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ORIGINAL ARTICLE Characterization of Adnexal Masses Using Feature Analysis at Contrast-Enhanced Helical Computed Tomography Jingbo Zhang, MD,* Svetlana Mironov, MD,* Hedvig Hricak, MD, PhD,* Nicole M. Ishill, MS,Þ Chaya S. Moskowitz, PhD,Þ Robert A. Soslow, MD,þ and Dennis S. Chi, MD§ (J Comput Assist Tomogr 2008;32:533Y540) Objective: To determine the computed tomographic imaging features predictive of adnexal malignancy and evaluate the accuracy of contrast-enhanced helical computed tomography (CT) in the char- he presence of an adnexal mass is the leading indication acterization of adnexal masses. Tfor gynecologic surgery. In the United States, 5% to 10% Materials and Methods: The institutional review board waived the of women will undergo surgery for a suspected adnexal mass informed consent requirement for this retrospective study, which was during their lifetime, leading to 160,000 to 289,000 hospita- Health Insurance Portability and Accountability Act compliant. For 1,2 lizations annually. The main goal of imaging in the 143 consecutive patients who underwent preoperative contrast- evaluation of an adnexal mass is to characterize the lesion as enhanced CT of the abdomen and pelvis and had adnexal masses malignant or benign. For lesions that are most likely benign, found at surgical pathology, preoperative contrast-enhanced com- diagnosis and treatment
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Jul 1, 2008
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