Head and Neck Imaging

MRI Diagnosis of Cellular Uterine Leiomyoma

Author:WANG Xia, YANG Chao-xiang, CHEN Yuan-yuan, et al.

affiliation:Department of Radiology, Guangdong Women's and Children's Hospital, Guangzhou 510010, Guangdong Province, China

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Abstract

Objective To investigate MRI characteristic manifestations of cellular uterine leiomyoma, and to improve the diagnostic accuracy of MRI, so as to provide basis for the development of clinical treatment plan. Methods The data of 18 cases of patients diagnosed of cellular uterine leiomyoma by pathological examination were collected and analyzed retrospectively. The pathological features and MRI manifestations of cellular uterine leiomyoma were analyzed retrospectively. Results Equal signals on T1WI and homogeneous or slightly high signals on T2WI were observed in 16 cases, and mixed high and low signals in 2 cases. Among 18 patients, high signals on DWI were seen in 16 cases and equal signals on DWI in 2 cases; significant enhancement was noted in 15 cases in early phase of enhanced MRI scanning, with enhancement in all phases higher than that of myometrium, and enhancement was noted in 3 cases in the middle and late phases. Conclusion "Equal signals on T1WI, homogeneous or slightly high signals on T2WI, high signals on DWI and enhancement in early phase" are MRI characteristic manifestations of cellular uterine leiomyoma, and MRI is an important examination method for the diagnosis of the disease.

【Keyword】Cellular Uterine Leiomyoma; Magnetic Resonance Imaging; Enhancement in Early Phase

【Chart number】R445.2;R737.33

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2018.04.034