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Int J Gynaecol Obstet. 2012 Aug;118(2):123-8. doi: 10.1016/j.ijgo.2012.02.020. Epub 2012 May 30.

Comparison of PET/CT with other imaging modalities in women with genital tuberculosis.

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1
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Abstract

OBJECTIVE:

To compare findings with 2-deoxy-2-((18)F)fluoro-D-glucose positron emission tomography combined with computed tomography ((18)F-FDG-PET/CT) with findings obtained using ultrasound (US), magnetic resonance imaging (MRI), and CT in patients with proven tubercular tubo-ovarian masses.

METHODS:

Seventeen patients with proven tubercular tubo-ovarian masses underwent (18)F-FDG-PET/CT imaging and the findings were compared with US (for all patients), MRI (for 9 patients), CT (for 4 patients), and laparotomy or laparoscopic findings (for 14 patients).

RESULTS:

Eleven patients (64.7%) had unilateral tubo-ovarian masses, with activity in 6 masses (35.3%); 4 patients (23.5%) had bilateral tubo-ovarian masses, with activity in all masses; and 2 patients (11.76%) had unilateral space-occupying lesions, with activity in 1 lesion. The detection rates of tubo-ovarian masses with (18)F-FDG-PET/CT were similar to, but the characterization of adnexal masses was less than, those obtained with CT or MRI. Finally, (18)F-FDG-PET/CT was equally accurate as laparoscopy or laparotomy in detecting the presence, laterality, and activity of tubo-ovarian masses.

CONCLUSION:

Imaging with (18)F-FDG-PET/CT is noninvasive and appears to be clinically useful for the diagnosis of tubercular tubo-ovarian masses.

PMID:
22652482
DOI:
10.1016/j.ijgo.2012.02.020
[Indexed for MEDLINE]
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