Analysing Two Bulky Eggs In An Eagles Nest: Analysis Of Unenhanced & Contrast Enhanced Computed Tomography Study Of Adnexa To Reduce Radiation Exposure In Adnexal Pathologies.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
The primary goal of imaging study is to detect an abnormality, then characterize whether malignant or benign.Various modalities have been established,each having their own pros and cons.When it comes to gynecological imaging ,USG has dominated the imaging studies of female pelvis due to its easy accessibility, feasibility, most importantly it has limited radiation hazards, but has its own limitations.CT,a relatively new approach uses multidetector computed tomography (MDCT), which allows thinner sections, faster imaging, and good spatial resolution, has led to its more common use for further characterization of adnexal mass and staging work-up of ovarian malignancy 2-4 . CT protocol for the evaluation of abdomen and pelvis has even adopted multiphase CT scans, including scanning before and after contrast administration . Considering the dose-multiplication effect of extra phase, it is certain that inappropriate multiphase CT can be an important source of excess radiation exposure 5 . The purpose of this study is to compare the diagnostic efficacy and radiation dose of contrast-enhanced CT (CECT) alone with that of combined unenhanced and enhanced CT (UE + CECT), for the assessment of adnexal mass.
Authors and Affiliations
Dr Nupur Basu, Dr Preetam Debasish Panda
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