MRI for the Diagnosis of Fetal Ovarian Cysts
10.3969/j.issn.1005-5185.2025.04.011
- VernacularTitle:胎儿卵巢囊肿的MRI诊断
- Author:
Dandan DING
1
;
Yu ZOU
Author Information
1. 浙江中医药大学第四临床医学院,浙江 杭州 310000;浙江大学医学院附属妇产科医院放射科,浙江 杭州 310006
- Publication Type:Journal Article
- Keywords:
Ovarian cysts;
Magnetic resonance imaging;
Ultrasonography;
Pathology;
Diagnosis;
Fetus;
Female
- From:
Chinese Journal of Medical Imaging
2025;33(4):397-402
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To analyze the MRI features and clinical diagnostic value of fetal ovarian cysts.Materials and Methods A retrospective analysis was performed on 70 pregnant women who were suspected of fetal ovarian cysts by ultrasound and underwent MRI examination and completed follow-up data in Women's Hospital School of Medicine Zhejiang University from January 2019 to November 2021.All pregnant women underwent fetal MRI examination within one week after ultrasound,and the diagnostic value was evaluated by comparing with the diagnostic results after delivery.Results Seventy neonates were clearly diagnosed,and 78 lesions were diagnosed as ovarian cysts in 70 patients,including 51 simple ovarian cysts and 27 complex ovarian cysts.Ultrasound and MRI were in excellent agreement in the diagnosis of simple and complex ovarian cysts(Kappa=0.852,P<0.001).Ultrasound and MRI diagnosis of fetal ovarian complex cysts were 22 and 27 lesions,the accuracy rate was 81.5%and 100%,respectively.65 ovarian cysts subsided,the overall regression rate was 83.3%.Conclusion MRI is perior to ultrasound in the diagnosis of the origin and nature of lesions,which is of great significance of antenatal and postnatal management and clinical evaluation of prognosis.
