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Surgeries to adnexal mass lesions in the gynaecology practice is common. Ultrasonography (USG) and magnetic resonance imaging (MRI) are best in the characterization of adnexal mass lesions. MRI is superior modality than USG in the evaluation of indeterminate adnexal lesions. This study was aimed to assess the efficacy of USG and MRI in the evaluation of adnexal mass lesions and its comparison with histopathological examination. A total 60 female cases between age group 15-75 years with lower abdominal pain and menstrual irregularities were recruited. All the cases were undergone to trans-abdominal ultrasonography and MRI to evaluate adnexal lesions for content, nodularity, thickness of septum, thickness of wall, vascularity of lesion and ascites. In USG findings, 25% cases had malignant lesions and 75% cases had benign lesions. MRI reports showed that 28.33% had malignant lesions and 71.67% had benign lesions. Histopathological examination (HPE) of Post-operative specimen stated that 18.33% had malignant lesions and 81.67% had benign lesions. USG had 64.4% sensitivity, 100% specificity and 81.49% diagnostic accuracy. However, MRI had 92.65% sensitivity, 100% specificity and 96.4% diagnostic accuracy. MRI had high sensitivity, accuracy value than USG. MRI is dominant in diagnosis and characterization of adnexal mass lesion than ultrasonography.

Efficacy of MRI and USG in the evaluation of adnexal mass lesions and correlation with histopathological examination