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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Diagnostic value of diffusion-weighted imaging (DWI) and diffusion tensor imaging (DTI) in differentiation between normal and abnormally thickened endometrium: prospective study

Fig. 5

A 59-year-old postmenopausal female presented by abnormal vaginal bleeding. On TVS examination, the endometrium was thick and echogenic measuring about 19 mm in diameter with relatively well-defined margins. a, b Sagittal and axial T2 WIs show irregular endometrial thickening which is occupied by a soft-tissue mass displaying intermediate SI (red stars). No visible tumor breaching through the junctional zone. No myometrial invasion or cervical extension. c Sagittal DWI with b value of 1000 s/mm2 shows high signal intensity of the endometrial soft-tissue mass. d Sagittal DW-ADC map image shows low signal intensity of the endometrial soft-tissue mass. Mean DW-ADC value = 0.901 × 10−3 mm2/s. e, f Sagittal and axial DTI map images demonstrate values of DT-FA and DT-MD in multiple ROI along the endometrial mass. Mean DT-FA value = 0.186, and mean DT-MD value = 0.499 × 10−3 mm2/s. Diagnosis: pathologically proved endometrioid adenocarcinoma G2

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