quadrant pain and underwent MRI for suspicion of ovary torsion, results of only 29 patients (mean age, 24.7; SD, ±5.7; age range, 18-37), with surgical and pathological confirmation of adnexal torsion, were included to the study. All patients underwent DWI after conventional MRI. Quantitative and qualitative analysis of both the torsed and contralateral normal ovary were performed. Results of conventional MRI and DWI were noted. At operation 15 patients were found to have haemorrhagic infarction while 14 had non-haemorrhagic infarction. Of the 29 patients, 17 torsed ovaries could be salvaged in a viable state. We found statistically significant correlation of the ADC values, between haemorrhagic and non-haemorrhagic ovary infarction. The ADC values were significantly lower in patients with haemorrhagic infarction than non-haemorrhagic ones (p