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Diagnostic performance of diffusion-weighted MRI in the diagnosis of ovarian torsion: comparison of torsed and nonaffected ovaries.

Clinical Imaging 2016 September
INTRODUCTION: The aim of this study was to evaluate the role of diffusion-weighted magnetic resonance imaging (MRI) in the diagnosis of ovarian torsion.

METHODS: We retrospectively identified 84 patients with surgically confirmed ovarian torsion. Seventeen patients with unclear ultrasound findings underwent MRI examination with two different magnetic resonance (MR) systems.

RESULTS: In ovarian torsion, the mean apparent diffusion coefficient (ADC) value of the torsed ovary was significantly lower than that of the nonaffected ovary in both MR systems (n=17; 0.898±0.539 vs. 1.615±0.469×10(-3)mm(2)/s; P<.001).

CONCLUSIONS: ADC comparisons were useful for detecting ovarian torsion.

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