The shading sign: is it exclusive of endometriomas?

Verfasser / Beitragende:
[João Lopes Dias, Filipe Veloso Gomes, Rita Lucas, Teresa Cunha]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2566-2572
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0465-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0465-1 
245 0 4 |a The shading sign: is it exclusive of endometriomas?  |h [Elektronische Daten]  |c [João Lopes Dias, Filipe Veloso Gomes, Rita Lucas, Teresa Cunha] 
520 3 |a Objectives: To investigate if the shading sign is an exclusive MRI feature of endometriomas or endometrioid tumors, and to analyze its different patterns. Methods: Three hundred and fourty six women with adnexal masses who underwent 1.5/3-T MRI were included in this retrospective, board-approved study. The shading sign was found in 56 patients, but five cases were excluded due to lack of imaging follow-up or histological correlation. The final sample included 51 women. The type of tumor and the pattern of shading were recorded for each case. Results: Thirty endometriomas and five endometrioid carcinomas were found. The remaining 16 cases corresponded to other benign and malignant tumors. The overall sensitivity, specificity, positive predictive value, and negative predictive value were 73%, 93%, 59%, and 96%, respectively. Restricting the analysis to cystic lesions without solid or fat component, sensitivity, specificity, positive predictive value, and negative predictive value were 73%, 96%, 94%, and 80%. Five shading patterns were identified: layering (15.7%), liquid-liquid level (11.8%), homogenous (45.1%), heterogeneous (11.8%), and focal/multifocal shading within a complex mass (19.6%). No significant correlation was found between these patterns and the type of tumor. Conclusions: The shading sign is not exclusive of endometriomas or endometrioid tumors. Homogenous shading was the most prevalent pattern in endometriomas and half of the cases with focal/multifocal shading within a complex mass were endometrioid carcinomas. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Endometrioma  |2 nationallicence 
690 7 |a Endometrioid carcinoma  |2 nationallicence 
690 7 |a Magnetic resonance imaging  |2 nationallicence 
690 7 |a Gynecology  |2 nationallicence 
690 7 |a Imaging  |2 nationallicence 
700 1 |a Lopes Dias  |D João  |u Department of Radiology, Hospital de S. José, Centro Hospitalar de Lisboa Central, Rua José António Serrano, 1150-199, Lisbon, Portugal  |4 aut 
700 1 |a Veloso Gomes  |D Filipe  |u Department of Radiology, Centro Hospitalar do Algarve, Rua Leão Penedo, 8000-386, Faro, Portugal  |4 aut 
700 1 |a Lucas  |D Rita  |u Department of Radiology, Hospital de St. António dos Capuchos, Centro Hospitalar de Lisboa Central, Alameda de Santo António dos Capuchos, 1169-050, Lisbon, Portugal  |4 aut 
700 1 |a Cunha  |D Teresa  |u Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto, 1099-023, Lisbon, Portugal  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2566-2572  |x 0942-8925  |q 40:7<2566  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0465-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0465-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lopes Dias  |D João  |u Department of Radiology, Hospital de S. José, Centro Hospitalar de Lisboa Central, Rua José António Serrano, 1150-199, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Veloso Gomes  |D Filipe  |u Department of Radiology, Centro Hospitalar do Algarve, Rua Leão Penedo, 8000-386, Faro, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lucas  |D Rita  |u Department of Radiology, Hospital de St. António dos Capuchos, Centro Hospitalar de Lisboa Central, Alameda de Santo António dos Capuchos, 1169-050, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cunha  |D Teresa  |u Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Rua Professor Lima Basto, 1099-023, Lisbon, Portugal  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2566-2572  |x 0942-8925  |q 40:7<2566  |1 2015  |2 40  |o 261